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Tsedey Moges 1 Article
Is inadequate play area in schools associated with overweight among students in Addis Ababa, Ethiopia? A comparative cross-sectional study
Tsedey Moges, Bereket Gebremichael, Solomon Shiferaw, Robel Yirgu
Epidemiol Health. 2018;40:e2018017.   Published online May 12, 2018
DOI: https://doi.org/10.4178/epih.e2018017
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  • 12 Web of Science
  • 11 Crossref
AbstractAbstract PDF
Abstract
OBJECTIVES
The prevalence of childhood obesity has more than doubled since it was formally recognized as a global epidemic in 1997. With the increasingly dwindling space for private schools in Ethiopia, unresolved concerns exist among the public regarding the possible effect of limited play areas in schools on overweight/obesity. This study intended to determine and compare the levels of overweight/obesity among adolescents in private schools with and without adequate play area in Addis Ababa, Ethiopia.
METHODS
A school-based comparative cross-sectional study was conducted among 1,276 adolescents. Twenty private schools were grouped into 2 groups based on the size of the play area. Data were collected using a pre-tested questionnaire and anthropometric measurements and analyzed using descriptive statistical tests and logistic regression.
RESULTS
The magnitude of overweight/obesity was significantly higher in schools with inadequate play area (19.4%; 95% confidence interval [CI], 16.4 to 22.7) than in schools with adequate play area (14.6%; 95% CI, 11.9 to17.5). Inadequacy of the play area was also positively associated with overweight/obesity in the multiple logistic regression analysis (odds ratio [OR], 1.62; 95% CI, 1.05 to 2.51). Using private car transportation to and from school (OR, 2.27; 95% CI, 1.13 to 4.57), father’s educational status (secondary school and above: OR, 2.54; 95% CI, 1.14 to 5.62), and middle wealth quintile (OR, 2.54; 95% CI, 1.50 to 4.33) were other factors significantly associated with overweight/obesity.
CONCLUSIONS
Inadequate play area in schools was an important contributor to overweight/obesity. Sedentary behavior was also significantly associated with overweight/obesity.
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Citations

Citations to this article as recorded by  
  • Burden of overweight and obesity among adolescents in Ethiopia: a systematic review and meta-analysis
    Addis Eyeberu, Yadeta Dessie, Nega Assefa
    International Health.2024;[Epub]     CrossRef
  • Teachers’ perception of their students’ dietary habits in Addis Ababa, Ethiopia: a qualitative study
    Mekdes Mekonnen Kifle, Laura Terragni, Marianne Morseth
    BMC Nutrition.2024;[Epub]     CrossRef
  • Barriers and facilitators of physical activity among school attending adolescents in Lagos State, Nigeria: A qualitative study exploring views and experiences of decision‐makers in secondary schools
    Busola Adebusoye, Jo Leonardi‐Bee, Revati Phalkey, Kaushik Chattopadhyay
    Health Science Reports.2023;[Epub]     CrossRef
  • A systematic review and meta-analysis of adolescent nutrition in Ethiopia: Transforming adolescent lives through nutrition (TALENT) initiative
    Mubarek Abera, Abdulhalik Workicho, Melkamu Berhane, Desta Hiko, Rahma Ali, Beakal Zinab, Abraham Haileamlak, Caroline Fall, Chiranjivi Adhikari
    PLOS ONE.2023; 18(4): e0280784.     CrossRef
  • Overnutrition in adolescents and its associated factors in Dale district schools in Ethiopia: a cross-sectional study
    Beruk Berhanu Desalegn, Tona Zema Diddana, Alemneh Kabeta Daba, Tagel Alemu Tafese
    PeerJ.2023; 11: e16229.     CrossRef
  • Correlates of Sedentary Time Among Children and Adolescents in Ethiopia: A Cross-Sectional Study
    Sibhatu Biadgilign, Tennyson Mgutshini, Bereket Gebremichael, Demewoz Haile, Lioul Berhanu, Stanley Chitekwe, Peter Memiah
    Pediatric Exercise Science.2022; : 1.     CrossRef
  • Association of built environment constructs and physical activity among children and adolescents in Africa: a systematic review and meta-analysis
    Busola Adebusoye, Kaushik Chattopadhyay, Winifred Ekezie, Revati Phalkey, Jo Leonardi-Bee
    JBI Evidence Synthesis.2022; 20(10): 2410.     CrossRef
  • Prevalence and Associated Factors of Overweight and Obesity among High School Adolescents in Bahir Dar City, Northwest, Ethiopia: A Cross-Sectional Study
    Mulugebeya Worku, Zemichael Gizaw, Aysheshim Kassahun Belew, Alemakef Wagnew, Melkamu Tamir Hunegnaw, Chris I. Ardern
    Journal of Obesity.2021; 2021: 1.     CrossRef
  • Stakeholder analysis of childhood obesity prevention policies in Iran
    Shahnaz Taghizadeh, Rahim Khodayari Zarnag, Mahdieh Abbasalizad Farhangi
    Archives of Public Health.2021;[Epub]     CrossRef
  • Risk factors and morbidities associated with childhood obesity in sub-Saharan Africa: a systematic scoping review
    Frederick Inkum Danquah, Monica Ansu-Mensah, Vitalis Bawontuo, Matilda Yeboah, Roseline H. Udoh, Mohammed Tahiru, Desmond Kuupiel
    BMC Nutrition.2020;[Epub]     CrossRef
  • Prevalence, incidence, and trends of childhood overweight/obesity in Sub-Saharan Africa: a systematic scoping review
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    Archives of Public Health.2020;[Epub]     CrossRef

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