Vulnerability and Weaknesses of Eating Habits of Overweight School Children as an Entry Risk for COVID-19

Authors

  • Ammal M. Metwally Community Medicine Department, Medical Research Division, National Research Centre (ID: 60014618), P.O. 12622, Dokki, Cairo, Egypt
  • Fatma A. Shaaban Child Health Department, Medical Research Division, National Research Centre (ID: 60014618), P.O. 12622, Dokki, Cairo, Egypt
  • Walaa S. Mahmoud Biological Anthropology Department, Medical Research Division, National Research Centre (ID: 60014618), P.O. 12622, Dokki, Cairo, Egypt
  • Ebtissam M. Salah Child Health Department, Medical Research Division, National Research Centre (ID: 60014618), P.O. 12622, Dokki, Cairo, Egypt
  • Marwa M. El-Sonbaty Child Health Department, Medical Research Division, National Research Centre (ID: 60014618), P.O. 12622, Dokki, Cairo, Egypt; Department of Pediatrics, College of Medicine, Taibah University, Madinah, KSA
  • Hanan A. Hussien Agricultural Research Centre, Giza, Egypt
  • Nabih Abdel Hamid Agricultural Research Centre, Giza, Egypt
  • Lobna A. El Etreby Community Medicine Department, Medical Research Division, National Research Centre (ID: 60014618), P.O. 12622, Dokki, Cairo, Egypt
  • Amal Hassanin Agricultural Research Centre, Giza, Egypt
  • Zeinab Monir Child Health Department, Medical Research Division, National Research Centre (ID: 60014618), P.O. 12622, Dokki, Cairo, Egypt

DOI:

https://doi.org/10.3889/oamjms.2020.5049

Keywords:

Coronavirus disease, Obesity, Primary school children, Nutrient-rich food, Calorie dense food, Dietary behavior

Abstract

BACKGROUND: In developing countries, overweight among children becomes an alarming problem and a health concern. Obesity is a factor in disease severity of coronavirus disease (COVID-19) having the greatest impact on patients.

AIM: The aim of this study was to determine the prevalence of overweight in some of the Egyptian governmental primary school children, its nutritional and socioeconomic determinants. Special focus was directed to identify the current dietary practices including risky nutritional habits of overweight children as a weak point leading to increasing their vulnerability to catching COVID-19 infection.

METHODS: A cross-sectional observational study was conducted on primary school children aged 6–12 years. General demographic data, socioeconomic data, dietary pattern, intake of a diversity of nutrient-rich food versus calorie-dense food, and anthropometrical data were collected.

RESULTS: Of 1600 child, there were 8% overweight who are considered at risk of COVID-19 infection. Considering the weekly share of the stomach, only one-third of the food consumed by overweight children is nutrient-rich, with high consumption of French fries and Candies (once per day among 95% and 78 % of overweight children, respectively). Moreover, 90% of them consume sugar-sweetened beverages (SSB) more than once per day. The majority of overweight children belonged to small, middle- income families, and had illiterate or read and write mothers.

CONCLUSION: Overweight children eat narrow diversity of nutrient-rich food that includes vegetables, fruits, protein, and dairy products. They eat more calorie-dense foods, every day. The increase of family income increased the likelihood of having overweight children with a high intake of SSB, candies, and chips; consumption of snacks between meals and before sleep. Protective predictors against overweight were highly educated mothers, taking breakfast before school, having dinner, and taking meals on time.

RECOMMENDATION: Nutritional behavioral education aiming at choosing nutritious and varied options of food that is effective for improving children’s nutritional status is the key to decreasing vulnerability toward COVID 19.

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References

Ye ZW, Jin DY. Diagnosis, treatment, control and prevention of SARS-CoV-2 and coronavirus disease 2019: Back to the future. Sheng Wu Gong Cheng Xue Bao. 2020;36(4):571-92. PMid:32347053

The 2020 Global Nutrition Report in the Context of Covid-19. Available from: https://www.globalnutritionreport.org. [Last accessed on 2020 Apr 25].

Ryan DH, Ravussin E, Heymsfield S. COVID 19 and the patient with obesity-the editors speak out. Obesity (Silver Spring). 2020;28(5):847. https://doi.org/10.1002/oby.22808 PMid:32237212

Svedberg P. How many people are malnourished? Annu Rev Nutr. 2011;31:263-83. https://doi.org/10.1146/ annurev-nutr-081810-160805 PMid:21756133

Whitlock EP, Williams SB, Gold R, Smith PR, Shipman SA. Screening and interventions for childhood overweight: A summary of evidence for the US preventive services task force. Pediatrics. 2010;116(1):e125-44. https://doi.org/10.1542/ peds.2005-0242 PMid:15995013

UNICEF, for Every Child, Nutrition, Appropriate Nutrition is Crucial for Optimal Growth and Development of Children; 2019. Available from: https://www.unicef.org/egypt/nutrition. [Last accessed on 2020 Apr 19].

Tuszczki E, Sobek G, Bartosiewicz A, Baran J, Weres A, Dereń K, et al. Analysis of fruit and vegetable consumption by children in school canteens depending on selected sociodemographic factors. Medicina. 2019;55(7):397. https://doi.org/10.3390/ medicina55070397 PMid:31336674

Global Nutrition Report Shining a Light to Spur Action on Nutrition; 2018. Available from: http//:www.E:/date%20project/SFP/ risk%20factor%20malnutrition/2018_Global_Nutrition_Report_ Executive_Summary.pdf. [Last accessed on 2020 Apr 01].

Hassanain AI, Ahmed FA, El-Sonbaty MM, Amgad KH, Salem SM, William M. Relation of plasma ghrelin levels with leptin in obese children and adolescents. IJAR. 2012;4(1):119-24.

Diamond A. Interrelated and interdependent. Dev Sci. 2007;10(1):152-8. PMid:17181714

Datar A, Sturm R. Childhood overweight and elementary school outcomes. Int J Obes. 2006;30(9):1449-60. https://doi. org/10.1038/sj.ijo.0803311 PMid:16534518

El-Masry SA, Gamal HA, Al-Tohamy M, Ayman N, Abdelrahman AH, Mohamed M, et al. Infect-obesity in Egyptian adolescent women and its relations to carotid intima-media thickness. J Arab Soc Med Res. 2018;13(2):79. https://doi. org/10.4103/jasmr.jasmr_20_18

Hintze J. PASS 11. NCSS, LLC. Kaysville, Utah, USA. Available from: http://www.ncss.com. [Last accessed on 2019 Jul 07].

Newcombe RG. Two-sided confidence intervals for the single proportion: Comparison of seven methods. Stat Med. 1998;17(8):857-72. https://doi.org/10.1002/(sici)1097-0258 (19980430)17:83.0.co;2-e PMid:9595616

Lohman TG, Roche AF, Martorell R. Anthropometric Standardization Reference Manual. Champaign, IL: Human Kinetics Publishers; 1988.

World Health Organization. Anthro-plus for personal computers. In: Manual Software for Assessing Growth of the World’s Children and Adolescents. Geneva: World Health Organization; 2009. Available from: http://www.who.int/growthref/tools/en. [Last accessed on 2019 Jul 05].

SPSS IBM Corp. Released. IBM SPSS Statistics for Windows, Version 24.0. Armonk, NY: SPSS IBM Corp; 2016.

Dobner J, Kaser S. Body mass index and the risk of infection-from underweight to obesity. Clin Microbiol Infect. 2018;24(1):24e-8. https://doi.org/10.1016/j.cmi.2017.02.013 PMid:28232162

Magrone T, Jirillo E. Childhood obesity: Immune response and nutritional approaches. Nutr Immunol. 2015;6:76. https://doi. org/10.3389/fimmu.2015.00076 PMid:25759691

Carbone F, La Rocca C, De Candia P, Procaccini C, ColamatteoA, Micillo T, et al. Metabolic control of immune tolerance in health and autoimmunity. Semin Immunol. 2016;28(5):491e-504. https://doi.org/10.1016/j.smim.2016.09.006 PMid:27720234

Achofield C. Why Being Overweight Could Put You at a More Risk of Severe Coronavirus Symptoms; 2020. https://www. rugbyadvertiser.co.uk. [Last accessed on 2020 May 01].

Umano GR, Pistone C, Tondina E, Moiraghi A, Lauretta D, Del Giudice EM, et al. Pediatric obesity and the immune system. Front Pediatr. 2019;7:487. PMid:31824900

Kelishadi R, Roufarshbaf M, Soheili S, Payghambarzadeh F, Masjedi M. Association of childhood obesity and the immune system: A systematic review of reviews. Child Obes. 2017;13(4):332-46. https://doi.org/10.1089/chi.2016.0176 PMid:28604080

Luzi L, Radaelli MG. Influenza and obesity: Its odd relationship and the lessons for the COVID-19 pandemic. Acta Diabetol 2020;57(6):759-64. https://doi.org/10.1007/ s00592-020-01522-8 PMid:32249357

Iacobellis G, Malavazos AE, Ferreira T. COVID-19 rise in younger adults with obesity: Visceral adiposity can predict the risk. Obesity (Silver Spring). 2020. https://doi.org/10.1002/ oby.22951

Deng M, Qi Y, Deng L, Wang H, Xu Y, Li Z, et al. Obesity as a Potential Predictor of Disease Severity in Young COVID19 Patients: A Retrospective Study. Obesity (Silver Spring). Obesity as a Potential Predictor of Disease Severity in Young COVID-19 Patients: A Retrospective Study; 2020.

Simonnet A, Chetboun M, Poissy J, Raverdy V, Noulette J, Duhamel A, et al. High prevalence of obesity in severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) requiring invasive mechanical ventilation. Obesity. 2020;28(7):1195-9. https://doi.org/10.1002/oby.22831 PMid:32271993

WHO. Malnutrition; 2018. Available from: https://www.who.int/ news-room/fact-sheets/detail/malnutrition. [Last accessed on 2019 May 01].

Wahed WY, Hassan SK, Eldessouki R. Malnutrition and its associated factors among rural school children in Fayoum governorate, Egypt. J Environ Public Health. 2017;2017:4783791. https://doi.org/10.1155/2017/4783791

Hadhood SE, Ali RA, Mohamed MM, Mohammed ES. Prevalence and correlates of overweight and obesity among school children in Sohag, Egypt. Open J Gastroenterol. 2017;7(2):75-88. https:// doi.org/10.4236/ojgas.2017.72009

Al-Ghannami S, Al-Shammakhi S, Al Jawaldeh A, Al-Mamari F, Al Gammaria I, Al-Aamry J, et al. Rapid assessment of marketing of unhealthy foods to children in mass media, schools and retail stores in Oman. East Mediterr Health J. 2019;25(11):820-7. https://doi.org/10.26719/emhj.19.066 PMid:31782519

Global Nutrition Report, Egypt. Country Overview; 2019. Available from: https://www.globalnutritionreport.org/resources/ nutrition-growth-commitment-tracking. [Last accessed on 2020 Jan 31].

El-Shafie A, Hogran H, Dohein A. Prevalence of obesity in primary school children living in Alexandria governorate. Menoufia Med J. 2014;27:529-32. https://doi.org/10.4103/1110-2098.145502

Taha AA, Marawan HM. Socio-behavioral determinants of overweight and obesity in Egyptian primary school children. J Child Adolesc Behav. 2015;3:236. https://doi. org/10.4172/2375-4494.1000236

Amin TT, Al-Sultan AI, Ali A. Overweight and obesity and their association with dietary habits and sociodemographic characteristics among male primary school children in Al-Hassa, Kingdom of Saudi Arabia. Indian J Community Med. 2008;33(3):172-81. https://doi.org/10.4103/0970-0218.42058 PMid:19876479

Metwally AM, El-Sonbaty MM, El Etreby LA, Salah El-Din EM, Hamid NA, Hussien HA, et al. Impact of national Egyptian school feeding program on growth, development and school achievement of school children. World J Pediatr. 2020; 16(4):393-400. https://doi.org/10.1007/s12519-020-00342-8 PMid:32056148

Salah EM, Khalifa AG, Metwally AM., Hamid NA, Hussien HA, Moneer ZM. The impact of school snacks on cognitive function of primary school children in Egypt. J Appl Sci Res. 2012;8(12):5639-50.

Wang S, Schwartz MB, Shebl FM, Read M, Henderson KE, Ickovics JR. School breakfast and body mass index: A longitudinal observational study of middle school students. Pediatr Obes. 2017;12(3):213-20. https://doi.org/10.1111/ ijpo.12127 PMid:26989876

Chomba H, Haikael M, Judith K. Prevalence and predictors of obesity among 7-to 17-year-old schoolchildren in Urban Arusha, Tanzania. J Nutr Metab. 2019;2019:3106597. https:// doi.org/10.1155/2019/3106597 PMid:31772772

El Serougy S, Salama S, Salama I, Shaaban F, Sami S. Effects of obesity and some sociodemographic determinants on health-related quality of life in school-aged children in greater Cairo. Med Res J. 2012;11(1):12-9. https://doi.org/10.1097/01. mjx.0000414712.54546.57

Organization for Economic Co-operation and Development. Doing Better for Families. Paris: Organization for Economic Co-operation and Development; 2011.

Organization for Economic Co-operation and Development. Babies and Bosses: Reconciling Work and Family Life: A Synthesis of Findings from OECD Countries. Paris: Organization for Economic Co-operation and Development; 2007.

Cawley J, Liu F. Maternal employment and childhood obesity: A search for mechanisms in time use data. Econ Hum Biol. 2012;10(4):352-64. https://doi.org/10.3386/w13600 PMid:22790446

Hope S, Pearce A, Whitehead M, Law C. Parental employment during early childhood and overweight at 7-years: Findings from the UK millennium cohort study. BMC Obes. 2015;2:33. https:// doi.org/10.1186/s40608-015-0065-1 PMID:26388995

Monsivais P, Aggarwal A, Drewnowski A. Time spent on home food preparation and indicators of healthy eating. Am J Prev Med. 2014;47(6):796-802. https://doi.org/10.1016/j. amepre.2014.07.033 PMid:25245799

Devine CM, Farrell TJ, Blake CE, Jastran M, Wethington E, Bisogni CA. Work conditions and the food choice coping strategies of employed parents. J Nutr Educ Behav. 2009;41(5):365-70. https://doi.org/10.1016/j.jneb.2009.01.007 PMid:19717121

Devine CM, Jastran M, Jabs J, Wethington E, Farell TJ, Bisogni CA. A lot of sacrifices: Work-family spillover and the food choice coping strategies of low-wage employed parents. Soc Sci Med. 2006;63(10):2591-603. https://doi.org/10.1016/j. socscimed.2007.04.036 PMid:16889881

Salah El-Din EM, Elabd MA, Nassar MS, Metwally AM, Abdellatif GA, Rabah TM, et al. The interaction of social, physical and nutritive factors in triggering early developmental language delay in a sample of Egyptian children. Open Access Maced J Med Sci. 2019;7(17):2767-74. https://doi.org/10.3889/ oamjms.2019.642 PMid:31844434

Metwally AM, Salah El-Din EM, Shehata MA, Shaalan A, El Etreby LA, Kandeel WA, et al. Early life predictors of socioemotional development in a sample of Egyptian infants. PLoS One. 2016;11(7):e0158086. https://doi.org/10.1371/journal. pone.0158086 PMid:27379907

Metwally AM, Soliman M, Abdelmohsen AM, Kandeel WA, Saber M, Elmosalami DM, et al. Effect of counteracting lifestyle barriers through health education in Egyptian Type 2 diabetic patients. Open Access Maced J Med Sci. 2019;7(17):2886-94. https://doi.org/10.3889/oamjms.2019.624 PMid:31844454

Metwally AM, Ibrahim NA, Saad A, El Ela MA. Improving rural women role in health and environmental issues. Int J Environ Health Res. 2006;16(2):44-133. https://doi. org/10.1080/09603120500539208 PMid:16546806

Metwally AM, Abdel-Latif GA, Mohsen A, El Etreby L, Elmosalami DM, Saleh RM, El-Sonbaty MM, et al. Strengths of community and health facilities based interventions in improving women and adolescents’ care seeking behaviors as approaches for reducing maternal mortality and improving birth outcome among low income communities of Egypt. BMC Health Serv Res. 2020;20(1):592. https://doi.org/10.1186/s12913-020-05412-1 PMid:32600377

Council for International Organizations of Medical Science. A Nongovernmental Organization in Official Relations with WHO, International Ethical Guidelines for Biomedical Research Involving Human Subjects. Geneva: Council for International Organizations of Medical Science; 2016.

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Published

2020-08-30

How to Cite

1.
Metwally AM, Shaaban FA, Mahmoud WS, Salah EM, El-Sonbaty MM, Hussien HA, Hamid NA, El Etreby LA, Hassanin A, Monir Z. Vulnerability and Weaknesses of Eating Habits of Overweight School Children as an Entry Risk for COVID-19. Open Access Maced J Med Sci [Internet]. 2020 Aug. 30 [cited 2024 Mar. 28];8(T1):158-66. Available from: https://oamjms.eu/index.php/mjms/article/view/5049

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