title: Determinants of Overweight and Obesity in Affluent Adolescent in Surat City, South Gujarat region, India.
abstract: BACKGROUND
  Obesity is a major global burden. Low levels of physical activity, TV watching, and dietary pattern are modifiable risk factors for overweight and obesity in adolescent.
  
  
  OBJECTIVE
  The objective of this study was to determine risk factors for overweight and obesity among affluent adolescent, in Surat city in south Gujarat.
  
  
  METHODS
  Cross sectional from July 2009 to April 2010.
  
  
  METHODS
  Two private schools with tuition fees more than Rs. 2000 per month, were selected randomly using a random table.
  
  
  METHODS
  The participants were adolescents, 12 to 15 years of age.
  
  
  METHODS
  Pre-designed and pre-tested questionnaire was used to elicit the information about dietary history and physical activity.
  
  
  METHODS
  Height and weight was measured and BMI was calculated. Overweight and obesity were assessed by BMI for age. Student who had BMI for age <85(th) and <95(th) percentile of reference population were classified as overweight and BMI for age <95(th) percentile of reference population were classified as obese (IAP Growth Monitoring Guidelines for Children from Birth to 18 Year).
  
  
  RESULTS
  The overall prevalence of obesity and overweight was 6.55% and 13.9% (boys: 6.7% and 15.1%; girls 6.4% and 13.35%). Final model of multiple logistic regression analysis showed that important determinants of overweight and obesity were low levels of physical activity, watching television or playing computer games, and consuming junk foods, snacks and carbonated drinks.
  
  
  CONCLUSIONS
  The magnitude of obesity and overweight among affluent adolescent of Surat city was found to be 6.55% and 13.9%, respectively. Low level of physical activity, watching TV or playing computer games, and dietary pattern predisposed the adolescent to overweight/obesity.
authors.affiliation: Department of Pediatrics, Government Medical College, Surat, Gujarat, India.
authors.forename: Jagdish P
authors.initials: JP
authors.lastname: Goyal
authors.forename: Nagendra
authors.initials: N
authors.lastname: Kumar
authors.forename: Indira
authors.initials: I
authors.lastname: Parmar
authors.forename: Vijay B
authors.initials: VB
authors.lastname: Shah
authors.forename: Bharat
authors.initials: B
authors.lastname: Patel