Next Article in Journal
Long-Term Coffee Consumption is Associated with Fecal Microbial Composition in Humans
Next Article in Special Issue
Maternal High Linoleic Acid Alters Placental Fatty Acid Composition
Previous Article in Journal
Blueberry Prevents the Bladder Dysfunction in Bladder Outlet Obstruction Rats by Attenuating Oxidative Stress and Suppressing Bladder Remodeling
Previous Article in Special Issue
Maternal Protein Restriction Altered Insulin Resistance and Inflammation-Associated Gene Expression in Adipose Tissue of Young Adult Mouse Offspring in Response to a High-Fat Diet
Article

Child Overweight or Obesity Is Associated with Modifiable and Geographic Factors in Vietnam: Implications for Program Design and Targeting

1
Knowledge Leadership, Global Alliance for Improved Nutrition (GAIN), 1701 Rhode Island Ave NW, Washington, DC 20036, USA
2
Department of Environmental Science and Policy, University of California, Davis, CA 95616, USA
3
National Institute of Nutrition (NIN), Hanoi 100000, Vietnam
4
International Center for Tropical Agriculture (CIAT)-Asia Office, Hanoi 100000, Vietnam
5
Department of Mathematics and Statistics, Thuongmai University, Hanoi 100000, Vietnam
6
International Center for Tropical Agriculture (CIAT), Cali 763537, Columbia
7
International Potato Center (CIP), Lima 15023, Peru
8
Department of Nutritional Sciences, School of Public Health, University of Michigan, Ann Arbor, MI 48109, USA
*
Author to whom correspondence should be addressed.
Nutrients 2020, 12(5), 1286; https://doi.org/10.3390/nu12051286
Received: 26 March 2020 / Revised: 26 April 2020 / Accepted: 28 April 2020 / Published: 1 May 2020
(This article belongs to the Special Issue Diet, Nutrition and Fetal Programming)
Child overweight or obesity is increasing in most countries, including Vietnam. We sought to elucidate the drivers of child overweight or obesity in Vietnam and understand how they vary geographically. We compiled nationally representative cross-sectional data from the Vietnam Nutrition Surveillance Survey collected annually between 2012–2015 and household income data from the General Statistics Office. We used a quasi-Poisson log link function to calculate relative risks (RRs) of under-five child overweight or obesity for 13 variables and stratified analyses by child age (<2 y and 2–5 y) and region. Additional analysis included log-log linear regression to assess the relationship between average provincial monthly per capita income and child overweight or obesity. The strongest associations with child overweight or obesity included birthweight >4000 g (RR: 1.66; 95% confidence interval (CI): 1.48, 1.86), maternal body mass index (BMI) ≥27.5 compared with BMI <23 (RR: 1.62; 95% CI: 1.47, 1.78), and living in the Southeast (RR: 2.06; 95% CI: 1.84, 2.30), Mekong River Delta (RR: 1.58; 95% CI: 1.41, 1.77), or Central South (RR: 1.54; 95% CI: 1.37, 1.74) compared with the Central Highland. A 20% higher provincial average monthly per capita income was associated with a 17.4% higher prevalence in child overweight or obesity (P <0.0001, Adjusted R2 = 0.36). High birthweight and maternal BMI were strongly associated with child overweight or obesity but are not likely primary drivers in Vietnam, given their low prevalence. C-section delivery, sedentary lifestyle, high maternal education, urbanicity, and high household income affect a large proportion of the population and are, therefore, important risk factors. Policies and programs should target these factors and regions at greatest risk of overweight or obesity, particularly the Southeast and Mekong River Delta. View Full-Text
Keywords: overweight; obesity; children; infants; body mass index; weight; determinants; drivers; causes; risk overweight; obesity; children; infants; body mass index; weight; determinants; drivers; causes; risk
Show Figures

Figure 1

MDPI and ACS Style

Beal, T.; Le, T.D.; Trinh, H.T.; Burra, D.D.; Béné, C.; Huynh, T.T.T.; Truong, M.T.; Nguyen, S.D.; Tran, D.T.; Nguyen, K.T.; Hoang, H.T.T.; de Haan, S.; Jones, A.D. Child Overweight or Obesity Is Associated with Modifiable and Geographic Factors in Vietnam: Implications for Program Design and Targeting. Nutrients 2020, 12, 1286. https://doi.org/10.3390/nu12051286

AMA Style

Beal T, Le TD, Trinh HT, Burra DD, Béné C, Huynh TTT, Truong MT, Nguyen SD, Tran DT, Nguyen KT, Hoang HTT, de Haan S, Jones AD. Child Overweight or Obesity Is Associated with Modifiable and Geographic Factors in Vietnam: Implications for Program Design and Targeting. Nutrients. 2020; 12(5):1286. https://doi.org/10.3390/nu12051286

Chicago/Turabian Style

Beal, Ty, Tuyen D. Le, Huong T. Trinh, Dharani D. Burra, Christophe Béné, Tuyen T.T. Huynh, Mai T. Truong, Son D. Nguyen, Do T. Tran, Kien T. Nguyen, Ha T.T. Hoang, Stef de Haan, and Andrew D. Jones. 2020. "Child Overweight or Obesity Is Associated with Modifiable and Geographic Factors in Vietnam: Implications for Program Design and Targeting" Nutrients 12, no. 5: 1286. https://doi.org/10.3390/nu12051286

Find Other Styles
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Access Map by Country/Region

1
Back to TopTop