Risk factors of overweight and obesity in childhood and adolescence in South Asian countries: a systematic review of the evidence

2.50
Hdl Handle:
http://hdl.handle.net/10547/576441
Title:
Risk factors of overweight and obesity in childhood and adolescence in South Asian countries: a systematic review of the evidence
Authors:
Mistry, Sabuj Kanti ( 0000-0001-6100-6076 ) ; Puthussery, Shuby ( 0000-0002-1865-9546 )
Abstract:
Abstract OBJECTIVE: To assess and synthesize the published evidence on risk factors of overweight and obesity in childhood and adolescence in South Asia. STUDY DESIGN: A systematically conducted narrative review. METHODS: A systematic review was conducted of all primary studies published between January 1990 and June 2013 from India, Pakistan, Nepal, Bangladesh, Sri Lanka, Bhutan, and Maldives located through the following data bases: PubMed, PubMed central, EMBASE, MEDLINE, BioMed central, Directory of Open Access Journals (DOAJ) and electronic libraries of the authors' institutions. Data extraction and quality appraisal of included studies was done independently by two authors and findings were synthesized in a narrative manner as meta-analysis was found to be inappropriate due to heterogeneity of the included studies. RESULTS: Eleven primary studies were included in the final review, all of which were conducted in school settings in India, Pakistan and Bangladesh. Prevalence of overweight and obesity showed wide variations in the included studies. The key individual risk factors with statistically significant associations to overweight and obesity included: lack of physical activities reported in six studies; prolonged TV watching/playing computer games reported in four studies; frequent consumption of fast food/junk food reported in four studies; and frequent consumption of calorie dense food items reported in two studies. Family level risk factors included higher socioeconomic status reported in four studies and family history of obesity reported in three studies. CONCLUSION: This review provides evidence of key contributors to the increasing burden of obesity and overweight among children and adolescents in South Asia, and demonstrates the nutritional transition that characterizes other developing countries and regions around the world. The findings have implications for policy, practice and the development of interventions at various levels to promote healthy eating and physical activity among children and adolescents in the region as well as more globally.
Affiliation:
University of Bedfordshire
Citation:
Mistry, S.K., Puthussery, S. (2015) 'Risk factors of overweight and obesity in childhood and adolescence in South Asian countries: a systematic review of the evidence'. Public Health 129 (3) pp 200-209
Publisher:
Elsevier
Journal:
Public Health
Issue Date:
Mar-2015
URI:
http://hdl.handle.net/10547/576441
DOI:
10.1016/j.puhe.2014.12.004
Additional Links:
http://linkinghub.elsevier.com/retrieve/pii/S0033350614003424
Type:
Article
Language:
en
ISSN:
0033-3506
Sponsors:
We are grateful to the UK Department of International Development for supporting SK Mistry with a Commonwealth Scholarship for undertaking Master’s study in the University of Bedfordshire. The systematic review was undertaken within this programme of study.
Appears in Collections:
IHR Institute for Health Research

Full metadata record

DC FieldValue Language
dc.contributor.authorMistry, Sabuj Kantien
dc.contributor.authorPuthussery, Shubyen
dc.date.accessioned2015-09-03T10:37:21Zen
dc.date.available2015-09-03T10:37:21Zen
dc.date.issued2015-03en
dc.identifier.citationMistry, S.K., Puthussery, S. (2015) 'Risk factors of overweight and obesity in childhood and adolescence in South Asian countries: a systematic review of the evidence'. Public Health 129 (3) pp 200-209en
dc.identifier.issn0033-3506en
dc.identifier.doi10.1016/j.puhe.2014.12.004en
dc.identifier.urihttp://hdl.handle.net/10547/576441en
dc.description.abstractAbstract OBJECTIVE: To assess and synthesize the published evidence on risk factors of overweight and obesity in childhood and adolescence in South Asia. STUDY DESIGN: A systematically conducted narrative review. METHODS: A systematic review was conducted of all primary studies published between January 1990 and June 2013 from India, Pakistan, Nepal, Bangladesh, Sri Lanka, Bhutan, and Maldives located through the following data bases: PubMed, PubMed central, EMBASE, MEDLINE, BioMed central, Directory of Open Access Journals (DOAJ) and electronic libraries of the authors' institutions. Data extraction and quality appraisal of included studies was done independently by two authors and findings were synthesized in a narrative manner as meta-analysis was found to be inappropriate due to heterogeneity of the included studies. RESULTS: Eleven primary studies were included in the final review, all of which were conducted in school settings in India, Pakistan and Bangladesh. Prevalence of overweight and obesity showed wide variations in the included studies. The key individual risk factors with statistically significant associations to overweight and obesity included: lack of physical activities reported in six studies; prolonged TV watching/playing computer games reported in four studies; frequent consumption of fast food/junk food reported in four studies; and frequent consumption of calorie dense food items reported in two studies. Family level risk factors included higher socioeconomic status reported in four studies and family history of obesity reported in three studies. CONCLUSION: This review provides evidence of key contributors to the increasing burden of obesity and overweight among children and adolescents in South Asia, and demonstrates the nutritional transition that characterizes other developing countries and regions around the world. The findings have implications for policy, practice and the development of interventions at various levels to promote healthy eating and physical activity among children and adolescents in the region as well as more globally.en
dc.description.sponsorshipWe are grateful to the UK Department of International Development for supporting SK Mistry with a Commonwealth Scholarship for undertaking Master’s study in the University of Bedfordshire. The systematic review was undertaken within this programme of study.en
dc.language.isoenen
dc.publisherElsevieren
dc.relation.urlhttp://linkinghub.elsevier.com/retrieve/pii/S0033350614003424en
dc.rightsArchived with thanks to Public Healthen
dc.subjectadolescentsen
dc.subjectchildrenen
dc.subjectnutritionen
dc.subjectobesityen
dc.subjectoverweighten
dc.subjectphysical activityen
dc.subjectSouth Asiaen
dc.titleRisk factors of overweight and obesity in childhood and adolescence in South Asian countries: a systematic review of the evidenceen
dc.typeArticleen
dc.contributor.departmentUniversity of Bedfordshireen
dc.identifier.journalPublic Healthen
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