Association between obesity and anxiety among an adolescent population of Rajkot district, Gujarat, India: a cross sectional and descriptive study
DOI:
https://doi.org/10.18203/2349-3291.ijcp20200679Keywords:
Adolescent, Anxiety, Depression, Obesity, UnderweightAbstract
Background: Proper good nutrition are essential for mental development, physical growth, health and wellbeing and survival of adolescents. School based data of India shows a prevalence of obesity is 5.6% to 24.0% among children and adolescents. Psychosocial complications associated with obesity include poor self-image, depression, and difficulties in both social environment and home. This study was carried out with an objective to find out prevalence of malnutrition and associated factors.
Methods: A cross sectional study conducted among 1026 school going adolescents from 4 schools of Rajkot, Gujarat, India. Depression and anxiety were measured using Beck Depression Inventory and Beck Anxiety Inventory. Chi-square test was applied as test of significance.
Results: Majority of the students (58.1%) were belonged to early adolescent age group. About 67.1% were males. About 16.6% were underweight and 1.2% were obese. Overweight was more prevalent in girls (5.6%) as compared to boys (1.2%). Prevalence of anxiety and depression was 9.9% and 18.5% respectively. Anxiety was frequently found in overweight and obese adolescents (82.0%) as compared to only underweight and normal adolescents (7.1%, p<0.0001).
Conclusions: The prevalence rate of overweight and obesity were 9.7% and 4.3%. Girls are more affected with overweight. Significant number of adolescents was suffering from anxiety (9.9%) and depression (18.5%). Anxiety was frequently found in overweight and obese adolescents. There is need of immediate action to prevent adolescent obesity. Assessment of anxiety and depression among students with proper counselling should be carried out at least once a year.
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References
Handbook S. Rashtriya Kishor Swasthya Karyakram. Adolescent Health Division Ministry of Health and Family Welfare Government of India. 2014.
Kliegman RM, Stanton BMD, St. Geme J, Schor NF. Growth, Development and Behavior. In: Text book of paediatrics. 20th ed. Elsevier publication; 2016:84.
World Health Organization. Turning the tide of malnutrition: responding to the challenge of the 21st century. Geneva: World Health Organization; 2000.
Chaturvedi S, Kapil U, Gnanasekaran N, Sachdev HP, Pandey RM, Bhanti T. Nutrient intake amongst adolescent girls belonging to poor socioeconomic group of rural area of Rajasthan. Indian Pediatr. 1996;33:197-202.
Galal O, Hulett J. The relationship between nutrition and children's educational performance: a focus on the United Arab Emirates. Nutrition Bulletin. 2003;28(1):11-20.
Prasad RV, Bazroy J, Singh Z. Prevalence of overweight and obesity among adolescent students in Pondicherry, South India. Int J Nutrition, Pharmacol, Neurol Dis. 2016;6(2):72.
Brahmbhatt KR, Oza UN. Obesity among adolescents of Ahmedabad city, Gujarat, India- a community based cross-sectional study. Int J Biol Med Res. 2012;3(2):1554-7.
Chhatwal J, Verma M, Riar SK. Obesity among pre-adolescent and adolescents of a developing country (India). Asia Pacific J Clin Nutrition. 2004;13(3):231-5.
Goyal RK, Shah VN, Saboo BD, Phatak SR, Shah NN, Gohel MC, et al. Prevalence of overweight and obesity in Indian adolescent school going children: its relationship with socioeconomic status and associated lifestyle factors. Int J Pharm Clin Res. 2015;7(1):61-3
Banerjee S, Dias A, Shinkre R, Patel V. Under-nutrition among adolescents: A survey in five secondary schools in rural Goa. National Med J India. 2011;24(1):8.
Deshmukh PR, Gupta SS, Bharambe MS, Dongre AR, Maliye C, Kaur S, Garg BS. Nutritional status of adolescents in rural Wardha. Indian J Pediatr. 2006;73(2):139-41.
Prasad VG, Katta H, Malhotra V. Risk factors associated with obesity among adolescent students: A case control study. Int J Health Sci Res. 2015;5:1-5.
Rath S, Behura S. Obesity-depression link and Indian adolescents: An empirical study. Indian J Health Wellbeing. 2015;6(11):1132-4.
Chauhan S, Lal P, Nayak H. Prevalence of Depression among school children aged 15 years and above in a public school in Noida, Uttar Pradesh. J Acad Industr Resear. 2014 Nov;3(6):269-73.