Preschool Overweight and Obesity in Urban and Rural Vietnam: Differences in Prevalence and Associated Factors

Overview

Journal Glob Health Action

Specialty Public Health

Date 2015 Oct 11

PMID 26452338

Citations 20

Authors

Loan Minh Do

Toan Khanh Tran

Bo Eriksson

Max Petzold

Chuc T K Nguyen

Henry Ascher

Affiliations

Soon will be listed here.

Abstract

Background: Childhood obesity may soon be an equally important health threat as undernutrition and infectious diseases. Accurate information about prevalence and risk factors of obesity in children is important for the design of prevention.

Objective: The aim of this study was to estimate prevalence of overweight and obesity for preschool children in two Vietnamese areas, one urban and one rural, and to identify risk factors.

Design: A cross-sectional study was conducted in urban Dong Da and rural Ba Vi districts, Hanoi, Vietnam. Totally, 2,677 children, 1,364 urban and 1,313 rural, were weighed and measured. Caregivers were interviewed. Background information about children and families was obtained from regular household surveys.

Results: The prevalence of overweight and obesity combined were 21.1% (95% CI 18.9-23.3) in the urban area and 7.6% (95% CI 6.2-9.2) in the rural. Multiple logistic regression revealed that at the individual level, in both sites, the risk increased with increased child age. The identified urban risk factors were being a boy, consuming large amounts of food, eating fast, and indoor activity less than 2 hours per day. The rural risk factors were frequent consumption of fatty food. At the family level, significant association was found in rural areas with frequent watching of food advertisements on television.

Conclusions: Overweight and obesity are emerging problems in Vietnam, particularly in the urban context. Prevention programs should focus on education about healthy eating habits at early preschool age and need to be tailored separately for urban and rural areas since the risk factors differ. Non-healthy food advertisement needs to be restricted.

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References

Chuc N, Diwan V . FilaBavi, a demographic surveillance site, an epidemiological field laboratory in Vietnam. Scand J Public Health Suppl. 2003; 62:3-7. DOI: 10.1080/14034950310015031. View

. Obesity: preventing and managing the global epidemic. Report of a WHO consultation. World Health Organ Tech Rep Ser. 2001; 894:i-xii, 1-253. View

Dehghan M, Akhtar-Danesh N, Merchant A . Childhood obesity, prevalence and prevention. Nutr J. 2005; 4:24. PMC: 1208949. DOI: 10.1186/1475-2891-4-24. View

Lawlor D, Chaturvedi N . Treatment and prevention of obesity--are there critical periods for intervention?. Int J Epidemiol. 2006; 35(1):3-9. DOI: 10.1093/ije/dyi309. View

Johannsen D, Johannsen N, Specker B . Influence of parents' eating behaviors and child feeding practices on children's weight status. Obesity (Silver Spring). 2006; 14(3):431-9. DOI: 10.1038/oby.2006.57. View

Dieu H, Dibley M, Sibbritt D, Hanh T . Prevalence of overweight and obesity in preschool children and associated socio-demographic factors in Ho Chi Minh City, Vietnam. Int J Pediatr Obes. 2007; 2(1):40-50. DOI: 10.1080/17477160601103922. View

Tuan N, Nicklas T . Age, sex and ethnic differences in the prevalence of underweight and overweight, defined by using the CDC and IOTF cut points in Asian children. Eur J Clin Nutr. 2009; 63(11):1305-12. DOI: 10.1038/ejcn.2009.90. View

de Onis M, Blossner M, Borghi E . Global prevalence and trends of overweight and obesity among preschool children. Am J Clin Nutr. 2010; 92(5):1257-64. DOI: 10.3945/ajcn.2010.29786. View

Sjoberg A, Moraeus L, Yngve A, Poortvliet E, Al-Ansari U, Lissner L . Overweight and obesity in a representative sample of schoolchildren - exploring the urban-rural gradient in Sweden. Obes Rev. 2011; 12(5):305-14. DOI: 10.1111/j.1467-789X.2010.00838.x. View

10.

Stark M, Niederhauser V, Camacho J, Shirai L . The prevalence of overweight and obesity in children at a Health Maintenance Organization in Hawai'i. Hawaii Med J. 2011; 70(7 Suppl 1):27-31. PMC: 3158447. View

11.

van Stralen M, Te Velde S, van Nassau F, Brug J, Grammatikaki E, Maes L . Weight status of European preschool children and associations with family demographics and energy balance-related behaviours: a pooled analysis of six European studies. Obes Rev. 2012; 13 Suppl 1:29-41. DOI: 10.1111/j.1467-789X.2011.00959.x. View

12.

Andegiorgish A, Wang J, Zhang X, Liu X, Zhu H . Prevalence of overweight, obesity, and associated risk factors among school children and adolescents in Tianjin, China. Eur J Pediatr. 2011; 171(4):697-703. DOI: 10.1007/s00431-011-1636-x. View

13.

Tran T, Eriksson B, Nguyen C, Horby P, Bondjers G, Petzold M . DodaLab: an urban health and demographic surveillance site, the first three years in Hanoi, Vietnam. Scand J Public Health. 2012; 40(8):765-72. DOI: 10.1177/1403494812464444. View

14.

Fatemeh T, Mohammad-Mehdi H, Toba K, Afsaneh N, Sharifzadeh G . Prevalence of overweight and obesity in preschool children (2-5 year-olds) in Birjand, Iran. BMC Res Notes. 2012; 5:529. PMC: 3532307. DOI: 10.1186/1756-0500-5-529. View

15.

Nguyen H, Eriksson B, Petzold M, Bondjers G, Tran T, Nguyen L . Factors associated with physical growth of children during the first two years of life in rural and urban areas of Vietnam. BMC Pediatr. 2013; 13:149. PMC: 3849555. DOI: 10.1186/1471-2431-13-149. View

16.

He Q, Ding Z, Fong D, Karlberg J . Risk factors of obesity in preschool children in China: a population-based case--control study. Int J Obes Relat Metab Disord. 2000; 24(11):1528-36. DOI: 10.1038/sj.ijo.0801394. View

17.

Davison K, Birch L . Childhood overweight: a contextual model and recommendations for future research. Obes Rev. 2002; 2(3):159-71. PMC: 2530932. DOI: 10.1046/j.1467-789x.2001.00036.x. View

18.

Sakamoto N, Wansorn S, Tontisirin K, Marui E . A social epidemiologic study of obesity among preschool children in Thailand. Int J Obes Relat Metab Disord. 2001; 25(3):389-94. DOI: 10.1038/sj.ijo.0801477. View

19.

Ello-Martin J, Ledikwe J, Rolls B . The influence of food portion size and energy density on energy intake: implications for weight management. Am J Clin Nutr. 2005; 82(1 Suppl):236S-241S. DOI: 10.1093/ajcn/82.1.236S. View