Demographic determinants of obesity, and adherence to dietary and physical activity guidelines among 4 to 6-year-old children in Behbahan city, southwest Iran, 2016
Keywords:
Childhood obesity, Physical activity, Diet, Guidelines, Health promotion, Program developmentAbstract
Background and aim: The world is experiencing an alarming increase in prevalence of childhood obesity. The aim of this study was to determine the demographic determinants of obesity and adherence to dietary and physical activity guidelines among children aged 4 to 6 years old in Behbahan city, southwest Iran, in 2016. Methods: This cross-sectional study was conducted on 120 preschool children aged 4 to 6 years old in Behbahan city, southwest Iran, in 2016. Multi-stage random sampling was done. The weight and height of the children were measured with standard methods. The demographic and behavioral factors data were collected in self report questionnaires which were completed by the children’s mothers. The Chi-square test, Independent-samples t-tests, One-way analysis of variances and logistic regression analysis were used for data analysis. SPSS software (version 22) was employed. Results: This study showed that 88.3% of the children did not meet the guideline of 5 servings per day of fruit and vegetables. Only 2.5% met the guideline of 60 minutes of structured physical activity every day. Sex and mother’s occupation status were associated with adhering to screen time guideline. This study found a significant difference in the mean of screen time between sexes. Boys were more likely to meet the screen time guideline. A significant association between adhering to physical activity guidelines and mother’s occupation status was revealed. Significant statistical relationship between demographic factors and BMI categories was not illustrated. Demographic covariates were not significantly related to adherence to dietary and physical activity guidelines. Conclusion: In preventive programs of obesity among 4 to 6-year-old children key lifestyle behaviors and demographic factors need to be considered.References
Sabaei S, Sabaei Y, Mojtabavi S, Ebrahimpour S, Fallah-Rostami F. The Prevalence of Obesity and Its
Relation to Physical Activity and Dietary Patterns among Female High School Students of Tehran, Iran
Crescent J Med & Biol Sci. 2015; 2(1): 14-7.
Mwaikambo SA, Leyna GH, Killewo J, Simba A, Puoane T. Why are primary school children overweight
and obese? A cross sectional study undertaken in Kinondoni district, Dares-salaam. BMC Public Health.
; 15: 1269. doi: 10.1186/s12889-015-2598-0.
Cattaneo A, Monasta L, Stamatakis E, Lioret S, Castetbon K, Frenken F, et al. Overweight and obesity in
infants and pre-school children in the European Union: a review of existing data. Obes Rev. 2010; 11: 389–
doi: 10.1111/j.1467-789X.2009. 00639.x. PMID: 19619261.
Veldhuis L, Vogel I, Renders CM, van Rossem L, Oenema A, HiraSing RA, et al. Behavioral risk factors
for overweight in early childhood; the ‘Be active, eat right’ study. Int J Behav Nutr Phys Act. 2012; 9: 74.
doi: 10.1186/1479-5868-9-74. PMID: 22704042, PMCID: PMC3409071.
World Health Association. Facts and Figures on Childhood Obesity. Available from:
http://www.who.int/end-childhood-obesity/facts/en/
Agha Alinejad H, Farzad B, Salari M, Kamjoo S, Harbaugh BL, Peeri M. Prevalence of overweight and
obesity among Iranian preschoolers: Interrelationship with physical fitness. J Res Med Sci. 2015; 20: 334- 41.
Norozi N, Hasandoost F, Moaddab F, Rezahi H. Prevalence of obesity among Iranian children and related
factors. International Congress of maternal and childhood obesity. Urmia- Iran; 2015.
Ziaoddini H, Kelishadi R, Kamsari F, Mirmoghtadaee P, Poursafa P. First nationwide survey of prevalence
of weight disorders in Iranian children at school entry. World J Pediatr. 2010; 6(3): 223-7. doi:
1007/s12519-010-0206-z.
Tchoubi S, Sobngwi-Tambekou J, Noubiap JJN, Asangbeh S, Nkoum BA, Sobngwi E. Prevalence and Risk
Factors of Overweight and Obesity among Children Aged 6–59 Months in Cameroon: A Multistage,
Stratified Cluster Sampling Nationwide Survey. PLOS ONE. 2015; 10. doi: 10.1371/journal.pone.0143215.
Daniels SR. Complications of obesity in children and adolescents. Int J Obes. 2009; 33: 60–5. doi:
3390/nu8010050.
Taheri F, Kazemi T, Sadeghi H. Prevalence of Overweight and Obesity Among Primary School Children in
Iran from 2001-2013: A Systematic Review. Mod Care J. 2015; 12(3): 139-45.
Rani MA, Sathiyasekaran BWC. Behavioural Determinants for Obesity: A Cross-sectional Study among
Urban Adolescents in India. Prev Med Public Health. 2013; 46: 192-200. doi:
3961/jpmph.2013.46.4.192.
Musaiger AO. Overweight and obesity in eastern mediterranean region: prevalence and possible causes. J
Obes. 2011; 2011: 407237. doi: 10.1155/2011/407237.
Nader PR, O ‘Brien M, Houts R, Bradley R, Belsky J, Crosnoe R, et al. National Institute of Child Health
and Human Development Early Child Care Research Network. Identifying risk for obesity in early
childhood. Pediatrics. 2006; 118: 594–601. doi: 10.1542/peds.2005-2801.
Reilly JJ. Bonataki M, Leary SD, Wells JC, Davey-Smith G, Emmett P, et al. Progression from childhood
overweight to adolescent obesity in a large contemporary cohort. Int J Pediatr Obes. 2011; 6(2-2): e 138–
doi: 10.3109/17477166.2010.497538. PMID: 20883104.
Birch LL, Fisher JO. Development of eating behaviors among children and adolescents. Pediatrics. 1998;
: 539-49.
Whitaker RC, Pepe MS, Wright JA, Seidel KD, Dietz WH. Early adiposity rebound and the risk of adult
obesity. Pediatrics. 1998; 101: 5. doi: 10.1542/peds.101.3.e5.
Togashi K, Masuda H, Rankinen T, Tanaka S, Bouchard C, Kamiya H. A 12-year follow-up study of
treated obese children in Japan. Int J Obes Relat Metab Disord. 2002; 26: 770-7. doi:
1038/sj.ijo.0801992.
Crawford PB, Story M, Wang MC, Ritchie LD, Sabry ZI. Ethnic issues in the epidemiology of childhood
obesity. Pediatr Clin North Am. 2001; 48: 855-78. doi: 10.1016/S0031-3955(05)70345-X.
Xu S, Xue Y. Pediatric obesity: Causes, symptoms, prevention and treatment. Exp Ther Med. 2016; 11: 15- 20. doi: 10.3892/etm.2015.2853. PMID: 26834850, PMCID: PMC4726862.
Must A, Tybor DJ. Physical activity and sedentary behavior: a review of longitudinal studies of weight and
adiposity in youth. Int J Obes (Lond). 2005, 29(2): 84–96. doi: 10.1038/sj.ijo.0803064.
CDC clinical growth charts. Atlanta, Georgia, Centres for disease control and prevention; 2000. Available
from: https://www.cdc.gov/growth.
American Academy of Pediatrics Council on Communications and Media. Policy statement: Children,
adolescents, and the media. Pediatrics. 2013; 132(5): 958–61. doi: 10.1542/peds.2013-2656.
Knowlden A, Sharma M. Feasibility and efficacy of the enabling mothers to prevent pediatric obesity
through web-based education and reciprocal determinism (EMPOWER) randomized control trial. A
dissertation for the degree of doctor in the Health Education. 2013.
Hajian-Tilaki K, Heidari B. Childhood Obesity, Overweight, Socio-Demographic and Life Style
Determinants among Preschool Children in Babol, Northern Iran. Iranian J Publ Health. 2013; 42(11):
-1291.
Torabi Z, Rabbani O, Ahmadiafshar A. Prevalence and risk factors of obesity among 2-5-year-old-children
in Zanjan City in 2012. Journal of Zanjan University of Medical Sciences. 2015; 23(100): 116-25.
Akhvan Karbasi S, Fallah R, Golestan M, Sadre Bafeghi M. Prevalence and risk factors of obesity and
overweight in preschool children in Yazd. Journal of shahid sadoughi Yazd University of Medical
Sciences. 2009; 16(8): 8-13.
Veghari G, Vakili M. Trend of Stunting, Overweight and Obesity among Children Under Five Years in a
Rural Area in Northern Iran, 1998–2013: Results of Three Cross-Sectional Studies. Arch Iran Med. 2016;
(6): 397-402.
Esmaillzadeh A, Mirmiran P, Azadbakht L, Azizi A. Changes in overweight prevalence among Tehrani
children and adolescents: comparison of three different definitions. Razi Journal of Medical Sciences.
; 13(52): 19-30.
Tabesh H, Hosseiny SM, Kompani F, Saki A, Firoozabadi MS, Chenary R, et al. Prevalence and trend of
overweight and obesity among schoolchildren in Ahvaz, Southwest of Iran. Glob J Health Sci. 2013; 6(2):
-41. doi: 10.5539/gjhs.v6n2p35.
Veghari G, Rahmati R. The prevalence of obesity in primary schools of golestan province of Iran. Payavard
Salamat. 2012; 5(4): 24-31.
Hajian-Tilaki K, Sajjadi P, Razavi A. Prevalence of overweight and obesity and associated risk factors in
urban primary-school children in Babol, Islamic Republic of Iran. East Mediterr Health J. 2011; 17(2): 109- 14.
Dorosty AR, Baygi F, Eshraghian MR. Prevalence of obesity among school children in Neishabour (2005).
Journal of Qazvin University of Medical Sciences. 2008; 12(1): 73-9.
Mirmohammadi SJ, Hafezi R, Mehrparvar AH, Rezaeian B, Akbari H. Prevalence of overweight and
obesity among Iranian school children in different ethnicities. Iran J Pediatr. 2011; 21(4): 514-20.
Aminzadeh M, Hosseinzadeh M, Nikfar R, Ghaderian M, Mohsenpourian S. Incidence in overweight and
obesity among schoolchildren, Ahvaz- 2010. Jundishapur Scientific Medical Journal. 2013; 12(4): 355-61.
Maddah M, Nikooyeh B. Factors associated with overweight in children in Rasht, Iran: sex, maternal
education, skipping breakfast and parental obesity. Public Health Nutr. 2010; 13(2): 196-200. doi:
1017/S1368980009990589.
Taheri F, Kazemi T. Prevalence of overweight and obesity in 7 to 18 year-old children in Birjand/Iran. Iran
J Pediatr. 2009; 19(2): 135-40.
Taha AA, Marawan HM. Socio-behavioral Determinants of Overweight and Obesity in Egyptian Primary
School Children. J Child Adolesc Behav. 2015; 3: 236. doi: 10.4172/2375-4494.1000236.
Nabavi M, Karimi B, Ghorbani R, Mazloom Jafarabadi M, Talebi M. Prevalence of obesity and some
related factors among students aged 7 to 12 in semnan (85-86). Payesh. 2010; 9(4): 443-51.
Canning PM, Courage ML, Frizzell LM. Prevalence of overweight and obesity in a provincial population
of Canadian preschool children. CMAJ. 2004; 171(3): 240–2. PMID: 15289421, PMCID: PMC490073.
Ebrahimzadeh B, Kalantari N, Abadi AR. The Prevalence of obesity and its relative factors among less than
years aged children, Bandar Turkmen District, Iran. Journal of Kerman University of Medical Sciences.
; 19(4): 384-91.
Saunders MR, Watson KT, Tak HJ. Social factors in childhood and adulthood associated with adult obesity
in African American and white women. ISRN Public Health. 2012. doi: 10.5402/2012/931854.
Judson JP, Balasingam K. Social and lifestyle factors in childhood obesity: A Malaysian perspective.
Malaysian Journal of Medical Sciences. 2007; 14: 271.
Giugliano R, Carneiro EC. Factors associated with obesity in school children. J Pediatr (Rio J). 2004, 80:
–22. doi: 10.2223/1128. PMID: 14978544.
Mozaffari H, Nabaei B. Obesity and Related Risk Factor. Indian J Pediatr. 2007; 74: 265–7. doi:
1007/s12098-007-0041-y.
Shagheliyan N, Aean F, Deris F. Determine of 90 Th percentile of BMI and some risk factors in obesity in
-12 children. Medical Journal of Share kord University. 2003; 5(4): 42-8.
Mushtaq MU, Gull S, Shahid U, Shafique MM, Abdullah HM, Shad MA, et al. Family-based factors
associated with overweight and obesity among Pakistani primary school children. BMC Pediatr. 2011;
(1): 114. doi: 10.1186/1471-2431-11-114.
Fatemeh T, Mohammad-Mehdi HT, Toba K, Afsaneh N, Sharifzadeh G. Prevalence of overweight and
obesity in preschool children (2–5 year-olds) in Birjand, Iran. BMC Res Notes. 2012; 5(1): 529. doi:
1186/1756-0500-5-529. PMID: 23009667, PMCID: PMC3532307.
Kunin-Batson AS, Seburg EM, Crain AL, Jaka MM, Langer SL, Levy RL, et al. Household factors, family
behavior patterns, and adherence to dietary and physical activity guidelines among children at risk for
obesity. J Nutr Educ Behav. 2015; 47(3): 206–15. doi: 10.1016/j.jneb.2015.01.002. PMID: 25748634,
PMCID: PMC4428928.
Han E, Powell LM. Consumption patterns of sugar-sweetened beverages in the United States. Journal of
the Academy of Nutrition and Dietetics. 2013; 113(1): 43–53. doi: 10.1016/j.jand.2012.09.016.
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