Prevalence of overweight, obesity and metabolic abnormalities among 12-15 year age group in an urban city in Sri-Lanka

Kiridana, D. V. K.; Karunaratne, R. R.; Ranasinghe, J. M.; Munasinghe, Tissa; Karunadasa, U I; Vidanapathirana, Gihani; Abeygoonaratne, S. P.; Perera, Madhawa; Bogahapitiya, A. N. B.; Jayathilaka, G.; Udupihilla, J.; Tennakoon, Sampath; Abeysekera, Chandra

doi:10.4038/sljm.v30i1.232

Cited by 2 publications

(1 citation statement)

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“…A recent Sri Lankan survey showed a prevalence of childhood obesity at 10.3% and overweight at 11.3% [4]. A study conducted in the same draining area of Teaching Hospital Peradeniya, where this study was conducted, found a prevalence of 7.81% overweight and 6.79% obesity among a group of school children [5].…”

Section: Introductionmentioning

confidence: 65%

Characteristics associated with successful treatment outcome in children with overweight and obesity at a tertiary care clinic in Sri Lanka

Vidanapathirana,

Tennakoon

et al. 2023

SL J. Med.

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Background: Lack of response to childhood obesity management programmes is a global concern. Western studies show that the age and the body mass index of the child at the commencement of the treatment, frequency of clinic visits and parental level of education affect the outcome of such treatment programmes.Objectives: To identify factors associated with z-BMI reduction in children with overweight or obesity who underwent a 6-month clinic-based obesity management programme.Methods: A retrospective analysis of medical records was carried out on children between 2 and 15 years of age who had undergone a weight management programme of 6 months duration at the Teaching Hospital, Peradeniya between 2017 and 2020. Reduction in z-BMI was considered as the successful treatment outcome. Anthropometric, demographic and lifestyle factors at the first and the last visits were extracted and described using means with 95% confidence intervals. Adherence to treatment was evaluated under the categories of diet, physical activity and behavioural modification. Logistic regression was applied to create a model that explains the effect on the treatment outcome.Results: Out of 401 subjects, 94 (23.44%) completed follow up. Eighty subjects (85.1%) achieved a mean z-BMI reduction of 1.981±0.584.The Logistic regression returned a model with screen time as the only statistically significant explanatory variable for changes in BMI. Compared to no screen time those with screen times of over 4 hours were 5.85 (CI 1.25 – 27.28) times more likely to have a negative response.Conclusion: Strategies to minimize screen time are needed to enhance the effectiveness of weight management interventions.

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Section: Introductionmentioning

confidence: 65%

Characteristics associated with successful treatment outcome in children with overweight and obesity at a tertiary care clinic in Sri Lanka

Vidanapathirana,

Tennakoon

et al. 2023

SL J. Med.

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Barriers to Managing Childhood Obesity in the General Practice Amidst of the Double Burden of Malnutrition: A Sri Lankan Perspective

V. K

2024

IJGP

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Childhood obesity is on the rise, mostly in the low-income regions in South Asia including Sri Lanka. Simultaneously, undernutrition also continues to be an ongoing public health issue. The coexistence of childhood obesity with undernutrition has resulted in a double burden of malnutrition in these countries. Management of obesity in a community already affected by undernutrition is a challenging situation. At present, management of childhood obesity occurs as a hospital-based lifestyle modification intervention which cannot address all tiers in the community alike. Although national level multifaceted strategies are in place, implementation is limited due to financial constraints. In this context, the general practitioners can be considered as an important group of medical professionals who can reach families in the community. In many households in Sri Lanka, an overweight child is considered as normal and well-nourished in comparison to an underweight child. Unhealthy eating habits and force feeding have become norms in the society. Changing mindsets of people need significant time and commitment. General practitioners, in the community would be able to achieve this target through effective communication based on a nutrition sensitive approach. While uplifting the infrastructure facilities, steps have to be taken to update the knowledge and communication skills of the general practitioners on managing childhood obesity in a community affected with double burden of malnutrition. The well-equipped GP is an asset to modify the attitudes and thinking patterns of parents with regard to child nutritional problems. Childhood obesity is on the rise, mostly in the low-income regions in South Asia including Sri Lanka. Simultaneously, undernutrition also continues to be an ongoing public health issue. The coexistence of childhood obesity with undernutrition has resulted in a double burden of malnutrition in these countries. Management of obesity in a community already affected by undernutrition is a challenging situation. At present, management of childhood obesity occurs as a hospital-based lifestyle modification intervention which cannot address all tiers in the community alike. Although national level multifaceted strategies are in place, implementation is limited due to financial constraints. In this context, the general practitioners can be considered as an important group of medical professionals who can reach families in the community. In many households in Sri Lanka, an overweight child is considered as normal and well-nourished in comparison to an underweight child. Unhealthy eating habits and force feeding have become norms in the society. Changing mindsets of people need significant time and commitment. General practitioners, in the community would be able to achieve this target through effective communication based on a nutrition sensitive approach. While uplifting the infrastructure facilities, steps have to be taken to update the knowledge and communication skills of the general practitioners on managing childhood obesity in a community affected with double burden of malnutrition. The well-equipped GP is an asset to modify the attitudes and thinking patterns of parents with regard to child nutritional problems.

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Prevalence of overweight, obesity and metabolic abnormalities among 12-15 year age group in an urban city in Sri-Lanka

Abstract: Objectives: To determine the prevalence of childhood overweight, obesity and metabolic abnormalities among children aged 12-15 years within the schools in Kandy Municipality area, Sri Lanka.

Cited by 2 publications

References 20 publications

Characteristics associated with successful treatment outcome in children with overweight and obesity at a tertiary care clinic in Sri Lanka

Characteristics associated with successful treatment outcome in children with overweight and obesity at a tertiary care clinic in Sri Lanka

Barriers to Managing Childhood Obesity in the General Practice Amidst of the Double Burden of Malnutrition: A Sri Lankan Perspective

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