Prevalence of Obesity among 4-6-year Old Children, and Its Relation with Food Consumption and Food Pattern

Muhammad Artisto Adi Yussac, Arief Cahyadi, Andika Chandra Putri, Astrid Saraswaty Dewi, Ayatullah Khomaini, Saptawati Bardosono, Eva Suarthana

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Abstract

Obesity in children is a complex problem. Factors related to obesity are food consumption and food pattern. The aim of this research was to assess the relationship between foodconsumption and food pattern (carbohydrate, protein, and fat consumed by subject) with the prevalence of obesity. Furthermore, this research aimed to compare two measurements, i.e. Z-score of body weight/ body height (BW/BH) and body mass index (BMI), in identifying obesity among 4-6 years old children. There were 71 pupils which consecutively selected from a kindergarten in East Jakarta. Half of the subjects (52.1%) were female; aged between 4-5-year old (52,1%). Most of their parents were well educated; 50.7% of the fathers were private employee, whereas 60.6% of the mothers were unemployed/ housewives. Income percapita of their family mostly were moderately low (66,2%). The mean body height and body weight were 109.6 ± 6.7 cm and 20.9 ± 4.6 kg respectively. The prevalence of obesity was 31% with BMI method, and 21.1% with Z-score BW/BH method. The mean BMI percentiles was 68.0 ± 34.7, and the mean Z-score BW/BH was 0.7 ± 1.4. There were significant correlations between calories, carbohydrate, protein, and fat intake, as well as dietary fat pattern with the prevalence of obesity according to BMI and Z-score of BW/BH methods. Both methods showed a k coefficient value of 0.747, which reflected a strong agreement between them. Therefore, BMI and Z-score BW/BH methods can be used to screen the obesity in children.Keywords: food consumption, food pattern, obesity, percentile of Body Mass Index, Z-score of Body Weight/Body Height
Original languageEnglish
JournalJournal of the Indonesian Medical Association
Volume57
Issue number2
Publication statusPublished - 2007

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