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Abstract

BACKGROUND


Childhood obesity, a precursor of obesity in adulthood, is an important risk factor for adverse health outcomes and is showing a rising trend in India. Duration of exclusive breastfeeding, early introduction of complementary feeding, overweight or obesity in the mother, and maternal diabetes are important risk factors. The study was conducted to determine the proportion of overweight and obesity and its determinants among children in a block of North Bengal.


METHODS


A cross-sectional study was conducted among children aged 2 – 6 years attending Anganwadi Centres in Tufanganj I Block, District Cooch Behar, West Bengal. 221 children aged between 2 and 6 years, were selected by 2 stage sampling technique, from 5 AWCs by simple random sampling, after taking informed consent from their mothers. Proportions, 95% CI for prevalence, and adjusted odds ratio for risk factors were calculated.


RESULTS


Proportions of overweight and obesity were 22.2% and 11.3% respectively. The proportion of combined overweight and obesity was significantly higher when the duration of exclusive breastfeeding was for less than 6 months compared to more than 6 months [AOR=8.069, 95% CI = 1.778-36.624, P=0.007] and the duration of continued breastfeeding was for less than 6 months compared to more than 6 months [AOR=12.586, 95% CI = 5.196-30.486, P=<0.001].


CONCLUSIONS


The proportion of overweight and obesity was observed to be higher compared to other studies. Increased duration of breastfeeding appears to be a protective factor for the prevention of childhood overweight and obesity.

Keywords

Exclusive Breastfeeding, Overweight, Obesity, Cross-Sectional Study

Article Details

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This work is licensed under a Creative Commons Attribution 4.0 International License.

How to Cite
Rupayan Kundu, Nivedita Sarkar, & Tirthankar Guha Thakurta. (2022). Determinants of Childhood Overweight and Obesity among Children 2 – 6 Years of Age Attending Anganwadi Centres in a Block of North Bengal. Journal of Evolution of Medical and Dental Sciences, 11(9), 775–780. https://doi.org/10.14260/jemds.v11i9.195
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References

  1. http://www.who.int/gho/ncd/risk_factors/obesity_text/en/ accessed on 25/6/2018
  2. Ip S, Chung M, Raman G, et al. Breastfeeding and maternal and infant health outcomes in developed countries. Evid Rep Technol Assess 2007;153:1-186.
  3. Lobstein T, Baur L, Uauy R. Obesity in children and young people: a crisis in public health. Report to the WHO. Published by IASO International Obesity Task Force, London 2004.
  4. Bergmann KE, Bergmann RL, Von Kries R, et al. Early determinants of childhood overweight and adiposity in a birth cohort study: role of breast-feeding. Int J Obes Relat Metab Disord 2003;27(2):162-72.
  5. González-Chávez A, Elizondo-Argueta S, Gutiérrez-Reyes G, et al. Pathophysiological implications between chronic inflammation and the development of diabetes and obesity. Cir Cir 2011;79(2):209-16.
  6. Pate RR, O’Neill JR, Liese AD, et al. Factors associated with development of excessive fatness in children and adolescents: a review of prospective studies. Obes Rev 2013;14(8):645-58.
  7. http://www.who.int/features/factfiles/breastfeeding/en/, accessed on 3/06/2018
  8. Yan J, Liu L, Zhu Y, et al. The association between breastfeeding and childhood obesity: a meta-analysis. BMC Public Health 2014;14(1):1267.
  9. Hediger ML, Overpeck MD, Kuczmarski RJ, et al. Association between infant breastfeeding and overweight in young children. JAMA 2001;285(19):2453-60.
  10. Arenz S, Rückerl R, Koletzko B, et al. Breast-feeding and childhood obesity--a systematic review. Int J Obes Relat Metab Disord 2004;28(10):1247-56.
  11. Uwaezuoke SN, Eneh CI, Ndu IK. Relationship between exclusive breastfeeding and lower risk of childhood obesity: a narrative review of published evidence. Clin Med Insights Pediatr 2017;11:1179556517690196.
  12. Von Kries R, Koletzko B, Sauerwald T, et al. Breast feeding and obesity: cross sectional study. BMJ 1999;319(7203):147-50.
  13. Papatesta EM, Iacovidou N. Breastfeeding reduces the risk of obesity in childhood and adolescence. Journal of Pediatric and Neonatal Individualized Medicine (JPNIM) 2013;2(2):e020206.
  14. Hales CM, Carroll MD, Fryar CD, et al. Prevalence of obesity among adults and youth: United States, 2015-2016. NCHS Data Brief 2017;(288):1-8.
  15. Kumar HNH, Mohanan P, Kotian S, et al. Prevalence of overweight and obesity among preschool children in semi urban South India. Indian Pediatr 2008;45(6):497-49.
  16. https://www.cdc.gov/healthyweight/assessing/bmi/childrens_bmi/about_childrens_bmi.html Centers for Disease Control website September 2015.
  17. World Health Organization. The Asia-Pacific perspective: redefining obesity and its treatment. Geneva, Switzerland: World Health Organization 2000.
  18. http://www.who.int/elena/titles/exclusive_ breastfeeding/en/, accessed on 3/6/2018
  19. http://www.who.int/nutrition/topics/infantfeeding/en/, accessed on 3/6/2018.
  20. Mumbai: IIPS;2007. International Institute for Population Sciences. (IIPS) and Macro International family health survey (NFHS-3), 2005-06, India.
  21. Diet and nutritional status of population and prevalence of hypertension amongst adults in rural areas. NNMB; 2007. National Nutrition Monitoring Bureau (NNMB).
  22. Huus K, Ludvigsson JF, Enskär K, et al. Exclusive breastfeeding of Swedish children and its possible influence on the development of obesity: a prospective cohort study. BMC Pediatr 2008;8(1):42.
  23. Kramer MS, Matush L, Vanilovich I, et al. Effects of prolonged and exclusive breastfeeding on child height, weight, adiposity, and blood pressure at age 6.5 y: evidence from a large randomized trial. Am J Clin Nutr 2007;86(6):1717-21.
  24. Ortega-García JA, Kloosterman N, Alvarez L, et al. Full breastfeeding and obesity in children: a prospective study from birth to 6 years. Child Obes 2018;14(5):327-37.
  25. Weyermann M, Rothenbacher D, Brenner H. Duration of breastfeeding and risk of overweight in childhood: a prospective birth cohort study from Germany. Int J Obes 2006;30(8):1281-7.
  26. Bobhate PS, Shrivastava SR. Breastfeeding practices and factors associated with it: a cross sectional study among tribal women in Khardi Primary Health Centre, Thane, India. International Journal of Public Health Research 2012;2(1):115-21.
  27. Horta BL, De Mola CL, Victora CG. Long‐term consequences of breastfeeding on cholesterol, obesity, systolic blood pressure and type 2 diabetes: a systematic review and meta‐analysis. Acta Paediatr 2015;104(467):30-7.
  28. Dhole SS, Mundada VD. The study of prevalance of childhood obesity and associated risk factors in school going children of Aurangabad munciple corporation area. International Journal of Engineering Research & Technology 2013;2(8):48-62.
  29. Bogen DL, Hanusa BH, Whitaker RC. The effect of breast‐feeding with and without formula use on the risk of obesity at 4 years of age. Obes Res 2004;12(9):1527-35.