2Agricultural Economics and Farm Management, Federal University of Agriculture, Ogun State, Nigeria
Keywords: Obesity; Overweight; Adolescent; Nutrient Intake; BMI-for-Age; Body Fat;
The prevalence of obesity has increased substantially over the last few decades and indications are that this trend will continue [5]. In Nigeria, there is a dearth of data on the prevalence of overweight and obesity. A study by Omolola et al. [6] in south western Nigeria reported no adolescent to be neither overweight nor obese among the rural dwellers studied. Another study in Lagos, Nigeria Ben-Bassey et al. [7] reported overall prevalence rates of overweight and obesity in the urban and rural areas to be 3.7% and 0.4%, and 3.0% and 0.0%, respectively. Furthermore, the prevalence rates of obesity and being overweight in a study carried out in Cross River, Nigeria were 1.7% and 6.8%, respectively [8].
Considering the importance of obesity complications for the health state of society and its increasing rate, careful evaluation, monitoring and follow up of obesity in children and adolescents should be a great importance. Therefore, the aim of this study was to find the prevalence of obesity in Nigerian adolescents in an urban community.
Anthropometric and body composition: The respondents showed that except, for weight and waist-hip ratio (WHR), all other anthropometric and body composition variables were significantly different in both sexes (p ≤ 0.05). The mean values for height, Body Mass Index (BMI), triceps, biceps, waist circumference, hip circumference, percentage body fat, were significantly higher in girls compared to the boys. There is no significant difference between the mean Weight and Waist-Hip Ratio (WHR) of the boys and girls (Table 2).
Prevalence of Obesity (Body Mass Index for Age Percentile): Majority of the respondents 82.5% were between 5th-85th percentiles, 2.2% were between 85th-95th percentiles,2.6% were below 5th percentile while 2.6% percentile were above 95th percentile. Prevalence of obesity among male and female were 0.8% and 1.8%. Female overweight was 2.2% (Table 3).
|
Frequency |
Percentage |
Sex |
|
|
Male |
383 |
46.7 |
Female |
438 |
53.3 |
Total |
821 |
100 |
Age |
|
|
14-Dec |
219 |
26.7 |
15-18 |
602 |
73.3 |
Total |
821 |
100 |
Education level of Father |
|
|
No education |
5 |
0.6 |
Primary education |
60 |
7.3 |
Secondary education |
266 |
32.4 |
Tertiary education |
490 |
59.7 |
Total |
821 |
100 |
Education level of Mother |
|
|
No education |
18 |
2.2 |
Primary education |
72 |
8.8 |
Secondary education |
262 |
31.9 |
Tertiary education |
496 |
57.1 |
Total |
821 |
100 |
Occupation of Father |
|
|
Civil servant |
240 |
29.2 |
Lecturer |
21 |
2.6 |
Personal business |
364 |
44.3 |
Teacher |
141 |
17.2 |
Employee of private organization |
55 |
6.7 |
Total |
821 |
100 |
Occupation of Mother |
|
|
Civil servant |
211 |
25.7 |
Lecturer |
15 |
1.8 |
Personal business |
463 |
56.4 |
Teacher |
110 |
13.4 |
Employee of private organization |
22 |
2.7 |
Total |
821 |
100 |
How do you get to school |
|
|
School bus |
27 |
3.3 |
Parent’s car |
247 |
30.1 |
Public transport |
322 |
39.2 |
Trekking |
122 |
14.9 |
Parent’s car & public transport |
103 |
12.5 |
Total |
821 |
100 |
Socioeconomic Status |
|
|
LSES |
90 |
10.9 |
MSES |
617 |
75.2 |
HSES |
114 |
13.9 |
Total |
821 |
100 |
Variable |
Male (n=383) (Mean ± SD) |
Female (n=438) (Mean ± SD) |
t-value |
p-value |
Weight (kg) |
52.18±9.16 |
51.47±8.95 |
1.111 |
0.267 |
Height (cm) |
162.13±8.45 |
158.17±6.66 |
7.504 |
0.000* |
BMI (kg/m2) |
19.75±2.71 |
20.51±3.11 |
-3.750 |
0.000* |
Triceps (mm) |
5.92±3.63 |
8.73±4.45 |
-9.823 |
0.000* |
Biceps (mm) |
4.49±3.97 |
5.45±4.05 |
-3.428 |
0.001* |
Waist (cm) |
69.05±6.36 |
70.52±7.06 |
-3.106 |
0.002* |
Hip (cm) |
84.76±8.01 |
86.67±7.85 |
-3.437 |
0.001* |
WHR (cm) |
0.82±0.10 |
0.81±0.10 |
0.672 |
0.502 |
Body fat (%) |
14.98±7.96 |
23.20±7.77 |
-14.953 |
0.000* |
|
Frequency |
percentage |
Underweight |
105 |
12.8 |
Normal |
677 |
82.5 |
Overweight |
18 |
2.2 |
Obese |
21 |
2.6 |
Total |
821 |
100.0 |
NUTRIENT |
RANGE |
MEAN ± SD |
Calorie (kcal) |
Calorie (kcal) |
1726.82±327.45 |
Protein (g) |
Protein (g) |
39.32±10.74 |
Carbohydrate (g) |
Carbohydrate (g) |
170.61±56.49 |
Fiber (g) |
Fiber (g) |
13.07±10.69 |
Fat (g) |
Fat (g) |
29.90±14.07 |
Vitamin A (RE) |
Vitamin A (RE) |
478.42±293.74 |
Vitamin C (mg) |
Vitamin C (mg) |
7.18±5.70 |
Folate (mcg) |
Folate (mcg) |
136.61±118.14 |
Vitamin B12 (mcg) |
Vitamin B12 (mcg) |
1.42±1.15 |
Calcium (mg) |
Calcium (mg) |
305.25±216.17 |
Zinc (mg) |
Zinc (mg) |
6.88±2.96 |
Iron |
3.2 – 21.1 |
11.31±4.70 |
Body mass and height are the most important measures of growth, development and reflect health condition and maturity of an individual [9]. The finding that body mass and stature increase with increasing age is consistent with biological processes in adequately nourished children [10]. Among public and Private school respondents male were heavier and taller than female with no significant difference between male and female weight. Height shows significant difference between the male and female. In contrast to the study of Mantsena et al. [11] reported boys as having significantly higher body mass and increased stature in a study conducted on rural South African school children aged 5 to 14 years. Similarly, the stature of Nigerian children in this study was comparable with Senegalese children aged 10 to 13 years [12], however, the body mass of the participants in the study by Benefice and Ndiaye was lower compared to Nigerian children in the present study.
Body mass index changes with growth from infancy through childhood to adolescence [13]. BMI demonstrated significant sex differences with high mean values in girls. This finding is in contrast with the [14] Monyeki et al. study, which found nonsignificant differences in BMI in South African rural primary school children. However, the BMI values obtained from Monyeki et al. [14] study were lower than the BMI values in this study. With the use of boundary BMI values calculated by [15], the percentage of overweight and Obesity of respondents was calculated in the group of respondents examined. Obesity 2.6%, Overweight 2.2%. BMI-for-age however, might not necessarily be appropriate in suggesting that so many of this study’s children are largely exempt from overweight or obesity. The BMI values may actually be misleading due to the body proportions of these children. Pawloski et al. [16] have reported that little is known regarding specific BMI values in adolescence and their relationships with concurrent or future risks and that the BMI-for-age curves do not necessarily ‘provide a desirable pattern that should be used as a healthy goal for adolescents internationally’.
The finding that waist circumference and hip circumference increased more in male than in female with significant difference between male and female. The sex difference in waist circumference is unclear, in that it may be that levels of physical activity are less in girls than in the boys, as research have suggested that waist circumference has stronger associations with physical activity in young people [17]. Waist circumference increased with age is consistent with the literature, since during puberty, males deposit adipose tissue around the upper body whilst females deposit adipose tissue around the thighs and buttocks due to the production of sex hormones of oestrogen and testosterone in females and males, respectively [18]. Waist-hip ratio shows no significant difference between male and female.
Parents should make time for the family to engage in sports activities and other regular physical activities like walking or hiking, swimming, and bicycling. Also, they must encourage their children to perform household chores that will make them more physically active. Schools must provide opportunities for daily physical education and comprehensive health education. PE classes should incorporate aerobic exercises and recreational activities.
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