Child overweight or obesity is associated with modifiable and geographic factors in Vietnam: Implications for program design and targeting
Child overweight or obesity is increasing in most countries, including Vietnam. We sought to elucidate the drivers of child overweight or obesity in Vietnam and understand how they vary geographically. We compiled nationally representative cross-sectional data from the Vietnam Nutrition Surveillance...
| Autores principales: | , , , , , , , , , , , , |
|---|---|
| Formato: | Journal Article |
| Lenguaje: | Inglés |
| Publicado: |
MDPI
2020
|
| Materias: | |
| Acceso en línea: | https://hdl.handle.net/10568/108178 |
| _version_ | 1855520116816478208 |
|---|---|
| author | Beal, Ty Tuyen, Le Danh Thi Huong, Trinh Burra, Dharani Dhar Bene, C. Huynh, Tuyen Mai, Truong Tuyet Son, Nguyen Duy Tran, Do Thanh Nguyen, Kien Tri Hoang, Thi Thu Ha Haan, Stef de Jones, Andrew D. |
| author_browse | Beal, Ty Bene, C. Burra, Dharani Dhar Haan, Stef de Hoang, Thi Thu Ha Huynh, Tuyen Jones, Andrew D. Mai, Truong Tuyet Nguyen, Kien Tri Son, Nguyen Duy Thi Huong, Trinh Tran, Do Thanh Tuyen, Le Danh |
| author_facet | Beal, Ty Tuyen, Le Danh Thi Huong, Trinh Burra, Dharani Dhar Bene, C. Huynh, Tuyen Mai, Truong Tuyet Son, Nguyen Duy Tran, Do Thanh Nguyen, Kien Tri Hoang, Thi Thu Ha Haan, Stef de Jones, Andrew D. |
| author_sort | Beal, Ty |
| collection | Repository of Agricultural Research Outputs (CGSpace) |
| description | Child overweight or obesity is increasing in most countries, including Vietnam. We sought to elucidate the drivers of child overweight or obesity in Vietnam and understand how they vary geographically. We compiled nationally representative cross-sectional data from the Vietnam Nutrition Surveillance Survey collected annually between 2012–2015 and household income data from the General Statistics Office. We used a quasi-Poisson log link function to calculate relative risks (RRs) of under-five child overweight or obesity for 13 variables and stratified analyses by child age (<2 y and 2–5 y) and region. Additional analysis included log-log linear regression to assess the relationship between average provincial monthly per capita income and child overweight or obesity. The strongest associations with child overweight or obesity included birthweight >4000 g (RR: 1.66; 95% confidence interval (CI): 1.48, 1.86), maternal body mass index (BMI) ≥27.5 compared with BMI <23 (RR: 1.62; 95% CI: 1.47, 1.78), and living in the Southeast (RR: 2.06; 95% CI: 1.84, 2.30), Mekong River Delta (RR: 1.58; 95% CI: 1.41, 1.77), or Central South (RR: 1.54; 95% CI: 1.37, 1.74) compared with the Central Highland. A 20% higher provincial average monthly per capita income was associated with a 17.4% higher prevalence in child overweight or obesity (P < 0.0001, Adjusted R2 = 0.36). High birthweight and maternal BMI were strongly associated with child overweight or obesity but are not likely primary drivers in Vietnam, given their low prevalence. C-section delivery, sedentary lifestyle, high maternal education, urbanicity, and high household income affect a large proportion of the population and are, therefore, important risk factors. Policies and programs should target these factors and regions at greatest risk of overweight or obesity, particularly the Southeast and Mekong River Delta. |
| format | Journal Article |
| id | CGSpace108178 |
| institution | CGIAR Consortium |
| language | Inglés |
| publishDate | 2020 |
| publishDateRange | 2020 |
| publishDateSort | 2020 |
| publisher | MDPI |
| publisherStr | MDPI |
| record_format | dspace |
| spelling | CGSpace1081782025-11-29T05:22:14Z Child overweight or obesity is associated with modifiable and geographic factors in Vietnam: Implications for program design and targeting Beal, Ty Tuyen, Le Danh Thi Huong, Trinh Burra, Dharani Dhar Bene, C. Huynh, Tuyen Mai, Truong Tuyet Son, Nguyen Duy Tran, Do Thanh Nguyen, Kien Tri Hoang, Thi Thu Ha Haan, Stef de Jones, Andrew D. children child health obesity overweight nutrition nutrition policies food science Child overweight or obesity is increasing in most countries, including Vietnam. We sought to elucidate the drivers of child overweight or obesity in Vietnam and understand how they vary geographically. We compiled nationally representative cross-sectional data from the Vietnam Nutrition Surveillance Survey collected annually between 2012–2015 and household income data from the General Statistics Office. We used a quasi-Poisson log link function to calculate relative risks (RRs) of under-five child overweight or obesity for 13 variables and stratified analyses by child age (<2 y and 2–5 y) and region. Additional analysis included log-log linear regression to assess the relationship between average provincial monthly per capita income and child overweight or obesity. The strongest associations with child overweight or obesity included birthweight >4000 g (RR: 1.66; 95% confidence interval (CI): 1.48, 1.86), maternal body mass index (BMI) ≥27.5 compared with BMI <23 (RR: 1.62; 95% CI: 1.47, 1.78), and living in the Southeast (RR: 2.06; 95% CI: 1.84, 2.30), Mekong River Delta (RR: 1.58; 95% CI: 1.41, 1.77), or Central South (RR: 1.54; 95% CI: 1.37, 1.74) compared with the Central Highland. A 20% higher provincial average monthly per capita income was associated with a 17.4% higher prevalence in child overweight or obesity (P < 0.0001, Adjusted R2 = 0.36). High birthweight and maternal BMI were strongly associated with child overweight or obesity but are not likely primary drivers in Vietnam, given their low prevalence. C-section delivery, sedentary lifestyle, high maternal education, urbanicity, and high household income affect a large proportion of the population and are, therefore, important risk factors. Policies and programs should target these factors and regions at greatest risk of overweight or obesity, particularly the Southeast and Mekong River Delta. 2020-05 2020-05-08T00:04:28Z 2020-05-08T00:04:28Z Journal Article https://hdl.handle.net/10568/108178 en Open Access MDPI Beal, Ty; Tuyen, Le Danh; Thi Huong, Trinh; Burra, Dharani Dhar; Bene, C.; Huynh, Tuyen; Mai, Truong Tuyet; Son, Nguyen Duy; Tran, Do Thanh; Nguyen, Kien Tri; Hoang, Thi Thu Ha; Haan, Stef de; Jones, Andrew D. 2020. Child overweight or obesity is associated with modifiable and geographic factors in Vietnam: Implications for program design and targeting. Nutrients. ISSN 2072-6643. 12:5. 15p. |
| spellingShingle | children child health obesity overweight nutrition nutrition policies food science Beal, Ty Tuyen, Le Danh Thi Huong, Trinh Burra, Dharani Dhar Bene, C. Huynh, Tuyen Mai, Truong Tuyet Son, Nguyen Duy Tran, Do Thanh Nguyen, Kien Tri Hoang, Thi Thu Ha Haan, Stef de Jones, Andrew D. Child overweight or obesity is associated with modifiable and geographic factors in Vietnam: Implications for program design and targeting |
| title | Child overweight or obesity is associated with modifiable and geographic factors in Vietnam: Implications for program design and targeting |
| title_full | Child overweight or obesity is associated with modifiable and geographic factors in Vietnam: Implications for program design and targeting |
| title_fullStr | Child overweight or obesity is associated with modifiable and geographic factors in Vietnam: Implications for program design and targeting |
| title_full_unstemmed | Child overweight or obesity is associated with modifiable and geographic factors in Vietnam: Implications for program design and targeting |
| title_short | Child overweight or obesity is associated with modifiable and geographic factors in Vietnam: Implications for program design and targeting |
| title_sort | child overweight or obesity is associated with modifiable and geographic factors in vietnam implications for program design and targeting |
| topic | children child health obesity overweight nutrition nutrition policies food science |
| url | https://hdl.handle.net/10568/108178 |
| work_keys_str_mv | AT bealty childoverweightorobesityisassociatedwithmodifiableandgeographicfactorsinvietnamimplicationsforprogramdesignandtargeting AT tuyenledanh childoverweightorobesityisassociatedwithmodifiableandgeographicfactorsinvietnamimplicationsforprogramdesignandtargeting AT thihuongtrinh childoverweightorobesityisassociatedwithmodifiableandgeographicfactorsinvietnamimplicationsforprogramdesignandtargeting AT burradharanidhar childoverweightorobesityisassociatedwithmodifiableandgeographicfactorsinvietnamimplicationsforprogramdesignandtargeting AT benec childoverweightorobesityisassociatedwithmodifiableandgeographicfactorsinvietnamimplicationsforprogramdesignandtargeting AT huynhtuyen childoverweightorobesityisassociatedwithmodifiableandgeographicfactorsinvietnamimplicationsforprogramdesignandtargeting AT maitruongtuyet childoverweightorobesityisassociatedwithmodifiableandgeographicfactorsinvietnamimplicationsforprogramdesignandtargeting AT sonnguyenduy childoverweightorobesityisassociatedwithmodifiableandgeographicfactorsinvietnamimplicationsforprogramdesignandtargeting AT trandothanh childoverweightorobesityisassociatedwithmodifiableandgeographicfactorsinvietnamimplicationsforprogramdesignandtargeting AT nguyenkientri childoverweightorobesityisassociatedwithmodifiableandgeographicfactorsinvietnamimplicationsforprogramdesignandtargeting AT hoangthithuha childoverweightorobesityisassociatedwithmodifiableandgeographicfactorsinvietnamimplicationsforprogramdesignandtargeting AT haanstefde childoverweightorobesityisassociatedwithmodifiableandgeographicfactorsinvietnamimplicationsforprogramdesignandtargeting AT jonesandrewd childoverweightorobesityisassociatedwithmodifiableandgeographicfactorsinvietnamimplicationsforprogramdesignandtargeting |