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Background: Obesity in children has adverse effects on both health and psychology. Obesity is known to be influenced by environmental factors and genetic factors, as well as the interaction between genes and environment. Hai Phong city located in the northern part of Vietnam has rapid economic growth and urbanization. Along with the development, the percentage of obese children has increased. To date, there have been no studies on the relationship between risky factors and obesity in children in this city. The present study aimed to explore the association of eating behavior and parental BMI with obesity of Hai Phong primary school children. Methods: Anthropometric indices (height, weight and BMI) of total 4014 children from 6 to 10 years of age in 19 primary schools in Hai Phong city were measured. Obese children and normal weight children were classified using the criteria of BMI cut-off points proposed by the International Obesity Task Force. Then, 175 normal weight children and 169 obese children were studied to evaluate the association of eating behaviors and their parental BMI with obesity. Results: Eating behaviors that increased the risk of obesity included: Gluttonous characteristic (OR = 14.2), no extra-meal (OR = 2.9), no desired eating (OR = 2.3) and preference for fatty foods (OR = 3.3).The BMI of father and/or mother ≥ 23 kg/m2 significantly increased the risk of obesity in primary school children (OR = 2.9 and OR = 5.5). Conclusions: There was high association of eating behaviors and parental BMI with obesity of primary school children in Hai Phong city. Eating behaviors that increased the risk of obesity included gluttonous characteristic, no extra-meal, no desired eating and preference of fatty foods. High father and/or mother BMI also increased the risk of obesity in children.

Association of Eating Behavior and Parental Body Mass Index with Obesity of Primary School Children: A Case Study in Hai Phong City, Vietnam