Study of obesity among adolescents in rural Wardha district

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The most serious lifestyle effects of adolescents’ obesity and overweight are health risks that continue into adulthood, including hypertension, dyslipidemia, hyperinsulinemia, type 2 diabetes, behavioural issues, and cardiovascular diseases. India is among the many developing nations where childhood and adolescent obesity has become a serious public health issue. Adolescence is the most important stage in physical activity, growth and development. Adolescence is a start of personal decision-making sense and the development of a customized lifestyle, including the early onset of illness, accounting for approximately 35% of the global disease burden. Many of these behavioural choices have been linked to obesity risk factors, which are mostly controlled for, such as unhealthy eating behaviour, excessive television watching, and lack of activity. While undernutrition and deficiencies in micronutrients are serious public health problems in India, obesity and overnutrition have become major problems in several areas. Aim This study aims to assess Obesity among adolescents in rural Wardha. Methods A cross-sectional study will be conducted in the rural community area of the Wardha District. A questionnaire-based face-to-face interview will be conducted with participants in the adolescent age group (10-19 years). This study aimed to identify variables associated with demographic data, age group, genetic factors, types of family, parents’ education, occupation, socioeconomic status, physical activity, and various types of food intake. Implication of study The findings of this study could be significant in the implementation of laws, programs, and initiatives to promote awareness of the associations between adolescent obesity and risk factors for lifestyle diseases. This message focuses on having a balanced diet while exercising in regular physical activity. The prevalence of obesity is reduced by this lifestyle disease. " } { "@context": "http://schema.org", "@type": "BreadcrumbList", "itemListElement": [ { "@type": "ListItem", "position": "1", "item": { "@id": "https://f1000research.com/", "name": "Home" } }, { "@type": "ListItem", "position": "2", "item": { "@id": "https://f1000research.com/browse/articles", "name": "Browse" } }, { "@type": "ListItem", "position": "3", "item": { "@id": "https://f1000research.com/articles/13-527", "name": "Study of obesity among adolescents in rural Wardha district" } } ] } Home Browse Study of obesity among adolescents in rural Wardha district ALL Metrics - Views Downloads Get PDF Get XML Cite How to cite this article Bhagat A, Mehendale A and Muneshwar K. Study of obesity among adolescents in rural Wardha district [version 1; peer review: 1 approved with reservations] . F1000Research 2024, 13 :527 ( https://doi.org/10.12688/f1000research.148494.1 ) NOTE: If applicable, it is important to ensure the information in square brackets after the title is included in all citations of this article. Close Copy Citation Details Export Export Citation Sciwheel EndNote Ref. Manager Bibtex ProCite Sente EXPORT Select a format first Track Share ▬ ✚ Study Protocol Study of obesity among adolescents in rural Wardha district [version 1; peer review: 1 approved with reservations] Arpana Bhagat https://orcid.org/0009-0003-7836-6889 1 , Ashok Mehendale 2 , Komal Muneshwar 3 Arpana Bhagat https://orcid.org/0009-0003-7836-6889 1 , Ashok Mehendale 2 , Komal Muneshwar 3 PUBLISHED 22 May 2024 Author details Author details 1 School of Epidemiology and Public Health, Datta Meghe Institute of Higher Education and Research, Wardha, Maharastra, 442001, India 2 Community Medicine, Datta Meghe Institute of Higher Education and Research, Wardha, Maharastra, 442001, India 3 Community Medicine, Datta Meghe Institute of Higher Education and Research, Wardha, Maharastra, 442001, India Arpana Bhagat Roles: Conceptualization, Visualization, Writing – Original Draft Preparation, Writing – Review & Editing Ashok Mehendale Roles: Supervision, Validation, Writing – Original Draft Preparation Komal Muneshwar Roles: Supervision, Validation, Writing – Original Draft Preparation OPEN PEER REVIEW DETAILS REVIEWER STATUS Abstract Introduction Obesity is one of the most important global issues affecting children and adolescents. The most serious lifestyle effects of adolescents’ obesity and overweight are health risks that continue into adulthood, including hypertension, dyslipidemia, hyperinsulinemia, type 2 diabetes, behavioural issues, and cardiovascular diseases. India is among the many developing nations where childhood and adolescent obesity has become a serious public health issue. Adolescence is the most important stage in physical activity, growth and development. Adolescence is a start of personal decision-making sense and the development of a customized lifestyle, including the early onset of illness, accounting for approximately 35% of the global disease burden. Many of these behavioural choices have been linked to obesity risk factors, which are mostly controlled for, such as unhealthy eating behaviour, excessive television watching, and lack of activity. While undernutrition and deficiencies in micronutrients are serious public health problems in India, obesity and overnutrition have become major problems in several areas. Aim This study aims to assess Obesity among adolescents in rural Wardha. Methods A cross-sectional study will be conducted in the rural community area of the Wardha District. A questionnaire-based face-to-face interview will be conducted with participants in the adolescent age group (10-19 years). This study aimed to identify variables associated with demographic data, age group, genetic factors, types of family, parents’ education, occupation, socioeconomic status, physical activity, and various types of food intake. Implication of study The findings of this study could be significant in the implementation of laws, programs, and initiatives to promote awareness of the associations between adolescent obesity and risk factors for lifestyle diseases. This message focuses on having a balanced diet while exercising in regular physical activity. The prevalence of obesity is reduced by this lifestyle disease. READ ALL READ LESS Keywords Childhood obesity, overweight, prevalence, risk factors, socio-economic Corresponding Author(s) Arpana Bhagat ( [email protected] ) Close Corresponding author: Arpana Bhagat Competing interests: No competing interests were disclosed. Grant information: The author(s) declared that no grants were involved in supporting this work. Copyright: © 2024 Bhagat A et al . This is an open access article distributed under the terms of the Creative Commons Attribution License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. How to cite: Bhagat A, Mehendale A and Muneshwar K. Study of obesity among adolescents in rural Wardha district [version 1; peer review: 1 approved with reservations] . F1000Research 2024, 13 :527 ( https://doi.org/10.12688/f1000research.148494.1 ) First published: 22 May 2024, 13 :527 ( https://doi.org/10.12688/f1000research.148494.1 ) Latest published: 22 May 2024, 13 :527 ( https://doi.org/10.12688/f1000research.148494.1 ) Introduction Obesity and overweight are major contributing factors for many chronic illnesses, such as diabetes, heart disease, and cancer. In many developing nations, including India, adolescent obesity has become an important public health problem. 1 Obesity, particularly childhood obesity, is a critical global health concern, and various health organizations, including the World Health Organization (WHO), have addressed it as a significant public health problem. 2 Significant changes in physical, cognitive, and psychological factors characterize adolescence an essential and dynamic period for human development. This stage, typically occurring between the ages of 10-19 years, is an essential period for adolescent body growth and development. The early appearance of disease in approximately 35 per cent of the worldwide disease burden occurs during adolescence. 3 Fast-food consumption is a global phenomenon. The fast-food sector in India is growing at an average of 40% annually. Fast food consumption in India ranks 10th in the world, with each person spending 2.1% of the country’s annual total expenditures on it. 4 The persistence of overweight and obesity after adolescence is a major public health concern, with far-reaching consequences associated with health risks. 5 Early childhood obesity is important because it increases the risk of obesity in adulthood and frequently results in higher morbidity and mortality in early adulthood. 6 According to a World Health Organization (WHO) study, there are 300 million obese people and 1 billion overweight people worldwide. Overweight and obesity are pandemics worldwide, the third-most obese nation in the world in India. 7 Obesity is defined as the excessive development of adipose tissue caused by an increase in the number of fat cells, their size, or a combination of both. 8 Socioeconomic and psychological factors can also contribute to childhood obesity. The main cause of adolescent obesity is the consumption of high-calorie foods, combined with the absence of physical activity. The psychological factors that can lead to adolescent obesity include social isolation, anxiety, and familial stress. Children also frequently consume too much food to cope with their emotions and problems. 9 The development and persistence of obesity in adolescents may be due to a significant effect of lifelong factors, such as food patterns and sedentary activities. Children and adolescents usually eat less fruit and vegetables and more fast food and carbonated drinks than adolescents, which have outdoor games and social activities. This has been caused by a higher risk of obesity in adulthood. Consumption of a large number of fruits and vegetables has been associated with a reduced risk of obesity. 10 Rationale Numerous studies have been conducted on the risk factors for obesity among adolescents in various regions of India, with many of these studies concentrating on children and adolescents. However, only a few studies have examined potential risk factors, such as, that can result in mental health issues. A study on obesity among adolescents aged 10-19 years in the rural field practice area of the Department of Community Medicine in the Wardha District. Aim This study aims to assess obesity among adolescents in rural Wardha. Objectives 1) To study the prevalence of adolescent obesity in the study area. 2) To study the associated risk factors for adolescent obesity. Methods Study design The present study will be a cross-sectional study. Study setting The present study will be conducted in an adolescent age group (10-19 years) in the rural Wardha district. Study duration This study is expected to span a period of 6 months, including recruitment, data collection and analysis. Study participants/population Both the boys and girls of adolescent age group of 10-19 years will be of rural Wardha district. Eligibility criteria Inclusion criteria: study participants (10-19 years) who were willing to participate. Exclusion criteria: Those not willing to participate in the study. Sample size Minimum sample size required Formula N = Z 1 − α / 2 2 ∗ p ∗ ( 1 − p ) D 2 . Z 1 − α / 2 = 1.96 , at 5% level of significance Proportion = 5.4% Adolescent obesity percentage. P = 5.4% = 0.054 (As per reference article) D = estimated error (5%) = 0.05 = ( 1.96 ) 2 ∗ ( 0.054 ) ∗ ( 1 − 0.054 ) / ( 0.05 ) 2 = 79 Minimum sample size required: 79. 11 As a result, a sample size of 79 adolescent obesity patients will be used for interviews. Sampling method This study will be going to use a simple random sampling. A questionnaire will be used to interview the study participants to elicit the information on individual socio-demographic characteristics, physical activity, food habits like age, sex, eating habits, and time spent on watching television and outdoor games. Anthropometric measurements viz. height, weight, waist circumference, hip circumference was measured. An interview technique using the online tool kobo collect ( https://www.kobotoolbox.org/ ) will be used. This will be done until the desired sample size is achieved. Variables Variables associated with socio-demographic data, age group, genetic factors, family size, economic status, physical activity, and junk food consumption. An in-depth interview will be used to conduct among randomly selected participants until data saturation is reached. All important information, variables, data sources, methods are shown in Table 1 . Table 1. Important study to risks factors of adolescent’s obesity in rural Wardha district. Key study parameters Variables Data sources Data collection method Socio-demographic profile - Age, gender - Types of family - Socio- economic status - parent’s education and occupation Rural higher Secondary school Wardha A survey using a questionnaires Genetic factors - Family history of obesity Rural higher Secondary school Wardha A survey using a questionnaire Food consumption - Snack intake - Junk food - Chocolates - Biscuits - High protein diet Rural higher Secondary school Wardha A survey using a questionnaire Physical activity - Exercise (walking, swimming, running) - Watching TV, playing games. Rural higher Secondary school Wardha A survey using a questionnaire Data collection tool A study focused on assessing various aspects of childhood health, including sociodemographic profile, physical activity, dietary intake, and anthropometric measurements. Using a pre-tested semi-structured questionnaire is a good approach for gathering standardized information. Each child’s assessment of height, weight, triceps skin fold thickness (TSFT) measurements, and waist circumference will be measured. Those undertaking the survey using their device/phone will have the consent check box before ticking. Data collection procedure This study participants will be selected using a simple random sampling method from pre-university. Written permission will be obtained from the heads of the selected rural government schools. The questionnaire will be administered to early adolescents who fulfil the eligibility criteria with the help of their respective class teachers. Data will be collected from 5 th , 6 th , 7 th , 8 th , 9 th , 10 th , 11 th and 12 th grade students. The questionnaires will be provided on the sociodemographic profile, genetic factors, types of family, parents’ education, occupation, physical activity pattern, and dietary intake; then, the filled-up data will be collected, and further process will be initiated. Bais: Information Bias. Recall bias. Data analysis plan The data will be entered in Microsoft Excel. This data will be encoded, and the data will be analysed using R Statistical software 4.3.2 version ( https://www.r-project.org/ ). The data will be tabulated and visualized through graphs and tables. Inferential statistics like T-test and chi-square tests will be used. Expected outcome This study aimed to identify the risk factors associated with obesity and the prevalence of overweight and obesity among adolescents. Also This study also revealed an association between the demographic factors and obesity. Ethical consideration The approval for carrying out this study has been commenced from Institutional Ethics Committee of Datta Meghe Institute of Higher Education and Research, Ref. No. DMIHER (DU) IEC/2023/38) on Dated 20/12/2023. Consent: Written permission will be obtained from the heads of the identified rural government schools. The written consent will be in local language (Marathi) for more clarity and better understanding. Measures will be taken to ensure confidentiality of the information throughout the study. Discussion The following studies conducted on this subject by recognized researchers were cited in this study. George et al. (2012) conducted a cross-sectional study at the Nehru Memorial Public School in a rural Kollam area in Kerala State. Body mass index (BMI), weight, and height were also measured. Overweight was observed in 15% of girls and 19% of boys. The Obesity prevalence was 8% in females and 6% in boys. In boys, underweight was more common (3%), in girls, it is 10%). Furthermore, compared to females, boys were more likely to be overweight, while girls were more likely to be obese. 12 Sitaula et al. (2022) conducted institution-based cross-sectional research; 267 adolescents were found to be 14.6% obese and 14.6% overweight. 12.6% Of male children in the study were overweight, compared with 39.6% of the female participants who were in this category of obesity. 16.5% of the participants overall—14.0% of the girls and 20.4% of the males—were underweight. Adolescent girls are almost five times more likely to be overweight than are male adolescents. 13 Seema et al. (2018-19), a cross-sectional study, was used in observational research. 6.8% of adolescents were found to be fat and 17.1% to be overweight. 22.3 per participants have been identified as underweight, and the remaining 53.8% were in the normal BMI group. A strong correlation was found between gender, financial position, eating habits, chocolate consumption, when adolescents arrive at school, participation in sports, physical exercise, and screen time. Teens who enjoyed sports and engaged in physical exercise had healthy body mass indices. These were only a few factors contributing to the high rate of obesity among adolescents, were also at greater risk of being fat.6.8% of adolescents were found to be fat, and 17.1% were overweight. 14 Pathak et al. (2016) conducted a cross-sectional study at private schools in Vadodara, Gujarat, in both urban and rural areas. According to this frequency, these children were underweighted, overweight, obese, and normal. The odds ratio was 17.7 in Favour of urban living, with 65.22% of urban males and 62.26% of urban females being obese or overweight compared to 15.78% of rural men and 3.92% of females. There were statistically significant changes in family yearly income, the more in-person training sessions conducted in a school, and more frequent in restaurant and school canteen meals. There was no statistically significant correlation observed between the two groups and other characteristics, such as eating breakfast before school, enjoying fast food, participating in outside activities, using electronics during meals, and having fat family members. 15 Shete et al. (2017–18) conducted a cross-sectional study with study participants ranging in age from 11 to 16 years at the Chhatrapati Shahu Vidyalaya in New Palace, Kolhapur, Maharashtra. Among those involved, boys made up 58.9%. The 13–14 age group comprised 66.7% of the student group. 8.7% of adolescents were obese and 46.9% were underweight according to the body mass index. Junk food was consumed more than once per week by 77.3% of individuals. 7 Implication of study The findings of this study could be significant in the implementation of laws, programs, and initiatives to promote awareness of the associations between adolescent obesity and risk factors for lifestyle diseases. This message focuses on having a balanced diet while exercising in regular physical activity. The prevalence of obesity is reduced by this lifestyle disease. Limitation To validate these results more precisely, a large number of children will be involved in government schools. In other methods of assessing overweight, such as waist-hip circumference, during the interview, there may be potential behavioural, recall bias for dietary patterns, physical activities, and sedentary behaviour of the participants. Data availability Underlying data No data are associated with this article. Extended data Figshare: Questionnaire for “Study of Obesity among Adolescents in Rural Wardha District”, https://doi.org/10.6084/m9.figshare.25610652.v1 . 16 Data are available under the terms of the Creative Commons Attribution 4.0 International license (CC-BY 4.0). References 1. Mahajan PB, Purty AJ, Singh Z, et al. : Study of childhood obesity among school children aged 6 to 12 years in Union territory of Puducherry. Indian J. Community Med. 2011; 36 : 45–50. PubMed Abstract | Publisher Full Text | Free Full Text 2. Chandrakala P, Soumya A: A S: A study of the prevalence of overweight and obesity in adolescents. Int. J. Contemp. Pediatrics. 2016; 3 : 960–964. Publisher Full Text 3. Kotian MS, Ganesh Kumar S, Kotian SS: Prevalence and determinants of overweight and obesity among adolescent school children of south Karnataka, India. Indian J. Community Med. 2010; 35 : 176–178. PubMed Abstract | Publisher Full Text | Free Full Text 4. Prajapati K, Nayak S, Dhande N, et al. : Prevalence of overweight and obesity among rural early adolescents in the central part of Vidarbha, Maharashtra- A cross sectional study. Int. J. Med. Res. Rev. 2017; 5 : 725–730. Publisher Full Text 5. Laxmaiah A, Nagalla B, Vijayaraghavan K, et al. : Factors affecting prevalence of overweight among 12 to 17year-old urban adolescents in Hyderabad. India Obesity. 2007; 15 : 1384–1390. PubMed Abstract | Publisher Full Text 6. Mistry SK, Puthussery S: Risk factors of overweight and obesity in childhood and adolescence in South Asian countries: a systematic review of the evidence. Public Health. 2015; 129 : 200–209. PubMed Abstract | Publisher Full Text 7. Shete JS: Wagh AV: A cross-sectional study to estimate prevalence of obesity and its risk factors in adolescent school children in Western Maharashtra, India. Int. J. Res. Med. Sci. Technol. 2018; 6 : 3072–3075. Publisher Full Text 8. Ahmed M, Shah K, Kshirsagar V: Prevalence and risk factor for obesity in urban and rural school going children of Karad taluka, Maharashtra, India. Int. J. Contemp. Pediatrics. 2016; 1389–1393. Publisher Full Text 9. Abduelkarem AR, Sharif SI, Bankessli FG, et al. : Obesity and its associated risk factors among school-aged children in Sharjah, UAE. PLoS One. 2020; 15 : e0234244. PubMed Abstract | Publisher Full Text | Free Full Text 10. Rani MA, Sathiyasekaran BWC: Behavioural determinants for obesity: A cross-sectional study among urban adolescents in India. J. Prev. Med. Public Health. 2013; 46 : 192–200. PubMed Abstract | Publisher Full Text | Free Full Text 11. Increasing trend of obesity in the adolescents from rural Wardha - Current issue - IJSR. Accessed: October 13, 2023. Reference Source 12. 1521_pdf-libre.pdf. 13. Sitaula D, Dhakal A, Lageju N, et al. : Prevalence and associated factors of adolescent obesity among rural school adolescents in Nepal: A cross-sectional study. Glob. Health Epidemiol. Genom. 2023; 2023 : 2957278. PubMed Abstract | Publisher Full Text | Free Full Text 14. Seema S, Rohilla KK, Kalyani VC, et al. : Prevalence and contributing factors for adolescent obesity in present era: Cross-sectional study. J. Family Med. Prim. Care. 2021; 10 : 1890–1894. PubMed Abstract | Publisher Full Text | Free Full Text 15. Pathak S, Modi P, Labana U, et al. : Prevalence of obesity among urban and rural school going adolescents of Vadodara, India: A comparative study. Int. J. Contemp. Pediatrics. 11 June 2018; 5 : 1355. Publisher Full Text 16. Bhagat A: Study of Obesity among Adolescents in Rural Wardha District. figshare. 2024. Publisher Full Text Comments on this article Comments (0) Version 1 VERSION 1 PUBLISHED 22 May 2024 ADD YOUR COMMENT Comment Author details Author details 1 School of Epidemiology and Public Health, Datta Meghe Institute of Higher Education and Research, Wardha, Maharastra, 442001, India 2 Community Medicine, Datta Meghe Institute of Higher Education and Research, Wardha, Maharastra, 442001, India 3 Community Medicine, Datta Meghe Institute of Higher Education and Research, Wardha, Maharastra, 442001, India Arpana Bhagat Roles: Conceptualization, Visualization, Writing – Original Draft Preparation, Writing – Review & Editing Ashok Mehendale Roles: Supervision, Validation, Writing – Original Draft Preparation Komal Muneshwar Roles: Supervision, Validation, Writing – Original Draft Preparation Competing interests No competing interests were disclosed. Grant information The author(s) declared that no grants were involved in supporting this work. Article Versions (1) version 1 Published: 22 May 2024, 13:527 https://doi.org/10.12688/f1000research.148494.1 Copyright © 2024 Bhagat A et al . This is an open access article distributed under the terms of the Creative Commons Attribution License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Download Export To Sciwheel Bibtex EndNote ProCite Ref. Manager (RIS) Sente metrics Views Downloads F1000Research - - PubMed Central info_outline Data from PMC are received and updated monthly. - - Citations open_in_new 0 open_in_new 0 open_in_new SEE MORE DETAILS CITE how to cite this article Bhagat A, Mehendale A and Muneshwar K. Study of obesity among adolescents in rural Wardha district [version 1; peer review: 1 approved with reservations] . F1000Research 2024, 13 :527 ( https://doi.org/10.12688/f1000research.148494.1 ) NOTE: If applicable, it is important to ensure the information in square brackets after the title is included in all citations of this article. COPY CITATION DETAILS track receive updates on this article Track an article to receive email alerts on any updates to this article. TRACK THIS ARTICLE Share Open Peer Review Current Reviewer Status: ? Key to Reviewer Statuses VIEW HIDE Approved The paper is scientifically sound in its current form and only minor, if any, improvements are suggested Approved with reservations A number of small changes, sometimes more significant revisions are required to address specific details and improve the papers academic merit. Not approved Fundamental flaws in the paper seriously undermine the findings and conclusions Version 1 VERSION 1 PUBLISHED 22 May 2024 Views 0 Cite How to cite this report: Tanveer M. Reviewer Report For: Study of obesity among adolescents in rural Wardha district [version 1; peer review: 1 approved with reservations] . F1000Research 2024, 13 :527 ( https://doi.org/10.5256/f1000research.162810.r303953 ) The direct URL for this report is: https://f1000research.com/articles/13-527/v1#referee-response-303953 NOTE: it is important to ensure the information in square brackets after the title is included in this citation. Close Copy Citation Details Reviewer Report 09 Sep 2024 Moazzam Tanveer , Allied Health & Sport Sciences, Health Services Academy, Islamabad, ISLAMBAD, Punjab, 44000, Pakistan; Shanghai University, Shanghai, Shanghai, China Approved with Reservations VIEWS 0 https://doi.org/10.5256/f1000research.162810.r303953 Article Title: "Study of Obesity Among Adolescents in Rural Wardha District." 1. Clarification of Methodology: - The methodology section could benefit from more detail regarding the sampling method and the rationale behind the chosen sample size. ... Continue reading READ ALL Article Title: "Study of Obesity Among Adolescents in Rural Wardha District." 1. Clarification of Methodology: - The methodology section could benefit from more detail regarding the sampling method and the rationale behind the chosen sample size. It would be helpful to specify how participants will be recruited and how random sampling will be implemented in practice. 2. Data Collection Instruments: - Provide more detail on the validation process for the questionnaire. It’s essential to ensure the questionnaire has been pre-tested or piloted to confirm its reliability and validity. 3.Statistical Analysis Plan: - While the plan mentions the use of R statistical software, it could be improved by outlining specific statistical tests or models that will be applied to the data. This could include regression analyses, factor analyses, or other relevant techniques depending on the data's nature. 4.Discussion of Limitations: - The limitations section should explicitly discuss potential biases and limitations related to the study design, such as the self-reported nature of dietary and physical activity data, which might be prone to recall bias. 5. Ethical Considerations: - Expand on the ethical considerations, especially concerning the privacy and confidentiality of the adolescent participants. It would also be beneficial to mention how parental consent will be handled. 6. Reference List: - Ensure that all references are up-to-date and relevant. If any older references are used, they should be critically evaluated for their continued relevance in light of more recent research. 7. Implications of the Study: - The implications section could be enhanced by discussing potential public health interventions that could arise from the findings, and how these interventions could be implemented in similar rural settings beyond Wardha. 8. Formatting and Language: - Review the document for consistency in formatting, especially regarding headings, subheadings, and citation styles. Also, ensure that the language is clear, concise, and free of any grammatical errors. Is the rationale for, and objectives of, the study clearly described? No Is the study design appropriate for the research question? No Are sufficient details of the methods provided to allow replication by others? No Are the datasets clearly presented in a useable and accessible format? No Competing Interests: No competing interests were disclosed. Reviewer Expertise: Overweight and ObesityBody Mass Index (BMI)School SportsSocial-Ecological Model (SEM) (e.g., Intrapersonal, Interpersonal, School, Community)24-Hour Movement BehaviorChildren and Adolescents – The YouthInterventions I confirm that I have read this submission and believe that I have an appropriate level of expertise to confirm that it is of an acceptable scientific standard, however I have significant reservations, as outlined above. Close READ LESS CITE CITE HOW TO CITE THIS REPORT Tanveer M. Reviewer Report For: Study of obesity among adolescents in rural Wardha district [version 1; peer review: 1 approved with reservations] . F1000Research 2024, 13 :527 ( https://doi.org/10.5256/f1000research.162810.r303953 ) The direct URL for this report is: https://f1000research.com/articles/13-527/v1#referee-response-303953 NOTE: it is important to ensure the information in square brackets after the title is included in all citations of this article. COPY CITATION DETAILS Report a concern Respond or Comment COMMENT ON THIS REPORT Comments on this article Comments (0) Version 1 VERSION 1 PUBLISHED 22 May 2024 ADD YOUR COMMENT Comment keyboard_arrow_left keyboard_arrow_right Open Peer Review Reviewer Status info_outline Alongside their report, reviewers assign a status to the article: Approved The paper is scientifically sound in its current form and only minor, if any, improvements are suggested Approved with reservations A number of small changes, sometimes more significant revisions are required to address specific details and improve the papers academic merit. Not approved Fundamental flaws in the paper seriously undermine the findings and conclusions Reviewer Reports Invited Reviewers 1 Version 1 22 May 24 read Moazzam Tanveer , Health Services Academy, Islamabad, ISLAMBAD, Pakistan; Shanghai University, Shanghai, China Comments on this article All Comments (0) Add a comment Sign up for content alerts Sign Up You are now signed up to receive this alert Browse by related subjects keyboard_arrow_left Back to all reports Reviewer Report 0 Views copyright © 2024 Tanveer M. This is an open access peer review report distributed under the terms of the Creative Commons Attribution License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. 09 Sep 2024 | for Version 1 Moazzam Tanveer , Allied Health & Sport Sciences, Health Services Academy, Islamabad, ISLAMBAD, Punjab, 44000, Pakistan; Shanghai University, Shanghai, Shanghai, China 0 Views copyright © 2024 Tanveer M. This is an open access peer review report distributed under the terms of the Creative Commons Attribution License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. format_quote Cite this report speaker_notes Responses (0) Approved With Reservations info_outline Alongside their report, reviewers assign a status to the article: Approved The paper is scientifically sound in its current form and only minor, if any, improvements are suggested Approved with reservations A number of small changes, sometimes more significant revisions are required to address specific details and improve the papers academic merit. Not approved Fundamental flaws in the paper seriously undermine the findings and conclusions Article Title: "Study of Obesity Among Adolescents in Rural Wardha District." 1. Clarification of Methodology: - The methodology section could benefit from more detail regarding the sampling method and the rationale behind the chosen sample size. It would be helpful to specify how participants will be recruited and how random sampling will be implemented in practice. 2. Data Collection Instruments: - Provide more detail on the validation process for the questionnaire. It’s essential to ensure the questionnaire has been pre-tested or piloted to confirm its reliability and validity. 3.Statistical Analysis Plan: - While the plan mentions the use of R statistical software, it could be improved by outlining specific statistical tests or models that will be applied to the data. This could include regression analyses, factor analyses, or other relevant techniques depending on the data's nature. 4.Discussion of Limitations: - The limitations section should explicitly discuss potential biases and limitations related to the study design, such as the self-reported nature of dietary and physical activity data, which might be prone to recall bias. 5. Ethical Considerations: - Expand on the ethical considerations, especially concerning the privacy and confidentiality of the adolescent participants. It would also be beneficial to mention how parental consent will be handled. 6. Reference List: - Ensure that all references are up-to-date and relevant. If any older references are used, they should be critically evaluated for their continued relevance in light of more recent research. 7. Implications of the Study: - The implications section could be enhanced by discussing potential public health interventions that could arise from the findings, and how these interventions could be implemented in similar rural settings beyond Wardha. 8. Formatting and Language: - Review the document for consistency in formatting, especially regarding headings, subheadings, and citation styles. Also, ensure that the language is clear, concise, and free of any grammatical errors. Is the rationale for, and objectives of, the study clearly described? No Is the study design appropriate for the research question? No Are sufficient details of the methods provided to allow replication by others? No Are the datasets clearly presented in a useable and accessible format? No Competing Interests No competing interests were disclosed. Reviewer Expertise Overweight and ObesityBody Mass Index (BMI)School SportsSocial-Ecological Model (SEM) (e.g., Intrapersonal, Interpersonal, School, Community)24-Hour Movement BehaviorChildren and Adolescents – The YouthInterventions I confirm that I have read this submission and believe that I have an appropriate level of expertise to confirm that it is of an acceptable scientific standard, however I have significant reservations, as outlined above. reply Respond to this report Responses (0) Tanveer M. Peer Review Report For: Study of obesity among adolescents in rural Wardha district [version 1; peer review: 1 approved with reservations] . F1000Research 2024, 13 :527 ( https://doi.org/10.5256/f1000research.162810.r303953) NOTE: it is important to ensure the information in square brackets after the title is included in this citation. The direct URL for this report is: https://f1000research.com/articles/13-527/v1#referee-response-303953 Alongside their report, reviewers assign a status to the article: Approved - the paper is scientifically sound in its current form and only minor, if any, improvements are suggested Approved with reservations - A number of small changes, sometimes more significant revisions are required to address specific details and improve the papers academic merit. Not approved - fundamental flaws in the paper seriously undermine the findings and conclusions Adjust parameters to alter display View on desktop for interactive features Includes Interactive Elements View on desktop for interactive features Competing Interests Policy Provide sufficient details of any financial or non-financial competing interests to enable users to assess whether your comments might lead a reasonable person to question your impartiality. 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