Evidence map›Paper›PMID 33886578›Full record

ArticlePloS one2021

Prevalence and correlates of overweight and obesity among primary school children in Kilimanjaro, Tanzania.

Mary Vincent Mosha, Sia E Msuya, Elizabeth Kasagama, Philip Ayieko, Jim Todd, Suzanne Filteau

Abstract read
In one paragraph

Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Mary Vincent MoshaInstitute of Public Health, Kilimanjaro Christian Medical University College (KCMUCo), Moshi, Tanzania.ORCID 0000-0003-2934-1696
Sia E MsuyaInstitute of Public Health, Kilimanjaro Christian Medical University College (KCMUCo), Moshi, Tanzania.
Elizabeth KasagamaInstitute of Public Health, Kilimanjaro Christian Medical University College (KCMUCo), Moshi, Tanzania.
Philip AyiekoLondon School of Hygiene and Tropical Medicine (LSHTM), London, England.
Jim ToddInstitute of Public Health, Kilimanjaro Christian Medical University College (KCMUCo), Moshi, Tanzania.
Suzanne FilteauLondon School of Hygiene and Tropical Medicine (LSHTM), London, England.

Funding

Wellcome TrustWellcome Trust 107742/Z/15/Z
6 · The paper itself

Abstract

backgroundPrevalence of childhood overweight and obesity in low- and middle-income countries is on the rise. We focused on multiple factors which could influence body mass index.

methodsA cross sectional school-based study was conducted in Moshi, Tanzania. Primary school children aged 9-11 years were recruited from 20 schools through a multistage sampling technique. Questionnaires were used to collect information on physical activity and diet by food frequency questionnaire. Height and weight measurements were taken and body mass index z scores for age and sex (BMIZ) calculated using the WHO AnthroPlus. Children were considered thin if BMIZ was <-2 standard deviations and overweight or obese if BMIZ was >1 SD. Information on school policies and environment was obtained from headteachers. Correlates of overweight and obesity were examined using a multinomial multilevel logistic regression.

resultsA total of 1170 primary school children, of whom 636 (54%) were girls, were recruited from 20 schools. The prevalence of overweight and obesity was 15% overall (overweight 9% and obesity 6%) and most prevalent in urban areas (23%) and in private schools (24%). Moreover, thinness was found to be (10%) overall, most prevalent in rural areas (13%) and in government schools (14%). At school level, residing in urban (adjusted relative risk ratio [aRRR] 3.76; 95% confidence interval [CI] 2.49,5.68) and being in private school (aRRR 4.08; 95% CI 2.66,6.25) were associated with a higher risk of overweight and obesity while availability of playgrounds in schools (aRRR 0.68; 95% CI 0.47, 0.97) was associated with a lower risk of overweight and obesity. At home level, availability of sugary drinks (aRRR 1.52; 95% CI 1.01,2.28) was associated with a higher risk of overweight and obesity.

conclusionOverweight and obesity are common in private schools and in urban settings. Efforts should be taken to ensure availability of playgrounds in schools and encouraging children to engage in physical activities.

Indexed as

Body Mass IndexChildCross-Sectional StudiesFemaleHumansMaleOverweightPediatric ObesityPrevalenceRisk FactorsSchoolsTanzaniaThinness

Identifiers

PMID33886578
PMCPMC8061999

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