Anmol Gupta1, Amit Sachdeva2, Brij Sharma3, Narender Mahajan4, Neetu Sharma5
Paediatric obesity is a complex and growing global problem which is escalating much more rapidly in developing countries like India and considered an important predecessor to NCD multi-morbidity due to changing life style as a result of rapid urbanisation and mechanisation. The aim of this study was to estimate the prevalence of overweight, obesity, paediatric metabolic syndrome and associated risk factors among children in the age group of 10-16 years in private schools of Shimla city.
MATERIALS AND METHODS
At total of 2100 adolescents attending school (aged 10-16 years) participated in this cross-sectional study. All the anthropometric, clinical and biochemical assessment was done after proper consent. Prevalence of overweight and obesity was assessed by using IOTF guidelines and the metabolic syndrome was determined by the Paediatric International Diabetic Federation definition modified for age group.
The prevalence of overweight, obesity and paediatric metabolic syndrome was 14.5%, 4.1% & 4.3% respectively. In the groups with PMS, hypertension, waist circumference, and TG were significantly higher, and HDL-C was significantly lower. Significant difference was observed in gender, physical activity level, metabolic equivalent, consumption of junk food & time spent on TV in the distribution of overweight, obesity and metabolic syndrome.
Our study highlights the possible role of change in the dietary pattern and physical activity pattern in the development of obesity and metabolic syndrome in early stage of life. Collective efforts of parents and schools are required to institute early preventive measures to reduce progression towards obesity and its future complications.