Prevalence of Underweight and Overweight and Its Association with Physical Fitness in Egyptian Schoolchildren

Underweight and overweight are serious health concerns for many children and could be associated with low physical-fitness levels. This study aimed (i) to evaluate the prevalence of underweight and overweight and (ii) to examine its association with the physical fitness levels in primary male and female schoolchildren. Including 13 government primary-schools, a cross-sectional survey was conducted between 2014 and 2017. Anthropometric characteristics together with the physical-fitness level were measured in 931 schoolchildren aged between 6- and 11-years old. The prevalence of under- and overweight children were 8.49% and 24.06%, respectively. These proportions were not significantly different between males and females and were affected by age (p < 0.001), with a higher prevalence of overweight and a lower prevalence of underweight at 9–11 years, compared to 6–8 years old. Concerning the physical fitness levels, statistical analysis showed a better performance among males compared to females, among participants aged 9–11 years, compared to 6–8 years old, and among underweight and normal-weight, compared to overweight children (p < 0.001). There was a higher prevalence of overweight and lower prevalence of underweight at 9–11 years compared to 6–8 years old. Physical fitness levels were better in (i) males, compared to females, (ii) schoolchildren aged 9–11 years, compared to 6–8 years old, and (iii) underweight and normal-weight, compared to overweight children.