Journal of Public Health Advance Access published online on March 3, 2008
Journal of Public Health, doi:10.1093/pubmed/fdn013
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Trends in overweight and obesity among 5–7-year-old White and South Asian children born between 1991 and 1999
Ravikumar Balakrishnan, Specialist Registrar1
Premila Webster, Hon. Senior Lecturer1,
Don Sinclair, Director of Public Health2
1 Department of Public Health, University of Oxford, Old Road, Headington, Oxford OX3 7LF, UK
2 Berkshire East Primary Care Trust, Beech House, Upton Hospital, Albert Street, Slough SL1 2BJ, UK
Address correspondence to Premila Webster, E-mail: premila.webster{at}dphpc.ox.ac.uk
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Abstract |
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Objective To determine the trends in overweight and obesity among White and South Asian children aged 5–7 years born between 1991 and 1999 and included in the East Berkshire Child Health System.
Methods Children were grouped into nine cohorts based on their year of birth. The UK National BMI percentile classification was used to classify the children as overweight and obese and to examine the prevalence and trends by year of birth, sex and ethnicity.
Results Overall, more boys (10.1%; 9.7–10.6%) than girls (9.1%; 8.7–9.6%) were obese (P < 0.003). South Asian boys were more likely to be overweight (OR 1.92; 95% CI 1.62–2.28; P < 0.01) and obese (OR 1.53; 95% CI 1.28–1.89; P < 0.01) than South Asian girls. Overweight (1.77; 1.56–2.00; P < 0.05) and obesity (1.76; 1.50–2.06; P < 0.05) were significantly higher among South Asian boys compared with their White counterparts (baseline). After adjusting for sex, ethnicity and year of birth, South Asian children were 27% more overweight (P < 0.01) and 45% more obese (P < 0.01) compared with White children, and boys were 6% more overweight (P = 0.04) and 12% more obese (P = 0.003) compared with girls. There was an increasing trend in overweight among boys (P = 0.01) and girls (P = 0.003); and in obesity among boys (P < 0.001) and girls (P = 0.008) in children born from 1991 to 1999.
Conclusion There is a significant rise in childhood obesity among 5–7-year-old children. Overweight and obesity among South Asian boys are significantly higher than that among South Asian girls. This group may be at greater risk of morbidity and mortality related to obesity and may need to be targeted appropriately for interventions to reduce obesity.
Keywords: childhood obesity, South Asian, trends