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ISSN: 1734-1922
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vol. 14
Systematic review/Meta-analysis

Prevalence of childhood and adolescent overweight and obesity in Asian countries: a systematic review and meta-analysis

Mohsen Mazidi, Maciej Banach, Andre Pascal Kengne, Lipid and Blood Pressure Meta-analysis Collaboration Group

Arch Med Sci 2018; 14, 6: 1185–1203
Online publish date: 2018/10/19
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We conducted a systematic review and meta-analysis to estimate the prevalence of overweight and obesity in children (aged 5–12 years) and adolescents (aged 12–19 years) in Asian countries. Study design: Systematic review and meta-analysis.

Material and methods
We comprehensively searched specialised databases for relevant studies conducted in Asian countries between January 1, 1999, and May 30, 2017. Random effects models (using the DerSimonian-Laird method) and generic inverse variance methods were used for quantitative data synthesis. Sensitivity analysis was conducted using the ‘leave-one-out’ method. Heterogeneity was quantitatively assessed using the I2 index. Systematic review registration: CRD42016033061.

Among 22,286 identified citations, 41 studies met the inclusion criteria with n = 71,998 and n = 353,513 for children and adolescents. The pooled prevalence (overall, boys and girls) was 5.8% (n = 4175), 7.0% (n = 2631) and 4.8% (n = 1651) for obesity in children aged 5–11 years; 8.6% (n = 30,402), 10.1% (n = 17,990) and 6.2% (n = 10,874) for obesity in adolescents age 12–19 years. For overweight in children the values for overall, boys and girls were 11.2% (n = 7900), 11.7% (n = 4280) and 10.9% (n = 3698) respectively; and for overweight in adolescents, 14.6% (n = 46,886), 15.9% (27,183), and 13.7% (20,574). These findings were robust in sensitivity analyses. In children and adolescents a higher percentage of boys than girls are obese (children = 7.0 vs. 4.8%, adolescents = 10.1 vs. 6.2%, p < 0.001, respectively). Furthermore, in children and adolescents a higher percentage of boys than girls are overweight (children = 11.7 vs. 10.9%, adolescents = 15.9 vs. 13.7%, p < 0.001, respectively).

In view of the number of children who are overweight or obese, the associated detrimental effects on health, and the cost to health-care systems, implementation of programmes to monitor and prevent unhealthy weight gain in children and adolescents is needed throughout Asian countries.


childhood, adolescent, overweight, obesity

Rivera JA, de Cossio TG, Pedraza LS, Aburto TC, Sanchez TG, Martorell R. Childhood and adolescent overweight and obesity in Latin America: a systematic review. Lancet Diabetes Endocrinol 2014; 2: 321-32.
Mistry SK, Puthussery S. Risk factors of overweight and obesity in childhood and adolescence in South Asian countries: a systematic review of the evidence. Public Health 2015; 129: 200-9.
Swinburn BA, Sacks G, Hall KD, et al. The global obesity pandemic: shaped by global drivers and local environments. Lancet 2011; 378: 804-14.
Cunningham SA, Kramer MR, Narayan KMV. Incidence of childhood obesity in the United States. N Engl J Med 2014; 370: 403-11.
Lakshman R, Elks CE, Ong KK. Childhood obesity. Circulation 2012; 126: 1770-9.
Olaya B, Moneta MV, Pez O, et al. Country-level and individual correlates of overweight and obesity among primary school children: a cross-sectional study in seven European countries. BMC Public Health 2015; 15: 1-12.
WHO. Commission on Ending Childhood Obesity: Facts and figures on childhood obesity. World Health Organization 2014.
Caleyachetty R, Echouffo-Tcheugui JB, Tait CA, Schilsky S, Forrester T, Kengne AP. Prevalence of behavioural risk factors for cardiovascular disease in adolescents in low-income and middle-income countries: an individual participant data meta-analysis. Lancet Diabetes Endocrinol 2015; 3: 535-44.
Jayawardena R, Byrne NM, Soares MJ, Katulanda P, Hills AP. Prevalence, trends and associated socio-economic factors of obesity in South Asia. Obesity Facts 2013; 6: 405-14.
Lobstein T, Jackson-Leach R, Moodie ML, et al. Child and adolescent obesity: part of a bigger picture. Lancet 2015; 385: 2510-20.
Afshin A, Forouzanfar MH, Reitsma MB, et al. Health effects of overweight and obesity in 195 countries over 25 years. N Engl J Med 2017; 377: 13-27.
Ramachandran A, Snehalatha C. Rising burden of obesity in Asia. J Obesity 2010; 2010: pii: 868573.
Al-Hazzaa HM, Abahussain NA, Al-Sobayel HI, Qahwaji DM, Alsulaiman NA, Musaiger AO. Prevalence of overweight, obesity, and abdominal obesity among urban Saudi adolescents: gender and regional variations. J Health Popul Nutr 2014; 32: 634-45.
Higgins JP, Green S. Cochrane Handbook for Systematic Reviews of Interventions. Wiley Online Library 2008.
Hoy D, Brooks P, Woolf A, et al. Assessing risk of bias in prevalence studies: modification of an existing tool and evidence of interrater agreement. J Clin Epidemiol 2012; 65: 934-9.
Werfalli M, Musekiwa A, Engel ME, Ross I, Kengne AP, Levitt NS. The prevalence of type 2 diabetes mellitus among older people in Africa: a systematic review study protocol. BMJ Open 2014; 4: e004747.
Cole T, Bellizzi M, Flegal K, Dietz W. Establishing a standard definition of child overweight and obesity worldwide: international survey. BMJ 2000; 320: 1420-3.
de Onis M, Onyango AW, Borghi E, Siyam A, Nishida C, Siekmann J. Development of a WHO growth reference for school-aged children and adolescents. Bull World Health Organ 2007; 85: 660-7.
Higgins J, Green S. Cochrane Handbook for Systematic Reviews, version 5.0. The Cochrane Collaboration 2009.
Sutton AJ, Abrams KR, Jones DR, Sheldon TA, Son F. Methods for meta-analysis in medical research. John Wiley & Sons; West Sussex 2000.
Ferretti G, Bacchetti T, Sahebkar A. Effect of statin therapy on paraoxonase-1 status: a systematic review and meta-analysis of 25 clinical trials. Progress Lipid Research 2015; 60: 50-73.
Sahebkar A. Are curcuminoids effective C-reactive protein-lowering agents in clinical practice? Evidence from a meta-analysis. Phytother Res 2014; 28: 633-42.
Sahebkar A, Serban MC, Mikhailidis DP, et al. Head-to-head comparison of statins versus fibrates in reducing plasma fibrinogen concentrations: a systematic review and meta-analysis. Pharmacol Res 2016; 103: 236-52.
Duval S, Tweedie R. Trim and fill: a simple funnel-plot-based method of testing and adjusting for publication bias in meta-analysis. Biometrics 2000; 56: 455-63.
Borenstein M, Hedges L, Higgins J, Rothstein H. Comprehensive Metaanalysis (Vers. 2). Englewood Cliffs, NJ: Biostat. Inc; 2005.
Agarwal RK. Childhood obesity: emerging challenge. Indian Pediatr 2008; 45: 443-4.
Bose K, Bisai S, Mukhopadhyay A, Bhadra M. Overweight and obesity among affluent Bengalee schoolgirls of Lake Town, Kolkata, India. Matern Child Nutr 2007; 3: 141-5.
Goyal RK, Shah VN, Saboo BD, et al. Prevalence of overweight and obesity in Indian adolescent school going children: its relationship with socioeconomic status and associated lifestyle factors. J Assoc Phys India 2010; 58: 151-8.
Jagadesan S, Harish R, Miranda P, Unnikrishnan R, Anjana RM, Mohan V. Prevalence of overweight and obesity among school children and adolescents in Chennai. Indian Pediatr 2014; 51: 544-9.
Ramachandran A, Snehalatha C, Vinitha R, et al. Prevalence of overweight in urban Indian adolescent school children. Diabetes Res Clin Pract 2002; 57: 185-90.
Ayatollahi SMT, Mostajabi F. National prevalence of obesity – prevalence of obesity among schoolchildren in Iran. Obes Rev 2007; 8: 289-91.
Behzadnia S, Vahidshahi K, Hosseini SH, Anvari S, Ehteshami S. Obesity and related factors in 7-12 year-old elementary school students during 2009-2010 in Sari, Iran. Medicinski Glasnik 2012; 9: 86-90.
Hajian-Tilaki KO, Heidari B. Prevalence of obesity, central obesity and the associated factors in urban population aged 20-70 years, in the north of Iran: a population-based study and regression approach. Obes Rev 2007; 8: 3-10.
Maddah M. Overweight among rural girls in Iran: a terrifying prospects of cardiometabolic disorders. Int J Cardiol 2009; 132: 442-4.
Montazerifar F, Karajibani M, Rakhshani F, Hashemi M. Prevalence of underweight, overweight and obesity among high-school girls in Sistan va Baluchistan. East Mediterr Health J 2009; 15: 1293-300.
Tabesh H, Hosseiny SM, Kompani F, et al. Prevalence and trend of overweight and obesity among schoolchildren in Ahvaz, Southwest of Iran. Global J Health Sci 2014; 6: 35-41.
Taheri F, Kazemi T, Chahkandi T, Namakin K, Zardast M, Bijari B. Prevalence of overweight, obesity and central obesity among elementary school children in Birjand, east of Iran, 2012. J Res Health Sci 2013; 13: 157-61.
Zekavat OR, Makarem AR, Shayan Z, Shojaee M, Karami MY. Obesity and overweight among primary school children in Iran. Minerva Pediatr 2014; 66: 579-84.
Al Alwan I, Al Fattani A, Longford N. The effect of parental socioeconomic class on children’s body mass indices. J Clin Res Pediatr Endocrinol 2013; 5: 110-5.
Al-Almaie S. Knowledge of healthy diets among adolescents in eastern Saudi Arabia. Ann Saudi Med 2005; 25: 294-8.
Alenazi SA, Koura HM, Zaki SM, Mohamed AH. Prevalence of obesity among male adolescents in Arar Saudi Arabia: future risk of cardiovascular disease. Indian J Com Med 2015; 40: 182-7.
Al-Rukban MO. Obesity among Saudi male adolescents in Riyadh, Saudi Arabia. Saudi Med J 2003; 24: 27-33.
Amin TT, Al-Sultan AI, Ali A. Overweight and obesity and their relation to dietary habits and socio-demographic characteristics among male primary school children in Al-Hassa, Kingdom of Saudi Arabia. Eur J Nutr 2008; 47: 310-8.
Al-Isa AN. Body mass index, overweight and obesity among Kuwaiti intermediate school adolescents aged 10-14 years. Eur J Clin Nutr 2004; 58: 1273-7.
Allafi A, Al-Haifi AR, Al-Fayez MA, et al. Physical activity, sedentary behaviours and dietary habits among Kuwaiti adolescents: gender differences. Public Health Nutr 2014; 17: 2045-52.
El-Bayoumy I, Shady I, Lotfy H. Prevalence of obesity among adolescents (10 to 14 years) in Kuwait. Asia Pac J Publ Health 2009; 21: 153-9.
Chen CM. Overview of obesity in Mainland China. Obes Rev 2008; 9 Suppl 1: 14-21.
Chen F, Wang Y, Shan X, et al. Association between childhood obesity and metabolic syndrome: evidence from a large sample of chinese children and adolescents. PloS One 2012; 7: e47380.
Chu NF, Pan WH. Prevalence of obesity and its comorbidities among schoolchildren in Taiwan. Asia Pac J Clin Nutr 2007; 16: 601-7.
Liou YM, Liou TH, Chang LC. Obesity among adolescents: sedentary leisure time and sleeping as determinants. J Adv Nurs 2010; 66: 1246-56.
Cao ZQ, Zhu L, Zhang T, Wu L, Wang Y. Blood pressure and obesity among adolescents: a school-based population study in China. Am J Hyper 2012; 25: 576-82.
Fu WPC, Lee HC, Ng CJ, et al. Screening for childhood obesity: international vs population-specific definitions. Which is more appropriate? Int J Obes 2003; 27: 1121-6.
Li X, Liao B, Liu J, et al. Prevalence and risk factors for childhood obesity in Changsha and Shenzhen in China. Zhong Nan Da Xue Xue Bao Yi Xue Ban 2010; 35: 11-6.
Ma YN, Chen T, Wang D, Liu MM, He QC, Dong GH. Prevalence of overweight and obesity among preschool children from six cities of northeast China. Arch Med Res 2011; 42: 633-40.
Al-Hourani HM, Henry CJK, Lightowler HJ. Prevalence of overweight among adolescent females in the United Arab Emirates. Am J Hum Biol 2003; 15: 758-64.
bin Zaal AA, Musaiger AO, D’Souza R. Dietary habits associated with obesity among adolescents in Dubai, United Arab Emirates. Nutr Hospital 2009; 24: 437-44.
Abu Baker NN, Daradkeh SM. Prevalence of overweight and obesity among adolescents in Irbid governorate, Jordan. East Mediterr Health J 2010; 16: 657-62.
Hamaideh SH, Al-Khateeb RY, Al-Rawashdeh AB. Overweight and obesity and their correlates among Jordanian adolescents. J Nurs Scholarship 2010; 42: 387-94.
Ibrahim AI, Hawamdeh ZM, Al-Smadi JT, Ammari BA. Prevalence of overweight and obesity in urban and semi-urban Jordanian children aged 3-6 years. Child Care Health Develop 2008; 34: 464-9.
Khader Y, Irshaidat O, Khasawneh M, Amarin Z, Alomari M, Batieha A. Overweight and obesity among school children in Jordan: prevalence and associated factors. Matern Child Health J 2009; 13: 424-31.
Al-Raees GY, Al-Amer MA, Musaiger AO, D’Souza R. Prevalence of overweight and obesity among children aged 2-5 years in Bahrain: a comparison between two reference standards. Int J Pediatr Obes 2009; 4: 414-6.
Al-Sendi AM, Shetty P, Musaiger AO. Prevalence of overweight and obesity among Bahraini adolescents: a comparison between three different sets of criteria. Eur J Clin Nutr 2003; 57: 471-4.
Nakano T, Sei M, Ewis AA, Munakata H, Onishi C, Nakahori Y. Tracking overweight and obesity in Japanese children; a six years longitudinal study. J Med Investig 2010; 57: 114-23.
Sun Y, Sekine M, Kagamimori S. Lifestyle and overweight among Japanese adolescents: the Toyama Birth Cohort Study. J Epidemiol 2009; 19: 303-10.
Pwint MK, Lee YS, Wong TY, Saw SM. Prevalence of overweight and obesity in Chinese preschoolers in Singapore. Ann Acad Med Singapore 2013; 42: 66-72.
Seubsman SA, Lim LLY, Banwell C, et al. Socioeconomic status, sex, and obesity in a large national cohort of 15-87-year-old open university students in Thailand. J Epidemiol 2010; 20: 13-20.
Gopalakrishnan S, Ganeshkumar P, Prakash MVS, Christopher, Amalraj V. Prevalence of overweight/obesity among the medical students, Malaysia. Med J Malaysia 2012; 67: 442-4.
Bar Dayan Y, Elishkevits K, Grotto I, et al. The prevalence of obesity and associated morbidity among 17-year-old Israeli conscripts. Public Health 2005; 119: 385-9.
Ahmed J, Laghari A, Naseer M, Mehraj V. Prevalence of and factors associated with obesity among Pakistani schoolchildren: a school-based, cross-sectional study. East Mediterr Health J 2013; 19: 242-7.
Akbulut G, Yildirim M, Sanlier N, et al. Comparison of energy balance-related behaviours and measures of body composition between Turkish adolescents in Turkey and Turkish immigrant adolescents in the Netherlands. Public Health Nutr 2014; 17: 2692-9.
Al-Almaie SM. Prevalence of obesity and overweight among Saudi adolescents in Eastern-Saudi Arabia. Saudi Med J 2005; 26: 607-11.
Maddah M, Nikooyeh B. Obesity among Iranian adolescent girls: location of residence and parental obesity. J Health Popul Nutr 2010; 28: 61-6.
Aggarwal T, Bhatia RC, Singh D, Sobti PC. Prevalence of obesity and overweight in affluent adolescents from Ludhiana, Punjab. Indian Pediatr 2008; 45: 500-2.
Al-Raees GY, Al-Amer MA, Musaiger AO, D’Souza R. Prevalence of overweight and obesity among children aged 2-5 years in Bahrain: a comparison between two reference standards. Int J Pediatr Obes 2009; 4: 414-6.
Li AM, Au CT, Ng C, Lam HS, Ho CKW, Wing YK. A 4-year prospective follow-up study of childhood OSA and its association with BP. Chest 2014; 145: 1255-63.
Ng M, Fleming T, Robinson M, et al. Global, regional, and national prevalence of overweight and obesity in children and adults during 1980-2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet 2014; 384: 766-81.
Ogden CL, Carroll MD, Lawman HG, et al. Trends in obesity prevalence among children and adolescents in the united states, 1988-1994 through 2013-2014. JAMA 2016; 315: 2292-9.
Ahrens W, Pigeot I, Pohlabeln H, et al. Prevalence of overweight and obesity in European children below the age of 10. Int J Obes 2014; 38 Suppl 2: S99-107.
Worldwide trends in body-mass index, underweight, overweight, and obesity from 1975 to 2016: a pooled analysis of 2416 population-based measurement studies in 128.9 million children, adolescents, and adults. Lancet 2017; 390: 2627-42.
Organization WH. Obesity and overweight. Fact sheet No. 311. September 2006. Online document at: www who int/mediacentre/factsheets/fs311/en/index html Accessed September. 2010;13.
Kotian MS, Kumar SG, Kotian SS. Prevalence and determinants of overweight and obesity among adolescent school children of South Karnataka, India. Indian J Community Med 2010; 35: 176-8.
Goyal JP, Kumar N, Parmar I, Shah VB, Patel B. Determinants of overweight and obesity in affluent adolescent in Surat city, South Gujarat region, India. Indian J Community Med 2011; 36: 296-300.
Vohra R, Bhardwaj P, Srivastava JP, Srivastava S, Vohra A. Overweight and obesity among school-going children of Lucknow city. J Family Community Med 2011; 18: 59-62.
Bovet P, Chiolero A, Shamlaye C, Paccaud F. Prevalence of overweight in the Seychelles: 15 year trends and association with socio-economic status. Obesity Rev 2008; 9: 511-7.
Zhang X, van der Lans I, Dagevos H. Impacts of fast food and the food retail environment on overweight and obesity in China: a multilevel latent class cluster approach. Public Health Nutr 2012; 15: 88-96.
Cheng TO. Fast food, automobiles, television and obesity epidemic in Chinese children. Int J Cardiol 2005; 98: 173-4.
Kelishadi R, Marashinia F, Heshmat R, et al. First report on body image and weight control in a nationally representative sample of a pediatric population in the Middle East and North Africa: the CASPIAN-III study. Arch Med Sci 2013; 9: 210-7.
Wisniewski AB, Chernausek SD. Gender in childhood obesity: family environment, hormones, and genes. Gender Med 2009; 6: 76-85.
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