Prevalence and Predictors of Overweight and Obesity Among School-Aged Children in the Country of Georgia: A Cross-Sectional Study, 2022

Abstract Background Childhood overweight and obesity are significant global public health challenges that affect approximately 340 million children worldwide. In Georgia, the prevalence of childhood obesity is alarming, with approximately 28% of 7-year-old children classified as overweight or obese...

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Main Authors: Natia Kakutia, William Michael Caudle, Ziad N. Kazzi, Lela Sturua, Shalva (Davit) Zarnadze, Nana Mebonia
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Nutrition
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Online Access:https://doi.org/10.1186/s40795-024-00974-3
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author Natia Kakutia
William Michael Caudle
Ziad N. Kazzi
Lela Sturua
Shalva (Davit) Zarnadze
Nana Mebonia
author_facet Natia Kakutia
William Michael Caudle
Ziad N. Kazzi
Lela Sturua
Shalva (Davit) Zarnadze
Nana Mebonia
author_sort Natia Kakutia
collection DOAJ
description Abstract Background Childhood overweight and obesity are significant global public health challenges that affect approximately 340 million children worldwide. In Georgia, the prevalence of childhood obesity is alarming, with approximately 28% of 7-year-old children classified as overweight or obese in 2019. This study aimed to investigate the key factors associated with overweight and obesity among school-age children in Georgia. Methods Data from the Childhood Obesity Surveillance Initiative Survey (COSI), which was conducted in 2022, was analyzed. The study involved 3,334 children from 245 schools across the region. Anthropometric measurements and a structured questionnaire were utilized to evaluate body weight, dietary behaviors, physical activity behaviors, parental education, household socioeconomic status, and body mass index (BMI). Results Among second-grade school children in Georgia, 17.2% were overweight and 11.0% were obese, with higher percentages of boys (30.0%) than girls (26.3%). The prevalence of overweight/obesity was greater in urban-dwelling children (30.3%) than in rural children (23.6%). Significant associations were found between BMI and living area (p < 0.001), playing outside (p = 0.01), passive modes of transportation (e.g., cars) for school travel (p < 0.05), parental education (p = 0.03) and parental body weight (p < 0.05). However, no significant differences were observed in the prevalence of various dietary behaviors or screen time between normal-weight and overweight/obese children. Conclusions This study revealed significant associations between body weight status and certain demographic and lifestyle factors, highlighting the critical role of promoting physical activity, encouraging active transportation (e.g., walking or cycling to school) and raising parental awareness to address childhood overweight and obesity. Future interventions should prioritize creating a supportive environment for healthy behaviors and implementing early screening measures to prevent potential complications and improve overall health outcomes in children.
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spelling doaj-art-885fab39b0c347dc9936ec06f214d5ec2025-01-19T12:13:15ZengBMCBMC Nutrition2055-09282025-01-011111810.1186/s40795-024-00974-3Prevalence and Predictors of Overweight and Obesity Among School-Aged Children in the Country of Georgia: A Cross-Sectional Study, 2022Natia Kakutia0William Michael Caudle1Ziad N. Kazzi2Lela Sturua3Shalva (Davit) Zarnadze4Nana Mebonia5Department of Epidemiology and Biostatistics, Tbilisi State Medical UniversityGangarosa Department of Environmental Health, Rollins School of Public Health, Emory UniversityDepartment of Emergency Medicine, Emory University School of MedicineNoncommunicable Diseases Department, National Center for Disease Control and Public HealthDepartment of Nutrition, Aging Medicine, Environmental and Occupational Health, Tbilisi State Medical UniversityDepartment of Epidemiology and Biostatistics, Tbilisi State Medical UniversityAbstract Background Childhood overweight and obesity are significant global public health challenges that affect approximately 340 million children worldwide. In Georgia, the prevalence of childhood obesity is alarming, with approximately 28% of 7-year-old children classified as overweight or obese in 2019. This study aimed to investigate the key factors associated with overweight and obesity among school-age children in Georgia. Methods Data from the Childhood Obesity Surveillance Initiative Survey (COSI), which was conducted in 2022, was analyzed. The study involved 3,334 children from 245 schools across the region. Anthropometric measurements and a structured questionnaire were utilized to evaluate body weight, dietary behaviors, physical activity behaviors, parental education, household socioeconomic status, and body mass index (BMI). Results Among second-grade school children in Georgia, 17.2% were overweight and 11.0% were obese, with higher percentages of boys (30.0%) than girls (26.3%). The prevalence of overweight/obesity was greater in urban-dwelling children (30.3%) than in rural children (23.6%). Significant associations were found between BMI and living area (p < 0.001), playing outside (p = 0.01), passive modes of transportation (e.g., cars) for school travel (p < 0.05), parental education (p = 0.03) and parental body weight (p < 0.05). However, no significant differences were observed in the prevalence of various dietary behaviors or screen time between normal-weight and overweight/obese children. Conclusions This study revealed significant associations between body weight status and certain demographic and lifestyle factors, highlighting the critical role of promoting physical activity, encouraging active transportation (e.g., walking or cycling to school) and raising parental awareness to address childhood overweight and obesity. Future interventions should prioritize creating a supportive environment for healthy behaviors and implementing early screening measures to prevent potential complications and improve overall health outcomes in children.https://doi.org/10.1186/s40795-024-00974-3Childhood overweightChildhood obesityChildhood overweight risk factorsBody mass indexSchool-aged children
spellingShingle Natia Kakutia
William Michael Caudle
Ziad N. Kazzi
Lela Sturua
Shalva (Davit) Zarnadze
Nana Mebonia
Prevalence and Predictors of Overweight and Obesity Among School-Aged Children in the Country of Georgia: A Cross-Sectional Study, 2022
BMC Nutrition
Childhood overweight
Childhood obesity
Childhood overweight risk factors
Body mass index
School-aged children
title Prevalence and Predictors of Overweight and Obesity Among School-Aged Children in the Country of Georgia: A Cross-Sectional Study, 2022
title_full Prevalence and Predictors of Overweight and Obesity Among School-Aged Children in the Country of Georgia: A Cross-Sectional Study, 2022
title_fullStr Prevalence and Predictors of Overweight and Obesity Among School-Aged Children in the Country of Georgia: A Cross-Sectional Study, 2022
title_full_unstemmed Prevalence and Predictors of Overweight and Obesity Among School-Aged Children in the Country of Georgia: A Cross-Sectional Study, 2022
title_short Prevalence and Predictors of Overweight and Obesity Among School-Aged Children in the Country of Georgia: A Cross-Sectional Study, 2022
title_sort prevalence and predictors of overweight and obesity among school aged children in the country of georgia a cross sectional study 2022
topic Childhood overweight
Childhood obesity
Childhood overweight risk factors
Body mass index
School-aged children
url https://doi.org/10.1186/s40795-024-00974-3
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