Background: No published information is available on the status of childhood obesity in Bangladeshi primary school children of urban middle and upper-middle income group. The aim of the study was to explore the propor...Background: No published information is available on the status of childhood obesity in Bangladeshi primary school children of urban middle and upper-middle income group. The aim of the study was to explore the proportion of childhood obesity in the primary school children of middle and upper-middle income group in capital city and to gather information on their dietary pattern and physical activity. Methods: One hundred and fifty children (age 9 ± 1 years, height (ht) 118 ± 20 cm, weight (wt) 36 ± 8 kg, wt/ht% 126 ± 24, mean ± SD) were selected purposively from the primary schools of Dhaka city. On the basis of predefined scoring, subjects were classified as underweight, normal, overweight and obese if their weight-for-height values were 120% of median values for Bangladeshi children respectively. Dietary intake and energy expenditure of the study subjects were calculated by standard techniques. Results: The proportion of childhood overweight and obesity was 52% and 20%. The proportion of overweight and obesity was higher (78%) among girls compared to boys (54%). Similarly, height, weight and other anthropometrics indices were significantly (p < 0.05) higher in girls compared to boys. The daily intake of carbohydrate and protein was significantly (p < 0.05) higher among obese group. Total energy balance was significantly correlated with weight-for-height% (r = 0.541, p = 0.0001). Conclusions: A higher proportion of overweight and obesity had been found in girls’ children than their counter parts in this study. Positive energy balance with higher energy intake from carbohydrate and fast/processed food culture habit were found among primary school children of middle and upper-middle income group in the capital city of Bangladesh.展开更多
目的：探讨肥胖及超重小学生的自尊状况及相关因素。方法：通过两阶段抽样，在长沙市抽取4～6年级小学生1410人，按WHO公布的儿童体质量指数（body mass index，BMI）筛查参考值，将受试分为正常（n=1084）、超重组（n=211）和肥胖组（n...目的：探讨肥胖及超重小学生的自尊状况及相关因素。方法：通过两阶段抽样，在长沙市抽取4～6年级小学生1410人，按WHO公布的儿童体质量指数（body mass index，BMI）筛查参考值，将受试分为正常（n=1084）、超重组（n=211）和肥胖组（n=115），用自尊量表（theself-Esteem scale，SES）进行调查，并对小学生低自尊的相关因素进行回归分析。结果：（1）超重和肥胖小学生SES得分低于正常学生，肥胖男生SES得分低于正常和超重男生，超重和肥胖女生SES得分低于正常女生；（2）肥胖学生中低自尊者比例高于正常和超重学生，但高自尊比例在3组间差异无统计学意义；（3）肥胖、超重、祖辈认为太胖、对身高不满意、对体质量不满意为小学生低自尊的危险因素（OR=1．45～3．74），对成绩满意为小学生低自尊的保护因素（OR=0．22）。结论：超重和肥胖小学生自尊水平低于正常体质量小学生；除肥胖和超重外，对自己身高和体质量不满意也是小学生低自尊的相关因素。展开更多
文摘Background: No published information is available on the status of childhood obesity in Bangladeshi primary school children of urban middle and upper-middle income group. The aim of the study was to explore the proportion of childhood obesity in the primary school children of middle and upper-middle income group in capital city and to gather information on their dietary pattern and physical activity. Methods: One hundred and fifty children (age 9 ± 1 years, height (ht) 118 ± 20 cm, weight (wt) 36 ± 8 kg, wt/ht% 126 ± 24, mean ± SD) were selected purposively from the primary schools of Dhaka city. On the basis of predefined scoring, subjects were classified as underweight, normal, overweight and obese if their weight-for-height values were 120% of median values for Bangladeshi children respectively. Dietary intake and energy expenditure of the study subjects were calculated by standard techniques. Results: The proportion of childhood overweight and obesity was 52% and 20%. The proportion of overweight and obesity was higher (78%) among girls compared to boys (54%). Similarly, height, weight and other anthropometrics indices were significantly (p < 0.05) higher in girls compared to boys. The daily intake of carbohydrate and protein was significantly (p < 0.05) higher among obese group. Total energy balance was significantly correlated with weight-for-height% (r = 0.541, p = 0.0001). Conclusions: A higher proportion of overweight and obesity had been found in girls’ children than their counter parts in this study. Positive energy balance with higher energy intake from carbohydrate and fast/processed food culture habit were found among primary school children of middle and upper-middle income group in the capital city of Bangladesh.
文摘目的：探讨肥胖及超重小学生的自尊状况及相关因素。方法：通过两阶段抽样，在长沙市抽取4～6年级小学生1410人，按WHO公布的儿童体质量指数（body mass index，BMI）筛查参考值，将受试分为正常（n=1084）、超重组（n=211）和肥胖组（n=115），用自尊量表（theself-Esteem scale，SES）进行调查，并对小学生低自尊的相关因素进行回归分析。结果：（1）超重和肥胖小学生SES得分低于正常学生，肥胖男生SES得分低于正常和超重男生，超重和肥胖女生SES得分低于正常女生；（2）肥胖学生中低自尊者比例高于正常和超重学生，但高自尊比例在3组间差异无统计学意义；（3）肥胖、超重、祖辈认为太胖、对身高不满意、对体质量不满意为小学生低自尊的危险因素（OR=1．45～3．74），对成绩满意为小学生低自尊的保护因素（OR=0．22）。结论：超重和肥胖小学生自尊水平低于正常体质量小学生；除肥胖和超重外，对自己身高和体质量不满意也是小学生低自尊的相关因素。
