Determinants of overweight and obesity among urban school-going children and adolescents: a case-control study in Bangladesh

Alam, Mohammad Morshad; Wahab, A. Samik Wahab A. Samik; Hossain, Delowar; Nishat, Shajeda Akter; Zaman, Sanjana; Ahsan, Gias U.

doi:10.1515/ijamh-2018-0034

Cited by 15 publications

(12 citation statements)

References 22 publications

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“…Valeria et al, also noted association between acrochordons and obesity due to skin-on-skin friction. 7…”

Section: Discussionmentioning

confidence: 99%

Dermatosis among overweight and obese children attending a tertiary care centre - A prospective study

Shams¹,

Nair²,

Pillai³

et al. 2022

IJCED

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Obesity is a chronic disease that is increasing worldwide, both amongst adults and children. As per family health survey conducted by Ministry of Health and Family Welfare in 2022, 38% women and 36.5% of men in Kerala are overweight or obese. It can affect almost all organs, including the skin. Obesity among children is increasing in India with an overall prevalence of 8-10% (15-20% in urban population). The cutaneous manifestations can be associated both with the age of onset and duration of obesity. However, studies showing association with class of obesity and cutaneous manifestations are lacking and hence we undertook this study, to know the association in children attending a tertiary care center. This was a prospective study carried out over a period of 6 months from May 2021 to November 2021 in our centre. A total of 133 children, aged 6–16 years with BMI >25 kg/ m2 were included in the study. After taking informed consent from the parents/attendants; demographic details, height and weight were recorded and systemic examination was done. A detailed cutaneous examination was performed, and all the findings were noted in a predesigned proforma. Relevant investigations were carried out, wherever deemed necessary. A total of 133 children (male/female 63.9%/ 36.1%) were included in the study with a mean age of 10.97 ± 2.72. The mean BMI of the patients was 28.43 ± 3 kg/ m. Majority of the patients (78.9%) were overweight; 17.3% had Class I obesity, 3% had Class II obesity and 0.8% had Class III obesity. The most common cutaneous changes observed in our patient group were acanthosis (62.4%), seborrheic dermatitis (47.4%), sebomelanosis (37.6%), frictional dermatitis (29.3%), striae distensae (24.8%), tinea cruris (24.8%), SD-seborrheic dermatitis(18.1%), plantar hyperkeratosis (10.5%) and achrochordon (3.8%). The incidence of acanthosis nigricans, striae, sebomelanosis, frictional dermatitis, seborrheic dermatitis, verruca, keratosis pilaris and acne were higher in children with Class II obesity while acanthosis, striae, acne, and hirsutism was more common in Class III obesity.As the prevalence of obesity is increasing among the children, the paediatricians and dermatologists should be aware of its various manifestations including the cutaneous ones to ensure their early diagnoses and treatment, which are as common as in adults, and can be a source of great physical or psychological morbidity.

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“…Valeria et al, also noted association between acrochordons and obesity due to skin-on-skin friction. 7…”

Section: Discussionmentioning

confidence: 99%

Dermatosis among overweight and obese children attending a tertiary care centre - A prospective study

Shams¹,

Nair²,

Pillai³

et al. 2022

IJCED

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“…A community level cross-sectional study in Bangladesh, Hossain et.al, 2019 reported that nearly 65% of the mothers of preschool aged children were not aware of childhood obesity as a health problem [8]. Fast food consumption habit has been found as a potential risk factor for overweight and/ or obesity among children in other studies [9,10]. Also, Al Muktadir et.al, 2019 reported that (systematic random sampling attending in 27 established public and private universities) more than 40% of the youth went to fast food restaurants at least once per week and over 27% went regularly (2 times/week).…”

Section: Obesitymentioning

confidence: 99%

Fast Food Addiction: A Major Public Health Issue

Mohiuddin¹

2020

ABEB

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Fast food/Junk food is designed to be tasty, comforting and convenient. Unfortunately, whilst these foods contain lots of calories, they often have far lower levels of fiber, water and minerals as compared to natural foods. Packaged food and snacks are also created specifically so that we get enough texture and taste from each bite to tantalize our taste buds; but not enough to make us feel full. It's evident that fast food feels good to eat and tempts us in many different situations. Fast food first popularized in the 1970s in the United States, which has today the largest fast food industry in the world. As taste, time considerations, convenience, and cost are major factors that contribute to an adolescent's or young adult's food choices, fast food restaurants serve as popular sites for their meals eaten outside the home. Current approaches suggest that fast food restaurants should be required to clarify nutrition information such as energy and fat content on their menu boards and on product packaging. This is important to help the consumer to make better food choices before purchasing. An adequate, nutritious, and balanced diet is essential to maintain health for one's lifetime. To achieve this healthy diet, fast food consumption should be limited.

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“…Overweight or obese children have a higher risk of becoming obese in adulthood and are at higher risk of associated chronic diseases [20]. Al Muktadir et.al, 2019 revealed that around 22% to 27% Bangladeshi youth were recorded as obese with different stages of obesity [21].…”

Section: B Overweight Issuementioning

confidence: 99%

The Diabetes TRACK (by NEHEP) Vs Bangladesh

Mohiuddin¹

2020

JDIB

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With the increasing burden of non-communicable diseases in low-income and middle-income countries (LMICs), biological risk factors, such as hyperglycemia, are a major public health concern in Bangladesh. Optimization of diabetes management by positive lifestyle changes is urgently required for prevention of comorbidities and complications, which in turn will reduce the cost. Diabetes had 2 times more days of inpatient treatment, 1.3 times more outpatient visits, and nearly 10 times more medications than non- diabetes patients, as reported by British Medical Journal. And surprisingly, 80% of people with this so called “Rich Man's Disease” live in low- and middle-income countries. According to a recent study of American Medical Association, China and India collectively are home of nearly 110 million diabetic patients. The prevalence of diabetes in this region is projected to increase by 71% by 2035. Bangladesh was ranked as the 8th highest diabetic populous country in the time period of 2010-2011. In Bangladesh, the estimated prevalence of diabetes among adults was 9.7% in 2011 and the number is projected to be 13.7 million by 2045. The cost of diabetes care is considerably high in Bangladesh, and it is primarily driven by the medicine and hospitalization costs. According to Bangladesh Bureau of Statistics, in 2017 the annual average cost per T2DM was $864.7, which is 52% of per capita GDP of Bangladesh and 9.8 times higher than the general health care cost. Medicine is the highest source of direct cost (around 85%) for patients without hospitalization. The private and public financing of diabetes treatment will be severely constrained in near future, representing a health threat for the Bangladeshi population.

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Determinants of overweight and obesity among urban school-going children and adolescents: a case-control study in Bangladesh

Cited by 15 publications

References 22 publications

Dermatosis among overweight and obese children attending a tertiary care centre - A prospective study

Dermatosis among overweight and obese children attending a tertiary care centre - A prospective study

Fast Food Addiction: A Major Public Health Issue

The Diabetes TRACK (by NEHEP) Vs Bangladesh

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