Prevalence and factors associated with overweight and obesity among children from primary schools in urban areas of Lomé, Togo

Prevalence and factors associated with overweight and obesity among children from primary schools in urban areas of Lomé, Togo

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 con...

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Bibliographic Details
Published in:Public health nutrition Vol. 21; no. 6; pp. 1048 - 1056
Main Authors: Sagbo, Herbert, Ekouevi, Didier Koumavi, Ranjandriarison, Dorland Tafitarilova, Niangoran, Serge, Bakai, Tchaa Abalo, Afanvi, Agbelenko, Dieudonné, Sewu, Kassankogno, Yao, Vanhems, Philippe, Khanafer, Nagham
Format: Journal Article
Language:English
Published: Cambridge, UK Cambridge University Press 01-04-2018
Cambridge University Press (CUP)
Subjects:
Adolescent
Age
Bacteriology
Bivariate analysis
Body mass index
Body weight
Child
Children
Cross-Sectional Studies
Data processing
Developed countries
Diet - statistics & numerical data
Eating
Eating behavior
Economic conditions
Economics
Exercise
Female
Fruits
Girls
Humans
Immunology
Life Sciences
Male
Medical students
Microbiology and Parasitology
Nutritional Status and Body Composition
Obesity
Obesity - epidemiology
Overweight
Overweight - epidemiology
Physical activity
Prevalence
Public health
Regression analysis
Regression models
Research Papers
Risk Factors
Risk reduction
Schools
Sedentary Behavior
Social environment
Socioeconomics
Statistical analysis
Students
Students - statistics & numerical data
Teenagers
Togo - epidemiology
Urban areas
Urban Population - statistics & numerical data
Virology
Togo
France
Obesity
School
Prevalence
Physical activity
Togo
Children
Dietary diversity
Overweight
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Summary: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. 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<0·05. Lomé, Togo. Representative sample of 634 children (288 boys, 346 girls), aged 8-17 years, who were studying in primary schools. Overweight and obesity respectively affected 5·2 and 1·9 % of children surveyed. Watching television (>4 h) on weekends (OR; 95 % CI: 3·8; 1·2, 12·0, P=0·02) and medium dietary diversity score (3·0; 1·1, 8·1, P=0·03) were independently associated with overweight/obesity in a multivariate regression model. Eating breakfast in the school cafeteria (0·2; 0·1, 0·8, P=0·03) and eating fruits (0·4; 0·1, 0·9, P=0·03) significantly reduced the risk of overweight/obesity. 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.
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ISSN:1368-9800
1475-2727
DOI:10.1017/S1368980017003664