Assessment of Nutritional Status and Food Behavior among Primary School Children in Erbil City
DOI:
https://doi.org/10.61841/etdae265Keywords:
Childhood Obesity, Risk Factors, Primary School Students, Nutritional Status, Food HabitAbstract
Background and objective: As a result of the prevalence of sedentary lifestyles, changes in food behavior, and urbanization, particularly in developing countries, there has been an increase in the prevalence of childhood obesity and overweight, which can cause numerous complications later in adulthood. The present study was carried out in order to identify the obesity prevalence rate and its risk factors among primary school children in Erbil, the Kurdistan Region of Iraq.
Patients and methods: The present cross-sectional descriptive study was carried out on 252 children aged 6-13 years chosen from primary schools in Erbil from 2017 to 2019. Required sociodemographic and socioeconomic data were collected using a researcher-designed questionnaire through face-to-face interviews with the children’s parents. The children’s weight was measured using a UNICEF-calibrated digital scale, their height through a portable stadiometer, and their body mass index based on their height and weight. The collected data were analyzed using suitable tests through Statistical Package for the Social Sciences (version 22).
Results: The female-to-male ratio was 1.15:1. Most of the students (73.4%) had been breastfed for 7 or more months. Most of them (62.3%) did not have a family history of obesity. Of them, 42.9% were found to be obese and 17.5% were overweight. Their nutritional status was found to be significantly correlated with their food habits, age, grade, maternal occupation, family history of obesity, daily pocket money, breastfeeding duration, and socioeconomic status (p<0.05). However, there was no significant association between their nutritional status and gender, parents’ marital status, father's occupation, and parents’ educational level (p > 0.05).
Conclusion: Food habits, age, grade, maternal occupation, family history of obesity, daily pocket money, breastfeeding duration, and socioeconomic status are among risk factors for childhood obesity/overweight. Therefore, children with such risk factors are recommended to be taken into special consideration in order to prevent their probable obesity/overweight early.
Downloads
References
[1] Lasserre M, Arnald C, Pacaud P, Pascal B. Worldwide trends in childhood obesity. Swiss Med Wkly.
2007;137(09-10):157.
[2] Rankin J, Matthews L, Cobley S, Han A, Sanders R, Wiltshire HD, et al. Psychological consequences of
childhood obesity: psychiatric comorbidity and prevention. Adolesc Health Med Ther. 2016 Nov;7:125–46.
[3] Kumar, S.; Mahabalaraju, D.; Anuroopa, M. Prevalence of obesity and its influencing factor among affluent
school children of Davangere city. Indian J. Commun. Med. 2007, 32, 15.
[4] Wang, Y.; Lobstein, T. Worldwide trends in childhood overweight and obesity. Int. J. Pediatric . Obes.
2006;1:11–25.
[5] Shabu SA & Al-Tawil NG. Prevalence of Childhood Obesity Among a Sample of Basic Education School
Children in Erbil City. Middle East Journal of Family Medicine. 2012;10(10):4-13.
[6] Qadir, M.S., Rampal, L., Sidik, S.M., Said, S., Ramzi, Z.S.: Prevalence of obesity and associated factors
among secondary school students in Slemani City Kurdistan Region, Iraq. Malaysia J. Med. Heal. Sci.
2014;10(2):27–38.
[7] Sharma A, Sharma K, Mathur KP. Growth pattern and prevalence of obesity in affluent school children of
Delhi. Public Health Nutr. 2007;10(5):485–91.
[8] Amin TT, Al-Sultan AI, Ali A. Overweight and Obesity and their Association with Dietary Habits, and
Sociodemographic Characteristics Among Male Primary School Children in Al-Hassa, Kingdom of Saudi
Arabia. Indian J Community Med. 2008;33(3):172–81
[9] Mohsin F, Tayyeb S, Baki A, Sarker S, Zabeen B, Begum T, et al. Prevalence of obesity among affluent
school children in Dhaka. Mymensingh medical journal: MMJ. 2010;19(4):549–54
[10] Dancause KN, Vilar M, Wilson M, Soloway LE, DeHuff C, Tarivonda L, et al. Behavioral risk factors for
obesity during health transition in Vanuatu, South Pacific. Obesity. 2013;21(1)
[11] Wang M, Chu C, Mu J. Relationship between body mass index changes and blood pressure changes from
childhood to adulthood in a general Chinese population: a 26-year cohort follow-up study. Blood Press
2016; 25:319-26.
[12] Wheaton N, Millar L, Allender S, Nichols M. The stability of weight status through the early to middle
childhood years in Australia: a longitudinal study. BMJ Open 2015; 5:e006963. DOI:10.1136/bmjopen-
2014-006963
[13] Hou D, Zhao X, Liu J, et al. [Association of childhood and adolescents obesity with adult diabetes].
Zhonghua Yu Fang Yi Xue Za Zhi 2016; 50:23-7.
[14] Fung C, Kuhle S, Lu C, Purcell M, Schwartz M. From “best practice” to “next practice”: the effectiveness of
school-based health promotion in improving healthy eating and physical activity and preventing childhood
obesity. Int J Behav Nutr Phys Act, 2012;9:27.doi: 10.1186/1479-5868-9-27
[15] Pulgarón ER. Childhood obesity: a review of increased risk for physical and psychological comorbidities.
Clin Ther. 2013 Jan;35(1): A18–32.
[16] World Health Organization. Childhood overweight and obesity [cited Oct. 25, 2019]. Available from:
http://www.who.int/dietphysicalactivity/childhood/en/.
[17] Badran M, Laher I. Obesity in Arabic-speaking countries. J Obes 2011; DOI:10.1155/2011/ 686430
[18] Blum JW, Jacobsen DJ, Donnelly JE, Dror DK, Allen LH. Beverage consumption patterns in Elementary
school-aged children across a two- year period. J Am Coll Nutr 2005; 24(2):8–11.
[19] Ogden CL, Carroll MD, Curtin LR, et al. Prevalence of overweight and obesity in the United States 1999–
2004. JAMA. 2006; 295:1549–1555.
[20] Crispim PA, Peixoto Mdo R, Jardim PC. Risk factors associated with high blood pressure in two-to fiveyear-old children. Arq Bras Cardiol. 2014;102(1):39–46.
[21] Janjua NZ, Mahmood B, Islam MA, Goldenberg RL. Maternal and early childhood risk factors for
overweight and obesity among low-income predominantly black children at age five years: a prospective
cohort study. Journal of Obesity. 2012; Article ID 457173, 9 pages, 2012.
[22] Karki A, Shrestha A, Subedi N. Prevalence and associated factors of childhood overweight/obesity among
primary school children in urban Nepal. BMC Public Health. 2019;19. 10.1186/s12889-019-7406-9.
[23] Bac A, Woźniacka R, Matusik S, Golec J, Golec E. Prevalence of overweight and obesity in children aged
6-13 years-alarming increase in obesity in Cracow, Poland. Eur J Pediatr. 2012;171(2):245–251.
DOI:10.1007/s00431-011-1519-1
[24] Zahner L, Puder JJ, Roth R, Schmid M, Guldimann R, Puhse U, Knöpfli M, Braun-Fahrländer C, Marti B,
Kriemler S. A school-based physical activity program to improve health and fitness in children aged 6–13
years (“Kinder-Sportstudie KISS”): study design of a randomized controlled trial. BMC Public Health
2006;6:147.
[25] Adebimpe WO. Prevalence and knowledge of risk factors of childhood obesity among school-going children
in Osogbo, south-western Nigeria. Malawi Med J. 2019;31(1):19–24. DOI:10.4314/mmj.v31i1.4
[26] Fischer-Tahir A. Representations of peripheral space in Iraqi Kurdistan. Études Rurales. 2011;186:117–132.
[27] Sabr CA. A study on the urban form of Erbil city (The capital of the Kurdistan region) as an example of a
historical and fast-growing city. Humanities and Social Sciences Review. 2014;3(3):325-340.
[28] Guthold R, Cowan MJ, Autenrieth CS, Kann L, Riley LM. Physical activity and sedentary behavior among
schoolchildren: a 34-country comparison. J Pediatr. 2010;157(1):43–49.e1.
[29] Abdullah R.Y, Sarkees AN, Yasin NA. Nutritional Status and Food Behavior among Primary School
Students in Duhok City. Kufa Journal for Nursing Sciences. 2017;7(1):47-55.
[30] Shahani A, Farajzadegan Z, Hadi Sichani Z, Heidari K, Omidi R. Assessment of the Relationship between
Nutritional Knowledge and Anthropometric Indices in Isfahan Children and Adolescent. Adv Biomed Res.
2018;7:110. Published 2018 Jul 20. DOI:10.4103/abr.abr_1_18
[31] Hassan NE, El-Masry SA, Farid T, Khalil A. Influence of Parental and Some Demographic Characteristics
on Overweight/Obesity Status among a Sample of Egyptian Children. Open Access Maced J Med Sci.
2016;4(3):342–347. DOI:10.3889/oamjms.2016.088
[32] Reuter CP, de Mello ED, da Silva PT, et al. Overweight and Obesity in Schoolchildren: Hierarchical
Analysis of Associated Demographic, Behavioral, and Biological Factors. Journal of Obesity. 2018; Article
ID 6128034, 6 pages.
[33] Taha AA, Marawan HM. Socio-behavioral determinants of overweight and obesity in Egyptian primary
school children. J Child Adolesc Behav. 2015;3:236.
[34] Siqueira, Renata Scanferla de Monteiro, Carlos Augusto. Breastfeeding and obesity in school-age children
from families of high socioeconomic status. Revista de Saúde Pública. 2007;41(1):5-12.
[35] 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):327–337. DOI:10.1089/chi.2017.0335
[36] Zarrati M, Shidfar F, Moradof M, et al. Relationship between Breastfeeding and Obesity in Children with
Low Birth Weight. Iran Red Crescent Med J. 2013;15(8):676–682. DOI:10.5812/ircmj.11120
[37] Yan J, Liu L, Zhu Y, Huang G, Wang PP. The association between breastfeeding and childhood obesity:
meta-analysis. BMC Public Health. 2014;14:1267.
[38] Barich F, Zahrou FE, Laamiri FZ, et al. Association of Obesity and Socioeconomic Status among Women of
Childbearing Age Living in Urban Area of Morocco. J Nutr Metab. 2018;6043042. Published 2018 Jul
29. DOI:10.1155/2018/6043042
[39] Ahmad A, Zulaily N, Shahril MR, Syed Abdullah EFH, Ahmed A. Association between socioeconomic
status and obesity among 12-year-old Malaysian adolescents. PLoS One. 2018;13(7):e0200577. Published
2018 Jul 25. DOI:10.1371/journal.pone.0200577
[40] Hamid J.J., Amal M.K., Hasmiza H., Pim C.D., Ng L.O., Wan M.W. (2011) Effect of gender and nutritional
status on academic achievement and cognitive function among primary school children in a rural district in
Malaysia. Malaysian Journal of Nutrition, 17(2):189-200.
[41] Kunwar R, Pillai PB. IMPACT OF EDUCATION OF PARENTS ON NUTRITIONAL STATUS OF
Primary School Children. Med J Armed Forces India. 2002;58(1):38–43. DOI:10.1016/S0377-
1237(02)80011-9
[42] Khattak UK, Iqbal SP, Ghazanfar H. The Role of Parents' Literacy in Malnutrition of Children Under the
Age of Five Years in a Semi-Urban Community of Pakistan: A Case-Control Study. Cureus.
2017;9(6):e1316.
Downloads
Published
Issue
Section
License
Copyright (c) 2024 Author
This work is licensed under a Creative Commons Attribution 4.0 International License.
You are free to:
- Share — copy and redistribute the material in any medium or format for any purpose, even commercially.
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
- The licensor cannot revoke these freedoms as long as you follow the license terms.
Under the following terms:
- Attribution — You must give appropriate credit , provide a link to the license, and indicate if changes were made . You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
Notices:
You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation .
No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.