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Submitted
May 31, 2022
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July 6, 2022
Published
July 6, 2022
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Abstract

Background: Childhood obesity has been recognized as a global health challenge since it predisposes children to various health conditions.  Factors such as high-calorie diets, physical inactivity, and genetics have been implicated in the onset of childhood obesity. This study aimed to assess the influence of dietary factors on childhood obesity in school children aged 5 to 17 in the Ga-South Municipal Assembly, Ghana.


Method: This was a cross-sectional study, with a purposive sample of 401. Data were collected using questionnaires and analyzed descriptively and inferentially with STATA statistical software.


Results: Findings showed that the proportion of obese children in private schools was more (58.6%) than in public schools (41.4%), with the majority being females (63%). Dietary factors that included parental/caregiver’s nutritional knowledge and children's dietary patterns significantly predicted childhood obesity (p-value = 0.00). An increase in age weakened the relationship between dietary factors and BMI while being a female strengthened it. However, the socio-economic characteristics of parents/ caregivers did not significantly moderate the relationship between dietary factors and BMI.


Conclusion: Further research is recommended to replicate this study in other parts of the country. The research has given substantial insights into the factors that predispose children in the Ga South Municipality and by extension Ghana as a whole, to childhood obesity. Based on the findings of this study, education on better dietary habits should be stepped up in schools.

Keywords

Childhood obesity urban Ghana Ga-South Municipal Assembly school children caregivers

Article Details

How to Cite
Odiko, E. (2022). Determinants of Childhood Obesity in Urban Ghana: A Basis for Health Promotion. Pan-African Journal of Health and Environmental Science, 1(1). Retrieved from https://journals.aua.ke/ajhes/article/view/187
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References

  1. Adom, T., Kengne, A. P., De Villiers, A., & Puoane, T. (2019). Association between school-level attributes and weight status of Ghanaian primary school children. BMC public health, 19(1), 1-10. Doi: https://doi.org/10.1186/s12889-019-6937-4
  2. Ahmad, A., Zulaily, N., Shahril, M. R., Syed Abdullah, E. F. H., & Ahmed, A. (2018). Association between socioeconomic status and obesity among 12-year-old Malaysian adolescents. Plos one, 13(7), e0200577.
  3. Ajejas Bazán, M. J., Sellán Soto, M. C., Vázquez Sellán, A., Díaz Martínez, M., L. & Domínguez Fernández, S. (2018). Factors associated with overweight and childhood obesity in Spain according to the latest national health survey (2011). https://doi.org/10.1590/2177-9465-EAN-2017-0321
  4. Akowuah, P. K., & Kobia-Acquah, E. (2020). Childhood obesity and overweight in Ghana: A systematic review and meta-analysis. Journal of Nutrition and Metabolism, 2020, e1907416. https://doi.org/10.1155/2020/1907416
  5. Al-Hussaini, A., Bashir, M. S., Khormi, M., Al-Turaiki, M., Alkhamis, W., Alrajhi, M., & Halal, T. (2019). Overweight and obesity among Saudi children and adolescents: Where do we stand today? Saudi Journal of Gastroenterology: Official Journal of the Saudi Gastroenterology Association, 25(4), 229. https://doi.org/10.4103/sjg.SJG_617_18
  6. Caballero, B., Vorkoper, S., Anand, N., & Rivera, J. A. (2017). Preventing childhood obesity in Latin America: An agenda for regional research and strategic partnerships. Obesity Reviews, 18(S2), 3–6. https://doi.org/10.1111/obr.12573
  7. Canuto, M. D. D. P., Silva, A. V. L., Martins, J. V., Fonseca, M. D. M., Guimarães, N. S., Soares, A. D. N., & Gomes, J. M. G. (2021). Abdominal obesity-related risk factors in children from public schools of Barbacena, Minas Gerais, Brazil. Revista Paulista de Pediatria, 40. https://doi.org/10.1590/1984-0462/2022/40/2020354
  8. Di Cesare, M., Sorić, M., Bovet, P., Miranda, J. J., Bhutta, Z., Stevens, G. A., Laxmaiah, A., Kengne, A.-P., & Bentham, J. (2019). The epidemiological burden of obesity in childhood: A worldwide epidemic requiring urgent action. BMC Medicine, 17(1), 212. https://doi.org/10.1186/s12916-019-1449-8
  9. Effendy, D. S., Prangthip, P., Soonthornworasiri, N., Winichagoon, P., & Kwanbunjan, K. (2020). Nutrition education in southeast Sulawesi province, Indonesia: A cluster randomized controlled study. Maternal and Child Nutrition, 16(4), e13030-n/a. https://login.research4life.org/tacsgr1doi_org/10.1111/mcn.13030
  10. Engin, A. (2017). The definition and prevalence of obesity and metabolic syndrome. In A. B. Engin & A. Engin (Eds.), Obesity and Lipotoxicity (pp. 1–17). Springer. https://doi.org/10.1007/978-3-319-48382-5_1
  11. Fitzsimons, E., & Pongiglione, B. (2019). The impact of maternal employment on children's weight: Evidence from the UK. SSM - Population Health, 7, 100333-100333. https://login.research4life.org/tacsgr1doi_org/10.1016/j.ssmph.2018.100333
  12. Flynn, A. C., Thompson, J. M. D., Dalrymple, K. V., Wall, C., Begum, S., Pallippadan Johny, J., Cutfield, W. S., North, R., McCowan, L. M. E., Godfrey, K. M., Mitchell, E. A., & Poston, L. (2020). Childhood dietary patterns and body composition at age 6 years: The children of screening for pregnancy endpoints (SCOPE) study. British Journal of Nutrition, 124(2), 217-224. https://login.research4life.org/tacsgr1doi_org/10.1017/S0007114520000628
  13. Fox, A., Feng, W., & Asal, V. (2019). What is driving global obesity trends? Globalization or “modernization”? Globalization and Health, 15(1), 32. https://doi.org/10.1186/s12992-019-0457-y
  14. Ganle, J. K., Boakye, P. P., & Baatiema, L. (2019). Childhood obesity in urban Ghana: Evidence from a cross-sectional survey of in-school children aged 5–16 years. BMC public health, 19(1), 1-12. https://doi.org/10.1186/s12889-019-7898-3
  15. Ga South Municipal (n.d). Ghana Districts: A repository of all Local Assemblies in Ghana. https://www.ghanadistricts.com/Home/District/110
  16. Goissis, A., Martinson, M., & Sigle, W. (2019). When richer doesn’t mean thinner: Ethnicity, socioeconomic position, and the risk of child obesity in the United Kingdom. Demographic Research, 41, 649-678. https://login.research4life.org/tacsgr1doi_org/10.4054/DemRes.2019.41.23
  17. Lartey, A., Marquis, G. S., Aryeetey, R., & Nti, H. (2018). Lipid profile and dyslipidemia among school-age children in urban Ghana. BMC Public Health, 18(1), 1-8. https://doi.org/10.3390/nu11040848
  18. Lauria, L., Spinelli, A., Buoncristiano, M., & Nardone, P. (2019). Decline of childhood overweight and obesity in Italy from 2008 to 2016: Results from 5 rounds of the population-based surveillance system. BMC Public Health, 19(1), 1-9. https://doi.org/10.1186/s12889-019-6946-3
  19. Lipowska M, Lipowski M., Jurek P., Jankowska A.M., & Pawlicka P. (2018) Gender and body-fat status as predictors of parental feeding styles and children’s nutritional knowledge, eating habits and behaviors. International Journal of Environmental Research and Public Health, 15(5), 852. https://doi.org/10.3390/ijerph15050852
  20. Mazidi, M., Banach, M., & Kengne, A. P. (2018). Prevalence of childhood and adolescent overweight and obesity in Asian countries: A systematic review and meta-analysis. Archives of Medical Science: AMS, 14(6), 1185–1203. https://doi.org/10.5114/aoms.2018.79001
  21. Milovanska-Farrington, S. (2020). Parents labor supply and childhood obesity: Evidence from Scotland. Economics & Human Biology, 38, 100897. https://doi.org/10.1016/j.ehb.2020.100897
  22. Nisak, A. J., Rachmah, Q., Mahmudiono, T., & Segalita, C. (2018). Snacking energy-dense food related to childhood obesity. J Nutr Food Sci, 8(05), 8-12. https://doi.org/10.4172/2155-9600.1000725
  23. Ogden, C. L., Carroll, M. D., Fakhouri, T. H., Hales, C. M., Fryar, C. D., Li, X., & Freedman, D. S. (2018). Prevalence of obesity among youths by household income and education level of head of household—United States 2011–2014. Morbidity and mortality weekly report, 67(6), 186. https://doi.org/10.15585/mmwr.mm6706a3
  25. Okour, A. M., Saadeh, R. A., Hijazi, M. H., Al Khalaileh, H. E., & Alfaqih, M. A. (2019). Socioeconomic status, perceptions and obesity among adolescents in Jordan. The Pan African Medical Journal, 34. https://doi.org/10.11604/pamj.2019.34.148.19641
  26. Poorolajal, J., Sahraei, F., Mohamdadi, Y., Doosti-Irani, A., & Moradi, L. (2020). Behavioral factors influencing childhood obesity: A systematic review and meta-analysis. Obesity Research & Clinical Practice, 14(2), 109-118. https://doi.org/10.1016/j.orcp.2020.03.002
  27. Rosinger, A. Y., Bethancourt, H., & Francis, L. A. (2019). Association of caloric intake from sugar-sweetened beverages with water intake among US Children and young adults in the 2011-2016 National Health and Nutrition Examination Survey. JAMA pediatrics, 173(6), 602-604. https://doi.org/0.1001/jamapediatrics.2019.0693
  29. Sanyaolu, A., Okorie, C., Qi, X., Locke, J., & Rehman, S. (2019). Childhood and adolescent obesity in the United States: A public health concern. Global Pediatric Health, 6, 2333794X19891305. https://doi.org/10.1177/2333794X19891305
  30. Wang, X., & Cheng, Z. (2020). Cross-sectional studies: Strengths, weaknesses, and recommendations. Chest, 158(1), S65-S71. https://doi.org/10.1016/j.chest.2020.03.012
  31. Williams, A. S., Ge, B., Petroski, G., Kruse, R. L., McElroy, J. A., & Koopman, R. J. (2018). Socioeconomic status and other factors associated with childhood obesity. The Journal of the American Board of Family Medicine, 31(4), 514-521. https://doi.org/10.3122/jabfm.2018.04.170261
  32. WHO (2020a). Obesity. https://www.who.int/westernpacific/health-topics/obesity
  33. WHO (2020b). Obesity and Overweight. https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight
  34. WHO (2016). Global Health Observatory data. https://www.who.int/gho/ncd/risk_factors/overweight_adolescents_text/en/
  35. WHO (2020c). Global Strategy on Diet, Physical Activity and Health. https://www.who.int/dietphysicalactivity/childhood_why/en/