Magnitude of childhood obesity in India: a systematic review of available evidence

Article type
Authors
Nayak BS1, Nair S2, mujja A2, D'Souza P1, noronha J1, Mitra P3, Unnikrishnan B4
1Manipal College of Nursing Manipal, Manipal University, Madhava nagar, Udupi District , India
2Department of Biostatistics, Manipal University, Madhava nagar, Udupi District , India
3Kasturba medical college mangalore, Manipal University, India
4Kasturba Medical College Mangalore, India
Abstract
Background:
Worldwide, non-communicable diseases (NCD) represent 43% of the burden of disease and are expected to be responsible for 60% of the disease burden and 73% of all deaths by 2020. Childhood obesity is already an epidemic in some regions and is on the rise in others. Although many studies estimated prevalence, an overall estimate of region specific prevalence could not be retrieved.

Objectives:
This systematic review aims to create a context-specific evidence base for magnitude of childhood obesity in India.

Methods:
The review has been carried out within the framework of standard systematic review methodology set out by the Cochrane Collaboration. The epidemiological review and Strengthening the Reporting of Observational studies in Epidemiology (STROBE) guidelines were also incorporated in the methodology. A comprehensive literature search to identify all published studies with no language restrictions was carried out. Electronic databases such as MEDLINE, CINAHL, IndMed, J – gate databases were searched to identify potential studies. Cross-sectional, descriptive studies or prevalence surveys were included. Participants included children under 18 years of age at the start of the study. Studies conducted at home, community, and school were included. Outcome measures were the prevalence rate based on the criteria set by each study. Data from selected studies have been extracted using a predesigned data extraction sheet.

Results:
After assessing the eligibility criteria, 64 studies were included in the meta-analysis. Based on a random-effects model, in India the overall prevalence of obesity in was found to be 4.66% (95% confidence interval (CI) -3.76 to 5.66) and that of being overweight was 12.88% (95% CI 8.9859 to 17.3642).

Conclusions:
Childhood obesity is a public health challenge in India mainly due to industrialization and urbanization and need to be addressed at an early age to prevent complications in later life.