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Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Epidemiology of childhood overweight & obesity in India: A systematic review
Harish Ranjani, T S Mehreen, Rajendra Pradeepa
1Madras Diabetes Research Foundation & Dr Mohan's Diabetes Specialities Centre, WHO Collaborating Centre for Non Communicable Diseases Prevention & Control, IDF Centre for Education, Chennai, India.
Insights
Childhood obesity rates in India are rising, affecting both higher and lower socioeconomic groups. This trend highlights a growing public health concern for non-communicable diseases in adulthood.
Area of Science:
- Public Health
- Epidemiology
- Pediatrics
Background:
- Childhood obesity is a significant risk factor for adult non-communicable diseases (NCDs).
- Nationwide data on childhood overweight and obesity prevalence in India is limited and lacks standardized definitions.
- Understanding trends is crucial for public health interventions.
Purpose of the Study:
- To review and analyze trends in childhood and adolescent overweight and obesity in India from 1981 to 2013.
- To synthesize existing data due to the paucity of uniform nationwide studies.
- To provide a clearer picture of the magnitude of the problem.
Main Methods:
- A comprehensive literature search was conducted across scientific databases for studies published over three decades.
- Keywords included "childhood obesity," "adolescent overweight," "prevalence," and "trends."
- Additional data sources included cross-references and official agency websites.
Main Results:
- Analysis included data from 52 studies across 16 Indian states.
- The combined prevalence of childhood overweight and obesity increased significantly, reaching 19.3% after 2010, up from 16.3% in 2001-2005.
- Obesity prevalence was found to be higher in northern compared to southern India.
Conclusions:
- Overweight and obesity rates are increasing among Indian children and adolescents.
- The rise is observed across socioeconomic strata, including lower-income groups.
- This trend poses a growing challenge, especially as underweight remains a concern in some populations.
Background & Objectives:
Childhood obesity is a known precursor to obesity and other non-communicable diseases (NCDs) in adulthood. However, the magnitude of the problem among children and adolescents in India is unclear due to paucity of well-conducted nationwide studies and lack of uniformity in the cut-points used to define childhood overweight and obesity. Hence an attempt was made to review the data on trends in childhood overweight and obesity reported from India during 1981 to 2013.
Methods:
Literature search was done in various scientific public domains from the last three decades using key words such as childhood and adolescent obesity, overweight, prevalence, trends, etc. Additional studies were also identified through cross-references and websites of official agencies.
Results:
Prevalence data from 52 studies conducted in 16 of the 28 States in India were included in analysis. The median value for the combined prevalence of childhood and adolescent obesity showed that it was higher in north, compared to south India. The pooled data after 2010 estimated a combined prevalence of 19.3 per cent of childhood overweight and obesity which was a significant increase from the earlier prevalence of 16.3 per cent reported in 2001-2005.
Interpretation & Conclusions:
Our review shows that overweight and obesity rates in children and adolescents are increasing not just among the higher socio-economic groups but also in the lower income groups where underweight still remains a major concern.
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