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Korean J Pediatr > Accepted Articles
DOI: https://doi.org/10.3345/kjp.2018.07255    [Accepted]
Published online April 23, 2019.
Prevalence of Obesity and Overweight in Iranian Children under 5 Years: A Systematic Review and Meta-analysis
kamyar mansori1,2, Sorour Khateri3, Yousef Moradi4, Zaher Khazaei5, Hossein Mirzaei6, Shiva Mansouri Hanis7, Fateme Varse8, Mehdi Ranjbaran9, Mehran Asadi Aliabadi10, Serveh Parang11
1Social Determinants of Heath Research Center, Semnan University of Medical Sciences, Semnan, Iran
2Department of Epidemiology, School of Public Health, Iran University of Medical Sciences, Tehran, Iran
3Student Research Committee, Kurdistan University of Medical Sciences, Sanandaj, Iran
4Pars Advanced and Minimally Invasive Medical Manners Research Center, Pars Hospital, Iran University of Medical Sciences, Tehran, Iran. (Student Research Committee, School of Public Health, Iran University of medical sciences, Tehran, Iran
5Student Research Committee, Sabzevar University of Medical Science, Sabzevar, Iran
6National Institute of Health Research (NIHR), Tehran University of Medical Science, Tehran, Iran
7School of Public Health, Dezful University of Medical Sciences, Dezful, Iran
8Department of Epidemiology, School of Public Health, Iran University of Medical Sciences, Tehran, Iran
9Department of Epidemiology and Reproductive Health, Reproductive Epidemiology Research Center, Royan Institute for Reproductive Biomedicine, ACECR, Tehran, Iran
10Preventive Medicine and Public Health Research Center, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
11Department of Midwifery, Faculty of Nursing and Midwifery, Kurdistan University of Medical Sciences, Sanandaj, Iran
Correspondence:  Yousef Moradi, Tel: 00989183847065, Fax: 00982186700000, 
Email: Moradi.y@tak.iums.ac.ir
Received: 8 November 2018   • Revised: 31 March 2019   • Accepted: 22 April 2019
Abstract
Purpose
The present study aimed to determine the prevalence of childhood obesity and overweight in Iranian children under 5 years, using systematic review and meta-analysis.
Methods
We performed a search for all articles published in electronic scientific databases including Medline (PubMed), Web of sciences, Google scholar, Scopus, CINHAL and the Iranian databases consist of SID (Scientific Information Database, www.sid.ir), Irandoc (Iranian Research Institute for information Science and Technology, Irandoc.ac.ir),Iranmedex (www.iranmedex.com), and Magiran (www.magiran.com) from January 1989 to August 2017. The random effect model was used to generate a pooled prevalence. Then, the reported prevalence was presented as percent with 95% confidence interval (CI). Also, sources of heterogeneity were determined using subgroup analysis and Meta-regression.
Results
Finally, 6 articles were included in the meta-analysis to estimate the pooled prevalence, based on which the prevalence of obesity and overweight were estimated to be 8 (95% CI 6 – 10) and 9 % (95% CI 7–11), respectively. The results of subgroup analysis showed that the prevalence of obesity in boys and girls children were 9 (95% CI 6 – 13) and 7% (95% CI 4 – 10), respectively and the prevalence of overweight in boys and girls were 10 (95% CI 5 – 15) and 9% (95% CI 5 – 13), respectively.
Conclusion
Although, there was a high heterogeneity among the results of the articles included in the meta-analysis, however, the prevalence of obesity and overweigh is higher in Iranian children under 5 years. Therefore, parents and the health system need to pay more attention to lifestyle, nutritional habits and physical activity of these children.
Key Words: Prevalence, Overweight, Obesity, Children under 5 years, Meta-analysis


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