Adolescent obesity in Syria: prevalence and associated factors
2010
Nasreddine L. | Mehio-Sibai A. | Mrayati M. | Adra N. | Hwalla N. | Nasreddine, L., Department of Nutrition and Food Science, Faculty of Agricultural and Food Sciences, American University of Beirut, Lebanon | Mehio-Sibai, A., Department of Epidemiology and Population Health, Faculty of Health Sciences, American University of Beirut, Lebanon | Mrayati, M., Department of Nutrition and Food Science, Faculty of Agricultural and Food Sciences, American University of Beirut, Lebanon | Adra, N., Department of Nutrition and Food Science, Faculty of Agricultural and Food Sciences, American University of Beirut, Lebanon | Hwalla, N., Department of Nutrition and Food Science, Faculty of Agricultural and Food Sciences, American University of Beirut, Lebanon | Hwalla, N.; Faculty of Agricultural and Food Sciences, American University of Beirut, P.o.Box: 110236, Riad El-Solh, Beirut 1107 2020, Lebanon; email: nahla@aub.edu.lb | University: American University of Beirut; Faculty: Faculty of Agricultural and Food Sciences; Department: Nutrition and Food Sciences; | Nutrition and Food Sciences | nahla@aub.edu.lb | Faculty of Agricultural and Food Sciences | Nasreddine, L | Mehio-Sibai, A | Mrayati, M | Adra, N | Hwalla, N | Hwalla, N (reprint author), Amer Univ Beirut, Fac Agr and Food Sci, Dept Nutr and Food Sci, POB 110236, Beirut 11072020, Lebanon. | American University of Beirut
Background: Data on the prevalence of overweight and obesity in Eastern Mediterranean countries remain scarce, particularly for children and adolescents. The objective of this study is to estimate the prevalence of obesity and examine associated factors and covariates amongst school adolescents in Syria. Methods: A cross-sectional survey of a representative sample of 776 adolescents (386 males and 390 females), aged 15-18 years, was conducted in six randomly chosen secondary schools in Damascus, the capital city of Syria. Anthropometric measurements and dietary assessment data were collected using standard methods and techniques. Overweight and obesity were defined according to World Health Organization 2007 child growth standards. Results: The prevalence rates of overweight and obesity were estimated at 18.9 and 8.6percent, respectively. Carbohydrate and saturated fatty acid intakes were significantly higher amongst overweight and obese (250.66 and 32.82 g-day, respectively) as compared with normal weight adolescents (218.12 and 26.10 g-day, respectively). Regression analysis showed that the likelihood of obesity was significantly greater amongst adolescent boys than girls (OR = 2.30, P 0.05) and amongst subjects reporting family history of obesity (OR = 2.98, P 0.05). The odds of obesity increased consistently with increasing educational attainment of both parents and was higher (OR = 1.63) amongst adolescents reporting lower crowding index than their counterparts. Conclusion: Our findings of a positive association between obesity and socio-economic status measured by parental education and crowding index call for intervention strategies for the promotion of healthy dietary practices not only amongst school adolescents but also parents, targeting families as the unit of intervention. Further studies are needed to examine nutritional habits and food choices amongst families of different socio-economic strata. © 2009 The Authors. Journal compilation © 2009 Blackwell Publishing Ltd.
Show more [+] Less [-]Abalkhail BA, 2002, SAUDI MED J, V23, P831; Al-Almaie SM, 2005, SAUDI MED J, V26, P607; Al-Isa AN, 2004, EUR J CLIN NUTR, V58, P1273, DOI 10.1038-sj.ejcn.1601961; Al-Saeed WY, 2007, OBES REV, V8, P93, DOI 10.1111-j.1467-789X.2006.00287.x; Al-Sendi AM, 2003, EUR J CLIN NUTR, V57, P471, DOI 10.1038-sj-ejcn-1601560; [Anonymous], 1995, TECHN REP SER WHO, V854; AOUNALLAHSKHIRI H, 2008, PUBLIC HEALTH NUTR, V19, P1; Baker JL, 2007, NEW ENGL J MED, V357, P2329, DOI 10.1056-NEJMoa072515; Barba G, 2005, BRIT J NUTR, V93, P15, DOI 10.1079-BJN20041300; Bener A, 2006, FOOD NUTR BULL, V27, P39; BRANDMILLER J, 2008, ASIA PACIFIC J CLI S, V17, pS16; Celi F, 2003, EUR J CLIN NUTR, V57, P1045, DOI 10.1038-sj.ejcn.1601640; Chen HJ, 2005, J DEV ECON, V76, P325, DOI 10.1016-j.jdeveco.2003.12.016; Cole TJ, 2000, BRIT MED J, V320, P1240, DOI 10.1136-bmj.320.7244.1240; Cook S, 2003, ARCH PEDIAT ADOL MED, V157, P821, DOI 10.1001-archpedi.157.8.821; Denney-Wilson E, 2008, ARCH PEDIAT ADOL MED, V162, P566, DOI 10.1001-archpedi.162.6.566; de Onis M, 2007, B WORLD HEALTH ORGAN, V85, P660, DOI 10.2471-BLT.07.043497; Discigil G, 2009, CHILD CARE HLTH DEV, V35, P153, DOI 10.1111-j.1365-2214.2008.00919.x; Donfrancesco C, 2008, BMC FAM PRACT, V9, DOI 10.1186-1471-2296-9-53; Ebbeling CB, 2002, LANCET, V360, P473, DOI 10.1016-S0140-6736(02)09678-2; *EC SOC COMM W AS, 2007, STAT ABSTR ESCWA REG; Esmaillzadeh A, 2006, OBESITY, V14, P377, DOI 10.1038-oby.2006.50; Flegal KM, 2005, PHYSIOL BEHAV, V86, P599, DOI 10.1016-j.physbeh.2005.08.050; Fouad MF, 2006, PREV CONTROL, V2, P85, DOI 10.1016-j.precon.2006.09.001; Garcia-Alvarez A, 2007, PUBLIC HEALTH NUTR, V10, P1368, DOI 10.1017-S1368980007000973; Groholt EK, 2008, J PUBLIC HEALTH-UK, V30, P258, DOI 10.1093-pubmed-fdn037; Hassapidou M, 2006, OBESITY, V14, P855, DOI 10.1038-oby.2006.99; Hauner H, 2008, BMC PUBLIC HEALTH, V8, DOI 10.1186-1471-2458-8-282; Hebebrand J, 2009, CHILD ADOL PSYCH CL, V18, P49, DOI 10.1016-j.chc.2008.08.002; Howarth NC, 2001, NUTR REV, V59, P129; Hwalla N, 2005, WORLD REV NUTR DIET, V94, P42, DOI 10.1159-000088205; Jelliffe D. B., 1989, COMMUNITY NUTR ASSES; Kandela P, 1999, LANCET, V353, P1249, DOI 10.1016-S0140-6736(05)66930-9; Krebs NF, 2003, PEDIATRICS, V112, P424; Kruger R, 2006, PUBLIC HEALTH NUTR, V9, P351, DOI 10.1079-PHN2006849; Kuczmarski RJ, 2002, VITAL HLTH STAT, V11, P1; LOBSTEIN T, 2003, OBES REV, V4, P95; Loomba-Albrecht LA, 2009, CURR OPIN ENDOCRINOL, V16, P10, DOI 10.1097-MED.0b013e328320d54c; Ludwig DS, 2001, LANCET, V357, P505, DOI 10.1016-S0140-6736(00)04041-1; Malik M, 2007, OBES REV, V8, P15, DOI 10.1111-j.1467-789X.2006.00290.x; Marques-Vidal P, 2008, CLIN NUTR, V27, P531, DOI 10.1016-j.clnu.2008.04.002; MARTIN JJ, 2006, ACTA PAEDIATR, V97, P955; Matthiessen J, 2008, SCAND J PUBLIC HEALT, V36, P153, DOI 10.1177-1403494807085185; MCCARTHY HD, 2003, BRIT MED J CLIN RES, V326; Moussa MAA, 1999, MED PRIN PRACT, V8, P272, DOI 10.1159-000026104; MUST A, 1992, NEW ENGL J MED, V327, P1350, DOI 10.1056-NEJM199211053271904; NASSER M, 1986, PSYCHOL MED, V16, P621; *NAT CTR HLTH STAT, 1987, SER US DEP HHS, V11; Nielsen SJ, 2004, AM J PREV MED, V27, P205, DOI 10.1016-j.amepre.2004.05.005; Ogden CL, 2002, JAMA-J AM MED ASSOC, V288, P1728, DOI 10.1001-jama.2012.40; Oliveira AM, 2007, BMC PUBLIC HEALTH, V7, DOI 10.1186-1471-2458-7-235; Pellet PL, 1970, FOOD COMPOSITION USE; Pereira MA, 2002, JAMA-J AM MED ASSOC, V287, P2081, DOI 10.1001-jama.287.16.2081; Popkin BM, 2004, INT J OBESITY, V28, pS2, DOI [10.1038-sj.ijo.0802804, 10.1038-sj.ijo.0802557]; Poskitt EME, 2009, ANN TROP PAEDIATR, V29, P1, DOI 10.1179-146532809X401971; Rees A, 2009, BMC PUBLIC HEALTH, V9, DOI 10.1186-1471-2458-9-86; Shai I, 2008, NEW ENGL J MED, V359, P229, DOI 10.1056-NEJMoa0708681; Sibai AM, 2003, OBES RES, V11, P1354; Skinner JD, 2003, J AM DIET ASSOC, V103, P1626, DOI [10.1016-j.jada.2003.09.020, 10.1016-S0002-8223(03)01361-0]; THOMPSON FE, 1994, J NUTR, V124, pS2245; *UNDP, 2005, HUM DEV REP, P1; Wang YF, 2001, INT J EPIDEMIOL, V30, P1129, DOI 10.1093-ije-30.5.1129; Wiegand S, 2004, EUR J ENDOCRINOL, V151, P199, DOI 10.1530-eje.0.1510199; *WORLD BANK, 2008, MENA DEV REP ROAD NO, P1; Zemel MB, 2005, INT J OBESITY, V29, P391, DOI 10.1038-sj.ijo.0802880
Show more [+] Less [-]AGROVOC Keywords
Bibliographic information
This bibliographic record has been provided by American University of Beirut
