Please cite this article in press as: Koirala M, et al. Prevalence and factors associated with
childhood overweight/obesity of private school children in Nepal. Obes Res Clin Pract (2014),
http://dx.doi.org/10.1016/j.orcp.2014.10.219
ARTICLE IN PRESS
ORCP-399; No. of Pages 8
Obesity Research & Clinical Practice (2014) xxx, xxx.e1—xxx.e8
ORIGINAL ARTICLE
Prevalence and factors associated with
childhood overweight/obesity of private
school children in Nepal
M. Koirala
a,1
, R.B. Khatri
b,*,1
, V. Khanal
c
, A. Amatya
a
a
Department of Community Medicine and Public Health, Institute of Medicine,
Tribhuvan University, Kathmandu, Nepal
b
Save the Children, Saving Newborn Lives Program, Kathmandu, Nepal
c
School of Public Health, Curtin University, Perth, Australia
Received 24 July 2014 ; received in revised form 20 October 2014; accepted 21 October 2014
KEYWORDS
Body mass index;
Childhood
Overweight/obesity;
Prevalence;
Nepal
Summary
Introduction: Childhood overweight/obesity is a global health problem because of
adverse health and nutrition consequences worldwide. Currently, there is a paucity
of information on childhood overweight/obesity in Nepal. Therefore, the objec-
tive of this study was to assess the prevalence of, and the factors associated with,
childhood overweight/obesity among primary school children.
Methods: A cross-sectional study was conducted in June-December, 2013. We col-
lected data using the structured self-administered questionnaire with parents of
children aged 6—13 years in grades 1—6 studying at private schools of the Lalitpur
district of Nepal. Height and weight measurements of 986 children were taken, and
the corresponding body mass index (BMI)-for-age was calculated. The prevalence of
childhood overweight/obesity was reported in proportion. Factors associated with
childhood overweight/obesity were examined using the Chi-square tests followed
by multiple logistic regression analyses.
Results: Of 986 children, 144 (14.6%) were overweight and 111 (11.3%) were obese.
Overall, 255 (25.9%) children were found to be overweight/obese. Children from
families, having ≤2 siblings (adjusted odds ratio (aOR) = 1.958, 95% confidence inter-
val (CI): 1.163—3.296), upper class family (aOR = 3.672; 95% CI: 1.154—11.690), and
advantaged ethnic group (aOR = 1.561; 95% CI: 1.00—2.437) and children who were
of larger birth weight (>4.0 kg) had a greater likelihood of being (aOR = 2.557, 95%
CI: 1.222—5.349) overweight/obese.
∗
Corresponding author at: Child Health Division, Ministry of Health and Population, Kathmandu, Nepal. Tel.: +977 1 4269121.
E-mail address: rkchettri@gmail.com (R.B. Khatri).
1
Shared the first authorship.
http://dx.doi.org/10.1016/j.orcp.2014.10.219
1871-403X/© 2014 Asian Oceanian Association for the Study of Obesity. Published by Elsevier Ltd. All rights reserved.