Journal of Preventive Medicine and Public Health

  • 제46권4호
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  • Pages.192-200
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  • 2013
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  • 1975-8375(pISSN)
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  • 2233-4521(eISSN)
대한예방의학회 (The Korean Society for Preventive Medicine)
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Behavioural Determinants for Obesity: A Cross-sectional Study Among Urban Adolescents in India

  • Rani, M. Anitha (Department of Community Medicine, Sri Ramachandra Medical College and Research Institute, Sri Ramachandra University) ;
  • Sathiyasekaran, B.W.C. (Department of Community Medicine, Sri Ramachandra Medical College and Research Institute, Sri Ramachandra University)
  • 투고 : 2013.01.02
  • 심사 : 2013.06.19
  • 발행 : 2013.07.31
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초록

Objectives: To measure the prevalence of behavioural risk factors for obesity among urban adolescent school children in Chennai, India. Methods: This study was performed as a cross-sectional study using a World Health Organization-designed Global School-based Student Health Survey questionnaire (modified for India) among adolescent school children studying in 30 randomly selected secondary and higher secondary schools in Chennai city. 1842 adolescents studying in the VIII to XII standards were randomly selected for the study. Results: In the present study, 40.7% of the students ate fruit one or more times per day and 74.5% of the students ate vegetables one or more times per day. Nearly 20% of the students ate fast food items on 4 to 7 days during the previous week. Among the students, 30.4% watched television for more than two hours per day. Nearly 68% of the girls and 22% of the boys did not participate in outdoor sports activities. When the pattern of physical activity of the students was assessed, it was observed that 15.6% were inactive, 43.4% were minimally active, and the remaining 41.0% belonged to the category of health enhancing physical activity. Among the students, 6.2% were overweight and 5.2% were obese. Conclusions: The prevalence of risk factors for obesity was quite high among the adolescents. This study also showed that a great proportion of overweight/obese adolescents had a correct perception of their body weight and they were making efforts to modify risk factors such as television viewing, computer use, a sedentary lifestyle, and unhealthy dietary habits.

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참고문헌

  1. Bhardwaj S, Misra A, Khurana L, Gulati S, Shah P, Vikram NK. Childhood obesity in Asian Indians: a burgeoning cause of insulin resistance, diabetes and sub-clinical inflammation. Asia Pac J Clin Nutr 2008;17 Suppl 1:172-175.
  2. Singhal N, Misra A, Shah P, Rastogi K, Vikram NK. Secular trends in obesity, regional adiposity and metabolic parameters among Asian Indian adolescents in north India: a comparative data analysis of two selective samples 5 years apart (2003, 2008). Ann Nutr Metab 2010;56(3):176-181. https://doi.org/10.1159/000282281
  3. Must A, Jacques PF, Dallal GE, Bajema CJ, Dietz WH. Long-term morbidity and mortality of overweight adolescents. A followup of the Harvard Growth Study of 1922 to 1935. N Engl J Med 1992;327(19):1350-1355. https://doi.org/10.1056/NEJM199211053271904
  4. Ford ES, Mokdad AH. Epidemiology of obesity in the Western Hemisphere. J Clin Endocrinol Metab 2008;93(11 Suppl 1):S1-S8. https://doi.org/10.1210/jc.2008-1356
  5. Misra A, Vikram NK. Insulin resistance syndrome (metabolic syndrome) and obesity in Asian Indians: evidence and implications. Nutrition 2004;20(5):482-491. https://doi.org/10.1016/j.nut.2004.01.020
  6. Hill JO, Peters JC. Environmental contributions to the obesity epidemic. Science 1998;280(5368):1371-1374. https://doi.org/10.1126/science.280.5368.1371
  7. Misra A, Khurana L, Vikram NK, Goel A, Wasir JS. Metabolic syndrome in children: current issues and South Asian perspective. Nutrition 2007;23(11-12):895-910. https://doi.org/10.1016/j.nut.2007.08.018
  8. Chopra M, Galbraith S, Darnton-Hill I. A global response to a global problem: the epidemic of overnutrition. Bull World Health Organ 2002;80(12):952-958.
  9. Neumark-Sztainer D, Story M, Resnick MD, Blum RW. Correlates of inadequate fruit and vegetable consumption among adolescents. Prev Med 1996;25(5):497-505. https://doi.org/10.1006/pmed.1996.0082
  10. Galhotra A, Abrol A, Agarwal N, Goel NK, Gupta S. Life style related risk factors for cardiovascular diseases in Indian adolescents. Internet J Health 2009;9(2). doi: 10.5580/4d4.
  11. Robinson TN. Reducing children's television viewing to prevent obesity: a randomized controlled trial. JAMA 1999;282(16):1561-1567. https://doi.org/10.1001/jama.282.16.1561
  12. Gortmaker SL, Peterson K, Wiecha J, Sobol AM, Dixit S, Fox MK, et al. Reducing obesity via a school-based interdisciplinary intervention among youth: planet health. Arch Pediatr Adolesc Med 1999;153(4):409-418. https://doi.org/10.1001/archpedi.153.4.409
  13. 2006 India, Central Board of Secondary Education (CBSE): GSHS questionnaire [cited 2013 Jul 13]. Available from: http://www.who.int/chp/gshs/2006_India_GSHS_Questionnaire_English.pdf.
  14. Singh AK, Maheshwari A, Sharma N, Anand K. Lifestyle associated risk factors in adolescents. Indian J Pediatr 2006;73(10):901-906. https://doi.org/10.1007/BF02859283
  15. Chennai District. Education: number of schools [cited 2013 Jul 13]. Available from: http://www.chennai.tn.nic.in/schools.htm.
  16. International physical activity questionnaires. IPAQ: short last 7 days self-administered format [cited 2013 Jul 13]. Available from: http://www.ipaq.ki.se/questionnaires/IPAQ_S7S_FINAL_MAY_01.pdf.
  17. Centers for Disease Control and Prevention. About BMI for children and teens [cited 2013 Jul 13]. Available http://www.cdc.gov/healthyweight/assessing/bmi/childrens_bmi/about_childrens_bmi.html.
  18. World Health Organization. Diet, nutrition, and the prevention of chronic diseases: report of a WHO-FAO Expert Consultation. Geneva: World Health Organization; 2003, p. 40-42.
  19. Lin BH, Guthrie JE. Nutrient contribution of food away from home. In: Frazao E, editor. America's eating habits: changes and consequences. Washington, DC: US Department of Agriculture; 1999, p. 213-242.
  20. Olds T, Wake M, Patton G, Ridley K, Waters E, Williams J, et al. How do school-day activity patterns differ with age and gender across adolescence? J Adolesc Health 2009;44(1):64-72. https://doi.org/10.1016/j.jadohealth.2008.05.003
  21. Nader PR, Bradley RH, Houts RM, McRitchie SL, O'Brien M. Moderate-to-vigorous physical activity from ages 9 to 15 years. JAMA 2008;300(3):295-305. https://doi.org/10.1001/jama.300.3.295
  22. Trost SG, Pate RR, Sallis JF, Freedson PS, Taylor WC, Dowda M, et al. Age and gender differences in objectively measured physical activity in youth. Med Sci Sports Exerc 2002;34(2):350-355. https://doi.org/10.1097/00005768-200202000-00025
  23. Swaminathan S, Selvam S, Thomas T, Kurpad AV, Vaz M. Longitudinal trends in physical activity patterns in selected urban south Indian school children. Indian J Med Res 2011;134:174-180.
  24. Lazzeri G, Rossi S, Pammolli A, Pilato V, Pozzi T, Giacchi MV. Underweight and overweight among children and adolescents in Tuscany (Italy). Prevalence and short-term trends. J Prev Med Hyg 2008;49(1):13-21.
  25. Chou YC, Pei JS. Risk factors of adolescent osure and waist circumference. Asian J Sports Med 2010;1(4):214-222.
  26. Rossouw HA, Grant CC, Viljoen M. Overweight and obesity in children and adolescents: the South African problem. S Afr J Sci 2012;108(5/6). doi:10.4102/sajs.v108i5/6.907.
  27. Laxmaiah A, Nagalla B, Vijayaraghavan K, Nair M. Factors affecting prevalence of overweight among 12- to 17-year-old urban adolescents in Hyderabad, India. Obesity (Silver Spring) 2007;15(6):1384-1390. https://doi.org/10.1038/oby.2007.165
  28. Ramesh K. Prevalence of overweight and obesity among high school students of Thiruvananthapuram City Corporation, Kerala, India. Australas Med J 2010;3(10):650-661.
  29. Kaur S, Kapil U, Singh P. Pattern of chronic diseases amongst adolescent obese children in developing countries. Curr Sci 2005;88(7):1052-1056.
  30. Ramachandran A, Snehalatha C, Vinitha R, Thayyil M, Kumar CK, Sheeba L, et al. Prevalence of overweight in urban Indian adolescent school children. Diabetes Res Clin Pract 2002;57(3):185-190. https://doi.org/10.1016/S0168-8227(02)00056-6
  31. Agarwal KN, Saxena A, Bansal AK, Agarwal DK. Physical growth assessment in adolescence. Indian Pediatr 2001;38(11):1217-1235.
  32. Bharati DR, Deshmukh PR, Garg BS. Correlates of overweight & obesity among school going children of Wardha city, Central India. Indian J Med Res 2008;127(6):539-543.
  33. Giammattei J, Blix G, Marshak HH, Wollitzer AO, Pettitt DJ. Television watching and soft drink consumption: associations with obesity in 11- to 13-year-old schoolchildren. Arch Pediatr Adolesc Med 2003;157(9):882-886. https://doi.org/10.1001/archpedi.157.9.882
  34. Robinson TN, Hammer LD, Killen JD, Kraemer HC, Wilson DM, Hayward C, et al. Does television viewing increase obesity and reduce physical activity? Cross-sectional and longitudinal analyses among adolescent girls. Pediatrics 1993;91(2):273-280.

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