ArticleInternational journal of obesity (2005)2021
Association of dietary intake, physical activity, and sedentary behaviours with overweight and obesity among 282,213 adolescents in 89 low and middle income to high-income countries.
Article in International journal of obesity (2005), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 3 of them syntheses that pooled it.
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Who cites it
58 citing papers in PubMed, 3 syntheses or guidelines pooled it, 108 citations in OpenAlex.
- Is the type of school uniform linked with physical activity levels and physical fitness in schoolchildren? A systematic review covering 1,098,972 children and adolescents.Frontiers in sports and active living · 2025Pooled it
- Pooled it
- Ultra-processed food consumption and metabolic disease risk: an umbrella review of systematic reviews with meta-analyses of observational studies.Frontiers in nutrition · 2024Pooled it
- Cardiorespiratory fitness responses to a Daily Mile program in overweight youth from a low-income Colombian school.Scientific reports · 2026Trial
- Impact of free summer day camp on physical activity behaviors and screentime of elementary-age children from low-income households: a randomized clinical trial.The international journal of behavioral nutrition and physical activity · 2025Trial
- Nigerian youth FitnessGram edge: A bright signal with important caveats.World journal of clinical pediatrics · 2026Article
- Multilevel factors influencing child overweight and obesity in the Pacific Islands.The Lancet regional health. Western Pacific · 2026Review
- Non-laboratory-based cardiovascular risk assessment: 10-year absolute risk, predicted heart age and intervention requirements in a Nigerian population.BMC cardiovascular disorders · 2026Article
- Ultra-processed food consumption, dietary behaviors, and marketing exposure among school adolescents in urban Ethiopia: a qualitative study.BMC nutrition · 2026Article
- Genome-wide DNA methylation signatures in blood associated with pediatric obesity.Clinical epigenetics · 2026Article
- Diets, Fruit and Vegetable Intake, and Nutritional Status in Sri Lanka: A Scoping Review.Maternal & child nutrition · 2026Article
- Obesity Phenotyping in Children and Adolescents: Next Steps Towards Precision Medicine in Pediatric Obesity.Nutrients · 2026Review
- An AI-driven multivariate approach for personalized healthy eating recommendations aligned with sustainable healthy diet food-group guidelines.Frontiers in nutrition · 2026Article
- Prevalence and determinants of obesity among women aged 15-49 years in the Ashanti region, Ghana: Analysis of the 2022 Ghana demographic and health survey.SAGE open medicine · 2026Article
- Social Perception of Obesity - A 2025 Nationwide Cross-Sectional Survey Among Adults in Poland.International journal of public health · 2026Article
- Global trends, projections, and inequalities in overweight and obesity among children and adolescents from 1990 to 2040: a modelling study.Frontiers in endocrinology · 2026Article
- Combined nutrition and physical activity education for early adolescents with malnutrition: A systematic review of overweight interventions and the undernutrition evidence gap.PLOS global public health · 2026Article
- Urolithin A: a multi-target therapeutic candidate derived from the gut microbiota for obesity and metabolic dysfunction.Frontiers in endocrinology · 2026Review
- Bidirectional associations between sleep and physical activity investigated using large-scale objective monitoring data.Communications medicine · 2025Article
- Review
Corrections and comments
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Authors and funding
6 authors at 5 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAdolescent overweight and obesity are well documented in high-income countries (HICs). They are also emerging as a global public health concern in low-and middle-income countries (LMICs), yet there is a lack of reliable, national-level data to inform policies and interventions. This study aimed to estimate the prevalence of overweight and obesity and assess associated lifestyle risk factors amongst school-going adolescents in LMICs as well as HICs.
methodsA total of 282,213 samples were drawn from 89 LMICs and HICs in the 'latest Global School-based Student Health Survey' of school children, aged 11-17 years, during 2003 to 2015, in the six World Health Organisation (WHO) regions. The prevalence of adolescent overweight and obesity were estimated using the WHO BMI-for-age growth standards. A multinomial logistic regression model was employed to estimate the adjusted (age and sex) association of food patterns, physical activity, and sedentary behaviours with adolescent overweight and obesity.
resultsThe pooled prevalence of overweight and obesity amongst adolescents was 10.12%, and 4.96%, respectively, ranging from 2.40% in Sri Lanka to 29.08% in Niue for overweight and 0.40% in Sri Lanka to 34.66% in the Cook Islands for obesity. Overweight and obesity were associated with unhealthy dietary intake and lifestyles including respectively fast-food intake (adjusted relative risk ratio, RRR = 1.09; 95% CI: 1.05-1.12 and RRR = 1.32; 95% CI: 1.26-1.38), a high level of carbonated soft drinks consumption (RRR = 1.19; 1.12-1.24 and RRR = 1.28; 1.18-1.38), a low level of physical activity (RRR = 1.11; 1.06-1.17 and 1.20; 1.12-1.28), and high level of sedentary behaviours (RRR = 1.33; 1.27-1.39 and RRR = 1.73; 1.63-1.84). Adolescents who consumed vegetables at least two times per day had a lower risk of overweight (22%) and obesity (17%) than those who did not consume vegetables per day.
conclusionsAdolescent overweight and obesity represent a global public health problem and can possibly track into adult weight status and morbidity. School-based obesity prevention that promotes environmental and policy changes related to healthy dietary practices and active living are urgently needed to curb the trend.
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