Obesity

Associations of 24‐h movement behaviour with overweight and obesity among school‐aged children and adolescents in Pakistan: An empirical cross‐sectional study

Pediatr ObesPublished Cross-sectional study

Authors' conclusion

Children failing to meet none or only one guideline faced increased overweight/obesity risk compared to those meeting all recommendations. Individual-level factors such as eating habits, physical activity, sedentary behaviour, sleep patterns, and unhealthy lifestyle choices significantly influenced body weight status. Urgent interventions are needed to enhance physical education resources and sports facilities in schools to create healthier environments and reduce overweight/obesity prevalence among students, promoting lifelong habits of physical activity and improving health and well-being.

Study context

Population
School-aged children and adolescents aged 9–17 years, 62 schools in central Punjab, Pakistan; Body mass index (BMI) classified by CDC US 2000 BMI percentilesplus 3371 parents
Participants
4,200 children
Exposure
24-h movement behaviours and overweight/obesity
Outcome
Overweight and obesity
Methodological detailspopulation-based, multistage random cluster sampling, 62 schools, Conducted 15 January to 15 March 2023
  • Population-based
  • Multistage random cluster sampling
  • 62 schools
  • Conducted 15 January to 15 March 2023

Main finding

As reported in the abstract

Associations of 24-h movement behaviours with overweight/obesity

Fast food three or more days/week: odds of obesity (OR)

9.95

p < 0.01

PA <60 min/day, twice a week or less: odds of obesity (OR)

3.47

p < 0.01

Screen time three or more h/day: odds of obesity (OR)

2.50

p < 0.01

Short sleeper: odds of overweight (OR)

3.54

p < 0.01

Observational data: associations, not effects.

Further findings

Not meeting recommended guidelines

Junk food consumption (boys, girls)
31.5% boys, 33.3% girls
Physical activity (boys, girls)
70% boys, 83.8% girls
Screen time (boys, girls)
37.7% boys, 41.1% girls
Sleep (boys, girls)
55.7% boys, 54% girls

Original publication

Associations of 24‐h movement behaviour with overweight and obesity among school‐aged children and adolescents in Pakistan: An empirical cross‐sectional study. Pediatr Obes. Published 23 February 2025. doi:10.1111/ijpo.13208

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