High prevalence of childhood overweight and obesity in ten Caribbean countries: 2018 cross-sectional data and a narrative review of trends in Trinidad and Tobago

Rambaran, Kirin; Teelucksingh, Surujpal; Sankar, Sesh Gowrie; Boyne, Michael S.; Xuereb, Godfrey; Giorgetti, Ambra; Zimmermann, Michael

doi:10.1080/2574254x.2020.1847632

Cited by 7 publications

(10 citation statements)

References 20 publications

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“…In Trinidad and Tobago, there has been a four-fold increase in the percentage of overweight and obese school-age children between 2001 to 2018 from 12% to 51.5%. 33 This striking local increase may have contributed to the increasing incidence in SCFE seen in our study, and may lead to continued elevation of the incidence in future.…”

Section: Discussionmentioning

confidence: 52%

Increasing incidence of slipped capital femoral epiphysis in Trinidad and Tobago: A 50-year review

et al. 2022

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Slipped Capital Femoral Epiphysis (SCFE) is a physeal disorder of the proximal femur. Misdiagnosis and late treatment are associated with poorer outcomes. The epidemiology and delays in treatment of the disease between 1968 and 2018 were investigated in North Trinidad. The number of cases presenting annually has increased over the decades and the incidence between 2008–2018 was 2.2 cases per 100 000 per year. Almost 70% of cases were above the 95th percentile for body weight. Delay in treatment from onset of symptoms was 278 ± 258 days. Awareness of the risk factors and clinical presentation of SCFE may facilitate early diagnosis and treatment, and prevent severe hip disability in adulthood.

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Section: Discussionmentioning

confidence: 52%

Increasing incidence of slipped capital femoral epiphysis in Trinidad and Tobago: A 50-year review

et al. 2022

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“…43.8% of these students reported three or more hours per day of sedentary behaviour outside school. Other studies have found even higher numbers (49%) among 13-15-year-olds [ 40 , 41 ].…”

Section: Resultsmentioning

confidence: 89%

Review: Evaluating existing policies to address overweight and obesity in the Anglophone Caribbean: A narrative review of Barbados, Grenada, St. Lucia, and Trinidad & Tobago

Thomas-Venugopal¹,

Hem-Lee-Forsyth²,

Gómez³

et al. 2023

Obesity Pillars

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“…The smallest sovereign state in the Americas, St. Kitts and Nevis has a population of ∼55,000 and land base of 269 square km. The federation is a member of the CARICOM, an economic grouping of 15 member countries (mainly Small Island Developing States), all experiencing high prevalence of adult and childhood obesity, and non-communicable diseases [PAHO, 2011;Pan American Health Organization (PAHO), 2012;Sobers and Samuels, 2019;Rambaran et al, 2021]. Published studies reveal low levels of dietary diversity among the SKN population, high dependence on imported, energy-dense and ultra-processed foods [Food and Agriculture Organization (FAO), 2013], and increasing prevalence of overweight and obesity among children (Mumena et al, 2018;Rambaran et al, 2021).…”

Section: Study Setting and Backgroundmentioning

confidence: 99%

“…Caribbean Small Island Developing States (SIDS) are experiencing high rates of overweight and obesity and associated high burdens of chronic non-communicable disease (NCDs) due, in part, to unhealthy dietary patterns (Hospedales et al, 2011;Sobers and Samuels, 2019;Rambaran et al, 2021;Thomas and Theokritoff, 2021). Childhood obesity in the region is of particular concern (Batson et al, 2014;Gaskin et al, 2015;Mumena et al, 2018) because obese children are more likely to become obese adults with an increased risk of suffering from NCDs later in life (Ng et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

A Combined Theory of Change-Group Model Building Approach to Evaluating “Farm to Fork” Models for School Feeding in the Caribbean

Ville

Hickey

Rouwette

et al. 2022

Front. Sustain. Food Syst.

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There is a scarcity of research on building nutrition-sensitive value chains (NSVCs) to improve diets and nutrition outcomes of populations in the Caribbean. This study contributes to filling this research gap by outlining a participatory approach to evaluating a NSVC model for “farm to fork” (F2F) school feeding in the Eastern Caribbean Island of St. Kitts. Using a combined group model building (GMB) and theory of change (ToC) approach, policy actors and other stakeholders (n = 37) across the school feeding value chain were guided through a facilitated process to evaluate the ToC underlying a series of F2F interventions designed to enhance childhood nutrition. Stakeholders at the workshop engaged collaboratively to create a causal map of interconnected “system factors” that help explain behaviors contributing to unhealthy eating among children that extended well-beyond the original F2F project ToC that had been used to inform interventions. Through this facilitated GMB process, stakeholders proposed additional food system interventions, and identified multiple “impact pathways” and “mediating influences” underlying local availability and consumption of nutritious foods in local school environments. Workshop participants were also able to identify leverage points where community-level efforts, alongside research interventions, may ensure that initiatives for building local NSVCs are ultimately institutionalized. Results of this study suggest that developing NSVCs for school feeding and food systems in the Caribbean requires both locally driven innovation and the leveraging of system-wide resources, with lessons for project intervention strategies.

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High prevalence of childhood overweight and obesity in ten Caribbean countries: 2018 cross-sectional data and a narrative review of trends in Trinidad and Tobago

Cited by 7 publications

References 20 publications

Increasing incidence of slipped capital femoral epiphysis in Trinidad and Tobago: A 50-year review

Increasing incidence of slipped capital femoral epiphysis in Trinidad and Tobago: A 50-year review

Review: Evaluating existing policies to address overweight and obesity in the Anglophone Caribbean: A narrative review of Barbados, Grenada, St. Lucia, and Trinidad & Tobago

A Combined Theory of Change-Group Model Building Approach to Evaluating “Farm to Fork” Models for School Feeding in the Caribbean

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