Dietary patterns and child, parental, and societal factors associated with being overweight and obesity in Vietnamese children living in Ho Chi Minh city

Abstract Childhood overweight and obesity are rapidly increasing in urban Vietnam. Dietary patterns are understudied for their association with obesity risk in these children, and it is unclear which parental and societal factors should be targeted in prevention efforts. The study assessed child cha...

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Main Authors: Thi My Thien Mai, Quoc Cuong Tran, Smita Nambiar, Danielle Gallegos, Jolieke C. Van der Pols
Format: Article
Language:English
Published: Wiley 2024-01-01
Series:Maternal and Child Nutrition
Subjects:
Online Access:https://doi.org/10.1111/mcn.13514
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author Thi My Thien Mai
Quoc Cuong Tran
Smita Nambiar
Danielle Gallegos
Jolieke C. Van der Pols
author_facet Thi My Thien Mai
Quoc Cuong Tran
Smita Nambiar
Danielle Gallegos
Jolieke C. Van der Pols
author_sort Thi My Thien Mai
collection DOAJ
description Abstract Childhood overweight and obesity are rapidly increasing in urban Vietnam. Dietary patterns are understudied for their association with obesity risk in these children, and it is unclear which parental and societal factors should be targeted in prevention efforts. The study assessed child characteristics, dietary patterns, parental and societal factors for associations with childhood overweight and obesity status in Ho Chi Minh City, Vietnam. A sample of 221 children aged 9–11 years was randomly selected from four Ho Chi Minh City primary schools. Weight, height and waist circumference were measured using standardized methods. Three 24‐h dietary recalls were collected from 124 children, which were used to assess dietary patterns using principal component analysis (PCA). Parents completed a questionnaire about child, parental and societal factors. The overall prevalence of obesity was 31.7% and of combined overweight and obesity 59.3%. Three main dietary patterns from 10 food groups were identified by PCA: traditional (grains, vegetables, meat and meat alternatives), discretionary (snacks and sweetened beverages), and industrialized (fast food and processed meat). Children with higher discretionary diet scores had higher odds of being overweight. Being a boy, screen time over 2 h/day, parental underestimation of child weight status, father's obesity, and household income in the lowest quintile were positively associated with childhood obesity. Future intervention programmes in Vietnam need to consider targeting children's unhealthy diets and parental perceptions of child weight status, as well as focusing on upstream approaches that reduce inequities contributing to childhood obesity and concomitant dietary patterns.
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spelling doaj.art-e8d172a5e7a3411b811c0aefda54e5ba2024-01-04T11:05:40ZengWileyMaternal and Child Nutrition1740-86951740-87092024-01-0120S2n/an/a10.1111/mcn.13514Dietary patterns and child, parental, and societal factors associated with being overweight and obesity in Vietnamese children living in Ho Chi Minh cityThi My Thien Mai0Quoc Cuong Tran1Smita Nambiar2Danielle Gallegos3Jolieke C. Van der Pols4School of Exercise and Nutrition Sciences Queensland University of Technology (QUT) Brisbane Queensland AustraliaDepartment of Nutrition and Food Safety, Faculty of Public Health Pham Ngoc Thach Medical University Ho Chi Minh City VietnamSchool of Exercise and Nutrition Sciences Queensland University of Technology (QUT) Brisbane Queensland AustraliaSchool of Exercise and Nutrition Sciences Queensland University of Technology (QUT) Brisbane Queensland AustraliaSchool of Exercise and Nutrition Sciences Queensland University of Technology (QUT) Brisbane Queensland AustraliaAbstract Childhood overweight and obesity are rapidly increasing in urban Vietnam. Dietary patterns are understudied for their association with obesity risk in these children, and it is unclear which parental and societal factors should be targeted in prevention efforts. The study assessed child characteristics, dietary patterns, parental and societal factors for associations with childhood overweight and obesity status in Ho Chi Minh City, Vietnam. A sample of 221 children aged 9–11 years was randomly selected from four Ho Chi Minh City primary schools. Weight, height and waist circumference were measured using standardized methods. Three 24‐h dietary recalls were collected from 124 children, which were used to assess dietary patterns using principal component analysis (PCA). Parents completed a questionnaire about child, parental and societal factors. The overall prevalence of obesity was 31.7% and of combined overweight and obesity 59.3%. Three main dietary patterns from 10 food groups were identified by PCA: traditional (grains, vegetables, meat and meat alternatives), discretionary (snacks and sweetened beverages), and industrialized (fast food and processed meat). Children with higher discretionary diet scores had higher odds of being overweight. Being a boy, screen time over 2 h/day, parental underestimation of child weight status, father's obesity, and household income in the lowest quintile were positively associated with childhood obesity. Future intervention programmes in Vietnam need to consider targeting children's unhealthy diets and parental perceptions of child weight status, as well as focusing on upstream approaches that reduce inequities contributing to childhood obesity and concomitant dietary patterns.https://doi.org/10.1111/mcn.13514childhood overweight and obesitydietary patternlife‐course nutritionnutrition transitionobesity inequityparental perception
spellingShingle Thi My Thien Mai
Quoc Cuong Tran
Smita Nambiar
Danielle Gallegos
Jolieke C. Van der Pols
Dietary patterns and child, parental, and societal factors associated with being overweight and obesity in Vietnamese children living in Ho Chi Minh city
Maternal and Child Nutrition
childhood overweight and obesity
dietary pattern
life‐course nutrition
nutrition transition
obesity inequity
parental perception
title Dietary patterns and child, parental, and societal factors associated with being overweight and obesity in Vietnamese children living in Ho Chi Minh city
title_full Dietary patterns and child, parental, and societal factors associated with being overweight and obesity in Vietnamese children living in Ho Chi Minh city
title_fullStr Dietary patterns and child, parental, and societal factors associated with being overweight and obesity in Vietnamese children living in Ho Chi Minh city
title_full_unstemmed Dietary patterns and child, parental, and societal factors associated with being overweight and obesity in Vietnamese children living in Ho Chi Minh city
title_short Dietary patterns and child, parental, and societal factors associated with being overweight and obesity in Vietnamese children living in Ho Chi Minh city
title_sort dietary patterns and child parental and societal factors associated with being overweight and obesity in vietnamese children living in ho chi minh city
topic childhood overweight and obesity
dietary pattern
life‐course nutrition
nutrition transition
obesity inequity
parental perception
url https://doi.org/10.1111/mcn.13514
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