PREVALENCE OF CHILDHOOD OBESITY AND ITS SOCIO-PSYCHOLOGICAL EFFECTS ON PRIMARY SCHOOL CHILDREN IN THE CAPE COAST METROPOLIS, GHANA

Authors

DOI:

https://doi.org/10.29121/granthaalayah.v9.i2.2021.3442

Keywords:

Obesity, Prevalence Of Obesity, Childhood Obesity, Socio-Psychological, Primary Schools

Abstract [English]

Childhood obesity is a major public health concern around the globe as it is associated with adverse consequences such as psychological problems, lower educational attainment, and a high risk of health challenges later in life. The study investigated the prevalence of obesity and its socio-psychological effects on primary school children in the Cape Coast Metropolis, Ghana. Interview schedule and interview guide were used to collect primary data from 317 pupils and 24 teachers respectively from public and private schools in 2018. Microsoft Excel software (version 2013) was used to analyse quantitative data while content analysis was used for qualitative data based on themes. The result indicated that the overall prevalence rate was five percent. Prevalence of obesity was higher in private schools than public schools while that among male pupils was higher than their female counterparts. Pupils of age 11 years were at higher risk than those at age nine years.  The socio-psychological effects on the affected children included stigmatization, exclusion from taking part in some competitive activities, inactive and often slept during lessons. The school authorities should collaborate with the Metropolitan Directorates of Education and Health to manage obesity in the schools. They could invite health experts to educate school management, teachers, pupils, and parents on support systems for managing childhood obesity.

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References

Aduama, S. (2004). Obesity in primary school children in Accra Metropolis. Dissertation submitted to the School of Public Health, University of Ghana, Legon, for the award of Master of Public Health http://ugspace.ug.edu.gh/bitstream/handle/123456789/5103/ Svitlana%20Aduama_Obesity%20in%20primary%20school%20children%20in%20Accra%20Metropolis_2004.pdf?sequence=3&isAllowed=y

Akowuah, P. K., & Kobia-Acquah, E. (2020). Childhood Obesity and Overweight in Ghana: A Systematic Review and Meta-Analysis. Journal of Nutrition and Metabolism, Article ID 1907416, 11 pp., 2020. https://doi.org/10.1155/2020/1907416. DOI: https://doi.org/10.1155/2020/1907416

American Academy of Pediatrics (2019). About childhood obesity. Itasca: American Academy of Pediatrics, Available from: http://www.aap.org/obesity/about.html.

American Heart Association (2009). Understanding childhood obesity, Texas: National Center.

Amidu, N., Owiredu, W., Saaka, M., Quaye, L., Wanwan, M., Kumibea, P., Zingina, F., & Mogre, V. (2013). Determinants of childhood obesity among basic school children aged 6–12 years in Tamale Metropolis. J Med Biomed Sci. 2(3):26–34.

Anderson P. M., & Butcher, K. E. (2006). Childhood obesity: trends and potential causes. Future Child, 16(1), 19-45. doi: 10.1353/foc.2006.0001. DOI: https://doi.org/10.1353/foc.2006.0001

Arnett, J. J. (2014). Emerging adulthood: The winding road from the late teens through the twenties. New York: Oxford University Press.

Atuahene M., Ganle, J. K., Adjuik, M., Atuahene, N. F., & Kampitib, B. G. (2017). Overweight and obesity prevalence among public servants in Nadowli district, Ghana, and associated risk factors: a cross-sectional study. BMC Obesity. https://doi.org/10.1186/s40608-017-0153-5. DOI: https://doi.org/10.1186/s40608-017-0153-5

Barkhru, H. K. (2006). Nature cure for children's diseases. http://www. HealthLibrary.com.

Biro, F. M., & Wien, M. (2010). Childhood obesity and adult morbidities, The American Journal of Clinical Nutrition. 91(5), 1499S–1505S.

Britz, B., Siegfried, W., Ziegler, A., Lamertz, C, Herpertz-Dahlmann, B.M., Remschmidt, H., et al. (2000). Rates of psychiatric disorders in a clinical study group of adolescents with extreme obesity and in obese adolescents ascertained via a population-based study. Int J Obes Relat Metab Disord, 24:1707–14.

Budd, G.M., & Hayman, L.L. (2008). Addressing the childhood obesity crisis. Am J Matern Child Nurs. 33:113–7.

Center for Disease Control and Prevention. (2010). Contributing factors. Available from: http://www.cdc.gov//obesity/childhood/contributing_factors.html

Chen, S. E., Raymond J., Florax, R. J., & Snyder, S. D. (2012) Obesity and fast food in urban markets: A new approach using geo‐referenced micro data. Health Economics, 22(7), 835-856.https://doi.org/10.1002/hec.2863 DOI: https://doi.org/10.1002/hec.2863

Cohen L, Manion, L. & Morrison, K. (2007). Research Methods in Education, (6th ed.), London: Routridge DOI: https://doi.org/10.4324/9780203029053

Cornette, R. (2008). The emotional impact of obesity on children. Worldviews Evid Based Nurs. 5,136–41. DOI: https://doi.org/10.1111/j.1741-6787.2008.00127.x

Cote, A.T., Harris, K. C., Panagiotopoulos, C., et al. (2013). Childhood obesity and cardiovascular dysfunction. J Am Coll Cardiol; 62 (15):1309–1319.

Cunningham, S. A., Kramer, M. R., & Narayan, K. M. V. (2014). Incidence of childhood obesity in the United States. N Endl J Med, 11 370-403. DOI: https://doi.org/10.1056/NEJMoa1309753

Desalew, A., Mandesh, A., & Semahegn, A. (2017), Childhood overweight, obesity and associated factors among primary school children in dire dawa, Eastern Ethiopia; A cross-sectional study. BMC Obes. doi: 10.1186/s40608-017-0156-2. DOI: https://doi.org/10.1186/s40608-017-0156-2

Diabetes Canada (2020). Body Max Index (BMI) Calculator, Toronto: National office.

Dinsa, G. D., Goryakin, Y., Fumagalli, E., & Suhrcke, M. (2012). Obesity and socioeconomic status in developing countries: A systematic review. Obesity reviews, 13(11), 1067-1079. DOI: https://doi.org/10.1111/j.1467-789X.2012.01017.x

Flegal, K.M., Wei, R., & Ogden, C. (2002). Weight-for-stature compared with body mass index-for-age growth charts for the United States from the Centers for Disease Control and prevention. Am J Clin Nutr, 75,761–766. DOI: https://doi.org/10.1093/ajcn/75.4.761

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, 1-12. 1561 https://doi.org/10.1186/s12889-019-7898-3. DOI: https://doi.org/10.1186/s12889-019-7898-3

Ghana Statistical Service (2014a). Ghana demographic and health survey. Accra: GSS and ICF Macro.

Ghana Statistical Service (2014b). Population and housing census of Ghana. Analysis of Districts Data and Implications for Planning, Accra: Ghana Statistical Service.

Gibson, R. S. (2005). Principles of nutritional assessment. Oxford, UK: Oxford University Press.

Goldfield, G. S., Moore, C., Henderson, K., Buchholz, A., Obeid, N., & Flament, M. F. (2010). Body dissatisfaction, dietary restraint, depression, and weight status in adolescents. J Sch Health, 80, 186–92. DOI: https://doi.org/10.1111/j.1746-1561.2009.00485.x

Gortmaker, S. L., Swinburn, B., Levy, D., Carter, R., Mabry, P. L., Finegood, D., Huang, T., Marsh, T., & Moodie, M. (2011). Changing the future of obesity: Science, policy and action. Lancet. 27, 838–847. doi: 10.1016/S0140-6736(11)60815-5. DOI: https://doi.org/10.1016/S0140-6736(11)60815-5

Haslam, D. W., & James, W. P. (2005). Obesity. National Library of Medicine, 366(9492), 1197-209. doi: 10.1016/S0140-6736(05)67483-1. PMID: 16198769. DOI: https://doi.org/10.1016/S0140-6736(05)67483-1

Himes, J. H. $., & Dietz, W. H. (1994). Guidelines for overweight in adolescent preventive services - Recommendations from an Expert Committee. The Expert Committee on Clinical Guidelines for Overweight in Adolescent Preventive Services. Am J Clin Nutr. 59: 307–16.

Institute of Medicine (US) Subcommittee on Military Weight Management. Weight Management: State of the Science and Opportunities for Military Programs. Washington (DC): National Academies Press (US); 2004. 3, Factors That Influence Body Weight. Available from: https://www.ncbi.nlm.nih.gov/books/NBK221834/

Israel, M., & Hay, I. (2006). Research Ethics for Social Scientists, London: Sage Publications Ltd. DOI: https://doi.org/10.4135/9781849209779

Krejcie, R. V., & Morgan, D. W. (1970). Determining sample size for research activities. Educational and Psychological Measurement, 30, 607-610. DOI: https://doi.org/10.1177/001316447003000308

Krushnapriya, S., Bishnupriya, S., & Ajeet, S. B. (2015). Childhood obesity: causes and consequences. J Family Med Prim Care, 4(2), 187–192. DOI: https://doi.org/10.4103/2249-4863.154628

McLaren, L. (2007). Socioeconomic status and obesity, Epidemiol Rev, 29:29-48 DOI: 10.1093/epirev/mxm001 DOI: https://doi.org/10.1093/epirev/mxm001

Mohammed, H., & Vuvor, F. (2012). Prevalence of childhood overweight/obesity in basic schools in Accra. Ghana Med Journal, 46(3):124-7.

Morita, Y., Iwamoto, I., Mizuma, W., Kuwahata, T., Matsuo, T., Yoshinaga, M., & Douchi, T. (2006). Precedence of the shift of body-fat distribution over the change in body composition after menopause. Journal of Obstetrics and Gynecology, 32, 513-516. DOI: https://doi.org/10.1111/j.1447-0756.2006.00437.x

Muhihi, A.J., Mpembeni, R.N.M Njelekela, M.A., Anaeli, A., Sulende, O.C., Lujani, K.B., Maghembe, M., & Ngarash, D. (2013). Prevalence and determinants of obesity among primary school children in Dar es Salaam, Tanzania. Archives of Public Health; 71:26 http; /www/archives of public health.com/content71/1/26.

Ng, M., Fleming, T., Robinson, M., Thomson, B., Graetz, N., Margono, C., & Abera, S. F. (2014). Global, regional, and national prevalence of overweight and obesity in children and adults during 1980–2013: A systematic analysis for the global burden of disease study 2013. The lancet, 384(9945), 766-781.

Nicklas, T. A., Baranowski, T., Baranowski, J. C., Cullen K., Rittenberry, L., & Olvera, N. (2001). Family and child‐care provider influences on preschool children's fruit, juice, and vegetable consumption. Nutrition Reviews, 59(7), 224-235. DOI: https://doi.org/10.1111/j.1753-4887.2001.tb07014.x

Niehoff, V. (2009). Childhood obesity: A call to action. Bariatric Nursing and Surgical Patient. Care, 4:17–23.

Pangani, I, N., Kiplamai, F, K., Kamau, J, W. & Onywera, V. O. (2016). Prevalence of overweight and obesity among primary school children aged 8–13 years in Dar es Salaam City, Tanzania, Advances in Preventive Medicine, https://doi.org/10.1155/2016/1345017 DOI: https://doi.org/10.1155/2016/1345017

Popkin, B.M. (2011). Contemporary nutritional transition: determinants of diet and its impact on body composition; Proc Nutr Soc, 70(1):82-91. DOI: https://doi.org/10.1017/S0029665110003903

Sahoo, K., Sahoo, B., & Bhadoria, S. B. (2015). Childhood obesity: Causes and consequences; J Family Med Prim Care. 4(2), 187–192.

Schwimmer, J. B., Burwinkle, T. M., & Varni, J. W. (2003). Health-related quality of life of severely obese children and adolescents. JAMA. 289, 1813–9. DOI: https://doi.org/10.1001/jama.289.14.1813

Smith, J. D., Fu, E., & Kobayashi, M. (2020) ... Prevention and management of childhood obesity and its psychological and health comorbidities. Annu Rev Clin Psychol, doi: 10.1146/annurev-clinpsy-100219-060201 DOI: https://doi.org/10.1146/annurev-clinpsy-100219-060201

Story, M, Neumark-Stainzer. D., & French, S. (2002). Individual and environmental influences on adolescent eating behaviours. J Am Diet Assoc. 2002 102: S40–51.

Tanofsky-Kraff, M., Yanovski, S. Z., Wilfley, D. E., Marmarosh, C., Morgan, C. M., Yanovski, J. A. (2004). Eating-disordered behaviours, body fat, and psychopathology in overweight and normal-weight children. J Consult Clin Psychol, 72, 53–61. DOI: https://doi.org/10.1037/0022-006X.72.1.53

Trasande, L., & Chatterjee, S. (2012). The impact of obesity on health service utilization and costs in childhood. Obesity, 17(9), 1749-1754. DOI: https://doi.org/10.1038/oby.2009.67

Truswell, A. S. (2003). ABC of nutrition (4th ed. Vol. 92), London: BMJ Books.

Tuoyire, D. A., McNair, S., Debrah S, A., & Duda, R.B. (2018). Perception of risk for hypertension and overweight/obesity in Cape Coast, Ghana. Ghana Med J. 52(3): 140–146. doi: 10.4314/gmj. v52i3.6

Whyte, N. S., Amissah, A. A., & Mensah, J. (2020). Strategies for managing childhood obesity in primary schools in the Cape Coast Metropolis of Ghana. Asian Journal of Contemporary Education. 4(1) 41- 56.

World Health Organization (2007). Reference Curves ebook.ecog-obesity.eu/chapter-growth-charts-body-composition/world-health-organization-referencecurves

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Published

2021-03-03

How to Cite

Amissah, A. A., Mensah, J., & Mensah, J. V. (2021). PREVALENCE OF CHILDHOOD OBESITY AND ITS SOCIO-PSYCHOLOGICAL EFFECTS ON PRIMARY SCHOOL CHILDREN IN THE CAPE COAST METROPOLIS, GHANA. International Journal of Research -GRANTHAALAYAH, 9(2), 216–228. https://doi.org/10.29121/granthaalayah.v9.i2.2021.3442

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