Family-based factors associated with overweight and obesity among Pakistani primary school children.docVIP

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Family-based factors associated with overweight and obesity among Pakistani primary school children.doc

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Family-based factors associated with overweight and obesity among Pakistani primary school children

Family-basedfactorsassociatedwithoverweight andobesityamongPakistaniprimaryschool children Mushtaqetal. Mushtaqetal.BMCPediatrics2011,11:114 /1471-2431/11/114(16December2011) Mushtaqetal.BMCPediatrics2011,11:114 /1471-2431/11/114 RESEARCH ARTICLE OpenAccess Family-basedfactorsassociatedwithoverweight andobesityamongPakistaniprimaryschool children MuhammadUmairMushtaq1,2*,SibghaGull1,UbeeraShahid1,MaharMuhammadShafique1, HussainMuhammadAbdullah1,MushtaqAhmadShad2andArifMahmoodSiddiqui1 Abstract Background:ChildhoodobesityepidemicisnowpenetratingthedevelopingcountriesincludingPakistan, especiallyintheaffluenturbanpopulation.Thereisnodataonassociationoffamily-basedfactorswithoverweight andobesityamongschool-agedchildreninPakistan.Thestudyaimedtoexplorethefamily-basedfactors associatedwithoverweightandobesityamongPakistaniprimaryschoolchildren. Methods:Apopulation-basedcross-sectionalstudywasconductedwitharepresentativemultistageclustersample of1860childrenagedfivetotwelveyearsinLahore,Pakistan.Overweight(+1SDBMI-for-agez-score)and obesity(+2SDBMI-for-agez-score)weredefinedusingtheWorldHealthOrganizationreference2007.Chi-square testwasusedasthetestoftrend.Linearregressionwasusedtoexaminethepredictivepowerofindependent variablesinrelationtoBMI.Logisticregressionwasusedtoquantifytheindependentpredictorsofoverweightand adjustedoddsratios(aOR)with95%confidenceintervals(CI)wereobtained.Allregressionanalyseswere controlledforageandgenderandstatisticalsignificancewasconsideredatP0.05. Results:Significantfamily-basedcorrelatesofoverweightandobesityincludedhigherparentaleducation(P 0.001),bothparentsworking(P=0.002),fewersiblings(P0.001),fewerpersonsinchild’slivingroom(P0.001) andresidenceinhigh-incomeneighborhoods(P0.001).Smokinginlivingplacewasnotassociatedwith overweightandobesity.Higherparentaleducation(P0.001)andlivinginhigh-incomeneighborhoods(P 0.001)showedasignificantindependentpositiveassociationwithBMIwhilegreaternumberofsiblings(P=0.001) andpersonsinchild’slivin