Abbreviations: HEI, healthy eating index; BMI, body mass index; SE, socio-economic; C-PAQ, physical activity questionnaire for older children; FAS, family affluence scale; SD, standard deviation
IntroductionChildhood is a critical stage characterized by rapid growth and development and is highly influenced by nutrition. Childhood obesity is the most common form of malnutrition and is a strong predictor of adult obesity and risk factors for many chronic diseases such as cardiovascular diseases, cancers and premature death.1 The increasing prevalence of childhood obesity is caused by multiple factors such as the complex interactions between genetic and environmental factors. 8.5% of boys and 7.8% of girls aged between 5 to 11years have been found to be obese (National Plan of Action for Nutrition 2009-2010, p2). Undernutrition affects 24.3% of children from the same age group indicating that the young Mauritian population is afflicted by the double burden of malnutrition.Unhealthy eating habits during childhood hinder optimal growth and development.3,4 Children tend to eat foods that are readily available and easily accessible. Current eating pattern do not correspond to the usual, habitual pattern of consuming at least breakfast, dinner and a single snack at home with lunch carried to school. 5 There is a decline in breakfast consumption and an increase consumption of energydense foods. [6][7][8] In addition, social determinants may play significant role in understanding diet-related behaviours. Viswanath & Bond 6 reported that residents living in areas with poor access to healthy foods have more fat in their diet and are more prone to be overweight. Relative to socio-economically advantaged families, children from socio-economically disadvantaged families were more likely to be overweight, 7 cited Simen-kapeu and Veugelers. 8 Similarly there is also evidence showing that lower educational status of parents is related to lower diet quality including higher fat and lower micronutrients intake in children.6,4 Thus the study determined whether diet quality differs by social determinants and by weight status in Mauritian children aged 10 to 12years.
Methods and materialsUsing a convenient sampling method a total of 212participants were involved in the study comprising of roughly equal number of boys and girls. Students aged between 10 to 12years were included in the study, belonging to both urban and rural regions and children suffering from any acute diseases or disabilities were excluded. Data were collected during the academic year 2014-2015 in 6educational institutions which were based on the 4 educational zones of Mauritius. A sample of about 40students was taken from each school and only those who returned a signed parental consent forms were allowed to participate in the study.
Socio-demographic data, physical activity level and anthropometric measurementsGender, age, ethnicity, parent's level of education, type of school and geographical area of residence were self-reported. Socioeconomic level was obta...