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|Title||Obesity Among Primary School Male Children Aged 10-12 Years in West Gaza City|
|Title in Arabic||السمنة لدى الأطفال الذكور (10-12 سنة ) في المدارس الابتدائية فى غرب مدينة غزة|
Background: Obesity is a multi-factorial disease that develops from the interaction between genotype and the environment. It is a major public health problem resulting in serious social, physical and psychological damage. The prevalence of obesity and overweight among children is rising to alarming levels in developed and developing countries including Gaza strip. Objectives: To assess obesity among primary school male children aged 10-12 years in West Gaza City. Materials and Methods: This case control study comprised 96 obese children (BMI ≥23 kg/m2) and 96 non-obese children (BMI 15-20 kg/m2). Controls and cases were matched in age and socioeconomic conditions. Questionnaire interview was applied. BMI for children was calculated by a computer graphs program specially design to this purpose. Sex, age (years and months), height (in maters) and weight (in kilograms) were introduce into the program. Then by one click on calculate button, the BMI was automatically calculated. Serum leptin, lipid profile and complete blood count were determined. Data were analyzed using SPSS version 18.0. Results: The prevalence of obesity among primary school male children aged 10-12 years in West Gaza City was 4.3%. Average body mass index of obese children (cases) was 25.8±2.7 whereas that of control children was 17.4±1.0. Family history, eating >3 meals/day, eating while watching television and lack of physical activity in terms of doing exercise and playing football were found to of be factors that affect the obesity among the children. The mean level of leptin was markedly elevated in cases compared to controls (31.5±16.3 Vs 6.9±6.1 ng/ml, % difference=356.5%, P=0.000) ). When related to BMI, leptin showed positive correlation with BMI (r=0.305 and P=0.003) and total cholesterol (r=0.202 and P=0.049) in obese children. The mean levels of total cholesterol(TC), triglycerides(TAG) and low density lipoprotein (LDL) were significantly increased in cases compared to controls(153.2±34.4 Vs 138.2±22.5 mg/dl, % difference=10.9%, P=0.000; 117.7±34.9 Vs 100.3±27.4 mg/dl, % difference=17.3%, P=0.000; and 84.9±35.9 Vs 69.6±21.1 mg/dl, % difference=22.0, P=0.000, respectively) whereas the mean level of high density lipoprotein (HDL) was significantly decreased in cases (44.2±13.5 Vs 49.5±12.8 mg/dl, % difference=10.7, P=0.000). White blood cells and blood platelets counts were increased in obese children compared to controls. However, the increase in blood platelets was significant (356.2±82.6 Vs 326.5±85.3 X103cell/μl, % difference=9.1, P=0.014). Red blood cells were significantly increased (4.87±0.44 Vs 4.75±0.42 X106cell/μl, % difference=2.5, P=0.047) whereas MCV and MCH were significantly decreased in obese children (75.9±5.2 Vs 78.4±4.1fl % differences of 3.2, p=0.000 and 24.3±2.3 Vs 25.3±1.9pg % differences of 4.0, p=0.000).
|Publisher||the islamic university|
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