A Perspective on Childhood Obesity in General and Libya in Particular
Keywords:
childhood obesity, Libya, body mass index(BMI)Abstract
Aim: The prevalence of obesity and overweight and their association with socioeconomic status (SES) and the risk factors like diet, physical activity like exercise, sports, eating habits like junk food, chocolate, eating outside at weekend were recorded in school children near Chennai.
Material and Methods: The study was carried out in 900 school children of 12–18 years of age and having different SES. The obesity and overweight were considered using an updated body mass index reference. SES and life style factors were determined using questionnaire.
Results: Age-adjusted prevalence of overweight was found to be 10.0% among boys and 8.0% among girls whereas the prevalence of obesity was 2.9% in boys and 1.5% in girls. The prevalence of overweight among children was higher in middle socioeconomic status group (SES) as compared to high SES group in both boys and girls whereas the prevalence of obesity was higher in high SES group as compared to middle SES group. The prevalence of obesity as well as overweight in low SES group was the lowest as compared to other group. Eating habit like junk food, chocolate, eating outside at weekend and physical activity like exercise, sports, having remarkable effect on prevalence on overweight and obesity among middle to high SES group.
Conclusion: The present data suggest that the prevalence of overweight and obesity varies remarkably with different socioeconomic development levels.Â
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References
Abbott, N. & Olness, K. (2001) Pediatric and Adolescent Health, p. 157-172. Handbook of Rural Health, New York: Kluwer Academic/Plenum Publishers .
Al-Arbah S. Tripoli: National Institute for Scientific Research; 1996. Food security, its limitation and achievement
Al-Nozha MM, Al-Mazrou YY, Al-Maatouq MA, Arafah MR, Khalil MZ, Khan NB, et al. Obesity in Saudi Arabia. Saudi Med J. 2005;26:824–9.
American Academy of Pediatrics Policy Statement (2007) Prevention of Pediatric Overweight and Obesity, Pediatrics Vol. 12, No 2, viewed online 2/21/2008 at http://aappolicy.aappublications.org/cgi/content/full/pediatrics;112/2/424
Americas children viewed online 2-21-07@ www.childstats.gov/americaschildren American Heart Association; Cardiovascular Disease Statistics Viewed online August 28, 2007 at http://www.americanheart.org/presenter.jhtml
Anderson, P. M., & Butcher, K. M. (2006) Childhood obesity, trends and potential causes The Future of Children:16 (1). Viewed online @ www.futureofchildren.org
Annie E. Casey Foundation Kids Count Special Report (2004) City and Rural, Kids Count Data Book. Anne E. Casey Foundation viewed at www.aecf.org/knowledgecenter/publications
Baccush MM, Nayak CS. Breast feeding practice in an urban population of Tripoli, Libya. Garyounis Med J. 1992;15:35–42.
Barlow, S. F., Bobra, S. R., Elliott, M. B., Brownson, R. C. & Haire-Joshu, D. (2007) Recognition of childhood overweight during health supervision visits: Does BMI help pediatricians. Obesity 15:225-232. Retrieved 8/7/07 from http://www.obesityresearch.org/cgi/content/absract/15/1/225
Benghazi diabetes and endocrine center. Statistics; Benghazi: Ministry of Health-Libya; 2009.
Berry, D. (2004). An emerging model of behavior change in women maintaining weight loss, Nursing Science Quarterly. 17:3, 242-252. Retrieved October 1, 2006 from: http://www.lib.montan.edu/epubs/indexes/health.html
Bibbins-Domingo, K., Coxson, P., Pletcher, M. J.., Lightwood, J., & Goldman L., (2007) Adolescent overweight and future adult coronary heart disease. New England Journal of Medicine 357:2372-9.
Borders, T. F., Rohner, K.M., Cardarelli, K. M. (2006) Gender specific Disparities in obesity, Journal of Community Health. 31 (1).
Bragg, S., & Leight, E,. (2003) The application of vulnerable populations conceptual model to rural health. Public Health Nursing, 20(6), 440-449. Retrieved October 1, 2006 from: http://www.lif.montana.edu/epubs/indexes/health.html
Centers for Disease Control and Prevention National Center for Health Statistics (2005) National survey of children’s health The Health and Well-being Of Children: A Portrait of States and the Nation 2005 Viewed online 11/20007 At www.cdc.gov/nchs/about/major/slaits/nchs.htm
Centers for Disease Control and Prevention (2007) Overweight and Obesity: About BMI for children and teens, retrieved online 9/27/07 at http://www.cdc.gov/nccdphp/dnpa/bmi/childrens_bmi/about_childrens_bmi..htm
Chung, P. J., Lee, T. C., Morrison, J. L., & Schuster, M. A. (2006) Preventative care for children in the United States: quality and barriers. Annual Review of Public Health, 27:491-515. Viewed 2/18/2008 at cmwf@cmwf.org
Crawford, P.B., Story M. Wang M. C., Ritchie, L.D., & Sabry, Z. (2001) Ethnic Issues in the epidemiology of childhood obesity. Pediatric Clinics of North America 48(4): 855-78.
Daniels, S. R. (2006) the consequences of childhood overweight and obesity. The Future of Children, vol. 16(1). Viewed online @ www.futureofchildren.org
Daniels, S. R., Arnett, D. K., Eckel, R. H., Gidding, S. S., Hayman, L. L., Kumanyika, S., Robinson, T. N., Scott, B. J., Jeor, S. S., & Williams, C. L. (2005) Prevention, and treatment of overweight in children and adolescents: pathophysiology and Consequences Circulation 2005;111,1999-2012
Davidson, M. & Knafl, K. A. (2006) Dimensional analysis of the concept of obesity. Journal of Advanced Nursing 54(3):342-350. Retrieved online at http://wwwingentaconnect.com/content/bsc/jan/2006
Dennis, L. K., & Pollotta, S. L., (2001) Chronic disease in rural health, Handbook of Rural Health, p 189-207 New York: Kluwer Academic Plenum Publishers
Deurenberg P, Yap M, van Staveren WA. Body mass index and percent body fat: a meta analysis among different ethnic groups. Int J Obes Relat Metab Disord 1998; 22:1164-1171
Dilley, K. J., Martin, L.A., Sullivan, C., Seshadri, R., & Binn, H.J,. (2007) Identification of overweight status is associated with higher rates of screening for comorbidities of overweight in pediatric primary care. Pediatrics 119:148-155. Viewed online at http://www.pediatrics.org/cgi/content/full/ll9/1/e148
Dillman, D.A. (2007) Mail and internet Surveys: The Tailored Design Method 2007 Update with New Internet, Visual and Mixed Mode Guide. John Wiley & Sons, Viewed online 9/1/07 at http://www.diesel-ebooks.com/cgi-bin/chapter.
Dorsey, K. B., Wells, C., Krumholtz, H. M., & Concato, J. C. (2005) Diagnosis, evaluation and treatment of childhood obesity in pediatric practice. Archive Pediatric and Adolescent Medicine 15(9):632-638.
Eissa, M. A. H., & Gunner, K. B., (2004) Evaluation and management of obesity in children and adolescents, Journal of Pediatric Health Care 18(1):35-38.
Fierro, M. P. with National Governors Association Center for Best Practices (2002) The Obesity Epidemic: how states can trim the fat. Viewed online @ www.nga.org
Fleqal KM, Carroll MD, Oqden CL, Curtin LR. Prevalence and trends in obesity among US adults, 1999–2008. JAMA. 2010;303:235–41
Flower, K. B., Perrin, E. M., Viadro, C. L., & Ammerman, A. S. (2007) Using body mass index to identify overweight children: barriers and facilitators in primary care. Ambulatory Pediatrics 7(1):38-44. Viewed 2/18/08 at http://www.pubmedcentral.nih.gov
Food and Agriculture Organization of the United Nations – Food and Nutrition Division. Libyan Arab Jamahiriya; 2005. Nutrition Profile.
Fontaine, K.R., & Barofsky, I,. (2001) Obesity and health-related quality of life, the International Association for the Study of Obesity: Obesity Reviews 2, 173-182. Retrieved October 1, 2006 from: http://www.lib.montan.edu/epubs/indexes/health.html
Fowler-Brown, A., & Kahwati, L. C., (2004) Prevention and treatment in overweight in children and adolescents, American Family Physician 69:11 2591-2598. Viewed Online at http://www.aafp.org/afp
Freedman, D.S., Dietz, W. H., Srinivasan, S.R., & Berenson, G. S., (1999) The relation Of overweight to cardiovascular risk factors among children and adolescents: the Bogalusa heart study. Pediatrics 103:1175-1182. Viewed online at http://www.pediatrics.org/csi/content/full/103/6/1175
Golan M., & Crow S. (2004) Targeting parents exclusively in the treatment of childhood obesity: Long term results. Obesity Research 12:357-361. Viewed online 8/28/07 http://www.obesityresearch.org/cgi/content/abstract/12/2/357.
Gortmaker S, Dietz W, Cheung L. Inactivity, diet and the fattening of America. J Am Diet Ass 1990; 90:1247-1255.
Harder T, Bergmann R, Kallischnigg G, Plagemann A. Duration of breastfeeding and risk of overweight: a meta-analysis. Am J Epidemiol. 2005;162:397
Hawley, S. R., Bishop, H. and Beckman, J. (2006) Development of obesity prevention and management program for children and adolescents in rural setting. Journal of Community Health Nursing, 23(2), 69-80.
Hediger ML, Overpeck MD, Kuczmarski RJ, Ruan WJ. Association between infant breastfeeding and overweight in young children. JAMA. 2001;285:2453.
Hedley, A.A., Ogden, C.L., Johnson, C.C., Carroll, M. B., Curtin, L. R., Flegal, K.M (2004) Prevalence of overweight and obesity among US children, adolescents and adults 1999-2000. JAMA 291: 2847-2850.
Hernaandez B, Gortmaker SL, Colditz GA, Peterson KE, Laird NM, Parra-Cabrera S. Association of obesity with physical activity, television programs and other forms of video viewing among children in Mexico City. Int J Obesity 1999; 23:845-854.
International Association for the Study of Obesity. Global prevalence of adult obesity. http://www.iaso.org/site_media/uploads/GlobalPrevalence_of_Adult_Obesity_January_2011.pdf[cited 30 June 2012]
Jackson, J. E., Doescher, M. P., Jerant, A. F., & Hart, L. G. (2005) A national study of obesity prevalence and trends by type of rural county. Journal of Rural Health, 21(2), p.140-148.
Jackson, J. E., Doescher, M. P., Saver, B. G., & Hart, L. G. (2005) Trends in professional advice to lose weight among obese adults 1994-2000. Journal of General Internal Medicine, 20:814-818. 84
Kaiser State Health Facts@www.statehealthfacts.org
Kimbro, R. T., Brooks-Gunn, J. & McLanahan, S. (2007) Racial and ethnic differential in overweight and obesity among 3 year old children. American Journal of Public Health. 97(2):298-305
Krishnamoorthy, J. S., Hart, C., & Jelalian, E. (2006) The epidemic of childhood obesity: Review of research and implications for public policy. Society for Research in Child Development, Social Policy Report XX(II):
Kumanyika, S., & Grier, S. (2006) Targeting interventions for ethnic minority and low income populations. The Future of Children 16:1. Retrieved online 3/20/07 from www.futureofchildren.org
Lee, H. J., & Winters, C. A. (2006) Rural nursing: concepts, theory, and practice . New York: Springer Publishing Company.
Leslie, W. S., Hankey, R., McCombie, L., & Lean, M. J., (2004) Weight management: a survey of current practice in secondary care NHS setting in 2004. Journal of Evaluation in Clinical Practice, 11(5):462-467.
Lewis, R. D., Meyer, M. C., Lehman, S. C., Trowbridge, F. L., Bason, J. J., Yurman, K. H., & Yin, Z., (2006) Prevalence and degree of childhood and adolescent overweight in rural, urban and suburban Georgia. Journal of School Health 76(4):126-132
Lobstein T., Baur L., & Uauy R., (2004) International obesity task force, obesity in Children and young people: a crisis in public health. Obesity Review Suppl.1:4- 104.
Lombard, K. A., Forster-Cox, S., & O’Neil, M. K. (2006) Diabetes on the Navajo Nation: what role can gardening and agriculture extension play to reduce it. Remote and Rural Health, 6:640
Loue, S., & Quill, B.E., (2001) Handbook of Rural Health New York :Kluwer/Plenum Publishers
Ludwig, D. S. (2007) Childhood obesity the shape of things to come. New England Journal of Medicine 357:23. Viewed at www.nejm.org
Maternal and Child Health needs Assessment viewed online 2-23-07 http://perfdata.hrsa.gov/mchb/mchreports/documents/needsassessments/2006/MT- needsassessment.pdf
Medlin, B. & Whitten, D. (2001) A comparison of internet and mail survey Methodologies, Quirks Marketing Research Review July/August 2001. viewed online at http://www.quirks.com/articles/a2001/20010703
Ministry of Health-Libya. Tripoli: Ministry of Health-Libya; 2009. National Survey of Non-Communicable Disease Risk Factors.
Ministry of Health-Libya. Tripoli: Ministry of Health-Libya; 2008. Pan Arab project for family health. National Survey of Family Health.
Murray, C. L, Kulkarni, S., & Ezzati, M. (2005) Eight Americas: new perspectives on US health disparities. American Journal of Preventative Medicine, 25(581)
Najah A. 1995. Effect of nutritional and other factor on heart disease. Master Degree, Faculty of Agriculture, AL-Fateh University, Libya
National Heart, Lungs & Blood Institute (2006) The Clinical Guidelines on the Identification, Education and Treatment of Overweight and Obesity In Adults: The Evidence Report. Retrieved September 18, 2006 from http://www.nhlbi.nih.gov/guidelines/obesity/ob-guidelines
National Initiative for Children’s Healthcare Quality (2007) Expert Committee Recommendations on the Assessment, Prevention and Treatment of Child and Adolescent Overweight and Obesity. Viewed online 11/10/2007 at www.ama-assn.org/ama/pub/category/11749.html
National Institute of Health Strategic Plan for Obesity Research (2004) viewed online @ http://obesityresearch.nih.gov
Neel JV. Diabetes mellitus: a “thrifty†genotype rendered detrimental by “progress� Am J Hum Genet. 1962;14:353–62
Nelson, M. C., Gordon-Larson, P., Song, Y., & Popkin, B. M. (2006) Built and social environments: associations with adolescents overweight and activity. American Journal of Preventative Medicine 31(2):109-117. Viewed online 8-12-07 at www.ajpm_online.net
Neumark-Sztainer, D., Faulkner, N., Story, M., Perry, C., Hannan, P.J., & Mulert, S. (2002) Weight, teasing among adolescents: correlations with weight status & disordered early behaviors. International Journal of Obesity:26,123-131.
Neumark-Sztainer, D. & Hannan, P. J. (2000) Weight related behavior among adolescent girls and boys. Archive of Pediatric Adolescent Medicine: 154,569-577.
Coles N and Hamilton J. Emerging treatments for severe obesity in children and adolescents BMJ 2016; 354 doi: http://dx.doi.org/10.1136/bmj.i4116 (Published 29 September 2016)Cite this as: BMJ 2016;354:i4116
Ogden, C. L., Carroll, M. D., Curtin, L. R., McDowell, M. A., Tabak, C. J., & Flegal, K. M. (2006) Prevalence of overweight and obesity in the United States, 1999-2004,
JAMA 295:1549-1555. Retrieved online 8/15/07 at http://www.jama.ama-assn.org/cgi/content/abstract/295/13/1549?maxtoshow
Ogden, C.L., Flegal, K. M., Carroll, M.D. & Johnson C. L, (2002) Prevalence and trends in overweight among US children and adolescents 1999-2000. JAMA 288: 1728-1732.
Oliver, J., & Lee, T.,, (2005) Public opinion and the politics of obesity in America, Journal of Health Politics Policy and Law, 30(5).
Patterson, P.D., Moore, C., Probst, J., & Shinogle, J.A.(2004). Obesity and physical inactivity in rural America. The Journal of Rural Health, 20(2), p. 151-159. Retrieved October 1, 2006 from: http://www.lib.montan.edu/epubs/indexes/health.html
Paxson, C. Donahue, E., Orleans, C. T., & Grisso, J. A. (2006) Childhood obesity: The future of children 16(1). Retrieved online 3/20/07 at www.futureofchildren.org
Polit, D. F. & Beck, C. T., (2004) Nursing research: Principals and methods, (7th ed.) Philadelphia: Lippincott Williams & Wilkins
Polley, D. C., Spicer, M. T., & Knight, A. P. Hartley, B. L. (2005) Interfamilial correlates of overweight and obesity in African American and Native American grandparents, parents and children in rural Oklahoma. Journal of American Dietetic Association 105:262-265.
Popkin, B.M., Kim, D., Rusev, E.R., Du, S. & Zizza, C., (2006) Measuring the full Economic costs of diet, physical activity and obesity-related chronic diseases. Obesity Reviews, 7, 271-293. Retrieved October 1, 2006 from: http://www.lib.montan.edu/epubs/indexes/health.html
Rao GM, Morghom LO. Prevalence of obesity in Libyan diabetic patients. Garyounis Med J.1985;8:115–21.
Reilly J. J., Armstrong, J., Dorosty, A. R., Emmett, P.R., Ness, A., Rodgers, I, Steer, C., & Stewart, A., (2005). Early life risk factors for obesity in childhood: a cohort study. BMJ 330:1357.Viewed online at http://www.bmj.com/cgi/content/full/330/7504/1357?ehom
Robinson, T. N. (1999) Reducing children’s television viewing to prevent obesity: randomized controlled trial. JAMA 282:1561-1567.
Ross EA, Carlos JC, Susan JB, Lawrence JC, Michael P. Relationship of Physical Activity and Television Watching With Body Weight and Level of Fatness Among Children. JAMA 1998; 279:938-942.
Rural Healthy People 2010 reviewed online 10-12-06 at http://www.srph./hsc.edu/centers/rhp2010/publications.htm
Rural Assistance Center (2008) Rural Health Disparities, viewed online 2/21/08 At www.raconline.org/info_guides/disparities
Rural Assistance Center (2007) What is rural. Viewed online 3/24/07 at www.raconline.org/info_guides/ruraldef
Sallis, J. F. & Glanz, K. (2006) The Role of built environments in physical activity, eating and obesity in childhood. The future of our Children, vol. 16:1 @ http://www.aecf.org
Scharff, J. E. (2006) The distinctive nature and scope of rural nursing practice: philosophical bases as taken from Rural Nursing: Concepts, Theory, and Practice, p. 179-204. New York: Springer Publishing Company.
Scott, J. G., Cohen, D., DiCicco-Bloom, B., Orzano, A. J., Gregory, P., Flocke, S. A., Maxwell, C., & Crabtree, B., (2004) Speaking of weight: how patients and primary care clinicians initiate weight loss counseling. Preventative Medicine 38: 819-827. Viewed online at www.elsevier.com/locate/ypmed.
Seldon, T. M. (2006) Compliance with well child visit recommendations: evidence from The medical expenditure panel survey, 2000-2002. Pediatrics 118:1766-1778. Retrieved online 8/13/07 at http://www.pediatrics.org/cgi/content/full/118/6/e1766
Strauss, R. S., & Pollack, H. A. (2003) Social Marginalization of overweight children Archives of Pediatric and Adolescent Medicine 157:746-752 Viewed online 10/2007 at www.archpedi.ama-assn.org/cgi/conten/full/157/8/746?chk=nck
Turner, M. A. & Kaye, D. R. (2006) Does well-being vary across different types of neighborhoods? The Urban Institute: Washington DC. Viewed online 4-19-07 @ www.aecf.org
United States Department of Agriculture, Economic Research Center.(2004) Measuring Rurality: rural urban commuting area codes. Viewed online at www.ers.usda.gov
United States Department of Health and Human Services National Center For Health Statistics (2000) Healthy People 2010, Focus Area 19; Nutrition and Weight. Viewed online at http://www.cdc.gov/nchs/about/otheract/hpdata2010/focusareas/fa19- nutrition.htm
United States Department of Health and Human Services, Office of Applied Studies (2004) National Survey on Drug Use and Health Viewed online 2-25-07 @ http://www.oas.samhsa.gov/nhsda.htm
United States Preventative Services Task Force Agency for Healthcare Research and Quality, (2005) Screening and interventions for overweight in children and adolescents: recommendation statement. AHRQ Publication No. 05-0574-A Viewed 9/1/07 online at http://www.ahrq.gov/clinic/uspstfo5/choverwt/choverrs.htm
United States Preventative Services Task Force (2005) Recommendation Statement: Screening and Intervention for Overweight in Children and Adolescents, Viewed 1-20-08 at http://www.ahrq.gov/clinic/uspstfo5/chovenwt/chovens.htm
Wang, G., & Dietz, W.H. (2002) Economic Burden of obesity in youths aged 6-17 Years: 1979-1999. Pediatrics 109:81-86. Viewed online 8/29/07 at http://pediatrics.aappublications.org/cgi/content/abstract/109/5/e81
Wang, Y., Monteiro, C., & Popkin, B.M. (2002) Trends of obesity and underweight in older children in the US Brazil, China & Russia. American Journal of Clinical Nutrition 75:971-977. Viewed online at http://www.ajcn.org/cgi/content/abstract/75/6/971.
Wang, Y. & Zhang, Q. (2006) Are American children and adolescents of low socioeconomic status at increased risk of obesity: changes in the association between overweight and family income between 1971-2002. American Society for Nutrition 84(4):707-716. Retrieved online 816/07 at http://www.ajcn.org/cgi/content/abstract/84/707
Wellman, N. S. & Friedberg, B. (2002) Causes and consequences of adult obesity: health, social and economic impacts in the United States. Asia Pacific Journal of Clinical Nutrition, 2002, 11(supplement): S705-S709.
Whitlock, E. P., Williams, S. B., Gold, R., Smith, P. R. & Shipman, S.A. (2005) Screening and interventions for childhood overweight: a summary of evidence for the US Preventive Services Task Force.Pediatrics:116. 124-144.Viewed online at http://www.pediatrics.org/cgi/content/full/116/1/e125
Williams, J., Wake, M., Hesketh, K., Maher, E., and Waters, E., (2005) Health related Quality of life of overweight and obese children.JAMA293:1,70-76
Wang, Y. (2001) Cross national comparison of childhood obesity the epidemic and the relationship between obesity and socio-economic status. International Journal Of Epidemiology 20:1129-1136 89
Wells JC. Ethnic variability in adiposity and cardiovascular risk: the variable disease selection hypothesis. Int J Epidemiol. 2009;38:63–71
World Health Organization. Global infobase. 2007. Available from:https://apps.who.int/infobase/Indicators.aspx [cited 30 June 2012]
Yang W, Kelly T, He J. Genetic epidemiology of obesity. Epidemiol Rev. 2007;29:49–61
Zhang, X. Christoffel, K. K., Mason, M. & Liu, L., (2006) Identification of contrasted and comparable school neighborhoods for childhood obesity and physical activity research. International Journal of Health Geographic 5:14. Retrieved online 8/11/07 at http://www.ij-healthgeographics.com/content/5/1/14/abstract
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