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VOLUME 1 , ISSUE 1 ( January-April, 2024 ) > List of Articles

ORIGINAL RESEARCH

Association of Body Mass Index between Adolescents and their Parents in Mumbai and Kolkata: A Population-based Study

Namrata Puntambekar, Mangesh S Pednekar, Prakash C Gupta, Maruti B Desai, William J McCarthy, Ritesh Mistry

Keywords : Adolescents, Body mass index, Loneliness, Obesity

Citation Information : Puntambekar N, Pednekar MS, Gupta PC, Desai MB, McCarthy WJ, Mistry R. Association of Body Mass Index between Adolescents and their Parents in Mumbai and Kolkata: A Population-based Study. 2024; 1 (1):3-8.

DOI: 10.5005/bjotgh-11016-0004

License: CC BY-NC 4.0

Published Online: 30-04-2024

Copyright Statement:  Copyright © 2024; The Author(s).


Abstract

Introduction: Adolescent overweight and obesity as measured by body mass index (BMI) seem to be increasing at an alarming rate in urban populations. Parental BMI plays an important role in their adolescent's BMI. Overweight and obesity co-existing with undernutrition in adolescents is an important public health challenge in low- and middle-income countries (LMICs). We present results from a population-based study on adolescents’ prevalence of BMI and its association with their parents’ BMI in Mumbai and Kolkata, India. Methods and materials: Multistage random sampling of households was used to select adolescents aged 12–14 years and one of their parents in 2019–2020. In Mumbai, 843 adolescents, and in Kolkata, 913 adolescents and one of their parents were interviewed independently by trained field investigators. Height and weight were measured using standardised procedures. Adolescents’ BMI categories were defined using Centres for Disease Control and Prevention (CDC) recommendations. For parents, the BMI was categorised using Asian cut-off categories into underweight (BMI < 18.5), normal weight (BMI: 18.5–22.9), overweight (BMI: 23.0–27.0), and obese (BMI > 27.0). Multivariate logistic regression was used to determine the relationship between parental BMI and adolescents’ BMI. Results: In Mumbai, 15.7% and in Kolkata, 21.1% of adolescents were overweight or obese. Nearly 80% of mothers and 70% of other parents were either overweight or obese. The mothers of adolescents who were overweight or obese showed a high risk of their adolescent being overweight [odds ratio (OR): 4.16 (1.36–12.73)] or obese [OR: 18.53 (2.02–170.44)] in Mumbai and [OR: 4.45 (1.25–15.80)] and [OR: 8.81 (1.40–55.33)] in Kolkata respectively after adjusting for adolescent's gender and head of the household's highest level of educational attainment. Conclusion: Adolescents’ overweight/obesity status is strongly associated with their mothers’ BMI in urban India. This association may reflect both genetic and environmental effects. The present study highlights the high prevalence of adolescent overweight and obesity in these urban populations and underscores how important it is to identify effective public health strategies for the primary prevention of childhood obesity.


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  1. Pradeepa R, Anjana RM, Joshi SR, et al. Prevalence of generalized & abdominal obesity in urban & rural India: The ICMR–INDIAB study (Phase-I) [ICMR-INDIAB-3]. Indian J Med Res 2015;142(2):139–150. PMCID: PMC4613435.
  2. Luhar S, Timæus IM, Jones R, et al. Forecasting the prevalence of overweight and obesity in India to 2040. PLoS One 2020;15(2):1–17. DOI: 10.1371/journal.pone.0229438.
  3. Sebsbie A, Minda A, Ahmed S. Co-existence of overweight/obesity and stunting: It's prevalence and associated factors among under - five children in Addis Ababa, Ethiopia. BMC Pediatr 2022;22(1):1–10. DOI: 10.1186/s12887-022-03445-5.
  4. Dwivedi LK, Puri P, Pant A, et al. Concurrent undernutrition and overnutrition within Indian families between 2006 and 2021. Curr Dev Nutr 2023;7(9):101987. DOI: 10.1016/j.cdnut.2023.101987.
  5. Gezaw A, Melese W, Getachew B, et al. Double burden of malnutrition and associated factors among adolescent in Ethiopia: A systematic review and meta-analysis. PLoS One 2023;18:(4):e0282240. DOI: 10.1371/journal.pone.0282240.
  6. Agrawal P, Gupta K, Mishra V, et al. Effects of sedentary lifestyle and dietary habits on body mass index change among adult women in India: Findings from a follow-up study. Ecol Food Nutr 2013;52(5): 387–406. DOI: 10.1080/03670244.2012.719346.
  7. Afshin A, Forouzanfar MH, Reitsma MB, et al. Health effects of overweight and obesity in 195 countries over 25 years. N Engl J Med 2017;377(1):13–27. DOI: 10.1056/NEJMoa1614362.
  8. NCD Risk Factor Collaboration (NCD-RisC). Trends in adult body-mass index in 200 countries from 1975 to 2014: A pooled analysis of 1698 population-based measurement studies with 19.2 million participants. Lancet 2016;387(10026):1377–1396. DOI: 10.1016/S0140-6736(16)30054-X.
  9. Kumar HNH, Mohanan P, Kotian S, et al. Prevalence of overweight and obesity among pre-school children in semi urban South India. Indian Pediatr 2008;45(6):449–497. PMID: 18599938.
  10. Xi B, Mi J, Duan J-li, et al. Familial clustering of obesity and the role of lifestyle factors among children in Beijing. Zhonghua Yu Fang Yi Xue Za Zhi 2009;43(2):122–127. PMID: 19534904.
  11. Farajian P, Panagiotakos DB, Risvas G, et al. Hierarchical analysis of dietary, lifestyle and family environment risk factors for childhood obesity: The GRECO study. Eur J Clin Nutr 2014;68(10):1107–1112. DOI: 10.1038/ejcn.2014.89.
  12. Liu Y, Chen HJ, Liang L, et al. Parent–child resemblance in weight status and its correlates in the United States. PLoS One 2013;8(6):e65361. DOI: 10.1371/journal.pone.0065361.
  13. Stettler N, Tershakovec AM, Zemel BS, et al. Early risk factors for increased adiposity: A cohort study of African American subjects followed from birth to young adulthood. Am J Clin Nutr 2000;72(2):378–383. DOI: 10.1093/ajcn/72.2.378.
  14. Kosti RI, Panagiotakos DB, Tountas Y, et al. Parental body mass index in association with the prevalence of overweight/obesity among adolescents in Greece; dietary and lifestyle habits in the context of the family environment: The Vyronas study. Appetite 2008;51(1): 218–222. DOI: 10.1016/j.appet.2008.02.001.
  15. Singh AS, Mulder C, Twisk JWR, et al. Tracking of childhood overweight into adulthood: A systematic review of the literature. Obes Rev 2008;9(5):474–488. DOI: 10.1111/j.1467-789X.2008.00475.x.
  16. Biro FM, Wien M. Childhood obesity and adult morbidities. Am J Clin Nutr 2010;91(5):1499S–1505S. DOI: 10.3945/ajcn.2010.28701B.
  17. Lindberg L, Hagman E, Danielsson P, et al. Anxiety and depression in children and adolescents with obesity: A nationwide study in Sweden. BMC Med 2020;18(1):1–9. DOI: 10.1186/s12916-020-1498-z.
  18. Mason TB. Loneliness, eating, and body mass index in parent–adolescent dyads from the family life, activity, sun, health, and eating study. Pers Relatsh 2020;27(2):420–432. DOI: 10.1111/pere.12321.
  19. Nelson MC, Gordon–Larsen P, North KE, et al. Body mass index gain, fast food, and physical activity: Effects of shared environments over time. Obesity (Silver Spring) 2006;14(4):701–709. DOI: 10.1038/oby.2006.80.
  20. Bralić I, Vrdoljak J, Kovacić V. Associations between parental and child overweight and obesity. Coll Antropol 2005;29(2):481–486. PMID: 16417148.
  21. Burke V, Beilin LJ, Dunbar D. Family lifestyle and parental body mass index as predictors of body mass index in Australian children: A longitudinal study. Int J Obes Relat Metab Disord J Int Assoc Study Obes 2001;25(2):147–157. DOI: 10.1038/sj.ijo.0801538.
  22. Danielzik S, Langnäse K, Mast M, et al. Impact of parental BMI on the manifestation of overweight 5–7 year old children. Eur J Nutr 2002;41(3):132–138. DOI: 10.1007/s00394-002-0367-1.
  23. Kivimäki M, Lawlor DA, Smith GD, et al. Substantial intergenerational increases in body mass index are not explained by the fetal overnutrition hypothesis: The cardiovascular risk in Young Finns study. Am J Clin Nutr 2007;86(5):1509–1514. DOI: 10.1093/ajcn/86.5.1509.
  24. Zhang J, Clayton GL, Overvad K, et al. Body mass index in parents and their adult offspring: A systematic review and meta-analysis. Obes Rev 2024 25(1):e13644. DOI: 10.1111/obr.13644.
  25. Mistry R, Pednekar MS, Gupta PC, et al. Longitudinal study of adolescent tobacco use and tobacco control policies in India. BMC Public Health 2018;18(1):815. DOI: 10.1186/s12889-018-5727-8.
  26. Ministry of Statistics and Programme Implementation, Government of India. Urban Frame Survey (UFS). 2023. Available at: http://mospi.gov.in/urban-frame-surveyufs. Accessed on: 10 May 2023.
  27. Harris PA, Taylor R, Minor BL, et al. The REDCap consortium: Building an international community of software platform partners. J Biomed Inform 2019;95:103208. DOI: 10.1016/j.jbi.2019.103208.
  28. Harris PA, Taylor R, Thielke R, et al. Research electronic data capture (REDCap): A metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inform 2009;42(2):377–381. DOI: 10.1016/j.jbi.2008.08.010.
  29. Joslin Diabetes Centre. BMI for Asian and Asian American Adults. 2016. Available at: https://tieuduongcardiff.com/fileman/Uploads/Documents/13.bmiforasianandasianamericanadults-horizontal-en-2015.pdf. Accessed on: 09 February 2023.
  30. Hampl SE, Hassink SG, Skinner AC, et al. Clinical practice guideline for the evaluation and treatment of children and adolescents with obesity. Pediatrics 2023;151(2):e2022060640. DOI: 10.1542/peds.2022-060640.
  31. Afrin S, Mullens AB, Chakrabarty S, et al. Dietary habits, physical activity, and sedentary behaviour of children of employed mothers: A systematic review. Prev Med reports 2021;24:101607. DOI: 10.1016/j.pmedr.2021.101607.
  32. Weghuber D, Khandpur N, Boyland E, et al. Championing the use of people-first language in childhood overweight and obesity to address weight bias and stigma: A joint statement from the European-Childhood-Obesity-Group (ECOG), the European-Coalition-for-People-Living-with-Obesity (ECPO), the Inter. Pediatr Obes 2023;18(6):e13024. DOI: 10.1111/ijpo.13024.
  33. Pastor R, Tur JA. Effectiveness of interventions to promote healthy eating habits in children and adolescents at risk of poverty: Systematic review and meta-analysis. Nutrients 2020;12(6):1891. DOI: 10.3390/nu12061891.
  34. Bahreynian M, Qorbani M, Khaniabadi BM, et al. Association between obesity and parental weight status in children and adolescents. J Clin Res Pediatr Endocrinol 2017;9(2):111–117. DOI: 10.4274/jcrpe.3790.
  35. Jiang MH, Yang Y, Guo XF, et al. Association between child and adolescent obesity and parental weight status: A cross-sectional study from rural North China. J Int Med Res 2013;41(4):1326–1332. DOI: 10.1177/0300060513480081.
  36. Lister NB, Baur LA, Felix JF, et al. Child and adolescent obesity. Nat Rev Dis Prim 2023;9(1):24. DOI: 10.1038/s41572-023-00435-4.
  37. Davison KK, Birch LL. Obesigenic families: Parents’ physical activity and dietary intake patterns predict girls’ risk of overweight. Int J Obes Relat Metab Disord J Int Assoc Study Obes 2002;26(9):1186–1193. DOI: 10.1038/sj.ijo.0802071.
  38. Semmler C, Ashcroft J, van Jaarsveld CHM, et al. Development of overweight in children in relation to parental weight and socioeconomic status. Obesity (Silver Spring) 2009;17(4):814–820. DOI: 10.1038/oby.2008.621.
  39. Bahreynian M, Motlagh ME, Qorbani M, et al. Prevalence of growth disorders in a nationally representative sample of Iranian adolescents according to socioeconomic status: The CASPIAN-III study. Pediatr Neonatol 2015;56(4):242–247. DOI: 10.1016/j.pedneo.2014. 12.001.
  40. Smith JD, Fu E, Kobayashi MA. Prevention and management of childhood obesity and its psychological and health comorbidities. Annu Rev Clin Psychol 2020;16:351–378. DOI: 10.1146/annurev-clinpsy-100219-060201.
  41. Qualter P, Hurley R, Eccles A, et al. Reciprocal prospective relationships between loneliness and weight status in late childhood and early adolescence. J Youth Adolesc 2018;47(7):1385–1397. DOI: 10.1007/s10964-018-0867-9.
  42. Khan A, Khan S, Burton N. Insufficient physical activity and high sedentary behaviour are associated with loneliness in adolescents with overweight/obesity: Evidence from 23 low- and middle-income countries. Pediatr Obes 2022;17(2):e12836. DOI: 10.1111/ijpo.12836.
  43. Stickley A, Koyanagi A, Koposov R, et al. Loneliness and health risk behaviours among Russian and U.S. adolescents: A cross-sectional study. BMC Public Health 2014;14(1):366. DOI: 10.1186/1471-2458-14-366.
  44. Mushtaq R, Shoib S, Shah T, et al. Relationship between loneliness, psychiatric disorders and physical health? A review on the psychological aspects of loneliness. J Clin Diagn Res 2014;8(9): WE01–WE04. DOI: 10.7860/JCDR/2014/10077.4828.
  45. Dos Santos Quaresma MV, Marques CG, Magalhães ACO, et al. Emotional eating, binge eating, physical inactivity, and vespertine chronotype are negative predictors of dietary practices during COVID-19 social isolation: A cross-sectional study. Nutrition 2021;90:111223.
  46. Frech A. Healthy behavior trajectories between adolescence and young adulthood. Adv Life Course Res 2012;17(2):59–68. DOI: 10.1016/j.alcr.2012.01.003.
  47. Epstein LH, Wilfley DE, Kilanowski C, et al. Family-based behavioral treatment for childhood obesity implemented in pediatric primary care: A randomized clinical trial. JAMA 2023;329(22):1947–1956. DOI: 10.1001/jama.2023.8061.
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