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Description:We assessed the quality of studies, based on a point scoring system adopted from the Downs and Black checklist [ 37 ]. References of all selected papers were screened along with those of previously published reviews with the aim of identifying additional studies which may have been missed through our online searches. In countries where the economic impact of obesity has been studied, its direct arising from preventive, diagnostic, and treatment services and indirect related to decreased productivity, increased absenteeism and restricted activity etc. The national prevalence of overweight and obesity were estimated as

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