27. PREVALENCE OF OVERWEIGHT AND OBESITY AMONG LOWER SECONDARY SCHOOL STUDENTS IN TIEN GIANG PROVINCE

Phung Nguyen The Nguyen1, Ta Van Tram2, Nguyen Thanh Nam2
1 University of Medicine and Pharmacy at Ho Chi Minh city
2 Tien Giang provincial General Hospital

Main Article Content

Abstract

Objectives: This study assessed the prevalence of overweight and obesity and associated factors among lower secondary school students in Tien Giang province in 2024, providing scientific evidence to support school-based obesity prevention efforts.


Method: A cross-sectional design was applied to a sample of 6009 students. Anthropometric measurements (weight, height, waist and hip circumferences), blood pressure, and demographic data were collected. Nutritional status was classified according to World Health Organization criteria. Multivariable logistic regression was used to identify factors associated with overweight and obesity.


Results: The prevalence of overweight, obesity, and undernutrition was 19.3%, 14.9%, and 4.8%, respectively. Overweight and obesity were more common in male students (41.9%) than in females (29.6%), and in the 11-12 age group (41.4%) compared to the 13-14 age group (29.8%). The waist-to-hip ratio was the strongest risk factor (OR = 4.22; 95%CI: 3.86-4.61). The predictive model yielded an area under the ROC curve of 0.813, indicating good discriminative ability. These findings emphasize the importance of early prevention and the need to integrate nutrition interventions into both school and family settings to reduce future cardiovascular risk.


Conclusion: The prevalence of overweight and obesity in secondary school students in Tien Giang province is 34.2%. School nutrition education programs, increased physical activity, and regular monitoring of metabolic risk indicators are needed to address the public health burden of overweight and obesity in school-age children.

Article Details

References

[1] Zhang X, Liu J, Ni Y et al. Global Prevalence of Overweight and Obesity in Children and Adolescents: A Systematic Review and Meta-Analysis. JAMA pediatrics, 2024, 178 (8): 800-13, Epub 2024/06/10, doi: 10.1001/jamapediatrics.2024.1576, PubMed PMID: 38856986, PubMed Central PMCID: PMC11165417.
[2] GBS. Global, regional, and national prevalence of child and adolescent overweight and obesity, 1990-2021, with forecasts to 2050: a forecasting study for the Global Burden of Disease Study 2021. Lancet (London, England), 2025, 405 (10481): 785-812, Epub 2025/03/07, doi: 10.1016/s0140-6736(25)00397-6, PubMed PMID: 40049185, PubMed Central PMCID: PMC11920006.
[3] Tran N.T, Tran V.K, Tran D.T et al. Triple burden of malnutrition among Vietnamese 0·5-11-year-old children in 2020-2021: results of SEANUTS II Vietnam. Public Health Nutr, 2024, 27 (4): 843-56, Epub 2024/05/28, doi: 10.1017/s1368980024001186, PubMed PMID: 38804077, PubMed Central PMCID: PMC11705026.
[4] Vietnamnet Global. Over 43% of Ho Chi Minh City’s students are overweight or obese 2022 [Access on 2025 May], Available from: https://vietnamnet.vn/en/over-43-of-hcm-city-s-students-are-overweight-or-obese-2094895.html.
[5] Centers for Disease Control Prevention. Childhood Obesity Facts 2023 [Access on 2025 May], Available from: https://www.cdc.gov/obesity/childhood-obesity-facts/childhood-obesity-facts.html.
[6] Jeong S.I, Kim H.R, Kim S.H. Different risk factors for elevated blood pressure according to abdominal obesity in overweight children and adolescents. BMC Pediatr, 2025, 25 (1): 278, Epub 2025/04/05, doi: 10.1186/s12887-025-05634-4, PubMed PMID: 40186117, PubMed Central PMCID: PMC11970025.
[7] Pham T.T.P, Van Do T, Matsushita Y et al. Reducing the incidence of overweight and obesity by a healthy lifestyle intervention program for schoolchildren in Hanoi, Vietnam: a randomized controlled trial. BMC Public Health, 2024, 24 (1): 2579, doi: 10.1186/s12889-024-20120-9.
[8] Van Minh H, Khuong Q.L, Tran T.A et al. Childhood Overweight and Obesity in Vietnam: A Landscape Analysis of the Extent and Risk Factors. World Nutrition, 2023, 14 (1): 36-54, doi: 10.1177/00469580231154651.
[9] Phan Hướng Dương, Hoàng Văn Minh. Điều tra tỷ lệ rối loạn glucose máu và các yếu tố nguy cơ đái tháo đường ở trẻ em lứa tuổi 11-14 tuổi toàn quốc năm 2018. Báo cáo kết quả nghiên cứu khoa học, Bộ Y tế - Bệnh viện Nội tiết Trung ương, Hà Nội, 2019.
[10] Herrick K.A, Ogden C.L. Chapter 12 - Nutrition surveillance. In: Marriott BP, Birt DF, Stallings VA, Yates AA, editors. Present Knowledge in Nutrition (Eleventh Edition): Academic Press, 2020, p. 217-33.
[11] World Health Organization. WHO growth reference data for 5-19 years Geneva: WHO, 2007. Available from: https://www.who.int/tools/growth-reference-data-for-5to19-years.
[12] Spinelli A, Buoncristiano M, Williams J et al. Childhood Obesity Surveillance Initiative (COSI) - Report on the fourth round of data collection in the WHO European Region (2015-2017). Copenhagen: WHO Regional Office for Europe, 2022.
[13] Agbaje A.O. Body mass index triples overweight prevalence in 7600 children compared with waist-to-height ratio: the ALSPAC study. Obesity and Endocrinology, 2025, 1 (1), doi: 10.1093/obendo/wjaf002.
[14] Kułaga Z, Świąder-Leśniak A, Kotowska A, Litwin M. Population-based references for waist and hip circumferences, waist-to-hip and waist-to-height ratios for children and adolescents, and evaluation of their predictive ability. European journal of pediatrics, 2023, 182 (7): 3217-29, Epub 2023/05/04, doi: 10.1007/s00431-023-05001-4, PubMed PMID: 37140701, PubMed Central PMCID: PMC10353968.
[15] Tu Y.K, Gunnell D, Gilthorpe M.S. Simpson’s Paradox, Lord's Paradox, and Suppression Effects are the same phenomenon-the reversal paradox. Emerging themes in epidemiology, 2008, 5: 2. Epub 2008/01/24, doi: 10.1186/1742-7622-5-2. PubMed PMID: 18211676, PubMed Central PMCID: PMC2254615.
[16] He F, Rodriguez-Colon S, Fernandez-Mendoza J et al. Abdominal obesity and metabolic syndrome burden in adolescents-Penn State Children Cohort study. Journal of clinical densitometry: the official journal of the International Society for Clinical Densitometry, 2015, 18 (1), 30-6, Epub 2014/09/16, doi: 10.1016/j.jocd.2014.07.009, PubMed PMID: 25220887, PubMed Central PMCID: PMC4314452.
[17] Pulit S.L, Karaderi T, Lindgren C.M. Sexual dimorphisms in genetic loci linked to body fat distribution. Bioscience reports, 2017, 37 (1), Epub 2017/01/12, doi: 10.1042/bsr20160184, PubMed PMID: 28073971, PubMed Central PMCID: PMC5291139.
[18] Khan S.M. Waist-To-Hip Ratio and Skinfold Thickness as Predictors of Obesity Risk in Young Women. Pakistan Journal of Life and Social Sciences, 2025, 1 (1), 7582-94, doi: 10.1093/obendo/wjaf002.