Overweight and Associated Factors: A Study in Adults from the Interior of Northeast Brazil

Introduction: Overweight and obesity are major health-related problems causing an economic burden on societies around the world. This study aimed to estimate the prevalence of overweight and obesity and to determine the associated factors among reproductive women in a municipality in western Nepal. Methods: A community-based cross-sectional study was performed and data was collected by convenience sampling method including 353 women aged 15-45 years. Chi-Square test was used to assess the factors associated with overweight and obesity. The odds ratio was computed using binary logistic regression analysis. Results: The prevalence of overweight and obesity was 55% . Age (p < 0.001), education (p = 0.02), occupation (p = 0.012), marital status (p = 0.008), presence of chronic disease (p < 0.001), dietary pattern (p = 0.01), restaurant visit (p = 0.002) and stress (p = 0.003) were significant associated factors for overweight including obesity. The odds of being overweight or obesity was higher but not statistically significant in women aged 25-35 years (OR = 2.57 ; 95% CI: 0.89-7.4, p = 0.082), in married women (OR = 1.54; 95% CI: 1.08-2.02), and in parous women (OR = 2.38; 95 % CI: 4.05-27.57). The odds of being overweight or obese were significantly higher in the respondents who had no chronic disease (OR = 6.81, 95% CI: 2.10-10.16). Conclusion: We observed a high prevalence of overweight and obesity in our sample. Age, education, occupation, marital status, presence of chronic disease, dietary pattern, restaurant visits, and stress were associated with overweight or obesity.

The childhood obesity has been a dramatic increase during the past 3 decades. The rate has more than tripled, and the current prevalence remains high among children across most age, sex, racial/ethnic, and socioeconomic groups. The search was carried out using Web of Knowledge, Pubmed, and Scopus considering articles published from February 17, 1998 until February 2, 2014 reported the prevalence of overweight/ obesity among childhood samples. Only original studies which met the eligible criteria were included in this review. Purpose of present study is to describe the prevalence and trend of overweight and obesity, as well as its co-existence with stunting, among childhood. Prevalence and odds of obesity and overweight, differentials in which were examined by bivariate and logistic regression analyses. The prevalence of overweight and obese childhood increased significantly between 1998 and 2014.Tthe prevalence of overweight and obese childhood was 35.0-48.8 (95% CI: 36.6-27.1, 48.2-52.4), and 22.3-36.7 (95% CI: 22.2-33.0, 34.9-36.8). The prevalence of overweight and obesity in France childhood were low in 1998 and there has been a rapid increase since then. If this trend continues, overweight will soon reach epidemic proportions.

both, weight excess and thinness, are related with several health disorders that could continue into adulthood. The objectives of this study were to estimate the prevalence of thinness, overweight and obesity in 4-to-6-year-old schoolchildren in the provinces of Cuenca and Ciudad Real (Spain), using both the International Obesity Task Force and the World Health Organization criteria; and to compare this prevalence with those provided for other European studies. a cross-sectional study was performed in 1 585 schoolchildren in September 2013. Weight and height measurements were performed by previously trained nurses with standardized procedures. Weight status was defined according to the International Obesity Task Force and the World Health Organization criteria. when the International Obesity Task Force criteria were used prevalence of thinness, overweight and obesity was 20.51%, 11.84% and 8.58%, respectively; and 3.97%, 13.92% and 10.79% when the World Health Organization criteria were utilized. No statistically significant differences by sex or province in any category of weight status were found. The prevalence of thinness decreased as age increases. Conversely, thinness prevalence decreased and overweight/obesity prevalence was significantly higher in older schoolchildren. The prevalence of overweight in this study is similar to other Mediterranean countries. the prevalence of overweight seems to level off, although it remains a public health priority. The increase in the prevalence of thinness has become an emergent problem that could claim for public health interventions.

The prevalence of overweight in children and adolescents and obesity in adults in the United States has increased over several decades. To provide current estimates of the prevalence and trends of overweight in children and adolescents and obesity in adults. Analysis of height and weight measurements from 3958 children and adolescents aged 2 to 19 years and 4431 adults aged 20 years or older obtained in 2003-2004 as part of the National Health and Nutrition Examination Survey (NHANES), a nationally representative sample of the US population. Data from the NHANES obtained in 1999-2000 and in 2001-2002 were compared with data from 2003-2004. Estimates of the prevalence of overweight in children and adolescents and obesity in adults. Overweight among children and adolescents was defined as at or above the 95th percentile of the sex-specific body mass index (BMI) for age growth charts. Obesity among adults was defined as a BMI of 30 or higher; extreme obesity was defined as a BMI of 40 or higher. In 2003-2004, 17.1% of US children and adolescents were overweight and 32.2% of adults were obese. Tests for trend were significant for male and female children and adolescents, indicating an increase in the prevalence of overweight in female children and adolescents from 13.8% in 1999-2000 to 16.0% in 2003-2004 and an increase in the prevalence of overweight in male children and adolescents from 14.0% to 18.2%. Among men, the prevalence of obesity increased significantly between 1999-2000 (27.5%) and 2003-2004 (31.1%). Among women, no significant increase in obesity was observed between 1999-2000 (33.4%) and 2003-2004 (33.2%). The prevalence of extreme obesity (body mass index > or =40) in 2003-2004 was 2.8% in men and 6.9% in women. In 2003-2004, significant differences in obesity prevalence remained by race/ethnicity and by age. Approximately 30% of non-Hispanic white adults were obese as were 45.0% of non-Hispanic black adults and 36.8% of Mexican Americans. Among adults aged 20 to 39 years, 28.5% were obese while 36.8% of adults aged 40 to 59 years and 31.0% of those aged 60 years or older were obese in 2003-2004. The prevalence of overweight among children and adolescents and obesity among men increased significantly during the 6-year period from 1999 to 2004; among women, no overall increases in the prevalence of obesity were observed. These estimates were based on a 6-year period and suggest that the increases in body weight are continuing in men and in children and adolescents while they may be leveling off in women.

The study compared how four different growth references determined the prevalence of thinness and overweight, based on height and weight measurements from a nationally representative sample of Swedish children from seven to nine years of age. The height and weight measurements of 4518 Swedish schoolchildren aged seven to nine years were carried out in 2008 using a standardised protocol. The prevalence of different degrees of thinness and overweight was calculated using international growth references from the World Health Organization, the International Obesity Task Force and two Swedish growth references from Werner and Karlberg. Depending on which growth reference we used, the prevalence of different degrees of thinness varied from 7.5% to 16.9% for the boys and 6.9% to 13.7% for the girls, while the prevalence of overweight, including obesity and severe obesity, varied from 16.5% to 25.7% for the boys and 18.2 to 25.2% for the girls. There were also significant gender differences depending on the growth reference we used. Using four different growth references, two international and two Swedish, produced wide variations in the prevalence of thinness and overweight, together with significant gender differences. In the absence of a global definition, we need both national and international growth references.

BackgroundIn China, obesity is expected to increase rapidly in both urban and rural areas. However, there have been no comprehensive reports on secular trends in obesity prevalence among Chinese adults in urban Shanghai, which is the largest city in southern China.MethodsIn 1998–2001 and again in 2007–2008, two independent population-based cross-sectional surveys were conducted in Shanghai to investigate the prevalence of metabolic disorders. These surveys obtained height, waist circumference (WC), and weight measurements for Chinese adults aged between 20 and 74 years who lived in urban communities. From the 1998–2001 survey, 4,894 participants (2,081 men and 2,813 women, mean age: 48.9 years) were recruited, and 4,395 participants (1,599 men and 2,796 women, mean age: 49.8 years) were recruited from the 2007–2008 survey. Using the World Health Organization criteria, overweight was defined as 25 kg/m2 ≤ BMI < 30 kg/m2 and obesity as BMI ≥ 30 kg/m2. Central obesity was defined as WC ≥ 90 cm in men or ≥85 cm in women. The differences in prevalence of obesity, central obesity and overweight between the two surveys were tested using multivariable logistic regression analyses.ResultsCompared to the 1998–2001 survey, in the 2007–2008 survey the BMI distribution for men and the WC distribution for both genders is shifted significantly to the right along the x-axis (all p < 0.001). Over the ten years, the prevalence of combined overweight and obesity increased 24% (from 31.5% to 39.1%, p < 0.001) in men, but decreased 8% (from 27.3% to 25.0%; p < 0.01) in women. The prevalence of central obesity increased 40% in men (from 19.5% to 27.3%; p < 0.01), but the increase was not significant in women (15.0% to 17.1%; p = 0.051). In the total population, only central obesity showed a significant change between the populations in the two surveys, increasing 29% (from 17.3% to 22.4%; p < 0.001).ConclusionsOver this 10 year period, central obesity increased significantly in the Shanghai adult population. However, the prevalence of combined overweight and obesity was significantly increased in men but not in women.

The objectives of this Community-based National Epidemiological Household Survey, conducted between 1990-1993, were to estimate the prevalence of overweight and obesity in Saudi Arabia and to examine its association with the socio-demographic characteristics of the adult population. A sample of Saudis 20 years and over was selected using a multistage stratified cluster sampling technique with probability proportionate to size. The selected subjects were requested to visit primary health care centers in their localities. Physicians in these clinics took measurements of heights and weights and collected other relevant data. Obesity was measured by the Body Mass Index, using the Quetelet Index. The results showed the sample of 10,651 subjects of which 50.8% were males, had a mean age of 35.8 years (SD = 14.27 years). The prevalence of overweight was 31.2% (95% confidence interval: 30.3%, 32.1%); 33.1% for males and 29.4% for females. For obesity, the overall prevalence was 22.1%; males 17.8% and females 26.6%. The study design suggested that these estimates could be closer to the true values. The multiple logistic regression analysis showed that age, residential area, region, income, gender, and education are statistically significant predictors of obesity. The prevalence of obesity was higher in females than males, lower in subjects living in rural areas with traditional lifestyles than those in more urbanized environments, and increased with increasing age. The observed prevalence and pattern of overweight and obesity with age and gender is similar to those observed in the Arab community and some Western nations. There is a need for increased physical activity and better nutrition education programs to reduce the extent of obesity and to prevent the serious health consequences, especially, in the middle age group.

Epidemic of Childhood Obesity: Implications for Kidney Disease

To estimate the prevalence and determinants of overweight and obesity among school children and adolescents (7-18 years), a cross-sectional study was conducted in Tianjin City of Northeast China. Five primary and middle schools were selected using a multistage random cluster sampling. Anthropometric measurements were taken by the research team. Then, standardized questionnaires on socioeconomic status, diet and lifestyle, parental weight and height were sent to the parents to be completed together with their child. Overall, 3,140 students were screened for overweight and associated risk factors. Body mass index classification reference proposed by the Working Group on Obesity in China was used as a screening reference to calculate the prevalence of overweight in these groups. The prevalence of overweight and obesity was found to be 12.5% and 15.7%, respectively. Logistic regression analysis (overweight compared with normal weight) showed that, overweight in children was significantly associated with male gender, parental obesity, parental educational level, mother's history of gestational diabetes, high birth weight, less hours of physical activity per day, urban residence, motorized transportation, and eating food not prepared at home. After adjusting for parental obesity, the odds ratio of overweight children was increased by urban residence (rural as a reference, 2.68, 2.16-3.32), positive gestational diabetes (2.76, 1.37-4.50), and fast-food/restaurant food service (2.03, 1.34-3.07). Children who walked to school and participated in outdoor activities were 54% and 63% less likely to be overweight respectively. The prevalence of overweight and obesity is high among school children and adolescents in Tianjin. Changes in lifestyle, high socioeconomic status, parental obesity, mother's history of gestational diabetes, and high birth weight are among the highly associated risk factors of overweight. An educational approach about maintaining a healthy weight should be introduced much earlier to high-risk children, parents, and women of childbearing age.

Background: Obesity is becoming a worldwide problem affecting all levels of society and is thus being described as a global epidemic. the highest rates of childhood obesity have been observed in the developed countries, its prevalence is increasing in the developing countries also. 50-80% of obese children will continue as obese adults. Aims and Objective: To study prevalence and possible associations of obesity and overweight among school adolescents in urban Kanpur. Methods: A cross-sectional study done among 468 children from 7-10 class. Complete data of each child were collected using a pre-designed, pre-tested questionnaire. Measurement of height & weight will be done using standard procedure with measuring tape (made of non-stretchable steel) & electronic weighing machine respectively. Body mass index(BMI) will be calculated using the formula: WEIGHT (in kg)/HEIGHT (in m sq.) Sex & age specific percentile cut-points (85th percentile for overweight & 95th percentile for obesity) of a reference population according to BMI for Age Classification by CDC will be used. Data will be entered in Microsoft Excel & will be analysed using SPSS software. Results: Prevalence of overweight was 13.6% while prevalence of obesity was 2.9%. Overweight and Obesity was found significantly higher in Children of 5-10 years’ age group, with family H/O obesity, not playing outdoor games, not doing regular exercise, watching TV, Computer more than 2 hours daily and consuming junk food regularly. Conclusions: Periodic screening for overweight and obesity should be done in schools followed by counselling of parents of overweight and obese children. Counselling of adolescent children on lifestyle modification should be emphasized.

Background Globally, the prevalence of child and adolescent overweight and obesity has increased during the preceding decades leading to childhood obesity being acknowledged as one of the most significant health hazards of the 21st century. Yet, in Finland comprehensive and up-to-date data on the prevalence of overweight and obesity among children and adolescents have been lacking. The aim of this study was to examine the prevalence of overweight and obesity among 2-16-year-old children and adolescents living in Finland in 2018. Methods The study was based on height and weight measurements taken at child welfare clinics and school health services between 5.7.2017 and 5.4.2019 (n = 375,561). The data was collected from the Register of Primary Health Care Visits. Child and adolescent overweight and obesity were defined according to international IOTF BMI criteria (age- and sex-specific BMI cut-off points corresponding to adults' cut-off points of 25 kg/m2 for overweight and 30 kg/m2 for obesity) and reported by age group and sex. Results In 2018, nearly 20% of boys and girls aged 2-16 years were classified as at least overweight while the prevalence of obesity was 5% among both sexes. The prevalence of overweight in pre-school-aged children (2-6 years) was 12% in boys and 15% in girls, in primary school-aged children (7-12 years) 23% in boys and 22% in girls and in adolescents (13-16 years) 25% in boys and 23% in girls. Conclusions In 2018, every fifth child and adolescent in Finland was classified as either overweight or obese. The prevalence of overweight and obesity appears to increase with age in both genders. Key messages Childhood and adolescent overweight and obesity were comparatively common in Finland in 2018. As overweight and obesity often persist into adulthood, multi-professional interventions targeted at prevention and early detection are essential.

The aim of this research was to report the prevalence of overweight and obesity in a representative sample of Portuguese youth. This was a school-based study performed in Portugal. A total of 22 048 children and adolescents aged 10-18 years were included in the study. The World Health Organization (WHO) and the International Obesity Task Force (IOTF) cut-offs were used to categorise overweight and obese participants. Using IOTF cut-offs the prevalence of overweight and obesity was 17.0 and 4.6% in girls, and 17.7 and 5.8% in boys, respectively (p < 0.001 for overweight and p > 0.05 for obesity), whereas WHO cut-offs resulted in overweight and obesity prevalence scores of 23.1 and 9.6% in girls, and 20.4 and 10.3% in boys, respectively (p < 0.001 for overweight and p >0.05 for obesity). With IOTF cut-offs, a lower prevalence of obesity and overweight was observed at higher ages, in both genders. With the WHO cut-offs, a lower prevalence of obesity and overweight was observed at higher ages, in boys. In girls, the prevalence of overweight and obesity increases from 10 to 12 years of age and decreases from the age of 13 to 18 years. The prevalence for overweight/obesity among Portuguese children and adolescents vary according to the cut-off points used and are also of concern requiring strategies to promote healthy weight gain among children and adolescents.

Neutrophil-to-lymphocyte ratio on admission is an independent risk factor for the severity and mortality in patients with coronavirus disease 2019

BackgroundThe prevalence of childhood overweight and obesity has become a public health problem worldwide. The objectives of the study were: 1) to establish the BMI prevalence in 12-year olds residing in Puerto Rico, and 2) to determine BMI differences by sex, public-private school type, and geographic regions.MethodsData was obtained from an island-wide probabilistic stratified sample of 1,582 twelve-year-olds (53% girls and 47% boys). The BMI was determined using the National Health and Nutrition Examination Survey procedures. Children were categorized as underweight, healthy weight, overweight or obese using the Center for Disease Control and Prevention’s age and gender specific growth charts. A logistic regression model was used to estimate BMI category prevalence. Odds ratios were calculated using a multinomial regression.ResultsIn this study, 18.8% of the children were overweight and 24.3% were obese. A higher prevalence of obesity was observed in boys as compared to girls, 28.2% vs. 20.2%, respectively. The estimated prevalence of overweight and obesity in children from public schools was lower than for those from private schools. After adjusting for type of school and region, boys had a significantly higher risk of being obese (64%) as compared to girls. In public schools, boys had a lower prevalence of being overweight while girls had a higher prevalence compared to children attending private schools. Girls attending private schools had a higher obesity prevalence (27.8%) compared to girls from public schools (19.8%). The prevalence of underweight (2.7%) is slightly lower than in the United States.ConclusionsThe prevalence of overweight and obesity of 12-year-olds residing in PR was 18.8% and 24.3%, respectively; higher than in the U.S. (by groups). Boys were at higher risk of obesity than girls. There is an urgent need to implement public health policies/programs to reduce the prevalence of overweight and obesity in children in PR.

BackgroundThe study of overweight and obesity in schoolchildren is crucial for preventing future chronic diseases and improving long-term health, particularly in vulnerable communities. The Yaqui indigenous community is undergoing a transition from a traditional lifestyle to a more modern lifestyle, facing an increased risk of overweight and obesity. This study aimed to assess the prevalence of overweight and obesity among Yaqui schoolchildren (aged 5–11 years) and to identify determinants associated with BMI Z-scores.MethodsA cross-sectional study using probabilistic, multistage, and stratified sampling was conducted. Measurements of weight, height, and waist circumference were taken in schoolchildren. Likewise, the mother’s weight and height were recorded. Additionally, questionnaires were administered to assess physical activity, screen time, diet, pediatric clinical history, sociodemographic characteristics, food insecurity, and social support programs.ResultsIn total, 509 schoolchildren, representing 2,779 Yaqui schoolchildren, were evaluated. The prevalence of overweight was 20.7%, obesity 14.9%, and abdominal obesity 21.1%. The factors positively associated with BMI Z-scores included higher maternal BMI, greater birth weight, increased screen time, and higher energy intake. In contrast, the food insecurity score was negatively associated with elevated BMI-for-age Z-scores.ConclusionsThe prevalence of overweight and obesity among Yaqui schoolchildren was higher than that reported in similar populations. The determinants identified in this study should be considered when designing effective intervention strategies to reduce the prevalence and its consequences at early ages in this indigenous group.