A study of effect of physical activity quotient on central obesity (waist hip ratio) in adolescent girls and boys of central India

Vinod Kumar Gornale, Veeraraja B. Sathenahalli, Manish Kuber, H. P. Singh


Background: Malnutrition not only refers to undernutrition but also indicates over nutrition in form of obesity. Obesity in childhood, a predisposing factor for obesity in adult hood is on rise. Various factors are like urbanization, technology based sedentary life style, high-fat, high-sugar junk food consumption, increasing purchasing power, lack of exercise, excessive TV viewing are considered responsible for it. Level of physical activity has an implication over obesity. This study has been carried out to identify correlation between obesity and physical activity. The objective of the study was to correlation between physical activity and obesity.

Methods: The present study was a prospective, cross sectional, observational, cohort study and was undertaken in private sector secondary school in Rewa. 250 school going girls/boys of 11th and 12th standard selected on random basis. Body mass index and physical activity questionnaire score (PAQs) were recorded.

Results: Girls and boys with abnormal WHR indicating obesity were 10% each. Abnormal WHR was found to be significantly associated with saturated fat consumption. A better correlation was found between WHR and physical activity level.

Conclusions: More objective testing of physical activity may be undertaken in place of or in conjunction with self-reported assessment. Measurement of WHR should be considered more sensitive indicators of obesity as these are also better correlates of CVD.


Obesity, Waist hip ratio, Physical activity questionnaire

Full Text:



Elizabeth K. Nutrition and Child Development. 4th edition, Paras Medical Publication, 2009.

Marijana Bosnar-Puretic, Vanja Basic-Kes, Miljenka Jelena jurasic, Iris Zavoreo et al. The association of obesity and cerebrovascular disease in young adults -A pilot study. Acta Clin Croat. 2009;48:295-8.

Calle EE, Thun MJ, Petrelli JM, Rodriguez C et al. Body-mass index and mortality in a prospective cohort of U.S. adults. N Engl J Med. 1999;341:1097-105.

Wilson PW, D'Agostino RB, Sullivan L, Parise H, et al. Overweight and obesity as determinants of cardiovascular risk: the Framingham experience. Arch Intern Med. 2002;162:1867-72.

Geneva: World Health Organization, 1999. Assessed on January 26, 2011.

Bailey DA, McKay HA, Mirwald RL, Crocker PR, Faulkner RA. A six-year longitudinal study of the relationship of physical activity to bone mineral accrual in growing children: The University of Saskatchewan bone mineral accrual study. Journal of Bone and Mineral Research. 1999;14:1672-9.

Kowalski KC, Crocker PR, Faulkner RA. Validation of the Physical Activity Questionnaire for Older Children. Pediatric Exercise Science. 1997;9(4):174-86.

Silventoinen K, Jousilahti P, Vartiainen E, Tuomilehto J. Appropriateness of anthropometic obesity indicators in assessment of coronary heart diseases risk among Finnish men and women. Scand J Public Health. 2003;31:283-90.

Yalcin BM, Sahin EM, Yalcin E. Which anthropometric measurement is most closely related to elevated blood pressure? Family Practice. 2005; 22:541–7.

Gardner AW, Poehlman ET. Predictors of the age related increase of blood pressure in Men and Women. J. Genetol. 1995;50A:M1-M6.

Badaruddoza, Afzal M. Age-specific differences in blood pressure among inbred and non-inbred north Indian children. Journal of Biosciences. 1999;24(2):177-84.

Gerber LM, Stern PM. Relationship of body size and body mass to blood pressure: sex specific and developmental influences. Hum. Biol. 1999;71:505-28.

Badaruddoza, Afzal M. Trend of blood pressure in North Indian Children. Ind. J Physiol Pharmacol. 2000;44:304-10.

Neovius M, Linné Y, Rossne S. BMI, waist-circumference and waist-hip-ratio as diagnostic tests for fatness in adolescents International Journal of Obesity. 2005;29:163-9.

Taylor RW, Jones IE, Williams SM, Goulding A. Evaluation of waist circumference, waist-to-hip ratio, and the conicity index as screening tools for high trunk fat mass, as measured by dual-energy X-ray absorptiometry, in children aged 3-19 y. Am J Clin Nutr. 2000;72(2):490-5.

Badaruddoza, Kumar R. Cardiovascular risk factor and familial aggregation of blood pressure with respect to anthropometric variables in a schedule caste population of Punjab. Anthropol Anz. 2009;67:111-9.

Hassan N, Zaki ST, El-masry S, Manal A, et al.. Impact of Balanced Caloric Diet and Physical Activity on Body Composition and Fat Distribution of Obese Egyptian Adolescent Girls. Maced J Med Sci. 2011;4(1):17-24.

Swinburn BA, Jolley D, Kremer PJ, Salbe AD, Ravussin E. Estimating the effects of energy imbalance on changes in body weight in children. Am J Clin Nutr. 2006;83:859-63.