Prevalence and factors associated with overweight and obesity among children from primary schools in urban areas of Lomé, Togo
Langue
EN
Article de revue
Ce document a été publié dans
Public Health Nutrition. 2018-04, vol. 21, n° 6, p. 1048-1056
Résumé en anglais
OBJECTIVE: Overweight and obesity in childhood are serious public health issues, both in developing and developed countries. The present study aimed to ascertain overweight and obesity prevalence rates among Togolese ...Lire la suite >
OBJECTIVE: Overweight and obesity in childhood are serious public health issues, both in developing and developed countries. The present study aimed to ascertain overweight and obesity prevalence rates among Togolese schoolchildren in Lomé, Togo, and their correlation with physical activity, socio-economic conditions and eating habits. DESIGN: Cross-sectional survey conducted in December 2015. Overweight and obesity were defined using age- and sex-specific BMI cut-off points of the International Obesity Task Force. Physical activity, socio-economic conditions and eating habits were assessed with a standardized questionnaire. Specially trained medical students interviewed children and collected the data. After bivariate regression analyses, factors associated with overweight/obesity were identified by multivariate logistic regression. Statistical significance was two-sided P\textless0\textperiodcentered05. SETTING: Lomé, Togo. SUBJECTS: Representative sample of 634 children (288 boys, 346 girls), aged 8-17 years, who were studying in primary schools. RESULTS: Overweight and obesity respectively affected 5\textperiodcentered2 and 1\textperiodcentered9 % of children surveyed. Watching television (\textgreater4 h) on weekends (OR; 95 % CI: 3\textperiodcentered8; 1\textperiodcentered2, 12\textperiodcentered0, P=0\textperiodcentered02) and medium dietary diversity score (3\textperiodcentered0; 1\textperiodcentered1, 8\textperiodcentered1, P=0\textperiodcentered03) were independently associated with overweight/obesity in a multivariate regression model. Eating breakfast in the school cafeteria (0\textperiodcentered2; 0\textperiodcentered1, 0\textperiodcentered8, P=0\textperiodcentered03) and eating fruits (0\textperiodcentered4; 0\textperiodcentered1, 0\textperiodcentered9, P=0\textperiodcentered03) significantly reduced the risk of overweight/obesity. CONCLUSIONS: Overweight and obesity prevalence were linked with sedentary behaviour and non-optimal food diversity. Promoting physical activity and fruit consumption should be explored as interventions to reduce and prevent overweight and obesity in Lomé schoolchildren. In addition, preventive approaches in the social environment of children should be considered.< Réduire
Mots clés en anglais
School
Togo
Prevalence
Physical activity
Children
Dietary diversity
Obesity
Overweight
Unités de recherche