Prevalence of childhood obesity in the state of Kuwait

Elkum, Naser; Alarouj, Monira; Sharifi, Mozafar; Shaltout, Azza; Bennakhi, Abdullah

doi:10.1111/ijpo.12090

Cited by 55 publications

(48 citation statements)

References 19 publications

(21 reference statements)

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“…Although the prevalence of overweight/obesity in the present study was close to that in Turkey, it was still a bit higher, which is probably due to the fact that it was conducted with children living in a city in the western part of Turkey, where people's socio-economic level is high, which makes people more prone to obesity. Consistent with the literature, the prevalence of overweight or obesity was higher in the boys than that in the girls, which may be due to the fact that the boys were more affected by environmental conditions such as unhealthy feeding behaviour than were the girls [13,[15][16][17]22] . The prevalence of overweight/obesity was also high in the children with high family income.…”

Section: Discussionsupporting

confidence: 80%

Obesity in Preschoolers in a Region in Western Turkey and Related Factors

Çevik

Ergün

Karadaş

et al. 2019

Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi

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Öz Amaç: Obezite ve fazla kilolu olma giderek artan önemli bir halk sağlığı sorunudur. Bu çalışmanın amacı okul öncesi çocuklarda fazla kilolu / obez olma sıklığı ve ilişkili faktörlerin saptanmasıdır. Gereç ve Yöntem:Kesitsel tipteki bu çalışma Balıkesir ilinde Ekim 2015-Ocak 2016 tarihleri arasında yürütülmüştür. Araştırmada 1061 okul öncesi çocuğa çok aşamalı örnekleme yöntemiyle ulaşılmıştır. Veri yüz yüze, sossyodemografik özelikler formu ve antropometrik ölçümler yapılarak toplanmıştır. Verilerin analizisnde, sayı, yüzde, ki kare testi, bivariate ve multivariate regresyon analizi kullanılmıştır. Bulgular:Katılımcıların %4.9'u fazla kilolu %11.2'si obezdir. Obezite/fazla kilolu olma durumu erkek çocuklarda (1.34 [%95 GA**: 1.02-1.80]),apartmanda yaşayanlarda (1.78 [%95 GA: 1.54-4.82]), ailesinde obezite öyküsü olanlarda ( 3.02 [% 95 GA: 1.62-5.66]), öğün atlayanlarda (1.56 [% 95 GA: 1.05,2.36]), yemek yerken başka şeylerle ilgilenenlerde (1.68 [% 95 GA: 1.27-2.22]) ve annesi üniversite mezunu olanlarda (1.94 [% 95 GA: 1.04-3.64]) yüksektir (p <0.05). Sonuç:Obezite/fazla kilolu olma sıklığı yüksek bulunmuştur. Sedanter yaşam tarzı ve kötü beslenme düzeyi arttıkça obezite artmaktadır. Anahtar kelimeler: Obezite, Okul Öncesi Dönem, Risk Faktörleri, Sedanter Yaşam.Abstract Objective:The increase in the prevalence of overweight and obesity in children is one of the major public health problems nowadays. The aim of the present study was to determine the prevalence of overweight / obesity and related factors in preschool children. Matherials and Methods:The cross-sectional study was carried out in the city center of Balıkesir from October 2015 to January 2016. The study sample included 1061 children selected using the multistage sampling method. The study data were collected through face-to-face interviews with a structured questionnaire and anthropometric measurements. Numbers, percentages, chi-square test, bivariate and multivariate regression analysis were used in the analysis. Results:Of the participants, 4.9% were overweight and 11.2% were obese. The prevalence of overweight and obesity was higher in boys (AOR*=1.34 [95% CI**: 1.02-1.80]), those living in an apartment (AOR = 1.78 [95% CI: 1.54-4.82]), those having an extended family (AOR = 2.51 [95% CI: 1.03-6.12]), those with a family history of obesity (AOR = 3.02 [95% CI: 1.62-5.66]), those who skipped a meal (AOR = 1.56 [95% CI: 1.05,2.36]), = 1.68 [95% CI: 1.27-2.22]), those interested in other things while eating (AOR = 1.68 [95% CI: 1.27-2.22]) and those whose mothers were university graduates (AOR = 1.94 [95% CI: 1.04-3.64]) (p <0.05). Conclusions:The prevalence of overweight / obesity in preschool children is high. Sedentary lifestyle and poor diet increase the prevalence of obesity.

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Section: Discussionsupporting

confidence: 80%

Obesity in Preschoolers in a Region in Western Turkey and Related Factors

Çevik

Ergün

Karadaş

et al. 2019

Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi

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“…Efforts to replicate the identified markers/loci in individuals with diabetes have not resulted in much success; it is yet to be established whether the low reproducibility is due to differences in study power or in ethnicity, or in environment (such as medication for diabetes)65. The Kuwaiti population, which contributed to our study cohort, has a high prevalence of obesity and diabetes266; as a result, 54% of our study participants are obese, 27% are diabetic, and 13% are under diabetes medication (Table 1). Upon introducing adjustment for diabetes status or for obesity in association tests, the p-values and beta values still remained significant (Table 3).…”

Section: Discussionmentioning

confidence: 99%

“…Informed consent was obtained from each of the participants. Participant recruitment for this study was carried out as part of approved research projects766 at Dasman Diabetes Institute.…”

Section: Methodsmentioning

confidence: 99%

Genetic risk variants for metabolic traits in Arab populations

Hebbar

Elkum

Alkayal

et al. 2017

Sci Rep

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Despite a high prevalence of metabolic trait related diseases in Arabian Peninsula, there is a lack of convincingly identified genetic determinants for metabolic traits in this population. Arab populations are underrepresented in global genome-wide association studies. We genotyped 1965 unrelated Arab individuals from Kuwait using Cardio-MetaboChip, and tested SNP associations with 13 metabolic traits. Models based on recessive mode of inheritance identified Chr15:40531386-rs12440118/ZNF106/W->R as a risk variant associated with glycated-hemoglobin at close to ‘genome-wide significant’ p-value and five other risk variants ‘nominally’ associated (p-value ≤ 5.45E-07) with fasting plasma glucose (rs7144734/[OTX2-AS1,RPL3P3]) and triglyceride (rs17501809/PLGRKT; rs11143005/LOC105376072; rs900543/[THSD4,NR2E3]; and Chr12:101494770/IGF1). Furthermore, we identified 33 associations (30 SNPs with 12 traits) with ‘suggestive’ evidence of association (p-value < 1.0E-05); 20 of these operate under recessive mode of inheritance. Two of these ‘suggestive’ associations (rs1800775-CETP/HDL; and rs9326246-BUD13/TGL) showed evidence at genome-wide significance in previous studies on Euro-centric populations. Involvement of many of the identified loci in mediating metabolic traits was supported by literature evidences. The identified loci participate in critical metabolic pathways (such as Ceramide signaling, and Mitogen-Activated Protein Kinase/Extracellular Signal Regulated Kinase signaling). Data from Genotype-Tissue Expression database affirmed that 7 of the identified variants differentially regulate the up/downstream genes that mediate metabolic traits.

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“…[15][16][17][18] To this end, in Kuwait, it has been estimated that overweight and obesity affect 21.6% and 30.5% of children aged 6 to 18 years, respectively. 19 On the other hand, the prevalence of diabetes in Kuwait has been estimated to be 23.1% among adults, placing Kuwait among the top 10 highest prevalence countries worldwide. 20 With respect to prediabetes burden, previous studies showed a wide variation in the prevalence of prediabetes (6.3%-32%) among young adults in Kuwait.…”

Section: Nevertheless Lifestyle Changes and Pharmacological Intervenmentioning

confidence: 99%

“…Among children and adolescents, family history of diabetes, representing inherited genetic susceptibility and shared predisposing environment, and adiposity, inducing insulin resistance, are major risk factors for prediabetes and T2DM development . To this end, in Kuwait, it has been estimated that overweight and obesity affect 21.6% and 30.5% of children aged 6 to 18 years, respectively . On the other hand, the prevalence of diabetes in Kuwait has been estimated to be 23.1% among adults, placing Kuwait among the top 10 highest prevalence countries worldwide .…”

Section: Introductionmentioning

confidence: 99%

Associations of adiposity and parental diabetes with prediabetes among adolescents in Kuwait: A cross‐sectional study

Almari

Al-Saedi²,

Mohammad

et al. 2018

Pediatr Diabetes

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Background Prediabetes, a high‐risk state for developing diabetes, has become more prevalent among children and adolescents in recent decades. This study sought to estimate the prevalence of prediabetes and assess its association with adiposity among adolescents in Kuwait. Also, to determine whether maternal and paternal history of diabetes associate with offspring prediabetes in a sex‐specific manner. Methods A cross‐sectional study was conducted by enrolling students (n = 1959; aged 14‐19 years) attending high schools across Kuwait. Body mass index‐for‐age z‐scores were estimated using the World Health Organization growth reference. Glycated hemoglobin A1c (HbA1c) was measured in capillary blood using point‐of‐care testing. Prediabetes was defined according to the diagnostic criteria of the American Diabetes Association (ADA; 5.7 ≤ HbA1c% ≤ 6.4) and the International Expert Committee (IEC; 6.0 ≤ HbA1c% ≤ 6.4). Adjusted prevalence ratios (aPR) and 95% confidence intervals (CI) were estimated using Poisson regression with robust variance estimation. Results According to the ADA criteria, 33.3% (620/1845) of participants had prediabetes; whereas, 8.5% (157/1845) met the IEC definition for prediabetes. Subjects classified as obese had higher prevalence of prediabetes compared to children in the thinness/normal group (aPR = 1.68, 95% CI: 1.44‐1.95). Analysis stratified by offspring sex showed that maternal history of diabetes is associated with prediabetes among male offspring (aPR = 1.29, 95% CI: 1.02‐1.63). In contrast, paternal history of diabetes showed an association with prediabetes among female offspring (aPR = 1.22, 95% CI: 1.01‐1.48). Conclusions Prediabetes affects a substantial proportion of adolescents in Kuwait and adiposity and parental diabetes being the main associated factors with prediabetes.

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Prevalence of childhood obesity in the state of Kuwait

Abstract: The prevalence of childhood obesity is alarmingly high in the State of Kuwait and exceeds the prevalence rates reported from neighbouring countries and from North America.

Cited by 55 publications

References 19 publications

Obesity in Preschoolers in a Region in Western Turkey and Related Factors

Obesity in Preschoolers in a Region in Western Turkey and Related Factors

Genetic risk variants for metabolic traits in Arab populations

Associations of adiposity and parental diabetes with prediabetes among adolescents in Kuwait: A cross‐sectional study

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