Prevalence And Risk Factors Of Obesity In Infants 6 To 24 Months At The Mother And Child Center-Chantal Biya Foundation, Yaounde

Irene Tangmoh FOTANG
Pediatrics, University of Yaounde I
June, 2018
 

Abstract

Introducton
Obesity is a complex metabolic disorder characterized by chronic accumulation of fat in the adipose tissue. Infant obesity is one of the most serious health problems of the 21st century. The prevalence has been on the rise for the past two decades in developing countries. Its complications are numerous, touching all systems in the body. Therefore, in sub-Saharan Africa, the need to provide substantial evidences about its burden as well as associated risk factors is of paramount importance.

Objectives
This study was conducted with the aim of determining the prevalence and associated risk factors of Early Obesity in infants aged 6 to 24 months at the Mother And Child Center-Chantal Biya Foundation (MCC-CBF), Yaoundé
.
Methods
A cross sectional analytic study was conducted in which, 310 mother-infant pairs (173 males and 137 females) were consecutively sampled. These included infants within the age group 6 to 24 months from the vaccination unit of the MCC-CBF. The study ran from January to May 2018. We used a questionnaire to collect information on the socio-demographic characteristics of the infants and their mothers. The anthropometric parameters of the infant were measured and analyzed using the WHO standards to serve as baseline (Weight-for-length Z-score). The univariate and multivariate analysis were also conducted to determine the associated and independent risk factors of obesity respectively.
Results
The prevalence of obesity was 3.9% (5.2% females and 2.3 males). The risk factors associated to obesity were birth weight > 3500g, feeding with artificial milk in the first hour of life, early diversification with a combination of solid and liquid foods, and maternal weight gain during pregnancy of ≥10kg. After multivariate analysis, feeding in the first hour of life with artificial milk; early diversification with a combination of solid and liquid foods; and weight gain during pregnancy ≥10kg remained significant.


Conclusion
The prevalence of early obesity in our study was 3.9%. The risk factors found were: maternal weight gain during pregnancy ≥ 10kg, birth weight >3500kg, feeding in the first hour of life with artificial milk and early diversification with a combination of solid and liquid foods.


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