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Updated: Jun 21, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Obesity in Indian children: time trends and relationship with hypertension
Manu Raj1, K R Sundaram, Mary Paul
1Department of Paediatric Cardiology, Amrita Institute of Medical Sciences and Research Centre, Kochi, Kerala, India.
Insights
Childhood obesity is rising in Indian schoolchildren, with overweight children showing higher rates of hypertension. Public health initiatives are crucial for prevention and awareness.
Area of Science:
- Pediatric Endocrinology
- Public Health
- Cardiology
Background:
- Limited Indian data exists on childhood obesity and hypertension prevalence.
- This study investigates trends in childhood obesity and its link to blood pressure in Kerala, India.
Purpose of the Study:
- To examine time trends in childhood obesity among schoolchildren in Ernakulam District, Kerala.
- To determine the relationship between childhood obesity and blood pressure in this population.
Main Methods:
- Stratified random cluster sampling of 24,842 students (ages 5-16) in 2003-04 for anthropometrics.
- Blood pressure and anthropometric data collected from 20,263 students in 2005-06.
- Obesity defined by BMI-for-age; hypertension determined by gender, age, and height.
Main Results:
- Overweight prevalence increased from 4.94% (2003) to 6.57% (2005), a significant rise in both genders.
- Overweight children were more common in urban areas and private schools, with trends concentrated in private institutions.
- Incident hypertension (systolic or diastolic) affected 17.34% of overweight children versus 10.1% of non-overweight peers.
Conclusions:
- Childhood obesity demonstrated a significant upward trend over a two-year period.
- Hypertension is a common comorbidity among overweight children in this region.
- Urgent need for enhanced public awareness campaigns and preventative strategies targeting childhood obesity and hypertension.
Background:
Limited data are available from India regarding the distribution and profile of childhood obesity and hypertension. We examined the time trends in childhood obesity in a representative sample of schoolchildren from Ernakulam District, Kerala and determined the relationship of obesity with blood pressure.
Methods:
We used a stratified random cluster sampling method to select the children. Anthropometric data were collected from 24 842 students, 5-16 years of age, during 2003-04. Blood pressure and anthropometric data were collected from 20 263 students during 2005-06. Overweight and obesity were defined by body mass index for gender and age. Gender, age and height were considered for determining hypertension.
Results:
The proportion of overweight children increased from 4.94% of the total students in 2003 to 6.57% in 2005 (OR: 1.36; 95% CI: 1.25-1.47; p < 0.0001). The increase was significant in both boys and girls. The proportion of overweight children was significantly higher in urban regions and in private schools, and the rising trend was limited to private schools. Systolic or diastolic incident hypertension was found in 17.34% of overweight children versus 10.1% of the remaining students (OR: 1.87; 95% CI: 1.60-2.17; p < 0.0001).
Conclusion:
Childhood obesity showed an increasing trend in a short period of 2 years. Hypertension was common in overweight children. The results suggest the need for greater public awareness and prevention programmes on childhood obesity and hypertension.
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