Search In this Thesis
   Search In this Thesis  
العنوان
Obesity among school children in Shebin El-kom district, Menoufia Governorate, Egypt /
المؤلف
Deif, Marwa Tarek Shawky.
هيئة الاعداد
باحث / مروة طارق شوقي ضيف
مشرف / تغريد محود فرحاث
مشرف / نجوي نشؤث حجازي
مشرف / آيت هصطفي بركاث
الموضوع
Family Medicine. Obesity in children.
تاريخ النشر
2023.
عدد الصفحات
170 p. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
ممارسة طب الأسرة
تاريخ الإجازة
5/2/2024
مكان الإجازة
جامعة المنوفية - كلية الطب - طب الاسرة
الفهرس
Only 14 pages are availabe for public view

from 175

from 175

Abstract

Obesity is a global and top public health problem. It is considered as a pandemic issue all over the world. Since it has many consequences that affect communities in a huge manner,
Obesity in childhood has both short term and long-term complications. Regarding etiology, childhood obesity is a complex disease with multifactorial character.
The aim of this study was to improve child health & prevent health hazards related to overweight and obesity among school children. This was achieved through determination of prevalence for identifying the magnitude of the problem and its determinant factors as a basis for developing intervention to prevent and control this problem.
The study was carried out in Shebin El-kom district in El Menoufia Governorate. One school was selected randomly, (Integrated District Governmental Language School), the school has primary and preparatory students. Sample from each class was determined according to percentage of students out of the total number of registered students. The study included school children aged 6-14 years attending the selected school regularly. The study was conducted in the context of time frame of nineteen months from the first of January 2022 till the end of August 2023.
All the children included in the study were examined for weight and height for calculating their BMI. A questionnaire of nine sections (Socio-demographic data, Twenty-four-hour recall of food intake, Food frequency questionnaire, Food habits, Time of rest and physical activity, Nutritional culture, Self-body image and bullying, Feeding in first 2 years of life and Child eating behavior) of validated questionnaires was used and filled by Guardians’ of the included children except one section concerning bullying only was answered by the children themselves and children also shared in answering the 24-hour recall. The study concluded that 57.5% of the studied children were males and 42.5% were females, the study showed that the prevalence of overweight and obesity was about 25& 28% respectively which means overweight plus obesity was 53%. The present study shows that there is no relationship between BMI and educational statues of mother or weather mother work or not.
The present study concluded that there is a significant relationship between the weight status and caloric intake, overweight and obese children had more caloric intake.
About half of the obese children (47%) had high frequency of white bread intake while 68.3% of normal weight children were observed to have low frequency intake.
The present study shows that there was a significant relationship between type of snacks and weight status. More than two-thirds of overweight children (81.6%) and more than half of obese children (56.3%) had their snacks as, Chips, sweets or chips and sweets, while more than half of normal weight children (66.7%) had their snacks as vegetables or fruits.
Also, it was found that, 84.1% of normal weight children had guardians who regulated their sweet intake. There was also a significant statistical relation between weight status and children habit of eating much when their guardians weren’t around.
The present study shows that sedentary lifestyle and low physical activity have a significant relationship with obesity in school children. Low activity in obese children is one of the etiological factors of their obesity and it could be considered as a result also.
The current study concluded that, there is a significant statistical relationship between bullying children faced in class or family and weight status Higher BMI was associated with more bullying.
There is significant relationship between breastfeeding and childhood overweight and obesity. Most of overweight and obese children were not breastfed during their infancy.
There was a statistically significant relationship and a positive correlation between (weight status and Food Responsiveness, Emotional Overeating, Enjoyment of Food and Emotional Undereating). While the other Four domains (Desire to Drink, Satiety Responsiveness, Slowness in Eating and Food Fussiness) had no statically significant relationship with BMI of the studied children.