Objective
Obesity has become known as an epidemic worldwide. Therefore a study was undertaken to ... more Objective Obesity has become known as an epidemic worldwide. Therefore a study was undertaken to assess the prevalence of adolescent overweight and obesity in Midnapore town, West Bengal, India. The results were compared with national and international prevalence levels in respect to economic status. Methods The subjects were selected from Bengalee speaking lower-middle socioeconomic class. A total of 1265 (640 boys and 625 girls) children aged 10-12 years were measured and included in the present analysis. Body mass index (BMI) was computed using the following standard equation: BMI = Weight (kg)/height (m)2. Presence of overweight and obesity were evaluated using the International cut-off values as recommended by International Obesity Task Force (IOTF). Results The overall frequencies of overweight and obesity were 5.69% and 0.79%, respectively. The prevalence of overweight was significantly higher among girls (7.20%) compared to boys (4.22%). They had 1.89 (95% CI: 1.33 – 3.18) fold more chances to being overweight than the boys. There was a significant decreasing trend in the rate of overweight with increasing age among boys. The odds ratios for ages 10 and 11 were 3.94 and 3.01, respectively. The highest rate was observed among 10 year in both boys (5.88%) and girls (7.88%), while the lowest rate was found among 12 years in both boys (1.46%) and girls (6.37%). The prevalence of obesity was slightly higher in girls than in boys across ages. Conclusions The moderate rates of overweight and low rate of obesity were found among adolescents of Midnapore Town, West Bengal. We recommend that similar studies be undertaken among children and adolescents of different socioeconomic groups of different ethnicities from diverse parts of India. Such studies would help us to have a better and clearer picture on the overweight and obesity situation in India and other developing countries experience with rapid economic transition.
To determine the relationship between maternal nutritional status and infant growth pattern, a cr... more To determine the relationship between maternal nutritional status and infant growth pattern, a cross sectional study was conducted in a postnatal clinic of government general hospital of south Kolkata, West Bengal, India. A total of 97 mother and their children were measured following standard techniques. Nutritional status of mothers and children’s were assessed based on WHO recommended body mass index (BMI) guidelines, mid upper arm circumference (MUAC) and z-score methods, respectively. The result shows that BMI is the most important predictive variable of WAZ, LAZ and WLZ. Maternal BMI explained for 34.9%, 10.2% and 15.6% variation of WAZ, LAZ, and WLZ. When maternal MUAC enter into the model, further MUAC explained by 4.5% and 5.3% of variation for WAZ and WLZ score. In conclusion, interventions by improving maternal nutritional status could have a significant role in the prevention of childhood malnutrition.
To assess the nutritional status among urban poor children aged 1-5 years a cross
sectional study... more To assess the nutritional status among urban poor children aged 1-5 years a cross sectional study was undertaken during February-June 2006 in three municipal wards of North 24-Parganas district, West Bengal, India. All information like age, sex, religion, caste, weight and height were collected from each subject through questionnaire following simple random sampling method. Nutritional status was assessed based on weight-for-age, height-for-age and weight-for-height z-score method. Undernutrition was defined as Z-score below -2.0 SD from the National Centre for Health Statistics (NCHS) reference population. A total of 899 children (boys=517; girls=382) aged 1-5 years were included in the present study. Overall, the prevalence of underweight, stunting and wasting was 63.6 (95% CI: 60.5 - 66.8) %, 52.7% (95% CI: 49.5-56.0) and 22.0% (95% CI: 19.6-25.1). Overall, 16.7 % (CI: 14.1-19.0), 25.1% (CI: 22.3-28.0) and 5.3% (CI: 4.0- 6.9) children were found to be severely underweight, stunted and wasted, respectively. Moreover, the prevalence of underweight was significantly higher among tribal (71.5%) children than Muslim (67.2%) and Hindu (57.6%) children. On the other hand, the prevalence of stunting and wasting was higher among Hindu and Muslim children, respectively. In addition, according to WHO (1995) criteria for severity of malnutrition, the overall prevalence of underweight, stunting and wasting were very high indicating a critical situation. Therefore, appropriate health policies and measures must be implemented to reduce the burden imposed by poverty on childhood health and nutritional stress among these areas.
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Papers by Samiran Bisai
Obesity has become known as an epidemic worldwide. Therefore a study was undertaken to assess the prevalence of adolescent overweight and obesity in Midnapore town, West Bengal, India. The results were compared with national
and international prevalence levels in respect to economic status.
Methods
The subjects were selected from Bengalee speaking lower-middle socioeconomic class. A total of 1265 (640 boys and 625 girls) children aged 10-12 years were measured and included in the present analysis. Body mass index (BMI) was computed using the following standard equation: BMI = Weight (kg)/height (m)2. Presence of overweight and obesity were evaluated using the International cut-off values as recommended by International Obesity Task Force (IOTF).
Results
The overall frequencies of overweight and obesity were 5.69% and 0.79%, respectively. The prevalence of overweight was significantly higher among girls
(7.20%) compared to boys (4.22%). They had 1.89 (95% CI: 1.33 – 3.18) fold more chances to being overweight than the boys. There was a significant decreasing trend in the rate of overweight with increasing age among boys. The odds ratios for ages 10 and 11 were 3.94 and 3.01, respectively. The highest rate was observed among 10 year in both boys (5.88%) and girls (7.88%), while the lowest rate was found among 12 years in both boys (1.46%) and girls (6.37%). The prevalence of obesity was slightly higher in girls than in boys across ages.
Conclusions
The moderate rates of overweight and low rate of obesity were found among adolescents of Midnapore Town, West Bengal. We recommend that similar studies be undertaken among children and adolescents of different socioeconomic groups of different ethnicities from diverse parts of India. Such studies would help us to have a better and clearer picture on the overweight and
obesity situation in India and other developing countries experience with rapid economic transition.
sectional study was conducted in a postnatal clinic of government general hospital of south Kolkata,
West Bengal, India. A total of 97 mother and their children were measured following standard
techniques. Nutritional status of mothers and children’s were assessed based on WHO recommended
body mass index (BMI) guidelines, mid upper arm circumference (MUAC) and z-score methods,
respectively. The result shows that BMI is the most important predictive variable of WAZ, LAZ and
WLZ. Maternal BMI explained for 34.9%, 10.2% and 15.6% variation of WAZ, LAZ, and WLZ.
When maternal MUAC enter into the model, further MUAC explained by 4.5% and 5.3% of
variation for WAZ and WLZ score. In conclusion, interventions by improving maternal nutritional
status could have a significant role in the prevention of childhood malnutrition.
sectional study was undertaken during February-June 2006 in three municipal wards of
North 24-Parganas district, West Bengal, India. All information like age, sex, religion,
caste, weight and height were collected from each subject through questionnaire
following simple random sampling method. Nutritional status was assessed based on
weight-for-age, height-for-age and weight-for-height z-score method. Undernutrition
was defined as Z-score below -2.0 SD from the National Centre for Health Statistics
(NCHS) reference population. A total of 899 children (boys=517; girls=382) aged 1-5
years were included in the present study. Overall, the prevalence of underweight,
stunting and wasting was 63.6 (95% CI: 60.5 - 66.8) %, 52.7% (95% CI: 49.5-56.0)
and 22.0% (95% CI: 19.6-25.1). Overall, 16.7 % (CI: 14.1-19.0), 25.1% (CI: 22.3-28.0)
and 5.3% (CI: 4.0- 6.9) children were found to be severely underweight, stunted and
wasted, respectively. Moreover, the prevalence of underweight was significantly higher
among tribal (71.5%) children than Muslim (67.2%) and Hindu (57.6%) children. On
the other hand, the prevalence of stunting and wasting was higher among Hindu and
Muslim children, respectively.
In addition, according to WHO (1995) criteria for severity of malnutrition, the overall
prevalence of underweight, stunting and wasting were very high indicating a critical
situation. Therefore, appropriate health policies and measures must be implemented to
reduce the burden imposed by poverty on childhood health and nutritional stress among
these areas.