Factors Influencing the Body Mass Index (BMI) of Elementary School Children in Yangon, Myanmar: A Cross-Sectional Study
Main Article Content
Abstract
Background: Obesity is one of the leading causes of death worldwide. It often begins in childhood although most health effects emerge in adulthood. Child underweight is also a significant issue, especially in low-income and lower-middle-income countries. This study was evaluated the factors that are influencing the Body Mass Index (BMI) in children.
Methods: The study was a cross-sectional design including 110 mothers of Grade 1 and 2 elementary school students. Simple randomized sampling method was used to select the participants.
Results: The average age of mothers in this study was 35 years old and almost half of them were Burmese race group. There were only 8.2% of mothers who had family meals every day and it was also same result with lunch box preparation. The average knowledge and attitude scores of mothers were 13.73 and 70.42 respectively. There were only 16.4% of children who had more than 60 minutes of physical activity every day. 26.4% of children did not consume fruits while there were 12.7% who did not eat vegetable. 6.5% of children were always having sugared drinks. For water intake, 80% of them were drinking 1 litre of water daily. The average BMI of children was 16.4±1.73 ranging from 13.1 to 19.5. In ordinary logistic regression analysis, lunch box preparation, knowledge of mothers and vegetable consumption of children were in association with BMI of children.
Conclusion: The study highlighted the influence of maternal characteristics and also child factors which can influence the BMI of children. Knowledge, lunch box preparation characteristics of mother and vegetable consumption of child were associated with BMI.
Article Details

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
References
World Health Organization. Obesity [Available from: https://www.who.int/health-topics/obesity#tab=tab_1.
Raut BK, Jha MK, Baidya D, Shrestha HS, Sapkota S, Aryal M, et al. Determination of risk factors associated with childhood obesity and the correlation with adult obesity-A random cross sectional study from Nepal. American Journal of Health Research. 2014;2(4):134-9.
Win N, Hongkrailert N, Silabutra J. Factors Related to Overweight Middle School Children in Dagon Township, Yangon Division, Union of Myanmar. Journal of Health Research. 2017;25(3):111-5.
Vaidya A, Shakya S, Krettek A. Obesity prevalence in Nepal: public health challenges in a low-income nation during an alarming worldwide trend. International journal of environmental research and public health. 2010;7(6):2726-44.
Siddiqui F, Salam R, Lassi Z, Das J. The intertwined relationship between malnutrition and poverty. Front Public Health. 2020; 8: 453. 2020.
Black MM, Pérez-Escamilla R, Rao SF. Integrating nutrition and child development interventions: scientific basis, evidence of impact, and implementation considerations. Adv Nutr. 2015;6(6):852-9.
Laja García AI, Moráis-Moreno C, Samaniego-Vaesken ML, Puga AM, Partearroyo T, Varela-Moreiras G. Influence of Water Intake and Balance on Body Composition in Healthy Young Adults from Spain. Nutrients. 2019;11(8).
Hu FB. Resolved: there is sufficient scientific evidence that decreasing sugar‐sweetened beverage consumption will reduce the prevalence of obesity and obesity‐related diseases. Obesity reviews. 2013;14(8):606-19.
Hu FB, Malik VS. Sugar-sweetened beverages and risk of obesity and type 2 diabetes: epidemiologic evidence. Physiology & behavior. 2010;100(1):47-54.
World Health Organization. Childhood overweight and obesity 2020 [Available from: https://www.who.int/news-room/questions-and-answers/item/noncommunicable-diseases-childhood-overweight-and-obesity.
Wu Y. Overweight and obesity in China. British Medical Journal Publishing Group; 2006. p. 362-3.
The Nation Thailand. Increasing obesity in children 'poses a threat to Thailand's population' 2025 [Available from: https://www.nationthailand.com/blogs/health-wellness/40045059.
Hsu P-C, Hwang F-M, Chien M-I, Mui W-C, Lai J-M. The impact of maternal influences on childhood obesity. Scientific Reports. 2022;12(1):6258.
Yabancı N, Kısaç İ, Karakuş SŞ. The effects of mother's nutritional knowledge on attitudes and behaviors of children about nutrition. Procedia-Social and Behavioral Sciences. 2014;116:4477-81.
Keitel-Korndörfer A, Sierau S, Klein AM, Bergmann S, Grube M, von Klitzing K. Insatiable insecurity: Maternal obesity as a risk factor for mother–child attachment and child weight. Attachment & Human Development. 2015;17(4):399-413.
Li S, Mohamed Nor N, Kaliappan SR. Do maternal socioeconomic status influence child overweight? Heliyon. 2024;10(2):e24630.
Lazzeri G, Pammolli A, Pilato V, Giacchi MV. Relationship between 8/9-yr-old school children BMI, parents' BMI and educational level: a cross sectional survey. Nutrition journal. 2011;10:1-8.
White PA, Awad YA, Gauvin L, Spencer NJ, McGrath JJ, Clifford SA, et al. Household income and maternal education in early childhood and risk of overweight and obesity in late childhood: Findings from seven birth cohort studies in six high-income countries. Int J Obes (Lond). 2022;46(9):1703-11.
World Health Organization. WHO Guidelines on Physical Activity and Sedentary Behaviour2020. Available from: https://www.who.int/publications/i/item/9789240015128.
World Health Organization. Healthy diet 2020 [Available from: https://www.who.int/news-room/fact-sheets/detail/healthy-diet.
de Buhr E, Tannen A. Parental health literacy and health knowledge, behaviours and outcomes in children: a cross-sectional survey. BMC Public Health. 2020;20:1-9.
te Velde SJ, Twisk JW, Brug J. Tracking of fruit and vegetable consumption from adolescence into adulthood and its longitudinal association with overweight. British Journal of Nutrition. 2007;98(2):431-8.
Newby PK, Peterson KE, Berkey CS, Leppert J, Willett WC, Colditz GA. Dietary composition and weight change among low-income preschool children. Arch Pediatr Adolesc Med. 2003;157(8):759-64.