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a measure of mass, the measurement unit for body weight is in kilograms. It is frequently
used to measure weight without items located on the person. Practically, there are certain
time wherein body weight may be measured with clothes but without any heavy
paraphernalia such as cellular phones, wallets, or wrist watches. Through the usage of
manual or digital weighing scale, a person can determine a person’s weight and health
as an excess or reduced body weight is regarded as an indicator and with the assistance
Prior to that, medical professionals use body mass index (BMI) as a medium to
calculate its distribution. Body mass index, or BMI, is a way to help someone figure out if
a person is at healthy weight for your height. It is defined as number based on your weight
and height. In general, the higher the number, the more body fat a person has. It is
risk for health problems such as heart disease, diabetes, and cancer. As stated by the
United States National Library of Medicine (2016), there are four classifications for all
labels for ranges of weight in adults or children interconnected through the continuous
Throughout history, humans have given importance to the beauty of the human
body. Society, media, and popular culture often shape how a person sees their own body,
but popular standards are not always helpful. Yvette Brazier (2017) once said that many
men and women are concerned about their body image correlated as giving essence to
the beauty of one another. As National Eating Disorder Association (NEDA) enunciated
an information at the year 2011, body image is not just what people see in the mirror, thus,
Consequently, Denise Witmer (2018) mentioned that body image may either be mental
or emotional aspect as it both defies the picture that a person has in his/her mind and on
well a student meets standards set out by local government and the institution itself. As
career competition grows even more fierce in the working world, the importance of
students doing well in school has caught the attention of parents, legislators and
that indicate the extent to which a person has accomplished specific goals that were the
university.
An early work by (Truong & Sturm, 2011) states that the relationship between body
weight and educational achievement (Himes J.,2015) has important policy implications,
particularly as the prevalence of adolescents with body weight status has been on the
rise in many countries of the world and has been analyzed in disciplines such as
influencing an individual’s self-esteem and body image (Puhl, 2011). At the same time,
body weight and educational achievement can be influenced by additional factors such
as “future orientation,” the individual’s willingness to invest in his or her future health,
income and social success (Duncan et al., 2009; Sutin, Ferrucci, Zonderman &
Terracciano, 2011).
Cross-sectional data from the Global School-based Student Health Survey (GSHS)
Partnering with BMC Public Health(2015), unadjusted rates of being underweight varied
from 12.6% (Egypt) to 31.9% (Djibouti), while being overweight ranged from 8.7% (Ghana)
to 31.4% (Egypt). Obesity rates ranged from 0.6% (Benin) to 9.3% (Egypt). The results
males and females. Females had a higher overweight prevalence in five of the countries,
exceptions being Egypt and Malawi, males had a higher prevalence of being underweight
Consequently, the World Health Organization (WHO) in the year 2015, considers
childhood obesity a serious public health challenge of the 21st century due in part, to its
association with affluence. On the other hand, being underweight, also associated with
The issue of underweight in early childhood in the U.S. has garnered much less
attention than the issue of childhood obesity in recent years. A major reason for this lack
of research is the decrease in the prevalence rates of underweight in the U.S over the last
30 years (Onis, Blossner, Borghi, Frongillo, & Morris, 2009). The most recent estimates for
the occurrence of underweight in the U.S. are about 3.1% (Onis et al.). In addition,
worldwide there is a much greater prevalence of underweight among children than in the
U.S., with estimates anywhere from 17% to 25% (Chang, Walker, Grantham-McGregor, &
nonindustrialized nations as a result of their living conditions (Onis et al., 2009). Onis and
colleagues identified the lack of cheap, high-calorie food available in these nations as a
and distribute food and high disease rates have also been identified as contributors to early
childhood underweight (Onis et al.). Little research exists on the contributing factors to
underweight in the United States. Future research is needed to identify reasons why a
small but meaningful section of the United States youth is diagnosed as underweight.
in relation to underweight (Chang et al., 2011; Mendez & Adair, 2009; Walker, Chang, &
30 Powell, 2011). Among the most notable detrimental effects to development was
with lower academic achievement. Malnutrition is likely the main underlying factor for
underweight and the negative influence on students may be more far reaching than just
nations (Chang et al.). Specifically, children who were diagnosed as “underweight” were
more likely to exhibit conduct problems in school (Chang et al.). Also, underweight
children were more likely to score lower on arithmetic tests than their typically weighted
peers, when controlling for IQ. In addition, these effects remained significant after
controlling for home and school environment conditions that have been found to play a
role in influencing achievement (Chang et al.). Prior to academic achievement, social and
emotional deficits have been linked to underweight in children (Chang et al., 2011;
Maughan, Pickles, Hagell, Rutter, & Yule, 2009). Specifically, self-esteem and aggressive
behavior in early childhood have been shown to be strongly positively correlated with birth
weight (Chang et al.). In other words, children with low birth weight tend to have lower
self-esteem and show more aggression. As a result of their study, Chang and colleagues
behaviors, lower self-esteem) for underweight in early childhood (Chang et al.; Mendez
&Adair, 2009; Walker et al., 2011; Whaley, Sigman, & Espinosa, 2009,), suggesting that
even with a low prevalence rate, childhood underweight in the U.S. needs additional
research.
A case study by Santana (2017) had suggested that individuals with obesity have
and motor skills compared withnormal weight peers. Successful academic performanceis
important during the school years and is also a strongpredictor of occupational and social
success in adult life. Interconnected to that, John Hill (2017) professed that adiposity may
bias or discrimination, commonly experienced by children with obesity, may affect self-
or factors such as stereotype threat. Amelia Branigan also found, in the year 2016, that
teachers and school staff expected obese students to be more emotional, less tidy, and
less likely to succeed at schoolwork than their normal-weight peers, while students as
young as kindergarten associate obesity with being stupid, ugly, mean, sloppy, and
having few friends. Consistent with the hypothesis that such stigmatization may motivate
differential social interaction among overweight and obese students, Janssen and King
victimization as early as age 11, and by age 15, also perpetration. In accord with that,
overweight children have a greater likelihood of poor peer relations, being excessively
teased, and ostracized. Neumark-Sztainer (2009) and colleagues found that both
overweight and underweight children were more likely to be teased by family and peers
than normally weighted children. Finally, a link between increased teasing from being
overweight is positively correlated with a higher prevalence of body image issues and
The remaining three causal studies acknowledge that obesity is also a socially
sanctioned characteristic of the physical body (Saguy 2013), and has the potential to alter
academic performance via social pathways such as discrimination and stigma even in the
obese students, grading them more harshly than a student of normal weight regardless
internalization of such lower expectations (Kuklinski and Weinstein 2009) or factors such
as stereotype threat. Amelia Branigan also found, in the year 2016, that teachers and
school staff expected obese students to be more emotional, less tidy, and less likely to
kindergarten associate obesity with being stupid, ugly, mean, sloppy, and having few
friends. Consistent with the hypothesis that such stigmatization may motivate differential
social interaction among overweight and obese students, Janssen and King
victimization as early as age 11, and by age 15, also perpetration. In accord with that,
overweight children have a greater likelihood of poor peer relations, being excessively
teased, and ostracized. Neumark-Sztainer (2009) and colleagues found that both
overweight and underweight children were more likely to be teased by family and peers
than normally weighted children. Finally, a link between increased teasing from being
overweight is positively correlated with a higher prevalence of body image issues and
The term "overweight" is used in two different ways. In one sense it is a way of saying
imprecisely that someone is heavy. The other sense of "overweight" is more precise and
designates a state between normal weight and obesity. The National Institutes of
Health (NIH) now defines overweight in terms of the BMI (the body mass index) which is a
person's weight in kilograms (kg) divided by their height in meters (m)squared. Since the
BMI describes the body weight relative to height, it correlates strongly (in adults) with the
Obesity has been more precisely defined by the National Institutes of Health (the NIH)
as a BMI (Body Mass Index) of 30 and above. (A BMI of 30 is about 30 pounds overweight.)
Since the BMI describes the body weight relative to height, it correlates strongly (in adults)
with the total body fat content. Some very muscular people may have a high BMI without
Nutrient intake, body mass, and physical activity is described relative to cognitive
body mass suggests poorer academic achievement during development and greater
decay of brain structure and function accompanied by increased cognitive aging during
link between an excess of body fat and decrements in cognitive performance have also
been investigated. Campos et al. examined intelligence (i.e. Wechsler Intelligence Scale
for Children) in 65 obese adolescents relative to healthy weight individuals within the
same community (age range 8–14 y). They found that obese children performed worse
on the Wechsler Intelligence Scale for Children than their healthy weight counterparts.
One example according to Tobin (2013) is that, greater exposure to fast food which leads
to obesity has been found to be detrimental to learning ability.There are several pathways
through which children’s weight could affect their academic performance. Overweight
children are more likely to have sleep apnea and asthma, which may interfere with
cognitive performance (Luder, Melnik, & DiMaio, 2013). Obese children also are more
Kaczorowski, Auinger, & Weitzman, 2009; Taras, 2008). If being overweight lowers
children’s self-esteem, as indicated by Hayden-Wade et al. (2009) and Strauss, it may
indirectly lead to poorer academic performance. Bias among peers, parents, or teachers
against overweight children could worsen their academic performance if those children
also found a negative correlation between childhood obesity and school performance. In
their study, for instance, (Wu et al., 2017) discovered a close association between
childhood obesity and poor academic performance among Chinese school-going children.
Analyzing data on this study helped the researchers conclude that obese children have
working memory deficits which may be construed to the cause of poor performance (Wu
et al., 2017). This study is supported by (Heshmat et al., 2014) who found a negative
relationship between school performance and childhood obesity. Those who were
overweight were seen to have low scores as compared to normal school going children.
The relationship was seen to be more significant for geometry and mathematics (Heshmat
et al., 2014). Psychological factors such as poor self-image and altered peer relationships
have been suggested to influence the relationship between school performance and
There are also studies that address the relationship between academic
performance and student health and wellbeing along dimensions such as hunger,
malnutrition, sleep, physical and emotional abuse, and chronic illness (Austin 2007;
Glewwe, Jacoby and Taras 2008; Carlson et al 2008; Belot and James 2011). Recently,
there are an increasing number of studies focusing on examining and verifying the link
between childhood body weight and educational outcomes. The results are inconsistent.
Many of them found a negative association between overweight and school performance
(Crosnoe and Muller 2009; Taras and Potts-Datema 2009; Sabia 2009; Gurley-Calvez
and Higginbotham 2010; Averret and Stifel 2010). For instance, Datar, Sturm and
Magnabosco (2010) used data from the Early Childhood Longitudinal Study-Kindergarten
Thus, they concluded that obesity is a marker as opposed to a causal factor when it
comes to low academic performance. Gurly-Calvez and Higginbotham (2010) used West
Virginia fifth grade school district level panel 6 data to examine the relationship between
childhood obesity and performance in schools based on different family income levels.
Their results suggest that obesity has a negative effect on academic achievement
in lower income school districts and that these effects for low-income children can be
offset by additional educational spending. Sabia (2009) studied sample drawing from the
National Longitude Survey of Adolescent Health and concluded that there is a negative
relationship between body weight and academic performance among white females.
Similarly, using individual children’s data with mother’s historic BMI as instrumental
variable, study by Averret and Stifel (2010) found that overweight white boys have both
math and reading scores about one standard deviation below that of their peers and
obese black boys and girls have significantly lower reading scores but not math scores.
However, some other papers found no relationship between body weight and
achievement test scores. For example, in MacAcann and Roberts’ study (2013), they
found that obese students obtain equivalent test scores to nonobese students and they
asserted that the differences in grades obtained between obese and nonobese students
are due to the peer and teacher prejudice and discrimination. Again, Kaestner and
Grossman (2009), and Scholder et al. (2010) both claimed that there is no significant
the overall research has demonstrated that overweight children are more likely to possess
30 Above Obese
Table. 1.1. Classification of Body weight calculated through body mass index
Chang, S. M., Walker, S. P., Grantham-McGregor, S., & Powell, C. A. (2009). Early
childhood stunting and later behaviour and school achievement. Journal of Child
Psychology and Psychiatry,
Classroom-based physical activity, cognition, and academic achievement.
Donnelly JE, Lambourne K
Prev Med. 2011 Jun; 52 Suppl 1():S36-42.
Food and Agricultural Organization. Nutrition and Development: A Global Assessment.
International Conference on Nutrition, Rome; 2013
Henninger, William Roy, "Differences in the development of underweight and
overweight children and their parents' perceptions of their socioemotional development."
(2009). Graduate Theses and Dissertations. 11170. https://lib.dr.iastate.edu/etd/11170
Ivanovic D. Does undernutrition during infancy inhibit brain growth and subsequent
intellectual development? Nutrition 2009;12:568-71..
Luder E, Melnik TA, DiMaio M. Association of being overweight with greater asthma
symptoms in inner city black and Hispanic children
J Pediatr; 132(4):699-703.
Liu A, Zhang B, Wang H, Zhao L, Su C, et al. (2011) Distribution of Body Mass Index
and its changing trends among Chinese adults in nine provinces from 2009 to 2011 .
Chinese Journal of Health Education 3: 167–70 (Chinese).
Mendez, M., & Adair, L. (2009). Severity and timing of stunting in the first two years of
life affect performance on cognitive tests in late childhood. Journal of Nutrition.
Opoola F, Adebisi SS, Ibegbu AO. The study of nutritional status and academic
performance of primary school children in Zaria, Kaduna State, Nigeria. Ann
Bioanthropol 2016;4:96-100
Rawal LB, Kanda K, Mahumud RA, Joshi D, Mehata S, Shrestha N, et al. (2018)
Prevalence of underweight, overweight and obesity and their associated risk factors in
Nepalese adults: Data from a Nationwide Survey, 2016. PLoS ONE 13(11): e0205912.
https://doi.org/10.1371/journal.pone.0205912
Walker,S. P., Chang, S. M., & Powell, C. A. (2011). Psychosocial consequences of
early childhood growth retardation. In R. Martorell & F. Haschke (Eds.), Nutrition and
Growth (vol. 47, pp. 241 – 254) Vevey, Switzerland: Nestec Ltd and Lippincott Williams
&Wilkins.
Whaley, S. E., Sigman, M., & Espinosa, M. P. (2009). Infant predictors of cognitive
development in an undernourished Kenyan population. Developmental and Behavioral
Pediatrics, 19, 169-177
Veldwijk J, Fries MC, Bemelmans WJ, Haveman-Nies A, Smit HA, Koppelman GH,
Wijga AH
Obesity (Silver Spring). 2012 Mar; 20(3):590-6. Overweight and school performance
among primary school children: the PIAMA birth cohort study.
Chang, S. M., Walker, S. P., Grantham-McGregor, S., & Powell, C. A. (2009). Early
childhood stunting and later behaviour and school achievement. Journal of Child
Psychology and Psychiatry,
Classroom-based physical activity, cognition, and academic achievement.
Donnelly JE, Lambourne K
Prev Med. 2011 Jun; 52 Suppl 1():S36-42.
Food and Agricultural Organization. Nutrition and Development: A Global Assessment.
International Conference on Nutrition, Rome; 2013
Henninger, William Roy, "Differences in the development of underweight and
overweight children and their parents' perceptions of their socioemotional development."
(2009). Graduate Theses and Dissertations. 11170. https://lib.dr.iastate.edu/etd/11170
Ivanovic D. Does undernutrition during infancy inhibit brain growth and subsequent
intellectual development? Nutrition 2009;12:568-71..
Luder E, Melnik TA, DiMaio M. Association of being overweight with greater asthma
symptoms in inner city black and Hispanic children
J Pediatr; 132(4):699-703.
Liu A, Zhang B, Wang H, Zhao L, Su C, et al. (2011) Distribution of Body Mass Index
and its changing trends among Chinese adults in nine provinces from 2009 to 2011 .
Chinese Journal of Health Education 3: 167–70 (Chinese).
Mendez, M., & Adair, L. (2009). Severity and timing of stunting in the first two years of
life affect performance on cognitive tests in late childhood. Journal of Nutrition.
Opoola F, Adebisi SS, Ibegbu AO. The study of nutritional status and academic
performance of primary school children in Zaria, Kaduna State, Nigeria. Ann
Bioanthropol 2016;4:96-100
Rawal LB, Kanda K, Mahumud RA, Joshi D, Mehata S, Shrestha N, et al. (2018)
Prevalence of underweight, overweight and obesity and their associated risk factors in
Nepalese adults: Data from a Nationwide Survey, 2016. PLoS ONE 13(11): e0205912.
https://doi.org/10.1371/journal.pone.0205912
Walker,S. P., Chang, S. M., & Powell, C. A. (2011). Psychosocial consequences of
early childhood growth retardation. In R. Martorell & F. Haschke (Eds.), Nutrition and
Growth (vol. 47, pp. 241 – 254) Vevey, Switzerland: Nestec Ltd and Lippincott Williams
&Wilkins.
Whaley, S. E., Sigman, M., & Espinosa, M. P. (2009). Infant predictors of cognitive
development in an undernourished Kenyan population. Developmental and Behavioral
Pediatrics, 19, 169-177
Veldwijk J, Fries MC, Bemelmans WJ, Haveman-Nies A, Smit HA, Koppelman GH,
Wijga AH
Obesity (Silver Spring). 2012 Mar; 20(3):590-6. Overweight and school performance
among primary school children: the PIAMA birth cohort study.
Scientific and Research Publications, Volume 7, Issue 2, February 2017 ISSN 2250-
3153
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