Prevalence and influencing factors of BMI and effect of school based intervention among the Grade 8 Schoolchildren in Jaffna district

Overweight and obesity are becoming a global issue. In contrast, children living in developing countries like Sri Lanka are having problems with wasting . Understanding the status of wasting, overweight and obesity and underlying factors may help to address the issue. The study aimed to determine the prevalence of wasting, overweight and obesity and the underlying socio-demographic and school-related correlate and effect pf school-level intervention to manage wasting, overweight and or obesity among Sri Lankan school children A school based descriptive cross-sectional study was conducted among 836 students aged between 13-15 years studying at government schools in Jaffna district from June 2016 to November 2017. Anthropometric measurements obtained using electronic height weight machine with the precision of the instrument for height is ≤±0.1cm, and for weight is ≤±0.1kg, and the Body Mass Index (BMI) for age calculated and compared with WHO (2007) standards. Chi-square analyses performed, and odds ratios calculated in SPSS 21. Results Slightly males students (51.4%) were more than the female students. Majority of the students were Hindus (91.1%), and living with both parents (87.2%). The prevalence of wasting, overweight and obesity was 38.6%, 6.8% and 2.4% respectively. Having abnormal BMI was not significantly affected the participation in extracurricular activities. High prevalence of abnormal BMI observed, and none of the school-level interventions for abnormal BMI were not useful. Hence, periodical assessment and monitoring of the school-based program might improve the outcome.

[1]  N. Somasundaram,et al.  High Prevalence of Overweight/Obesity in Urban Sri Lanka: Findings from the Colombo Urban Study , 2019, Journal of diabetes research.

[2]  P. Bergsten,et al.  Assessment of Nutritional Status in Sri Lankan Children: Validity of Current Anthropometry Cutoffs? , 2019, Asia-Pacific journal of public health.

[3]  R. Jayatissa,et al.  Overweight and obesity among adolescent school children in the Colombo education zone , 2018, Journal of the Postgraduate Institute of Medicine.

[4]  D. Karuppiah,et al.  Prevalence of obesity, overweight and central obesity among adolescent girls in national school in Batticaloa district, Sri Lanka , 2018 .

[5]  C. Arambepola,et al.  Use of Waist to Height Ratio in assessment metabolic derangements among normal and overweight/obese 5-15 year old individuals , 2017 .

[6]  S. Dharmaratne,et al.  Nutritional status and correlated socio-economic factors among preschool and school children in plantation communities, Sri Lanka , 2017, BMC Public Health.

[7]  N. Akseer,et al.  Global and regional trends in the nutritional status of young people: a critical and neglected age group , 2017, Annals of the New York Academy of Sciences.

[8]  A. Pazouki,et al.  Iron deficiency anemia and megaloblastic anemia in obese patients , 2017, Romanian journal of internal medicine = Revue roumaine de medecine interne.

[9]  D. Good,et al.  Increased body weight affects academic performance in university students , 2016, Preventive medicine reports.

[10]  R. Knabb,et al.  ANNALS OF THE NEW YORK ACADEMY OF SCIENCES , 2014, Annals of the New York Academy of Sciences.

[11]  C. Best,et al.  The Nutritional Status of School-Aged Children: Why Should We Care? , 2010, Food and nutrition bulletin.

[12]  J. Sangiovanni,et al.  Synergism of nutrition, infection, and immunity: an overview. , 1997, The American journal of clinical nutrition.

[13]  Sang-Woon Choi,et al.  Obesity is associated with increased red blood cell folate despite lower dietary intakes and serum concentrations. , 2015, The Journal of nutrition.

[14]  Mark J. Koury,et al.  American Journal of Clinical Nutrition , 2007 .