Assessment of Nutritional Status in Sri Lankan Children: Validity of Current Anthropometry Cutoffs?

Warnakulasuriya, Loretta S.; Fernando, Manel A M; Adikaram, A V Nihal; Thawfeek, A R M; Anurasiri, W M L; Elisabet, R; Bergsten, Peter; Silva, Renuka; Samaranayake, Dulani; Wickramasinghe, Pujitha

doi:10.1177/1010539519872061

Cited by 8 publications

(9 citation statements)

References 27 publications

(46 reference statements)

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“…It's agreed with one of the study carried out among students aged 5-15 years studying in Negombo schools where prevalence of obesity identified by body fat content was high and reported that as validity of internationally developed anthropometric cut-offs in South Asian children is unsatisfactory; locally regionally developed anthropometric tools should be used for screening of obesity (15). Further, South Asian countries face a double burden of malnutrition characterized by high prevalence of underweight, overweight, and obesity.…”

Section: Discussionsupporting

confidence: 64%

Prevalence and influencing factors of BMI and effect of school based intervention among the Grade 8 Schoolchildren in Jaffna district

2020

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Overweight and obesity are becoming a global issue. In contrast, children living in developing countries like Sri Lanka are having problems with wasting . Understanding the status of wasting, overweight and obesity and underlying factors may help to address the issue.The study aimed to determine the prevalence of wasting, overweight and obesity and the underlying socio-demographic and school-related correlate and effect pf school-level intervention to manage wasting, overweight and or obesity among Sri Lankan school children A school based descriptive cross-sectional study was conducted among 836 students aged between 13-15 years studying at government schools in Jaffna district from June 2016 to November 2017. Anthropometric measurements obtained using electronic height weight machine with the precision of the instrument for height is ≤±0.1cm, and for weight is ≤±0.1kg, and the Body Mass Index (BMI) for age calculated and compared with WHO (2007) standards. Chi-square analyses performed, and odds ratios calculated in SPSS 21. ResultsSlightly males students (51.4%) were more than the female students. Majority of the students were Hindus (91.1%), and living with both parents (87.2%). The prevalence of wasting, overweight and obesity was 38.6%, 6.8% and 2.4% respectively. Having abnormal BMI was not significantly affected the participation in extracurricular activities.High prevalence of abnormal BMI observed, and none of the school-level interventions for abnormal BMI were not useful. Hence, periodical assessment and monitoring of the school-based program might improve the outcome.

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Section: Discussionsupporting

confidence: 64%

Prevalence and influencing factors of BMI and effect of school based intervention among the Grade 8 Schoolchildren in Jaffna district

2020

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“…All children identified as having obesity (BMI‐SDS ≥ +2SD according to WHO, 2007) in a cross‐sectional survey carried out in Sri Lankan schools 27 were invited to the Diabetes Screening and Vocational Training Centre of the Lions Club of Negombo Host for further examination and possible treatment. Children with chronic diseases, secondary causes for obesity or on long term medication were excluded according to judgment of the clinical examiner.…”

Section: Methodsmentioning

confidence: 99%

Prevalence of different states of glucose intolerance in Sri Lankan children and adolescents with obesity and its relation to other comorbidities

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Warnakulasuriya

Adikaram³

et al. 2020

Pediatr Diabetes

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Background South Asian adults have higher prevalence of obesity comorbidities than other ethnic groups. Whether this also is true for Sri Lankan children with obesity has rarely been investigated. Objective To investigate prevalence of glucose intolerance and other comorbidities in Sri Lankan children with obesity and compare them with Swedish children. To identify risk factors associated with glucose intolerance. Subjects A total of 357 Sri Lankan children (185 boys), aged 7 to 17 years with BMI‐SDS ≥2.0 from a cross‐sectional school screening in Negombo. A total of 167 subjects from this study population were matched for sex, BMI‐SDS and age with 167 Swedish subjects from the ULSCO cohort for comparison. Methods After a 12 hour overnight fast, blood samples were collected and oral glucose tolerance test was performed. Body fat mass was assessed by bioelectrical impedance assay. Data regarding medical history and socioeconomic status were obtained from questionnaires. Results Based on levels of fasting glucose (FG) and 2 hours‐glucose (2 hours‐G), Sri Lankan subjects were divided into five groups: normal glucose tolerance (77.5%, n = 276), isolated impaired fasting glucose according to ADA criteria (9.0%, n = 32), isolated impaired glucose tolerance (8.4%, n = 30), combined impaired fasting glucose (IFG) + impaired glucose tolerance (IGT) (3.1%, n = 11) and type 2 diabetes mellitus (2.0%, n = 7). FG, 2 hours‐insulin and educational status of the father independently increased the Odds ratio to have elevated 2 hours‐G. Sri Lankan subjects had higher percentage of body fat, but less abdominal fat than Swedish subjects. Conclusion High prevalence in Sri Lankan children with obesity shows that screening for glucose intolerance is important even if asymptomatic.

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“…Data from Colombo municipal area showed overweight and obesity to be about 14% among 8- to 12-year-old school children [ 3 ] and in Colombo district about 13% among 5- to 15-year-old children [ 4 ]. In the Negombo education zone, overnutrition was shown to vary between 10 and 18% across 5–15 year age group with the prevalence increasing with age [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Metabolic Abnormalities in a Cohort of Overweight and Obese Children in an Urban Setting of Sri Lanka

Warnakulasuriya

Samaranayake

Adikaram³

et al. 2021

International Journal of Endocrinology

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Childhood obesity-related metabolic derangements are increasing among South Asian populations. Most of these changes persist to adulthood. This study aims to describe the distribution of metabolic abnormalities among 7- to 17-year-old overweight and obese children in the Gampaha District of Sri Lanka. Overweight children (age- and gender-adapted BMI>+1SD, WHO standards) were selected from a community survey carried out in the Negombo Education Zone of Gampaha District. After a 12-hour overnight fast, blood was drawn, and blood glucose (FBG), lipid profile, insulin, and liver transaminases were measured. Two hours after a glucose load, blood was drawn for random blood glucose (RBG) and insulin. Metabolic syndrome (MetS) was diagnosed using modified IDF criteria for children. Anthropometry, fat mass (FM), and blood pressure were measured. Hepatic fat pattern was assessed ultrasonically. The data of 403 children (210 boys) were analysed. Of the study population, 16.4% were overweight (BMI for age +1 to +2SD), 72% were obese (BMI for age >+2 to +3SD), and 11.6% were severely obese (BMI for age >+3SD). Insulin resistance was seen in 46.8%, and prevalence increased with age. Mean postprandial insulin ranged from 368 to 625 pmol/L and was elevated in 35%. Dysglycaemia was seen among 20.8%. MetS was present in 19.8%, and 84% had at least one metabolic abnormality. Different degrees of hepatic steatosis were observed in 32.5%, and elevated ALT/AST ratio was seen in 58% of the population. Overweight and obesity during childhood were associated with multiple metabolic abnormalities including MetS, and they occur from a young age. It is important to screen children for overweight/obesity early in life and intervene to prevent them from developing metabolic complications.

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Assessment of Nutritional Status in Sri Lankan Children: Validity of Current Anthropometry Cutoffs?

Cited by 8 publications

References 27 publications

Prevalence and influencing factors of BMI and effect of school based intervention among the Grade 8 Schoolchildren in Jaffna district

Prevalence and influencing factors of BMI and effect of school based intervention among the Grade 8 Schoolchildren in Jaffna district

Prevalence of different states of glucose intolerance in Sri Lankan children and adolescents with obesity and its relation to other comorbidities

Metabolic Abnormalities in a Cohort of Overweight and Obese Children in an Urban Setting of Sri Lanka

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