Clinical and Experimental Pediatrics

대한소아청소년과학회 (The Korean Pediatric Society)
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Prevalence of obesity and overweight in Iranian children aged less than 5 years: a systematic review and meta-analysis

  • Mansori, Kamyar (Student Research Committee, Dezful University of Medical Sciences) ;
  • Khateri, Sorour (Student Research Committee, Kurdistan University of Medical Sciences) ;
  • Moradi, Yousef (Student Research Committee, School of Public Health, Iran University of Medical Sciences) ;
  • Khazaei, Zaher (Student Research Committee, Sabzevar University of Medical Science) ;
  • Mirzaei, Hossein (Department of Biostatistics and Epidemiology, School of Public Health, Kerman University of Medical Sciences) ;
  • Hanis, Shiva Mansouri (School of Public Health and Safety, Shahid Beheshti University of Medical Sciences) ;
  • Aliabadi, Mehran Asadi (Preventive Medicine and Public Health Research Center, School of Medicine, Iran University of Medical Sciences) ;
  • Ranjbaran, Mehdi (Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences) ;
  • Varse, Fatemeh (Department of Epidemiology, School of Public Health, Iran University of Medical Sciences) ;
  • Parang, Serveh (Department of Midwifery, Faculty of Nursing and Midwifery, Kurdistan University of Medical Sciences)
  • 투고 : 2018.11.08
  • 심사 : 2019.04.22
  • 발행 : 2019.06.15
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초록

Purpose: The present study aimed to determine the prevalence of childhood obesity and overweight in Iranian children under 5 years of age using a systematic review and meta-analysis. Methods: We searched MEDLINE (PubMed), Web of Science, Google Scholar, Scopus, CINHAL, and the Iranian databases, including Scientific Information Database (www.sid.ir), Iranian Research Institute for Information Science and Technology (Irandoc.ac.ir), Iranmedex (www.iranmedex.com), and Magiran (www.magiran.com), for all articles published between January 1989 and August 2017. Sources of heterogeneity were determined using subgroup analysis and meta-regression. Results: Six articles were ultimately included in the meta-analysis to estimate the pooled prevalence, based on which the prevalence of obesity and overweight were estimated to be 8% (95% confidence interval [CI], 6%-10%) and 9% (95% CI, 7%-11%), respectively. The results of the subgroup analysis showed that the prevalence of obesity in boys and girls was 9% (95% CI, 6%-13%) and 7% (95% CI, 4-10%), respectively, and the prevalence of overweight in boys and girls was 10% (95% CI, 5%-15%) and 9% (95% CI, 5%-13%), respectively. Conclusion: Despite high heterogeneity among the results of the articles included in the meta-analysis, the prevalence of obesity and overweight is higher in Iranian children under 5 years of age. Therefore, parents and the health system must pay more attention to the lifestyle, nutritional habits, and physical activity of these children.

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