A School Based Study on Over-nutrition And it's Determinants in an Urban Area of Kolkata
Keywords:Over-nutrition, screen time, unhealthy food score
Background: The World Health Organization has declared overweight as one of the top ten health risks in the world. The magnitude of overweight and obesity ranges from 9% to 27.5% and 1% to 12.9%, respectively among Indian children. Objective: This study was done to estimate over-nutrition among school students and itsâ€™ predictors. Methodology: A facility based cross-sectional study was conducted among 151 students of mid adolescent age studying in class VII - IX during July - September, 2017 in Kolkata. Informed consent was obtained from the school authority and parents. A structured questionnaire was used to collect data on various characteristics. Scoring for unhealthy food habit was done. Over-nutrition was determined by comparing BMI with WHO age-gender specific chart for children aged 5-19 years. Analysis was done using SPSS (v 16). Results: A total of 33.1% students falls in over-nutrition category. On bivariate logistic regression, factors significantly associated were maternal education [OR 2.36, 95% CI (1.1-5.1)], status of physical activity [2.95, 95% CI(1.6-5.9)], frequency of eating out [OR 3.42, 95% CI (2.3-5.1)], skipping breakfast[OR 1.4, 95% CI (1.2-1.6)], screen time [OR 5.4 95% CI (2.6-11.8)] and hours spent sitting idle [OR 1.37, 95% CI (1.2-1.6)]. On multivarible analysis, frequency of eating out [AOR 5.1, 95% CI (2.46-10.4)], skipping breakfast [AOR 1.75, 95% CI (1.28-2.4)] and screen time [AOR 0.14, 95% CI (0.04-0.5)] remained significantly associated. Conclusion: Over-nutrition is not very uncommon among school children pertaining to changing lifestyle. Health education and training should be given due importance at par with academics.
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