Despite the ongoing problems of undernutrition and
infectious disease, obesity and overweight have
become a major problem in developing countries,
including Bangladesh. This cross-sectional study was
undertaken to determine the prevalence of obesity,
overweight and underweight among school children
aged 6–12 years in Bangladesh. The study was
conducted from June 2012 to May 2013 and the study
sample comprised 1768 children (980 boys; 788 girls)
from eight purposively selected schools in different
areas of Dhaka city. Students were interviewed about
their diet and physical activity, and anthropometric
measurements were made, including height, weight,
mid-upper-arm circumference (MUAC), waist
circumference, hip circumference and body mass index
(BMI). Undernutrition, overweight and obesity were
defined using internationally accepted BMI cut-off
points. Mean height, weight, BMI, MUAC, waist
circumference and hip circumference values were
found to be higher in boys than in girls, except at
age 12 when these were found to be significantly
higher in girls than in boys
(p<0.05). The mean
prevalence of overweight was 10.0% (boys 10.2%;
girls 9.8%), and that of obesity 5.0% (boys 4.3%;
girls 5.8%). The prevalence of underweight was 16.3%
in boys and 12.7% in girls. The prevalence of
underweight was significantly higher in poor than in
rich children (22.1% vs 11.2%) and that of obesity
was higher in rich than in poor children (9.9% vs
1.3%; p<0.001). A family
history of obesity and hypertension emerged as a
significant predictor of developing overweight and
obesity (p<0.001). The data
suggest that underweight and obesity co-exist in
urban areas of Bangladesh, posing a challenge for
the nutritional health of Bangladeshi children.