[Prevalence of obesity in school children in Ivory Coast].
BACKGROUND
According to the World Health Organization, an increased prevalence of hypertension in children is observed since several years due to an epidemic of childhood obesity. What is the extent of this epidemic in our African context?


METHODS
We conducted a prospective descriptive study of pupils encountered in primary and secondary schools of the district of Abidjan from May 3 to June 1st 2010. A sample of 2038 pupils aged 6 to 18 years was randomly selected. Overweight in pupils was assessed by body mass index (BMI).


RESULTS
There were 1182 girls (58%) and 856 boys (42%) whose average age was 12.7±3.6 years. The average weight was 42.6kg±16 (range 14.6 to 106.2kg), the average size was 1.48m±0.19 (range 1 to 1.95m). BMI was 17.2kg/m(2)±3.7 (range 14.6-35.7). The prevalence of obesity was of 5%. In addition, 4% of the students were overweight, 39% extremely thin, 25% thin and 27% normal. Obesity was more common in girls (6.8%) than boys (1.8%). The prevalence of obesity in hypertensives was 16%. BMI influenced the systolic and diastolic blood pressure in both sexes (P<0.001 in both cases).


CONCLUSIONS
Childhood obesity exists in a country like the Ivory Coast where wealthness is far from generalized. A well-organized management of childhood obesity is necessary to avoid complications such as hypertension.
Institut de cardiologie d'Abidjan, BP V 206, Abidjan, Côte d'Ivoire. krakoueul@yahoo.fr
K E
KE
Kramoh
Y N K
YN
N'goran
E
E
Aké-Traboulsi
B C
BC
Boka
D E
DE
Harding
D B J
DB
Koffi
F
F
Koffi
M K
MK
Guikahue
D000293:Adolescent; D000465:Algorithms; D015992:Body Mass Index; D001835:Body Weight; D002648:Child; D007560:Cote d'Ivoire / Q000453:epidemiology; D005260:Female; D006801:Humans; D006973:Hypertension / Q000175:diagnosis / Q000453:epidemiology* / Q000209:etiology; D008297:Male; D009765:Obesity / Q000150:complications / Q000175:diagnosis / Q000453:epidemiology*; D050177:Overweight / Q000453:epidemiology; D011203:Poverty; D015995:Prevalence; D011446:Prospective Studies; D012307:Risk Factors; D012494:Sampling Studies; D012574:Schools; D017678:Sex Distribution; D013334:Students / Q000706:statistics & numerical data*