Overweight and obesity among public and private primary school children in Nairobi, Kenya

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DOI: 10.4236/health.2013.58A3012    4,515 Downloads   8,800 Views   Citations


Obesity is on the rise in developing countries, especially in urban areas. In this study, a cross-sectional study was conducted in two divisions in Nairobi province to determine the prevalence of and some risk factors associated with overweight and obesity among school children in Nairobi, Kenya. It involved 344 school children aged 9-14 years drawn from four randomly selected public and private primary schools. Weight and height were measured and body mass index was calculated. Nutrition status was determined using the World Health Organization age and gender specific BMI-for-age Z-scores (BAZ). The chi-square test was used to determine the relationship between overweight/obesity and selected socio-demographic characteristics. Complete anthropometric measurements were available for 321 children. Prevalence of combined overweight and obesity (BAZ > +1SD) was 19.0%, with prevalence being higher among girls (21.0%) than boys (16.9%) (p = 0.632). The prevalence among children in private schools was significantly higher (29.0%) than among those in public schools (11.5%) (p = 0.000). In addition, being a single child (p = 0.020), birth order (p = 0.017), mother’s occupation (p = 0.023) and type of residence (p = 0.028) were positively associated with overweight/obesity. The prevalence of overweight/obesity determined in this study is high and is a public health concern, with girls particularly at risk of becoming overweight.

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Kyallo, F. , Makokha, A. and Mwangi, A. (2013) Overweight and obesity among public and private primary school children in Nairobi, Kenya. Health, 5, 85-90. doi: 10.4236/health.2013.58A3012.


[1] World Health Organization. (1997) Obesity: Preventing and managing the global epidemic. A report on a WHO consultation on obesity. World Health Organization, Geneva, 894, 16-34.
[2] Ebbeling, C.B., Pawlack, D.B. and Ludwig, D.S. (2002) Childhood obesity: Public health crisis, public health cure. Lancet, 360, 473-482. doi:10.1016/S0140-6736(02)09678-2
[3] Lobstein, T., Baur, L. and Uauy, R. (2004) Obesity in children and young people: A crisis in public health. Obesity Reviews, 5, 4-85. doi:10.1111/j.1467-789X.2004.00133.x
[4] De Onis, M. and Blossner, M. (2000) Prevalence and trends of overweight among preschool children in developing countries. American Journal of Clinical Nutrition, 72, 1032-1039.
[5] Martorell, R., Khan, L.K., Hughes, M.L. and Grummer-Strawn, L.M. (2000) Overweight and obesity in preschool children from developing countries. International Journal of Obesity, 24, 959-967. doi:10.1038/sj.ijo.0801264
[6] Gewa, C.A. (2009) Childhood overweight and obesity among Kenyan pre-school children: Association with maternal and early child nutritional factors. Public Health Nutrition, 10, 1-8.
[7] Government of Kenya. (2010) Kenya Health and Demographic Survey, 2008-2009. Government Printer, Nairobi, 143.
[8] Government of Kenya. (2004) Kenya Health and Demographic Survey, 2003. Government Printer, Nairobi, 165.
[9] Li, Y., Zhai, F., Yang, X., Schouten, E.G., Hu, X., He, Y., Luan, D. and Ma, G. Determinants of childhood overweight and obesity in China. British Journal of Nutrition, 97, 210-215. doi:10.1017/S0007114507280559
[10] Gibson, R.S. (2005) Principles of Nutritional Assessments. 2nd Ed. Oxford University Press, Oxford.
[11] WHO (2007). http://www.who.int/growthref/growthrefwhobull/en/index.html
[12] Abdulkadir, A.E., Sohani, S.A. and Agoi, F. (2009) The dilemma of overand under-nutrition coexistence among Western Kenya children. AJFAND, 9, 4.
[13] Semproli, S. and Gualdi-Russo, E. (2007) Childhood malnutrition and growth in a rural area of Western Kenya. American Journal of Physical Anthropology, 132, 46. doi:10.1002/ajpa.20470
[14] Adamo, K.B., Sheel, A.W., Onywera, V., Waudo, J., Boit, M. and Tremblay, M.S. (2010) Child obesity and fitness levels among Kenyan and Canadian children from urban and rural environments: A KIDS-CAN research alliance study. International Journal of Pediatric Obesity, 6, e225-e232.
[15] Jebb, S.A., Rennie, K.L. and Cole, T.J. (2003) Prevalence of overweight and obesity among young people in Great Britain. Public Health Nutrition, 7, 461-465.
[16] Malecka-Tendera, E., Klimek, K., Matusik, P., Olszanecka-Glinianowicz, M., Lehingue, Y. and On Behalf of the Polish Childhood Obesity Study Group. (2005) Obesity and overweight prevalence in polish 7to 9-year-old children. Obesity Research, 13, 964-968. doi:10.1038/oby.2005.112
[17] Georgiadis, G. and Nassis, G.P. (2007) Prevalence of overweight and obesity in a national representative sample of Greek children and adolescents. European Journal of Clinical Nutrition, 61, 1072-1074. doi:10.1038/sj.ejcn.1602619
[18] Waters, E., Ashbolt, R., Gibbs, L., Booth, M., Magarey, A., Gold, L. Kai Lo, S., Gibbons, K., Green, J., O’connor, T., Garrard, J. and Swinburn, B. (2008) Double disadvantage: The influence of ethnicity over socioeconomic position on childhood overweight and obesity: Findings from an inner urban population of primary school children. International Journal of Pediatric Obesity, 3, 196204. doi:10.1080/17477160802141846
[19] Veugelers, P.J. and Fitzgerald, A.L. (2005) Prevalence of and risk factors for childhood overweight and obesity. Canadian Medical Association Journal, 173, 607-613. doi:10.1503/cmaj.050445
[20] Maddah, M. and Nikooyeh, B. (2010) Obesity among iranian adolescent girls: Location of residence and parental obesity. Journal of Health and Population Nutrition, 28, 61-66. doi:10.3329/jhpn.v28i1.4524
[21] Monyeki, K.D, Van Lenthe, F.J. and Steyn, N.P. (1999) Obesity: Does it occur in African Children in a rural community in South Africa? International Journal of Epidemiology, 28, 287-292. doi:10.1093/ije/28.2.287
[22] Ben-Bassey, U.P., Oduwole, A.O. and Ogundipe, O.O. (2007) Prevalence of overweight and obesity in Eti-Osa LGA, Lagos, Nigeria. Obesity Reviews, 8, 475-479. doi:10.1111/j.1467-789X.2007.00408.x
[23] Prista, A., Maia, J.A.R., Damasceno, A. and Beunen, G. (2003) Anthropometric indicators of nutritional status: Implications for fitness, activity, and health in school-age children and adolescents from Maputo, Mozambique. American Journal of Clinical Nutrition, 77, 952-959.
[24] Li, M., Dibley, M.J., Sibbritt, D. and Yan, H. (2006) An assessment of adolescent overweight and obesity in Xi’an City, China. International Journal of Paediatric Obesity, 1, 50-80. doi:10.1080/17477160500538046
[25] Kelishadi, R., Pour, M.H., Sarraf-Zadegan, N., Sadry, G.H., Ansari, R., Alikhassy, H. and Bashardoust, N. (2003) Obesity and associated modifiable environmental factors in Iranian adolescents: Isfahan healthy heart programheart health promotion from childhood. Pediatrics International, 45, 435-442. doi:10.1046/j.1442-200X.2003.01738.x
[26] Jinabhai, C.C., Taylor, M. and Sullivan, K.R. (2003) Implications of the prevalence of stunting, overweight and obesity amongst South African primary school children: A possible nutritional transition? European Journal of Clinical Nutrition, 57, 358-365. doi:10.1038/sj.ejcn.1601534
[27] Kruger, R., Kruger, H.S. and MacIntyre, U.E. (2006) The determinants of overweight and obesity among 10to 15-year-old schoolchildren in the North West Province, South Africa—the THUSA BANA (Transition and Health during Urbanisation of South Africans; BANA, children) study. Public Health Nutrition, 9, 351-358. doi:10.1079/PHN2006849
[28] Ng, S.W., Zaghloul, S., Ali, H.I., Harrison, G. and Popkin, B.M. (2011) The prevalence and trends of overweight, obesity and nutrition-related non-communicable diseases in the Arabian Gulf States. Obesity Reviews, 12, 1-13. doi:10.1111/j.1467-789X.2010.00750.x
[29] Erem, C., Arslan, C., Hacihasanoglu, A., Deger, O., Topbas, M., Ukinc, K., Ersoz, H.O. and Telatar, M. (2004) Prevalence of obesity and associated risk factors in a Turkish population (Trabzon City, Turkey). Obesity Research, 12, 1117-1127. doi:10.1038/oby.2004.140
[30] Steyn, N.P., Nel, J.H., Parker, W., Ayah, R. and Mbithe, D. (2011) Dietary, social, and environmental determinants of obesity in Kenyan women. Scandinavian Journal of Public Health, 39, 88-97. doi:10.1177/1403494810384426
[31] Do Carmo, I., Dos Santos, O., Camolas, J., Vieira, J., Carreira, M., Medina, L., Reis, L., Myatt, J. and Galvao-Teles, A. (2008) Overweight and obesity in Portugal: National prevalence in 2003-2005. Obesity Reviews, 9, 11-19.
[32] Mendez, M.A., Monteiro, C.A. and Popkin, B.M. (2005) Overweight exceeds underweight among women in most developing countries. American Journal of Clinical Nutrition, 81, 714-721.
[33] Faeh, D., Braun, J. and Bopp, M. (2011) Prevalence of obesity in Switzerland 1992-2007: The impact of education, income and occupational class. Obesity Reviews, 12, 1-16.
[34] Monteiro, C.A., Moura, E.C., Conde, W.L. and Popkin, B.M. (2004) Socio-economic status and obesity in adult populations of developing countries: A review. Bulletin of World Health Organization, 82, 940-946.
[35] Kaneria, Y., Singh, P. and Sharma, D.C. (2006) Prevalence of overweight and obesity in relation to socio-economic conditions in two different groups of school-age children of Udaipur City (Rajasthan). Journal, Indian Academy of Clinical Medicine, 7, 133-135.
[36] Rashidy-Pour, A., Malek, M., Eskandarian, R. and Ghorbani, R. (2009) Obesity in the Iranian population. Obesity Reviews, 10, 2-6. doi:10.1111/j.1467-789X.2008.00536.x
[37] Al-Saeed, W.Y., Al-Dawood, K.M., Bukhari, I.A., and Bahnassy, A. (2006) Prevalence and socioeconomic risk factors of obesity among urban female students in AlKhobar city 2003, Eastern Saudi Arabia. Obesity Reviews, 8, 93-99. doi:10.1111/j.1467-789X.2006.00287.x
[38] Pirincci, E., Durmus, B., Gündogdu, C. and Acik, Y. (2010) Prevalence and risk factors of overweight and obesity among urban school children in Elazig city, Eastern Turkey, 2007. Annals of Human Biology, JanuaryFebruary, 37, 44-56. doi:10.3109/03014460903218984
[39] Padez’, C., Mourao, I., Moreira, P. and Rosado, P. (2005) Prevalence and risk factors for overweight and obesity in Portuguese children. Acta Pediatric, 94, 1550-1555. doi:10.1080/08035250510042924

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