Dietary Intakes and Familial Correlates of Overweight/Obesity: A Four-Cities Study in IndiaGulati S.a-c · Misra A.a-d · Colles S.L.e · Kondal D.f · Gupta N.a,b,g · Goel K.a,b,h · Bansal S.i · Mishra M.j · Madkaikar V.k · Bhardwaj S.a-c
aNational Diabetes, Obesity and Cholesterol Foundation, bDiabetes Foundation (India), SDA, cCenter for Nutrition and Metabolic Research (C-NET), SDA, dFortis C-DOC Centre of Excellence for Diabetes, Obesity, Metabolic Diseases and Endocrinology, Fortis Hospital, New Delhi, India; eMenzies School of Health Research, Wellbeing and Chronic Diseases Division, Darwin, N.T., Australia; fPublic Health Foundation of India, New Delhi, India; gDepartment of Pediatrics, Children Hospital of Michigan, hDepartment of Internal Medicine, Wayne State University, Detroit, Mich., USA; iAgra Diabetes Forum, Agra, jHealth First Organization, Bangalore, kKing Edward Memorial Hospital, Pune, India
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Background: The prevalence of overweight and obesity among children is increasing in India. However, knowledge of, attitude towards and practice of health and nutrition in mothers and children have not been researched. Objective: To assess knowledge of, attitude towards and practice of nutrition, physical activity and other lifestyle practices in a nationally representative sample of urban children and mothers in India. Methods: A cross-sectional observational study of 1,800 children aged 9-18 years and their mothers, using qualitative (focus group) and quantitative (semi-structured survey) data. Results: The overall prevalence of overweight/obesity among the children was 19.2% in males and 18.1% in females; 64.8% of mothers were either overweight [body mass index (BMI) 23.0-24.9; 23.3%] or obese (BMI >25.0; 41.5%). Household family income, related socioeconomic factors, and overweight in mothers were most significantly associated with obesity in children (all p ≤ 0.001). Dietary consumption patterns (snacking, fast food etc.) showed a marked association between mothers and children (all p ≤ 0.000). Focus group discussion revealed several interesting attitudes and misconceptions among children (‘home-cooked food is old fashioned') and mothers (‘a child with chubby cheeks is healthy, not fat'). Importantly, only a few mothers understood that excess weight or diets are contributory factors of morbidities in children or themselves. Conclusions: This study highlights the poor knowledge, faulty attitudes and practices of urban Asian Indian mothers and their children in a highly correlated manner. These knowledge gaps must be addressed to formulate effective strategies for the prevention of obesity and related metabolic disorders.
© 2013 S. Karger AG, Basel
- Wang Y, Monteiro C, Popkin BM: Trends of obesity and underweight in older children and adolescents in the United States, Brazil, China, and Russia. Am J Clin Nutr 2002;75:971-977.
World Health Organization: Obesity: Preventing and Managing the Global Epidemic - Report of a WHO Consultation on Obesity. Geneva, WHO, 1998.
- Misra A, Khurana L, Vikram NK, Goel A, Wasir JS: Metabolic syndrome in children: current issues and South Asian perspective. Nutrition 2007;23:895-910.
- Singhal N, Misra A, Shah P, Rastogi K, Vikram NK: Secular trends in obesity, regional adiposity and metabolic parameters among Asian Indian adolescents in north India: a comparative data analysis of two selective samples 5 years apart (2003, 2008). Ann Nutr Metab 2010;56:176-181.
- Bhardwaj S, Misra A, Khurana L, Gulati S, Shah P, Vikram NK: Childhood obesity in Asian Indians: a burgeoning cause of insulin resistance, diabetes and sub-clinical inflammation. Asia Pac J Clin Nutr 2008;17(suppl 1):172-175.
- Biro FM, Wien M: Childhood obesity and adult morbidities. Am J Clin Nutr 2010;91:1499S-1505S.
- Crouse JR 3rd, Morgan T, Terry JG, Ellis J, Vitolins M, Burke GL: A randomized trial comparing the effect of casein with that of soy protein containing varying amounts of isoflavones on plasma concentrations of lipids and lipoproteins. Arch Intern Med 1999;159:2070-2076.
Dasgupta S, Lal M: The Indian Family in Transition. Reading Literary and Cultural Texts. India, Sage, 2007.
- Drewnowski A: Obesity, diets, and social inequalities. Nutr Rev 2009;67(suppl 1):S36-S39.
- Monteiro CA, Moura EC, Conde WL, Popkin BM: Socioeconomic status and obesity in adult populations of developing countries: a review. Bull World Health Organ 2004;82:940-946.
- Subramanian SV, Smith GD: Patterns, distribution, and determinants of under- and overnutrition: a population-based study of women in India. Am J Clin Nutr 2006;84:633-640.
- Boutelle KN, Birkeland RW, Hannan PJ, Story M, Neumark-Sztainer D: Associations between maternal concern for healthful eating and maternal eating behaviors, home food availability, and adolescent eating behaviors. J Nutr Educ Behav 2007;39:248-256.
Office of the Registrar General & Census Commissioner, India, 2007. http://www.censusindia.gov.in/default.aspx (accessed February 20, 2013).
- Cole TJ, Bellizzi MC, Flegal KM, Dietz WH: Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ 2000;320:1240-1243.
- Misra A, Chowbey P, Makkar BM, Vikram NK, Wasir JS, Chadha D, et al: Consensus statement for diagnosis of obesity, abdominal obesity and the metabolic syndrome for Asian Indians and recommendations for physical activity, medical and surgical management. J Assoc Physicians India 2009;57:163-170.
- Rao S, Kanade A, Kelkar R: Blood pressure among overweight adolescents from urban school children in Pune, India. Eur J Clin Nutr 2007;61:633-641.
- Sharma A, Sharma K, Mathur KP: Growth pattern and prevalence of obesity in affluent schoolchildren of Delhi. Public Health Nutr 2007;10:485-491.
- Mohan B, Kumar N, Aslam N, Rangbulla A, Kumbkarni S, Sood NK, et al: Prevalence of sustained hypertension and obesity in urban and rural school going children in Ludhiana. Indian Heart J 2004;56:310-314.
- Sobal J, Stunkard AJ: Socioeconomic status and obesity: a review of the literature. Psychol Bull 1989;105:260-275.
- Goyal RK, Shah VN, Saboo BD, Phatak SR, Shah NN, Gohel MC, et al: Prevalence of overweight and obesity in Indian adolescent school going children: its relationship with socioeconomic status and associated lifestyle factors. J Assoc Physicians India 2010;58:151-158.
Central Statistical Organization of India. http://mospi.nic.in/Mospi_New/site/India_Statistics.aspx?status=1&menu_id=14 (accessed December 31, 2010).
- Misra P, Upadhyay R, Misra A, Anand K: A review of the epidemiology of diabetes in rural India. Diabetes Res Clin Pract 2011;92:303-311.
Srivastava RK, Bachani D: Burden of NCDs, policies and programme for prevention and control of NCDs in India. Indian J Community Med 2011;36(suppl 1):S7-S12.
- Misra A, Khurana L: Obesity and the metabolic syndrome in developing countries. J Clin Endocrinol Metab 2008;93(suppl 1):S9-S30.
World Health Organization: Obesity: preventing and managing the global epidemic. Report of a WHO consultation on obesity. World Health Organ Tech Rep Ser Geneva 2000;894:1-253.
- Larson N, Story M: A review of environmental influences on food choices. Ann Behav Med 2009;38(suppl 1):S56-S73.
- Brion MJ, Ness AR, Rogers I, Emmett P, Cribb V, Davey Smith G, et al: Maternal macronutrient and energy intakes in pregnancy and offspring intake at 10 y: exploring parental comparisons and prenatal effects. Am J Clin Nutr 2010;91:748-756.
- Patterson TL, Rupp JW, Sallis JF, Atkins CJ, Nader PR: Aggregation of dietary calories, fats, and sodium in Mexican-American and Anglo families. Am J Prev Med 1988;4:75-82.
- Feunekes GI, de Graaf C, Meyboom S, van Staveren WA: Food choice and fat intake of adolescents and adults: associations of intakes within social networks. Prev Med 1998;27:645-656.
- Berge JM: A review of familial correlates of child and adolescent obesity: what has the 21st century taught us so far? Int J Adolesc Med Health 2009;21:457-483.
Association AM: Expert Committee Recommendations on the assessment, prevention, and treatment of child and adolescent overweight and obesity. http://www.ama-assn.org/ama1/pub/upload/mm/433/ped_obesity_recs.pdf (accessed November 23, 2010).
Contento IR: Nutrition Education: Linking Research, Theory, and Practice. Sudbury, MA, Jones and Bartlett Publishers, 2007.
- Altschuler JA, Casella SJ, MacKenzie TA, Curtis KM: The effect of cinnamon on A1C among adolescents with type 1 diabetes. Diabetes Care 2007;30:813-816.
- Wethington E, Johnson-Askew WL: Contributions of the life course perspective to research on food decision making. Ann Behav Med 2009;38(suppl 1):S74-S80.
- Gillespie AM, Johnson-Askew WL: Changing family food and eating practices: the family food decision-making system. Ann Behav Med 2009;38(suppl 1):S31-S36.
- Moreno LA, Rodriguez G, Fleta J, Bueno-Lozano M, Lazaro A, Bueno G: Trends of dietary habits in adolescents. Crit Rev Food Sci Nutr 2010;50:106-112.
- Gillman MW, Rifas-Shiman SL, Frazier AL, Rockett HR, Camargo CA Jr, Field AE, et al: Family dinner and diet quality among older children and adolescents. Arch Fam Med 2000;9:235-240.
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