Factors Contributing to Obesity among Adolescents

Sunita Poudel *

School of Health and Allied Sciences, Pokhara University, Pokhara, Nepal.

Laxmi Pradhan

The Central Department of Home Science, T.U, Bagbazar, Kathmandu, Nepal.

*Author to whom correspondence should be addressed.


Abstract

Background: Obesity is a medical condition characterized by an abnormal fat accumulation which is detrimental to health. The role of infectious disease is diminishing and that of non-communicable disease are increasing rapidly in developing countries like Nepal. Adolescents are vulnerable in terms of nutrition and the obese adolescent turns into an obese adult which leads to reduction of productivity of nation.

Objectives: To determine the prevalence and knowledge of overweight/obesity among adolescents and evaluate the associated factors in Bharatpur Metropolitan Municipality of Chitwan district. 

Methodology: A descriptive cross-sectional study was conducted where two secondary schools of Bharatpur Metropolitan Municipality were randomly selected by lottery method. All the students of grade 9 and 10 of those two schools were included in the study (Sample size: 304). The question was self-administered and; Body Mass index (BMI) status and Central obesity was calculated. Data was analyzed by using IBM SPSS version 26.  

Major Findings: In total, 187 (61.5%) of the respondents had knowledge about obesity, 251 (82.6%) had junk foods eating habits, 28 (9.2%) did not involve in any physical exercise and 50.3% of the respondents spent their leisure time playing/watching gadgets. The prevalence rate of overweight and obesity was 10.2% and 4.9% respectively. The study confirms 3 (1.9%) of boys and 12 (8.1%) of girls were central obese. Further, the mean BMI score was 18.57 kg/m2 (Mean ± SD: 18.57±2.56) and mean waist circumference for boys and girls was 72.25 cm and 69.59 cm respectively. The study shows significant association (p value<0.05) between father’s occupation and mother’s education with types of snacks provided. Furthermore, respondent’s sex, meal frequency and gadgets at home show statistically significant association (p value<0.05) with nutritional status of respondents. 

Conclusion: The study suggests that preventive approaches should be followed from the very beginning to avoid the obesity and health problem. The food preferences of respondents, foods they consumed, lack of physical exercise, preference of junk foods, parental history of obesity, use of gadgets and online games would lead to serious health effects in the future.

Keywords: Obesity, overweight, adolescents, nutritional habits, BMI


How to Cite

Poudel , S., & Pradhan , L. (2023). Factors Contributing to Obesity among Adolescents. Asian Journal of Food Research and Nutrition, 2(4), 287–297. Retrieved from https://journalajfrn.com/index.php/AJFRN/article/view/52

Downloads

Download data is not yet available.

References

Obesity and overweight [Internet]. [cited 2023]Available:https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight

CDC Overweight & Obesity [Internet]. Centers for Disease Control and Prevention. 2023 [cited 2023].

Available:https://www.cdc.gov/obesity/index.html

World Obesity Day 2022 – Accelerating action to stop obesity [Internet]. [cited 2023]. Available:https://www.who.int/news/item/04-03-2022-world-obesity-day-2022-accelerating-action-to-stop-obesity

MOH/Nepal M of H, ERA/Nepal N, ICF. Nepal Demographic and Health Survey 2016. 2017 Nov 1 [cited 2023]; Available:https://dhsprogram.com/publications/publication-fr336-dhs-final-reports.cfm

Nepal Health Facility Survey Final Report. 2021.

Regmi S, Purushothama J. Overweight and obesity among higher secondary level students of Tulsipur Municipality, Nepal. Int J Community Med Public Health. 2018; 24;5:774.

Nonboonyawat T, Pusanasuwannasri W, Chanrat N, Wongthanavimok N, Tubngern D, Panutrakul P, et al. Prevalence and associates of obesity and overweight among school-age children in a rural community of Thailand. Korean J Pediatr. 2019;62(5):179–86.

Prevalence and factors affecting underweight, overweight and obesity using Asian and World Health Organization cutoffs among adults in Nepal: Analysis of the Demographic and Health Survey 2016 - ScienceDirect [Internet]. [cited 2023].

Available:https://www.sciencedirect.com/science/article/abs/pii/S1871403X18303533

Chaulagain K. The Burden of Overweight and its Risk Factors in Urban Nepalese School Adolescents: A Cross- Sectional Study. J Qual Health Care Econ. 2021; 12;4.

Shrestha N, Mishra SR, Ghimire S, Gyawali B, Pradhan PMS, Schwarz D. Application of single-level and multi-level modeling approach to examine geographic and socioeconomic variation in underweight, overweight and obesity in Nepal: findings from NDHS 2016. Sci Rep. 2020;12;10(1):2406.

World Population Day [Internet]. UNFPA Nepal. 2016 [cited 2023]. Available:https://nepal.unfpa.org/en/node/10804

For young people, by young people [Internet]. UNFPA Nepal. 2022 [cited 2023]. Available:https://nepal.unfpa.org/en/news/young-people-young-people

Kamath SV Sangamesh G. Prevalence of obesity and its risk factors in school going adolescents of urban Bangalore, India. Int J Contemp Pediatr. 2016;28;3(2):568–74.

Lazzeri G, Giacchi MV, Spinelli A, Pammolli A, Dalmasso P, Nardone P et al. Overweight among students aged 11–15 years and its relationship with breakfast, area of residence and parents’ education: results from the Italian HBSC 2010 cross-sectional study. Nutr J. 2014;5;13:69.

Piryani S, Baral KP, Pradhan B, Poudyal AK, Piryani RM. Overweight and its associated risk factors among urban school adolescents in Nepal: a cross-sectional study. BMJ Open. 2016;20;6(5): e010335.

Ranjani H, Pradeepa R, Mehreen TS, Anjana RM, Anand K, Garg R, et al. Determinants, consequences and prevention of childhood overweight and obesity: An Indian context. Indian J Endocrinol Metab. 2014;18(Suppl 1): S17–25.

Raj M, Kumar RK. Obesity in children & adolescents. Indian J Med Res. 2010; 132(5):598–607.

Story M, Nanney MS, Schwartz MB. Schools and Obesity Prevention: Creating School Environments and Policies to Promote Healthy Eating and Physical Activity. Milbank Q. 2009;87(1):71–100.

(PDF) Prevalence and Knowledge on Obesity Among School Going Adolescents of Kaski, Nepal [Internet]. [cited 2023].

Available:https://www.researchgate.net/publication/330334109_Prevalence_and_Knowledge_on_Obesity_Among_School_Going_Adolescents_of_Kaski_Nepal

Singh DR, Sunuwar DR, Dahal B, Sah RK. The association of sleep problem, dietary habits and physical activity with weight status of adolescents in Nepal. BMC Public Health. 2021;17;21(1):938.

Deepak Karki. The Basics of Monitoring, Evaluation and Supervision of Health Servic… [Internet]. 22:57:19 UTC [cited 2023 Jan 24].

Available:https://www.slideshare.net/dekarki/the-basics-of-monitoring-evaluation-and-supervision-of-health-services-in-nepal-37391386

Adhikari K, Jain V, Adak M, Gupta N, Koshy A. Prevalence of Risk Factors of Non-Communicable Diseases among Adolescent in Parsa District of Nepal. 2013.

Kedir S, Hassen K, Melaku Y, Jemal M. Determinants of overweight and/or obesity among school adolescents in Butajira Town, Southern Ethiopia. A case-control study. PLOS ONE. 2022;28;17(6): e0270628.

Pandey A, Sapkota S. Prevalence and Knowledge on Obesity among School Going Adolescents of Kaski, Nepal. J Nepal Paediatr Soc. 2019;11;38: 63–8.

Sah VK, Giri A, Acharya R. Prevalence of overweight, obesity and its associated risk factors among school children aged 6-16 years of Biratnagar. J Nobel Med Coll. 2016;26;5(2):22–5.

Department of Public Health and Community Medicine, AJK Medical College, University of Azad Jammu and Kashmir, Muzaffarabad, Azad Kashmir, Durrani HM, Durrani SM, Alumni-Rawalpindi Medical College, Tipu Rd., Rawalpindi, Pakistan, Kumar R, Health Services Academy, Islamabad, Pakistan, et al. Prevalence of Overweight and Obesity Among Adolescents of Islamabad: A Cross Sectional Study. Pediatr Neonatal Nurs - Open J. 2017;3; 4(1):8–11.

Findings of prevalence of overweight by STEP survey of Nepal (Step Survey, 2013 - Google Search [Internet]. [Cited 2023].

He Y, Pan A, Yang Y, Wang Y, Xu J, Zhang Y, et al. Prevalence of Underweight, Overweight, and Obesity Among Reproductive-Age Women and Adolescent Girls in Rural China. Am J Public Health. 2016;106(12):2103–10.

Zhai L, Dong Y, Bai Y, Wei W, Jia L. Trends in obesity, overweight, and malnutrition among children and adolescents in Shenyang, China in 2010 and 2014: a multiple cross-sectional study. BMC Public Health. 2017;2;17(1):151.

Smetanina N, Albaviciute E, Babinska V, Karinauskiene L, Albertsson-Wikland K, Petrauskiene A, et al. Prevalence of overweight/obesity in relation to dietary habits and lifestyle among 7-17 years old children and adolescents in Lithuania. BMC Public Health. 2015;1;15:1001.

Castro JAC, Nunes HEG, Silva DAS. Prevalence of abdominal obesity in adolescents: association between sociodemographic factors and lifestyle. Rev Paul Pediatr. 2016;34(3):343–51.

Bhattarai S, Bhusal CK. Prevalence and associated factors of malnutrition among school going adolescents of Dang district, Nepal. AIMS Public Health. 2019;21; 6(3):291–306.