A Case Control Study on Physical Activity and Obesity among Adolescent Children in an Urban Area of Tamilnadu

Authors

  • Angeline Grace G Sree Balaji Medical College and Hospital, Chennai
  • Shanthi Edward Sree Balaji Medical College and Hospital, Chennai
  • Gopalakrishnan S Sree Balaji Medical College and Hospital, Chennai

DOI:

https://doi.org/10.5455/njcm.20211004072638

Keywords:

Urban adolescents, weight gain, sedentary behaviour

Abstract

Background: Physical activity has a crucial role in prevention of obesity. Adolescents are required to spend at least 60 minutes a day in physical activity. This Case control study compares physical activity pattern among obese and non-obese adolescent school children studying in an urban area of Tamilnadu.

Methods: We recruited 110 age matched obese and non-obese adolescents between the ages of 10-17 years. WHO growth reference charts were used for selecting cases and controls. Data were collected on socio demographic information, physical activity at school and at home, and sedentary behaviour.

Results: Inadequate physical activity was noted among 73.6% of cases and 30.9% of controls. Around 83.6% of cases and 68.2% of controls had the regular habit of watching television while having food at home. The factors found to be associated with adolescent obesity were inadequate physical activity (OR: 6.24), sedentary behaviour for more than two hours a day (OR: 4.39) and watching television while having food (OR: 2.39).

Conclusion: This study highlights the gross inadequacy of physical activity among obese adolescents. Increased sedentary life style and use of electronic gadgets serve as a risk factor for development of obesity. Public health measures need to be taken to increase the awareness among children and parents on the importance of regular and adequate physical activity. Physical education activities have to be strengthened in schools and students need to be encouraged to involve in diverse physical activities.

References

Mukhra R, Kaur T, Krishan K, Kanchan T. Overweight and Ob-esity: A major concern for health in India. Clin Ter. 2018;169(5):e199-201. DOI: 10.7417/CT.2018.2078

World Health Organisation. Physical activity and young people [Internet]. [cited 2021 Jan 27]. Available from: https://www. who.int/dietphysicalactivity/factsheet_young_people/en/.

World Health Organisation. NCD Global Monitoring Frame-work [Internet]. [cited 2021 Apr 25]. Available from: http://www.who.int/nmh/global_monitoring_framework/en/

Sahoo K, Sahoo B, Choudhury AK, Sofi NY, Kumar R, Bhadoria AS. Childhood obesity: causes and consequences. J Fam Med Prim Care. 2015;4(2):187–92.

Anderson PM, Butcher KE. Childhood obesity: trends and po-tential causes. Future Child. 2006;16(1):19–45. DOI: 10.1353/foc.2006.0001

Proctor MH, Moore LL, Gao D, Cupples LA, Bradlee ML, Hood MY. Television viewing and change in body fat from preschool to early adolescence: The Framingham Children’s Study. Int J Obes Relat Metab Disord. 2003;27(7):82733. DOI: 10.1038/ sj.ijo.0802294

Gordon-Larsen P, McMurray RG, Popkin BM. Determinants of adolescent physical activity and inactivity patterns. Pediatrics. 2000;105(6):E83. DOI: 10.1542/peds.105.6.e83.

World Health Organisation. BMI-for-age (5-19 years) [Inter-net]. [cited 2021 Jan 18]. Available from: http://www.who. int/growthref/who2007_bmi_for_age/en/

Bhuiyan MU, Zaman S, Ahmed T. Risk factors associated with overweight and obesity among urban school children and adolescents in Bangladesh: a case–control study. BMC Pediatr. 2013;13:72. DOI: 10.1186/1471-2431-13-72

Tremblay MS, Aubert S, Barnes JD, Saunders TJ, Carson V, La-timer-Cheung AE. Sedentary Behavior Research Network (SBRN) Terminology Consensus Project process and outcome. Int J BehavNutr Phys Act. 2017; 14(1): 75–90. DOI:10.1016/ j.jshs.2020.09.012

Panda SC. Overweight and obesity and lifestyle of urban ado-lescent school children of eastern state of India. Int J Res Med Sci 2017;5:4770-5. DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20174670

Vohra R, Bhardwaj P, Srivastava JP, Srivastava S, Vohra A. Overweight and obesity among school-going children of Lucknow city. J Fam Community Med. 2011;18(2):59–62. DOI: 10.4103/2230-8229.83369

Ahmad S, Shukla NK, Singh JV, Shukla R, Shukla M. Double burden of malnutrition among school-going adolescent girls in North India: A cross-sectional study. J Fam Med Prim Care. 2018;7:1417–24. DOI: 10.4103/jfmpc.jfmpc_185_18

Rexlin G, Sivakumar E, Rajkumar D, Nagendran M. Prevalence of obesity among school children in Madurai. Int J Cur Res Rev. 2016;8(22):31–6. DOI: 10.31782/2231-2196

Pirgon O, Aslan N. The Role of Urbanization in Childhood Ob-esity. J Clin Res Pediatr Endocrinol. 2015;7(3):163–7. DOI: 10.4274/jcrpe.1984

Rathnayake KM, Roopasingam T, Wickramasighe V. Nutritional and behavioral determinants of adolescent obesity: a case–control study in Sri Lanka. BMC Public Health. 2014; 14(1): 1291. DOI: 10.1186/1471-2458-14-1291.

Menezes IH, Borges Neutzling M, Taddei JA de. Risk factors for overweight and obesity in adolescents of a Brazilian University: a case-control study. Nutr Hosp. 2009;24(1):17–24. PMID: 19266108

Neutzling, M.B., Taddei, J.A.A.C., Gigante, D.P. Risk factors of obesity among Brazilian adolescents: A Case-control study. Public Health Nutr. 2003;6(8):743-9. DOI: 10.1079/phn 2003490

Piryani S, Baral KP, Pradhan B, Poudyal AK, Piryani RM. Over-weight and its associated risk factors among urban school adolescents in Nepal: a cross-sectional study. BMJ Open. 2016; 6(5):e010335. DOI: 10.1136/bmjopen-2015-010335

Caroli M, Argentieri L, Cardone M, Masi A. Role of television in childhood obesity prevention. Int J Obes Relat Metab Disord. 2004;28 Suppl 3:S104-108. DOI: 10.1038/sj.ijo.0802802

Kumari DJ, Krishna BSH. Prevalence and risk factors for ado-lescents (13–17 years): overweight and obesity. Curr Sci. 2011;100(3):373–7.

Mendoza JA, Zimmerman FJ, Christakis DA. Television viewing, computer use, obesity, and adiposity in US children. Int J Behav Nutr Phys Act. 2007;4:44. DOI: 10.1186/1479-5868-4-44

Downloads

Published

2021-11-30

How to Cite

1.
Grace G A, Edward S, Gopalakrishnan S. A Case Control Study on Physical Activity and Obesity among Adolescent Children in an Urban Area of Tamilnadu. Natl J Community Med [Internet]. 2021 Nov. 30 [cited 2024 Apr. 24];12(11):345-9. Available from: https://www.njcmindia.com/index.php/file/article/view/235

Issue

Section

Original Research Articles