Obesity among adolescent students in private and public schools investigation of awareness: a cross-sectional study

Yıl 2024, Cilt: 5 Sayı: 1, 72 - 79, 29.02.2024

Döndü Uğurlu , Hakan Yapıcı , Büşra Emlek , Mehmet Gülü , Ali Ahmet Doğan

https://doi.org/10.47582/jompac.1427239

Öz

Aims: The aim of this study was to examine the obesity awareness of adolescent students in private and public schools.
Methods: The research is a quantitative study. The research group for the study consisted of 1393 private and public school students between the ages of 10 and 13 in Kırıkkale province. The first stage included a personal information form including questions about gender, age, BMI, socio-economic status, physical activity for half an hour or more per week, and daily food distribution. In the second stage, the Obesity Awareness Scale developed by Allen (2011) and adapted into Turkish by Kafkas and Özen (2014) was used. The scale consists of 3 sub-dimensions and 20 questions.
Results: It was observed that there was a significant difference in the anthropometric characteristics, obesity awareness, nutrition and physical activity, BMI, daily food distribution, and socio-economic status groupings of private and public school children. It was seen that there was a significant difference in all other variables and sub-dimensions except body weight, BMI, and obesity total between girls and boys; there was a significant difference in all other variables except anthropometric characteristics of girls in private and public schools; and there was a significant difference in all other variables except the age variable of boys in private and public schools.
Conclusion: The anthropometric characteristics, obesity awareness, nutrition and physical activity, BMI, daily food distribution, and socio-economic status of female and male students in private and public schools were significantly different from each other. In private school students, the highest correlation was found between obesity total and socio-economic status, while the lowest correlation was found between obesity total and the physical activity dimension. In public school students, the highest correlation was found between the obesity dimension and BMI, and the lowest correlation was found between the physical activity dimension and socio-economic status.

Anahtar Kelimeler

Obesity, obesity awareness, adolescent, private and public school, students

Etik Beyan

Etik onayı ekli dosyalarda sunulmuştur.

Destekleyen Kurum

-

Proje Numarası

-

Teşekkür

-

Özel okullar ve devlet okullarındaki adölesan dönemi öğrencilerinin obezite farkındalıklarının incelenmesi; kesitsel bir çalışma

Öz

Aims: Bu çalışmanın amacı, özel okullar ve devlet okullarındaki adolesan dönemi öğrencilerinin obezite farkındalıklarının incelenmesidir.
Methods: Araştırma nicel bir çalışmadır. Çalışmanın araştırma grubunu 10-13 yaş aralığında Kırıkkale ilinde eğitim gören 1393 özel ve devlet okulu öğrencisi oluşturmaktadır. İlk aşama, cinsiyet, yaş, BMİ, sosyo-ekonomik durum, haftada yarım saat ve daha fazla fiziksel aktivite yapma, günlük yemek dağılımları ile ilgili soruları içeren kişisel bilgi formunu kapsamaktadır. İkinci aşamada, Allen (2011) tarafından geliştirilmiş ve Türkçe'ye Kafkas ve Özen (2014) tarafından uyarlanmış olan Obezite Farkındalığı Ölçeği kullanılmıştır. Ölçek 3 alt boyuttan ve 20 sorudan oluşmaktadır.
Results: Özel ve devlet okulundaki çocukların antropometrik özellikleri, obezite farkındalığı, beslenme ve fiziksel aktivite, BMI, günlük yemek dağılımları, sosyo-ekonomik durum gruplamalarının alt boyutlarında anlamlı bir farkın olduğu görülmüştür. Kız ve erkek öğrenciler arasında vücut ağırlığı, BMI ve obezite toplamı haricinde diğer değişkenler ve alt boyutların hepsinde anlamlı farkın olduğu, özel ve devlet okulundaki kızların antropometrik özellikler hariç diğer değişkenlerin hepsinde anlamlı fark olduğunu, özel ve devlet okulundaki erkek öğrencilerin yaş değişkeni dışında diğer değişkenlerin hepsinde anlamlı farkın olduğu görülmüştür.
Conclusion: Özel ve devlet okulundaki kız öğrencilerin kendi aralarında, erkek öğrencilerin kendi aralarında, kız ve erkek öğrenciler arasında antropometrik özellikleri, obezite farkındalığı, beslenme ve fiziksel aktivite BMI, günlük yemek dağılımları, sosyo-ekonomik durum açısından birbirlerinden anlamlı farklı olduğu belirlenmiştir. Özel okul öğrencilerinin obezite toplam ile sosyo-ekonomik durum arasında en yüksek korelasyonun olduğu, obezite toplam ile fiziksel aktivite boyutu arasında en düşük korelasyonun olduğu görülmüştür. Devlet okulu öğrencilerinin obezite boyutu ile BMI arasında en yüksek korelasyon olduğu, fiziksel aktivite boyutu ile sosyo-ekonomik durum arasında düşük korelasyon olduğu görülmüştür.

Anahtar Kelimeler

Obezite, obezite farkındalığı, adölesan, özel ve devlet okulu, öğrenciler

Proje Numarası

-

Kaynakça

• Morales Camacho WJ, Molina Díaz JM, Plata Ortiz S, Plata Ortiz JE, Morales Camacho MA, Calderón BP. Childhood obesity: etiology, comorbidities and treatment. Diabetes Metab Res Rev. 2019;35(8):e3203. doi: 10.1002/dmrr.3203
• Boutari C, Mantzoros CS. A 2022 update on the epidemiology of obesity and a call to action: The obesity and dysmetabolism pandemic continues to rage as the twin COVID-19 pandemics appear to be receding. Metabolism. 2022;133:155217. doi: 10.1016/j.metabol.2022.155217
• Corrales P, Vidal-Puig A, Medina-Gómez G. Obesity and pregnancy are the perfect metabolic storm. Eur J Clin Nutrit. 2021;75(12):1723-1734. doi: 10.1038/s41430-021-00914-5
• Kwok S, Adem S, Ho JH, Iqbal, et al. Obesity: a critical risk factor in the COVID-19 pandemic. Clin Obes. 2020;10(6):e12403. doi: 10.1111/cob.12403
• Denova-Gutiérrez E, Lopez-Gatell H, Alomia-Zegarra JL, et al. Association of obesity, type 2 diabetes, and hypertension with severe coronavirus disease 2019 among Mexican patients. Obesity. 2020;28(10):1826-1832. doi: 10.1002/oby.22946
• Hariharan R, Odjidja EN, Scott D, et al. Dietary inflammatory index, obesity, type 2 diabetes and cardiovascular risk factors and diseases. Obes Rev. 2022;23(1):e13349. doi: 10.1111/obr.13349
• Safaei M, Sundararajan EA, Driss M, Boulila W, Shapi’i A. A systematic literature review on obesity: To review various machine learning approaches used to understand the causes and consequences of obesity and to predict obesity. Comput Biol Med. 2021;36:104754. doi: 10.1016/j.compbiomed.2021.104754
• Blüher M. Obesity: global epidemiology and pathogenesis. Nat Rev Endocrinol. 2019;15(5):288-298. doi: 10.1038/s41574-019-0176-8
• Jackson SE, Llewellyn CH, Smith L. The obesity epidemic - nature through nutrition: a narrative review of high-income countries. SAGE Open Med. 2020;8:2050312120918265. doi: 10.1177/2050312120918265
• Raziani Y, Raziani S. Investigating the predictors of overweight and obesity in children. Int J Adv Stud Humanit Soc Sci. 2020;9(4):262-280. doi: 10.22034/ijashss.2020.256464.1023
• Keramat SA, Alam K, Rana RH, et al. Obesity and risk of developing chronic diseases in middle-aged and older adults: findings from the Australian longitudinal population study, 2009-2017. PLoS One. 2021;16(11):e0260158. doi: 10.1371/journal.pone.0260158
• Vennu V, Abdulrahman TA, Alenazi AM, Bindawas SM. Relationships between social determinants and the presence of chronic diseases: data from the osteoarthritis intervention. BMC Public Health. 2020;20(1):1323. doi: 10.1186/s12889-020-09451-5
• George C, Echouffo-Tcheugui JB, Jaar BG, Okpechi IG, Kengne AP. The need for screening, early diagnosis and prediction of chronic kidney disease in people with diabetes in low- and middle-income countries - a review of the existing literature. BMC Med. 2022;20(1):1-12. doi: 10.1186/s12916-022-02438-6
• Murillo R, Robles C. Research needs for implementation of cancer prevention and early detection in developing countries: perspectives from scientists to practitioners. BioMed Res Int. 2019;2019:9607803. doi: 10.1155/2019/9607803
• Wong MC, Huang J, Wang J, et al. Global, regional and time trend prevalence of central obesity: a systematic review and meta-analysis of 13.2 million subjects. Eur J Epidemiol. 2020;35(7):673-683. doi: 10.1007/s10654-020-00650-3
• Lazzati A. Epidemiology of surgical management of obesity. J Visc Surg. 2023;160(2):S3-S6. doi: 10.1016/j.jviscsurg.2022.12.004
• Herter-Aeberli I, Osuna E, Sarnovská Z, Zimmermann MB. Significant reduction in childhood obesity and waist circumference over 15 years in Switzerland: a repeated cross-sectional study. Nutrients. 2019;11(8):1922. doi: 10.3390/nu11081922
• Williams J, Buoncristiano M, Nardone P, et al. A snapshot of European children’s eating habits: results from the fourth round of the WHO European Childhood Obesity Surveillance Initiative (COSI). Nutrients. 2020;12(8):2481. doi: 10.3390/nu12082481
• Okati-Aliabad H, Ansari-Moghaddam A, Kargar S, Jabbari N. Prevalence of obesity and overweight among adults in Middle Eastern countries from 2000 to 2020: a systematic review and meta-analysis. J Obes. 2022;2022:8074837. doi: 10.1155/2022/8074837
• Spinelli A, Buoncristiano M, Nardone P, et al. Thinness, overweight, and obesity in 6‐to 9‐year‐old children from 36 countries: the World Health Organization European Childhood Obesity Surveillance Initiative—COSI 2015–2017. Obes Rev. 2021;22:e13214. doi: 10.1111/obr.13214.
• Calcaterra V, Rossi V, Massini G, Casini F, Zuccotti G, Fabiano V. (2023). Probiotics and polycystic ovary syndrome: a perspective for management in adolescents with obesity. Nutrients. 2023;15(14):3144. doi: 10.3390/nu15143144
• Lowe CJ, Morton JB, Reichelt AC. Adolescent obesity and dietary decision making - a brain health perspective. Lancet Child Adolesc Health. 2020;4(5):388-396. doi: 10.1016/S2352-4642(19)30404-3
• Arundell L, Parker K, Timperio A, Salmon J, Veitch J. Home-based screen time behaviors between youth and their parents: familial typologies and their modifiable correlates. BMC Public Health. 2020;20(1):1492. doi: 10.1186/s12889-020-09581-w
• Beltrán-Carrillo VJ, Megías Á, González-Cutre D, Jiménez-Loaisa A. Factors behind sedentary lifestyles and unhealthy eating habits in individuals with severe obesity. Int J Qualit Stud Health Well-Being. 2022;17(1):2056967. doi: 10.1080/ 17482631.2022.2056967
• Alsulami S, Baig M, Ahmed T, et al. Obesity prevalence, physical activity and dietary practices among adults in Saudi Arabia. Front Public Health. 2023;11:1124051. doi: 10.3389/fpubh.2023.1124051
• Warr W, Aveyard P, Albury C, et al. A systematic review and thematic synthesis of qualitative studies exploring GPs’ and nurses’ perspectives on weight discussions with patients with overweight and obesity in primary care. Obes Rev. 2021;22(4):e13151. doi: 10.1111/obr.13151
• Karasar N. Scientific research method. Nobel Publishing: 2012.
• Allen A. Effects of educational intervention on children’s knowledge of obesity risk factors. PhD Thesis, Carroll College. 2011.
• Kafkas M, Özen G. Adaptation of the obesity awareness scale (OFAS) into Turkish: a validity and reliability study. İnönü Uni J Physic Educ Sports Sci. 2014;1(2):1-15.
• Yuksel E, Sağlık M. Examination of adolescents’ physical activity levels, obesity awareness levels and nutritional behaviors. J Physic Educ Sports Sci. 2019;13(3):185-193.
• Vançelik S, Önal SG, Güraksın A, Beyhun E. Factors associated with university students’ nutritional knowledge and habits. TAF Prevent Med Bulletin. 2007;6(4):242-248.
• Ermiş E, Doğan E, Erilli NA, Çözüm A. Examination of eating habits of university students: Ondokuz Mayıs University Example. J Sports Perform Res. 2014;6(1):30-40. doi: 10.17155/spd.67561
• Lytle L. School-based interventions: where do we go next? Arch Pediatr Adolesc Med. 2009;163(4):388-389.
• Uyar M, Demir LS, Durduran Y, Yücel M, Altınay SB, Şahin TK. Determining the incidence of obesity in primary school students; Preliminary findings from a 4-year cohort study. Turkish J Pediatr Dis. 2021;15(6):459-464. doi: 10.12956/tchd.755871
• Alasmari HD, Al-Shehri AD, Aljuaid TA, Alzaid BA, Alswat KA. Relationship between body mass index and obesity awareness in school students. J Clin Med Res. 2017;9(6):520-524. doi: 10.14740/jocmr2987w
• Özkan İ, Adıbelli D, İlaslan E, Taylan S. The relationship between university students’ obesity awareness and body mass index. Acıbadem Uni J Health Sci. 2020;11(1):120-126. doi: 10.31067/0.2020.249
• Yıldırım M, Şimşek B, Kartal A. Examining the obesity awareness levels of high school students. J Soc Humanit Administr Sci. 2022;8(51):603-611. doi: 10.29228/joshas.61776
• Aslan TV, Gündoğdu C. Investigation of obesity awareness levels of secondary school students. J Sports Educ. 2023;7(3):210-222. doi: 10.55238/seder.1354707
• Al-Zandee SSA, Ünlü H. Examination of secondary school students’ physical activity exercise change behaviors and their disposition towards physical education lessons. Spormetre J Physic Educ Sports Sci. 2019;17(3):100-118. doi: 10.33689/spormetre.521319
• Coşkun A, Karagöz Ş. Examination of obesity frequency, physical activity level and healthy lifestyle behaviors in adolescent children. Turkish J Sports Sci. 2021;5(2):63-72. doi: 10.32706/tusbid.995216
• Alphan E, Keskin Y, Tatlı F. Comparison of nutritional habits of adolescent children studying in private and public schools. J Nutr Diet. 2002;31(1):9-17.
• Bereket A, Atay Z. Current status of childhood obesity and its associated morbidities in Turkiye. J Clin Res Pediatr Endocrinol. 2012;4(1):1-7. doi: 10.4274/jcrpe.506
• Marwaha RK, Tandon N, Singh Y, Aggarwal R, Grewal K, Mani K. A study of growth parameters and prevalence of overweight and obesity in school children from Delhi. Indian Pediatrician. 2006;43(11):943-952.
• Salmon J, Timperio A, Cleland V, Venn A. Trends in children’s physical activity and weight status in high and low socio-economic status areas of Melbourne, Victoria, 1985-2001. Aust N Z J Public Health. 2005;29(4):337-342. doi: 10.1111/j.1467-842X.2005.tb00204.x
• Chhatwal J, Verma M, Riar SK. Obesity among pre-adolescent and adolescents of a developing country (India). Asia Pac J Clin Nutr. 2004;13(3):231-235.
• Uğurlu D, Emlek B, Yağın FH, Uygurtaş M, Yapıcı H. Examination of physical activity levels of university students. J Exerc Sci Physic Activ Rev. 2023;1(1):35-45. doi: 10.5281/zenodo.8399742
• Emlek B, Yapıcı H, Ayan S, et al. Investigation of physical activity levels in adolescents. J Exerc Sci Physic Activ Rev. 2023;1(1):46-56. doi: 10.5281/zenodo.8399816