Overweight/Obesity Prevalence among Under-Five Children and Risk Factors in India: A Cross-Sectional Study Using the National Family Health Survey (2015-2016).

Jay Saha, Pradip Chouhan, Farooq Ahmed, Tanmoy Ghosh, Sabbir Mondal, Muhammad Shahid, Saireen Fatima, Kun Tang
Author Information
  1. Jay Saha: Department of Geography, University of Gour Banga (UGB), Malda 732103, West Bengal, India. ORCID
  2. Pradip Chouhan: Department of Geography, University of Gour Banga (UGB), Malda 732103, West Bengal, India. ORCID
  3. Farooq Ahmed: Vanke School of Public Health, Tsinghua University, Beijing 100029, China. ORCID
  4. Tanmoy Ghosh: Department of Geography, University of Gour Banga (UGB), Malda 732103, West Bengal, India. ORCID
  5. Sabbir Mondal: Department of Geography, University of Gour Banga (UGB), Malda 732103, West Bengal, India.
  6. Muhammad Shahid: Vanke School of Public Health, Tsinghua University, Beijing 100029, China. ORCID
  7. Saireen Fatima: Fazaia Medical College, Air University, Islamabad 44000, Pakistan.
  8. Kun Tang: Vanke School of Public Health, Tsinghua University, Beijing 100029, China.

Abstract

The occurrence of overweight and obesity has increased in recent years in India. In this study, we investigate the prevalence and associated risk factors of overweight/obesity among children aged 0-59 months in India. Using data from the 2015-2016 National Family Health Survey-4 (NFHS-4), the research sample included 176,255 children aged 0 to 59 months. Bivariate and multivariate techniques were used to analyze children's risk factors for overweight/obesity. We identified that the prevalence of overweight/obesity among children aged 0-59 was 2.6% in India. The study findings reveal that factors such as child sex, age, birth weight, birth rank, maternal education, number of children, age at marriage, mother's BMI, media exposure, social group, and dietary diversity score were most significantly correlated with childhood overweight and obesity in India. Furthermore, we found that male children (ARR: 1.08) aged between 0 and 11 months (ARR: 3.77) with low birth rank (ARR: 1.24), obese (ARR: 1.81) children whose mothers married after the age of 18 (ARR: 1.15), children who belong to a scheduled tribe family (ARR: 1.46), and children who consumed 7-9 food items (ARR: 1.22) were at highest risk of being overweight and obese. However, breastfeeding (ARR: 0.85) and Muslim families (ARR: 0.87) appeared to be protective factors with respect to childhood overweight and obesity in India. Pertinent public health programs, clinical follow-up, and awareness about sedentary lifestyles can help to reduce overweight/obesity risks in children.

Keywords

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MeSH Term

Body Mass Index
Child
Cross-Sectional Studies
Female
Health Surveys
Humans
India
Infant
Infant, Newborn
Male
Overweight
Pediatric Obesity
Prevalence
Risk Factors

Word Cloud

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