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Joh HK, Kwon H, Son KY, Yun JM, Cho SH, Han K, Park JH, Cho B. Trends in underweight and severe underweight disparities in Korean adults and older adults: a nationwide, repeated cross-sectional study. J Nutr Health Aging 2024; 28:100185. [PMID: 38341966 DOI: 10.1016/j.jnha.2024.100185] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2024] [Accepted: 01/29/2024] [Indexed: 02/13/2024]
Abstract
OBJECTIVES Little is known about the disparities in underweight prevalence among the general population in high-income countries. We investigated the trends in underweight prevalence and disparities across sociodemographic groups among Korean adults and older adults. SETTING AND PARTICIPANTS A series of cross-sectional data on Korean national health checkups for adults aged ≥20 years were analyzed from 2005 to 2016. MEASUREMENTS Based on body mass index (kg/m2), underweight was graded as mild (17.0-18.49), moderate (16.0-16.9), and severe (<16.0). Underweight prevalence was compared across sociodemographic subgroups in 2015-2016. Trends in underweight disparities were examined from 2005-2006 to 2015-2016. Multivariable-adjusted odds ratios (ORs; 95% confidence intervals, CIs) were calculated using logistic regression. RESULTS Approximately 11-22 million adults were included in each wave. In 2015-2016, the overall prevalence of underweight was 3.6% (men 2.0%, women 5.2%); severe underweight was 0.2% (men 0.1%, women 0.3%). The prevalence of underweight varied by sex and age groups. In men, those aged ≥80 years had the highest prevalence (overall 7.33%, severe underweight 0.84%). In women, those aged 20-29 years had the highest prevalence of overall underweight (14.57%), whereas those aged ≥80 years had the highest prevalence of severe underweight (1.38%). Compared with individuals in the lowest income quartile, men in the highest income had lower ORs of overall (0.59, 95% CI 0.59-0.60) and severe underweight (0.46, 95% CI 0.44-0.48); women in the highest income quartile had a higher OR of overall (1.12, 95% CI 1.12-1.13) but a lower OR of severe underweight (0.89, 95% CI 0.86-0.92). From 2005-2006 to 2015-2016, severe underweight consistently declined in older men but remained constant in women aged ≥80 years, widening sex disparities among older adults. Severe underweight decreased or leveled off in the highest income quartile but steadily increased in the lowest quartile, worsening income disparities. CONCLUSION In this nationwide study, underweight was more prevalent among women, older adults aged ≥80 years, and low-income individuals. Disparities in severe underweight widened across sociodemographic subgroups over time.
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Affiliation(s)
- Hee-Kyung Joh
- Department of Medicine, Seoul National University College of Medicine, Seoul 03080, Republic of Korea; Department of Family Medicine, Seoul National University Health Service Center, Seoul 08826, Republic of Korea; Department of Family Medicine, Seoul National University Hospital, Seoul 03080, Republic of Korea
| | - Hyuktae Kwon
- Department of Family Medicine, Seoul National University Hospital, Seoul 03080, Republic of Korea; Health Promotion Center, Seoul National University Hospital, Seoul 03080, Republic of Korea; Department of Family Medicine, Seoul National University College of Medicine, Seoul 03080, Republic of Korea
| | - Ki Young Son
- Department of Family Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul 05505, Republic of Korea
| | - Jae Moon Yun
- Department of Family Medicine, Seoul National University Hospital, Seoul 03080, Republic of Korea; Health Promotion Center, Seoul National University Hospital, Seoul 03080, Republic of Korea
| | - Su Hwan Cho
- Department of Family Medicine, Seoul National University Hospital, Seoul 03080, Republic of Korea; Health Promotion Center, Seoul National University Hospital, Seoul 03080, Republic of Korea
| | - Kyungdo Han
- Department of Statistics and Actuarial Science, Soongsil University, Seoul 06978, Republic of Korea
| | - Jin-Ho Park
- Department of Family Medicine, Seoul National University Hospital, Seoul 03080, Republic of Korea; Health Promotion Center, Seoul National University Hospital, Seoul 03080, Republic of Korea; Department of Family Medicine, Seoul National University College of Medicine, Seoul 03080, Republic of Korea.
| | - Belong Cho
- Department of Family Medicine, Seoul National University Hospital, Seoul 03080, Republic of Korea; Health Promotion Center, Seoul National University Hospital, Seoul 03080, Republic of Korea; Department of Family Medicine, Seoul National University College of Medicine, Seoul 03080, Republic of Korea; Institute on Aging, Seoul National University College of Medicine, 71 Ihwajang-Gil, Jongno-gu, Seoul 03087, Republic of Korea.
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Cuenca Alcocel J, Villalba-Heredia L, Martínez Redondo I, Berrozpe-Villabona C, Casajús JA, Arbonés-Mainar JM, Calmarza P. Bone metabolism in children with normal weight and overweight/obesity in a northeastern region of Spain. ADVANCES IN LABORATORY MEDICINE 2024; 5:66-74. [PMID: 38634087 PMCID: PMC11019894 DOI: 10.1515/almed-2024-0026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 06/29/2023] [Accepted: 11/28/2023] [Indexed: 04/19/2024]
Abstract
Objectives Bone mass progressively increases to peak during childhood and adolescence, which determines future bone health. Bone formation-resorption processes are assessed using bone markers. However, studies on the impact of obesity on bone turnover markers at this age are limited, and results are inconsistent. The objective of this study was to examine the potential impact of overweight/obesity on bone metabolism. Methods A study was performed to compare parameters of bone metabolism in 45 girls and boys with normal weight (controls) and in a group of 612 girls and boys with overweight/obesity (cases) from the Exergames study (University of Zaragoza). Ages ranged from 8 to 12 years. Results Higher values of phosphorus and IGFBP-3 were observed in children with overweight/obesity, as compared to children with normal weight, (p=0.042) and (p=0.042), respectively. BAP, osteocalcin, magnesium, vitamin D and IGF-I concentrations were lower in the group with overweight/obesity, whereas calcium concentrations were higher in this group, although differences were not statistically significant. A negative correlation was found (r=-0.193) (p=0.049) between BAP and BMI. Conclusions Although differences did not reach statistical significance, BAP and osteocalcin concentrations were lower in children with overweight/obesity. This added to the negative correlation found between BAP and MIC may demonstrate that overweight/obesity may negatively affect bone health already at a young age.
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Affiliation(s)
| | | | | | | | - José Antonio Casajús
- GENUD (Growth, Exercise, Nutrition and Development) Research Group, University of Zaragoza, Healthcare Research Institute of Aragon (IIS Aragón), Zaragoza, Spain
- Biomedical Research Networking Center for Physiopathology of Obesity and Nutrition (CIBEROBN), Carlos III Health Institute, Madrid, Spain
- Department of Physiatry and Nursing, Faculty of Health and Sports Sciences, University of Zaragoza, Zaragoza, Spain
| | - José Miguel Arbonés-Mainar
- Adipocyte and Fat Biology Laboratory (AdipoFat), Transversal Research Unit, Miguel Servet University Hospital, Health Research Institute (IIS) Aragón, Zaragoza, Spain
- Aragonese Institute of Health Sciences (IACS), Zaragoza, Spain
- CIBER Pathophysiology Obesity and Nutrition (CIBERObn), Carlos III Health Institute, Madrid, Spain
| | - Pilar Calmarza
- Service of Clinical Biochemistry, Miguel Servet University Hospital, Zaragoza, Spain
- Network Research Center for Cardiovascular Diseases (CIBERCV), University of Zaragoza, Healthcare Research Institute of Aragon (IIS Aragón), Zaragoza, Spain
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Cuenca Alcocel J, Villalba-Heredia L, Martínez Redondo I, Berrozpe-Villabona C, Casajús JA, Arbonés-Mainar JM, Calmarza P. Metabolismo óseo en niños aragoneses con normopeso y niños con sobrepeso/obesidad. ADVANCES IN LABORATORY MEDICINE 2024; 5:75-84. [PMID: 38634080 PMCID: PMC11019878 DOI: 10.1515/almed-2023-0065] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 06/29/2023] [Accepted: 11/28/2023] [Indexed: 04/19/2024]
Abstract
Objetivos En la infancia y adolescencia se produce un aumento de masa ósea, hasta alcanzar un pico máximo, determinante para la salud ósea. Los marcadores óseos evalúan los procesos de formación-resorción ósea. Sin embargo, los estudios sobre la influencia de la obesidad en los marcadores de recambio óseo en esta edad, son escasos y los resultados contradictorios. El objetivo de nuestro estudio fue evaluar si el sobrepeso/obesidad influían en el metabolismo óseo. Métodos Se compararon parámetros relacionados con el metabolismo óseo, en 45 niños y niñas normopeso (controles) y en un grupo de 61 niños y niñas con sobrepeso/obesidad (casos), procedentes del estudio Exergames (Universidad de Zaragoza), de edades comprendidas, todos ellos, entre 8 y 12 años. Resultados La concentración de fósforo y la de IGFBP-3 fueron superiores en los niños con sobrepeso/obesidad, respecto a la de los niños normopeso, (p=0,042) y (p=0,042), respectivamente. Las concentraciones de BAP, osteocalcina, magnesio, vitamina D e IGF-I fueron más bajas en el grupo de los niños con sobrepeso/obesidad y la de calcio más elevada, pero las diferencias no fueron estadísticamente significativas. Existe correlación negativa (r=−0,193) (p=0,049) entre BAP e IMC. Conclusiones En los niños con sobrepeso/obesidad pese a que no se llegó a alcanzar significación estadística, la concentración de BAP y osteocalcina fue inferior a la de los niños normopeso, lo cual junto con la correlación negativa de BAP respecto al IMC encontrada, puede indicar que ya en edades tan tempranas el sobrepeso/obesidad puede afectar a la salud ósea.
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Affiliation(s)
| | | | | | | | - José Antonio Casajús
- GENUD (Growth, Exercise, Nutrition and Development) Research Group, Universidad de Zaragoza, Instituto de Investigación Sanitaria Aragón (IIS Aragón)Zaragoza, España
- Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos IIIMadrid, España
- Departamento de Fisiatría y Enfermería, Facultad de Ciencias de la Salud y el Deporte, Universidad de ZaragozaZaragoza, España
| | - José Miguel Arbonés-Mainar
- Adipocyte and Fat Biology Laboratory (AdipoFat), Unidad de Investigación Transversal, Hospital Universitario Miguel Servet, Instituto de Investigación Sanitaria (IIS), Zaragoza, Aragón, España
- Instituto Aragonés de Ciencias de la Salud (IACS), Zaragoza, España
- CIBER Fisiopatología Obesidad y Nutrición (CIBERObn), Instituto Salud Carlos III, Madrid, España
| | - Pilar Calmarza
- Servicio de Bioquímica Clínica, Hospital Universitario Miguel Servet, Zaragoza, España
- Centro de Investigación en Red en Enfermedades Cardiovasculares (CIBERCV), Universidad de Zaragoza, Instituto de Investigación Sanitaria Aragón (IIS Aragón)Zaragoza, España
- Miembro de las Comisiones de Estrés Oxidativo y Lipoproteínas y Enfermedades vasculares de la SEQC-ML, Servicio de Bioquímica Clínica, Hospital Universitario Miguel ServetZaragoza, España
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Špečkauskienė V, Trišauskė J, Grincaitė M, Kriaučionienė V, Petrauskienė A. Changes of anthropometric indicators of lithuanian first-graders in 2008-2019 according to International Obesity Task Force (IOTF) and World Health Organization (WHO) definitions. BMC Public Health 2023; 23:2097. [PMID: 37880648 PMCID: PMC10601166 DOI: 10.1186/s12889-023-17031-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2023] [Accepted: 10/20/2023] [Indexed: 10/27/2023] Open
Abstract
INTRODUCTION The monitoring of children's growth plays a crucial role in assessing their growth patterns and indicating their weight status. Overweight and obesity, determined by cut-offs of body mass index (BMI), are most commonly associated with unhealthy nutrition, non-communicable diseases, and other health disorders. The World Health Organization (WHO) initiated the WHO European Childhood Obesity Surveillance Initiative (COSI) to measure routinely trends in children's anthropometric changes, which allow intercountry comparisons within the European Region. Lithuania joined the COSI initiative. Our study aims to evaluate and compare underweight, normal and elevated weight (overweight and obesity) changes of Lithuanian first-graders during eleven years period. METHODS This study was composed according to the COSI study protocol, and it compares the five rounds of anthropometric measurements of Lithuanian first-graders (7-8-year-old) from 2008 to 2019. The main analysed variables were weight and height; calculated BMI, weight-for-age (W/A), height-for-age (H/A) and body mass index-for-age (BMI/A) z-scores. Changes of the indicators were evaluated according to the International Obesity Task Force (IOTF) cut-offs and WHO child growth standards, grouped by 4 estimates: underweight (thinness), normal weight, overweight and obesity. All comparisons were performed between age groups, gender and COSI round year. RESULTS The mean values for weight, height, W/A and H/A Z-scores were significantly higher for both age and gender groups when comparing later COSI round years (2016 or 2019) to earlier years (2008-2013, in some cases 2016 is included in this range). Time trends of the WHO growth standards and IOTF cut-offs indicate significant decrease among 7-year-old overweight group for boys and girls. Also, a significant decrease was indicated among boys aged 8 years in the overweight group according to the WHO definitions. The only significant increase in trend were expressed in girl's group with obesity aged 8 years according to IOTF cut-offs. CONCLUSION The prevalence of overweight and obesity of first-grade children in Lithuania indicates positive changes, that is the proportion of children with elevated body weight decreased, during eleven-year period. However, it is important to continue the monitoring of children's growth tendencies.
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Affiliation(s)
- Vita Špečkauskienė
- Health Research Institute, Faculty of Public Health, Lithuanian University of Health Sciences, Kaunas, LT47181, Lithuania.
- Department of Physics, Mathematics, and Biophysics, Faculty of Medicine, Lithuanian University of Health Sciences, Kaunas, LT, 50162, Lithuania.
| | - Justina Trišauskė
- Health Research Institute, Faculty of Public Health, Lithuanian University of Health Sciences, Kaunas, LT47181, Lithuania
| | - Monika Grincaitė
- Health Research Institute, Faculty of Public Health, Lithuanian University of Health Sciences, Kaunas, LT47181, Lithuania
| | - Vilma Kriaučionienė
- Health Research Institute, Faculty of Public Health, Lithuanian University of Health Sciences, Kaunas, LT47181, Lithuania
- Department of Preventive Medicine, Faculty of Public Health, Lithuanian University of Health Sciences, Kaunas, LT47181, Lithuania
| | - Aušra Petrauskienė
- Health Research Institute, Faculty of Public Health, Lithuanian University of Health Sciences, Kaunas, LT47181, Lithuania
- Department of Preventive Medicine, Faculty of Public Health, Lithuanian University of Health Sciences, Kaunas, LT47181, Lithuania
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Fabian Suárez-Ortegón M, Prats-Puig A, Bassols J, Carreras-Badosa G, McLachlan S S, Wild SH, López-Bermejo A, Manuel Fernández-Real J. Iron status and cardiometabolic risk in children. Diabetes Res Clin Pract 2023; 202:110795. [PMID: 37355100 DOI: 10.1016/j.diabres.2023.110795] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/21/2023] [Revised: 06/05/2023] [Accepted: 06/19/2023] [Indexed: 06/26/2023]
Abstract
AIM We aimed to evaluate associations between serum ferritin and transferrin and variables related to the metabolic syndrome (MetS) in children. METHODS Cross-sectional and longitudinal study in prepubertal children(n=832) aged 3-14 years. A subset(n=203) were re-examined after a mean follow-up of 3.7±0.8 years[range 2-6]. Outcomes were MetS and MetS components scores, glycosylated haemoglobin (HbA1c), and their follow-up change. RESULTS Children with low ferritin had increased HbA1c Z scores (ANCOVA,P=0.003). Ferritin was inversely associated with glycaemia [fully adjusted β (95% confidence interval): -2.35(-4.36 to -0.34)]. Transferrin was associated with diastolic blood pressure[β: 0.02(0.01-0.04)] and log-HOMA-IR [β:0.001(0.0005-0.002)]. MetS risk score worsened during follow-up in children with the lowest baseline ferritin levels. In contrast, at baseline ferritin was positively associated with all (except glycaemia) the MetS-related variables but adjustments for inflammatory, hepatic function, and body mass markers attenuated those associations(P>0.05). CONCLUSIONS Lower iron status was independently associated with glycaemic markers and MetS in children, whereas higher ferritin levels were related to other cardiometabolic risk markers under the influence of inflammation, hepatic injury and body mass. Research is required to study whether this mixed pattern is part of an early risk or would be explained by a normal transition during growth and development.
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Affiliation(s)
- Milton Fabian Suárez-Ortegón
- Departamento de Alimentación y Nutrición, Pontificia Universidad Javeriana Seccional Cali, Cali, Colombia; Grupo de Ciencias Básicas y Clínicas de la Salud, Pontificia Universidad Javeriana Seccional Cali, Cali, Colombia
| | - Anna Prats-Puig
- Pediatrics Research Group, Girona Institute for Biomedical Research, Girona, 17007, Spain; Department of Pediatrics, Dr Josep Trueta Hospital, Girona, 17007, Spain; TransLab Research Group, Department of Medical Sciences, Faculty of Medicine, University of Girona, Girona, 17004, Spain
| | - Judit Bassols
- Pediatrics Research Group, Girona Institute for Biomedical Research, Girona, 17007, Spain; Department of Pediatrics, Dr Josep Trueta Hospital, Girona, 17007, Spain
| | - Gemma Carreras-Badosa
- Pediatrics Research Group, Girona Institute for Biomedical Research, Girona, 17007, Spain; Department of Pediatrics, Dr Josep Trueta Hospital, Girona, 17007, Spain
| | - Stela McLachlan S
- Departamento de Alimentación y Nutrición, Pontificia Universidad Javeriana Seccional Cali, Cali, Colombia
| | - Sarah H Wild
- Departamento de Alimentación y Nutrición, Pontificia Universidad Javeriana Seccional Cali, Cali, Colombia
| | - Abel López-Bermejo
- Pediatrics Research Group, Girona Institute for Biomedical Research, Girona, 17007, Spain; Department of Pediatrics, Dr Josep Trueta Hospital, Girona, 17007, Spain; Department of Physical Therapy, EUSES University School, University of Girona, Girona, 17004, Spain.
| | - Jose Manuel Fernández-Real
- Department of Diabetes, Endocrinology and Nutrition, Institut d'Investigació Biomèdica de Girona (IdIBGi), CIBEROBN (CB06/03/010) and Instituto de Salud Carlos III (ISCIII), Girona, 17007, Spain.
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Galan-Lopez P, Lopez-Cobo I, García-Lázaro I, Ries F. Associations between Motives for Physical Exercise, Body Composition and Cardiorespiratory Fitness: A Cross-Sectional Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:14128. [PMID: 36361006 PMCID: PMC9654577 DOI: 10.3390/ijerph192114128] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/11/2022] [Revised: 10/24/2022] [Accepted: 10/26/2022] [Indexed: 06/16/2023]
Abstract
Adolescents' need for some minimum amount of daily physical exercise has been widely studied so as to assist better health outcomes and to reduce future obesity rates. However, the motivations of adolescents to exercise are less well-known. This manuscript aims to analyze the motives that explain the practice of physical exercise in adolescents and the possible associations with elements of body composition and cardiorespiratory fitness. For this purpose, the Self-Report of Motives for the Practice of Physical Exercise questionnaire (AMPEF) was administered to 917 students between 13-16 years of age (50.1% girls, 49.9% boys, M age = 14.82) from Seville, Spain. Subscales Ill-Health Avoidance and Positive Health, Revitalization and Enjoyment, Strength and Endurance, and Challenge represent the participants' main reasons for practicing physical exercise. Associations between BMI and FAT % with the subscales Weight Management and Appearance (direct association) and Revitalization and Enjoyment (inverse association) were found. A direct association between cardiorespiratory fitness and Revitalization and Enjoyment, Competition, Strength, and Endurance and Challenge subscales was found for both genders. Conclusions emphasize the practice of physical exercise in adolescents due to intrinsic motives based on improving their state of health, increasing their levels of strength and endurance (boys), and achieving short-term objectives (girls).
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Affiliation(s)
- Pablo Galan-Lopez
- Department of Communication and Education, Faculty of Social and Human Sciences, Universidad Loyola Andalucía, 41704 Seville, Spain
| | - Isabel Lopez-Cobo
- Department of Didactics and Educational Organization, University of Seville, 41013 Seville, Spain
| | - Irene García-Lázaro
- Department of Communication and Education, Faculty of Social and Human Sciences, Universidad Loyola Andalucía, 41704 Seville, Spain
| | - Francis Ries
- Department of Physical Education and Sports, Faculty of Educational Sciences, University of Seville, 41013 Seville, Spain
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Holstein BE, Andersen A, Damsgaard MT, Madsen KR, Pedersen TP. Underweight among adolescents in Denmark: prevalence, trends (1998-2018), and association of underweight with socioeconomic status. Fam Pract 2022; 39:413-419. [PMID: 34718536 DOI: 10.1093/fampra/cmab134] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/22/2023] Open
Abstract
BACKGROUND Underweight among adolescents is an important clinical and public health issue. It is associated with adverse health outcomes throughout the life-span and may reflect food poverty, unhealthy eating habits, or some underlying health conditions. OBJECTIVE To study prevalence and trends in underweight among adolescents 1998-2018, to examine social inequality in underweight, and whether social inequality changed over time. METHODS Data were derived from 6 cross-sectional school surveys from The Health Behaviour in School-aged Children study in Denmark. The study included 11-, 13-, and 15-year-old schoolchildren in random samples of schools in 1998, 2002, 2006, 2010, 2014, and 2018 (n = 22,177). Underweight was determined by body mass index-for-age thinness grade 2-3 (the Cole and Lobstein method). Socioeconomic status was determined using occupational social class (the Danish OSC Measurement). RESULTS The overall prevalence of underweight was 3.1% among boys and 5.3% among girls (P < 0.0001) and decreased by age (P < 0.0001) among both boys and girls. The prevalence of underweight was almost stable from 1998 to 2018. There was no observed absolute or relative social inequality in the prevalence of underweight among boys or girls. CONCLUSION The prevalence of underweight in 11- to 15-year-olds was significantly higher among girls than boys. The prevalence remained stable from 1998 to 2018. There was no significant association between SES and prevalence of underweight. It is important to elucidate the underlying causes of underweight such as malnutrition, eating disorders, eating problems, loss of appetite, chronic diseases, insufficient knowledge of nutrients effects on bodily functions, and persistent pain.
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Affiliation(s)
- Bjørn E Holstein
- National Institute of Public Health, University of Southern Denmark, Copenhagen, Denmark
| | - Anette Andersen
- Steno Diabetes Center, Aarhus University Hospital, Aarhus, Denmark
| | - Mogens Trab Damsgaard
- National Institute of Public Health, University of Southern Denmark, Copenhagen, Denmark
| | - Katrine Rich Madsen
- National Institute of Public Health, University of Southern Denmark, Copenhagen, Denmark
| | - Trine Pagh Pedersen
- National Institute of Public Health, University of Southern Denmark, Copenhagen, Denmark
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Candela-Martínez B, Martínez-Carrión JM, Román-Cervantes C. Biological Well-Being and Inequality in Canary Islands: Lanzarote (Cohorts 1886-1982). INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:12843. [PMID: 34886572 PMCID: PMC8657708 DOI: 10.3390/ijerph182312843] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/31/2021] [Revised: 11/25/2021] [Accepted: 11/27/2021] [Indexed: 12/02/2022]
Abstract
Developments in anthropometric history in the Iberian Peninsula have been remarkable in recent decades. In contrast, we barely know about the behavior of insular population groups and infants' and adults' growth during the nutritional transition in the Canary Islands. This paper analyzes the height, weight and body mass index of military recruits (conscripts) in a rural municipality from the eastern Canaries during the economic modernization process throughout the 20th century. The case study (municipality of San Bartolomé (SB) in Lanzarote, the island closest to the African continent) uses anthropometric data of military recruits from 1907-2001 (cohorts from 1886 to 1982). The final sample is composed of 1921 recruits' records that were measured and weighed at the ages of 19-21 years old when adolescent growth had finished. The long-term anthropometric study is carried out using two approaches: a malnutrition and growth retardation approach and an inequality perspective. In the first one, we use the methodology recommended by the World Health Organization (WHO) that is based on z-scores. In the second one, we implement several inequality dimensions such as the coefficient of variation (CV), percentiles and an analysis for height and BMI evolution by five socioeconomic categories. The data suggest that improvements in biological well-being were due to advances in nutrition since the 1960s. They show that infant nutrition is sensitively associated with economic growth and demographic and epidemiological changes.
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Affiliation(s)
- Begoña Candela-Martínez
- Department of Applied Economics, Faculty of Economics and Business, Murcia University, 30100 Murcia, Spain;
| | - José M. Martínez-Carrión
- Department of Applied Economics, Faculty of Economics and Business, Murcia University, 30100 Murcia, Spain;
| | - Cándido Román-Cervantes
- Department of Management Business and Economic History, Faculty of Economics, University of La Laguna, 38204 San Cristóbal de La Laguna, Spain;
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Lemanowicz-Kustra A, Borkowska A, Brzeziński M, Wyszomirski A, Szlagatys-Sidorkiewicz A. Longitudinal Analysis (1994-2020) of Prevalence and Trends of Underweight in Polish Children. CHILDREN-BASEL 2021; 8:children8080643. [PMID: 34438534 PMCID: PMC8391958 DOI: 10.3390/children8080643] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/09/2021] [Revised: 07/08/2021] [Accepted: 07/23/2021] [Indexed: 11/21/2022]
Abstract
Nutritional status disorders are a worldwide problem. Approximately 5.9 million children under the age of five die each year, and 45% of these deaths are related to malnutrition. The aim of the study was to analyse the prevalence of underweight children aged between 6 and 7 years old, living in the Gdańsk, Poland, in the years 1994–2020. The anthropometric parameters of 67,842 children were analysed. BMI (Body Mass Index) value <5 percentile (pc) was defined as underweight. The BMI value was compared to the WHO (World Health Organization) centile charts and the OLAF (research project PL0080) national reference charts. The prevalence of underweight children in relation to the WHO charts was 1.9%; underweight status was found to be more significant in the group of boys (2.1%) than the group of girls (1.7%) (p < 0.001). According to the OLAF centile charts, the underweight figure among all of the study population was 2.1% and no statistical significance between boys (2.1%) and girls (2.0%) was found (p = 0.670). The occurrence of underweight indviduals in the studied group slightly increased in the years 1994–2020. We found a statistically significant increasing linear trend in the analysis of underweight children in our group (p < 0.001), in group of boys (p < 0.001), but not girls (WHO p = 0.603; OLAF p = 0.787). This points to the need to conduct regular screening systems for children and adolescents.
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Affiliation(s)
- Aleksandra Lemanowicz-Kustra
- Department of Pediatrics, Gastroenterology, Allergology and Nutrition, Faculty of Medicine, Medical University of Gdańsk, 80-803 Gdańsk, Poland; (A.L.-K.); (M.B.); (A.S.-S.)
| | - Anna Borkowska
- Department of Pediatrics, Gastroenterology, Allergology and Nutrition, Faculty of Medicine, Medical University of Gdańsk, 80-803 Gdańsk, Poland; (A.L.-K.); (M.B.); (A.S.-S.)
- Correspondence:
| | - Michał Brzeziński
- Department of Pediatrics, Gastroenterology, Allergology and Nutrition, Faculty of Medicine, Medical University of Gdańsk, 80-803 Gdańsk, Poland; (A.L.-K.); (M.B.); (A.S.-S.)
| | - Adam Wyszomirski
- Department of Adult Neurology, Faculty of Medicine, Medical University of Gdańsk, 80-211 Gdańsk, Poland;
| | - Agnieszka Szlagatys-Sidorkiewicz
- Department of Pediatrics, Gastroenterology, Allergology and Nutrition, Faculty of Medicine, Medical University of Gdańsk, 80-803 Gdańsk, Poland; (A.L.-K.); (M.B.); (A.S.-S.)
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10
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Garrido-Miguel M, Martínez-Vizcaíno V, Herráiz-Adillo Á, Martínez-Hortelano JA, Soriano-Cano A, Díez-Fernández A, Solera-Martínez M, Sánchez-López M. Obesity and thinness prevalence trends in Spanish schoolchildren: are they two convergent epidemics? Eur J Public Health 2021; 30:1019-1025. [PMID: 32601672 DOI: 10.1093/eurpub/ckaa092] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND The objective of this study was to analyse the secular trends in body composition variables and weight status among Spanish schoolchildren from 1992 to 2017, and to examine the persistence in the same weight status category from 2013 to 2017 of the birth cohort in 2007-08. METHODS The data for the prevalence/trend analysis were taken from cross-sectional analyses conducted in 1992 (n = 308), 1996 (n = 307), 1998 (n = 275), 2004 (n = 1119), 2010 (n = 912), 2013 (n = 352) and 2017 (n = 275) using similar procedure methods among schoolchildren (aged 4-6 y and 8-11 years) from 22 public schools in the province of Cuenca, Spain. The data for the longitudinal analysis were obtained from cross-sectional analyses of measurements gathered in 2013 and 2017 in the same cohort of children (n = 275) born in 2007 and 2008. Weight, height, body fat percentage (by electronic bioimpedance) and waist circumference were measured by trained personnel. Weight status was defined according to the BMI cut-offs proposed by the International obesity task force (IOTF) criteria. RESULTS In schoolchildren, the overall prevalence of thinness increased from 5.9% in 1992 to 14.5% in 2017, P < 0.001. Whereas, the overall prevalence of obesity/overweight remained relatively steady between the same time period (from 25.2% to 26.9%), P = 0.599. In relation to the longitudinal analyses, we observed that 70.9% of schoolchildren in 2017 remained in the same weight status category as in 2013. CONCLUSIONS The child obesity epidemic in Spain has remained relatively stable over the last two decades. However, the prevalence of thinness shows a worrying upward trend.
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Affiliation(s)
- Miriam Garrido-Miguel
- Universidad de Castilla-La Mancha, Health and Social Research Center, Cuenca, Spain.,Universidad de Castilla-La Mancha, Faculty of Nursing, Albacete, Spain
| | - Vicente Martínez-Vizcaíno
- Universidad de Castilla-La Mancha, Health and Social Research Center, Cuenca, Spain.,Universidad Autónoma de Chile, Facultad de Ciencias de la Salud, Talca, Chile
| | - Ángel Herráiz-Adillo
- Universidad de Castilla-La Mancha, Health and Social Research Center, Cuenca, Spain.,Department of Primary Care, Health Service of Castilla-La Mancha (SESCAM), Tragacete, Cuenca, Spain
| | | | - Alba Soriano-Cano
- Universidad de Castilla-La Mancha, Health and Social Research Center, Cuenca, Spain
| | - Ana Díez-Fernández
- Universidad de Castilla-La Mancha, Health and Social Research Center, Cuenca, Spain
| | | | - Mairena Sánchez-López
- Universidad de Castilla-La Mancha, Health and Social Research Center, Cuenca, Spain.,Universidad de Castilla-La Mancha, Faculty of Education, Ciudad Real, Spain
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11
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Garrido-Miguel M, Martínez-Vizcaíno V, Oliveira A, Martínez-Andrés M, Sequí-Domínguez I, Hernández-Castillejo LE, Cavero-Redondo I. Prevalence and trends of underweight in European children and adolescents: a systematic review and meta-analysis. Eur J Nutr 2021; 60:3611-3624. [PMID: 33779808 DOI: 10.1007/s00394-021-02540-0] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2020] [Accepted: 03/11/2021] [Indexed: 11/29/2022]
Abstract
PURPOSE This study aimed at providing prevalence trend estimates of underweight among children and adolescents in Europe from 2000 to 2017. METHODS MEDLINE, Web of Science, Scopus and CINAHL were searched from their inception up to March 2020. Moreover, searches were conducted on health institutions' websites to identify studies not published in scientific journals. Underweight was defined according to the body mass index (BMI) cut-offs proposed by the International Obesity Task Force (IOTF) and the World Health Organization (WHO) definition criteria. The Mantel-Haenszel method was used to compute the pooled prevalence estimates whenever there was no evidence of heterogeneity; otherwise, the DerSimonian and Laird random-effects method was used. Subgroup analyses by sex, age range (2-13 and 14-18 years old), study year (2000-2006 and 2007-2017), country and European region were conducted. RESULTS A total of 49 studies with data from 323,420 children and adolescents aged 2 to 18 years, from 26 countries were included. From 2000 to 2017, according to the IOTF criteria, the prevalence of underweight showed an increasing trend in Eastern, Northern and Southern Europe, where the underweight prevalence ranged from 9.1 to 12.0%, from 4.1 to 6.8%, and from 5.8 to 6.7%, respectively. In Western Europe, the prevalence of underweight tended to decrease, from 14.0 to 11.8%. No significant differences were found by sex or age range. CONCLUSION The prevalence of underweight is considerable (overall, around 8-9%), particularly in Eastern Europe, and follows a slight upward trend during the past decade. SYSTEMATIC REVIEW REGISTRATION PROSPERO CRD42017056924.
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Affiliation(s)
- Miriam Garrido-Miguel
- Universidad de Castilla-La Mancha, Health and Social Research Center, C/ Santa Teresa Jornet, s/n, 16071, Cuenca, Spain.,Universidad de Castilla-La Mancha, Faculty of Nursing, Albacete, Spain
| | - Vicente Martínez-Vizcaíno
- Universidad de Castilla-La Mancha, Health and Social Research Center, C/ Santa Teresa Jornet, s/n, 16071, Cuenca, Spain. .,Universidad Autónoma de Chile, Facultad de Ciencias de la Salud, Talca, Chile.
| | - Andreia Oliveira
- EPIUnit, Instituto de Saúde Pública da Universidade do Porto [Institute of Public Health, University of Porto], Porto, Portugal.,Faculty of Medicine, University of Porto, Porto, Portugal
| | - María Martínez-Andrés
- Universidad de Castilla-La Mancha, Health and Social Research Center, C/ Santa Teresa Jornet, s/n, 16071, Cuenca, Spain.,Universidad de Castilla-La Mancha, Faculty of Nursing, Albacete, Spain
| | - Irene Sequí-Domínguez
- Universidad de Castilla-La Mancha, Health and Social Research Center, C/ Santa Teresa Jornet, s/n, 16071, Cuenca, Spain
| | | | - Iván Cavero-Redondo
- Universidad de Castilla-La Mancha, Health and Social Research Center, C/ Santa Teresa Jornet, s/n, 16071, Cuenca, Spain.,Universidad Politécnica y Artística del Paraguay, Asunción, Paraguay
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12
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de Jesus GDS, Costa PRDF, de Oliveira LPM, Queiroz VADO, Cunha CDM, Pereira EM, de Oliveira AM. Body Adiposity and Apolipoproteins in Children and Adolescents: A Meta-Analysis of Prospective Studies. Arq Bras Cardiol 2020; 115:163-171. [PMID: 32696854 PMCID: PMC8384289 DOI: 10.36660/abc.20190331] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2018] [Revised: 05/21/2019] [Accepted: 08/14/2019] [Indexed: 11/18/2022] Open
Abstract
BACKGROUND Excess Weight and Cardiovascular Diseases are health problems with increasing prevalence among children and adolescents, hence the need to investigate the issues related to them to better deal with the problem. OBJECTIVE To investigate the influence of excess adiposity on the levels of apolipoprotein B and A1 in children and adolescents. METHODS A systematic search was conducted in the PubMed, Embase, Lilacs, Web of Science, Ovid and Science direct databases, searching for cohort eligible studies and evaluating their results, methodological quality and risk of bias; combinable studies with good quality and low risk of bias were evaluated by meta-analysis. The summary measure used was the weighted mean difference (WMD) with its respective 95% confidence interval. RESULTS 8 articles attended the eligibility criteria including individuals with age mean varying from 9 to 15.7 years of age. The meta-analysis included 4 articles with a total of 7,974 children and adolescents. It was observed a mean increase of 4,94mg/dL (95%CI: 4,22 to 5,67) in the ApoB levels in individuals with excess of body adiposity. For the ApoA1, we identified a mean reduction of -8,13mg/dL (95%CI: -9,09 to -7,17 mg/dL) in its levels in children and adolescents with higher body adiposity. Beside this, the influence of excess adiposity on the ApoB and ApoA1 levels was higher between adolescents than children. CONCLUSIONS The excess of body adiposity influenced both the reduction of ApoA1 values and the increase of ApoB levels, being these changes more relevant among adolescents. (Arq Bras Cardiol. 2020; [online].ahead print, PP.0-0).
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Affiliation(s)
| | | | | | | | - Carla de Magalhães Cunha
- Universidade Federal da BahiaSalvadorBABrasil Universidade Federal da Bahia,Salvador, BA - Brasil
| | - Emile Miranda Pereira
- Universidade Federal da BahiaSalvadorBABrasil Universidade Federal da Bahia,Salvador, BA - Brasil
| | - Ana Marlúcia de Oliveira
- Universidade Federal da BahiaSalvadorBABrasil Universidade Federal da Bahia,Salvador, BA - Brasil
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13
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Segura-Díaz JM, Rojas-Jiménez Á, Barranco-Ruiz Y, Murillo-Pardo B, Saucedo-Araujo RG, Aranda-Balboa MJ, Herrador-Colmenero M, Villa-González E, Chillón P. Feasibility and Reliability of a Questionnaire to Assess the Mode, Frequency, Distance and Time of Commuting to and from School: The PACO Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17145039. [PMID: 32668796 PMCID: PMC7399968 DOI: 10.3390/ijerph17145039] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/09/2020] [Revised: 07/06/2020] [Accepted: 07/07/2020] [Indexed: 12/22/2022]
Abstract
Active commuting to and from school has several health implications. Self-reporting is the most common assessment tool, but there is a high heterogeneity of questionnaires in the scientific literature. The purpose of this study was to analyse the feasibility and reliability of the Spanish "New Version of Mode and Frequency of Commuting To and From School" questionnaire in children and adolescents. A total of 635 children (5-12 years old) and 362 adolescents (12-18 years old) filled out the questionnaire twice (14 days apart). Feasibility was evaluated using an observational checklist. The test-retest reliability of the "New Version of Mode and Frequency of Commuting To and From School" questionnaire and the distance and time to school were examined using the kappa and weight kappa coefficient (κ). No misunderstanding of questions was reported. The time to complete the questionnaire was 15 ± 3.62 and 9 ± 2.26 min for children and adolescents, respectively. The questionnaire showed substantial and almost perfect kappa coefficients for the overall six items (k = 0.61-0.94) in children and adolescents. The "New Version of Mode and Frequency of Commuting To and From School" questionnaire is a feasible and reliable questionnaire in Spanish children and adolescents.
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Affiliation(s)
- José Manuel Segura-Díaz
- PROFITH “PROmoting FITness and Health through Physical Activity” Research Group, Department of Physical Education and Sports, Faculty of Sport Sciences, Sport and Health University Research Institute (iMUDS), University of Granada, 18071 Granada, Spain; (Á.R.-J.); (R.G.S.-A.); (M.J.A.-B.); (M.H.-C.); (P.C.)
- Correspondence:
| | - Álvaro Rojas-Jiménez
- PROFITH “PROmoting FITness and Health through Physical Activity” Research Group, Department of Physical Education and Sports, Faculty of Sport Sciences, Sport and Health University Research Institute (iMUDS), University of Granada, 18071 Granada, Spain; (Á.R.-J.); (R.G.S.-A.); (M.J.A.-B.); (M.H.-C.); (P.C.)
| | - Yaira Barranco-Ruiz
- PROFITH “PROmoting FITness and Health through Physical Activity” Research Group, Department of Physical Education and Sports, Faculty of Education and Sport Sciences, Sport and Health University Research Institute (iMUDS), University of Granada, 52071 Melilla, Spain; (Y.B.-R.); (E.V.-G.)
| | - Berta Murillo-Pardo
- Department of Music, Plastic and Bodily Expression, University of Zaragoza, 50009 Zaragoza, Spain;
| | - Romina Gisele Saucedo-Araujo
- PROFITH “PROmoting FITness and Health through Physical Activity” Research Group, Department of Physical Education and Sports, Faculty of Sport Sciences, Sport and Health University Research Institute (iMUDS), University of Granada, 18071 Granada, Spain; (Á.R.-J.); (R.G.S.-A.); (M.J.A.-B.); (M.H.-C.); (P.C.)
| | - María Jesús Aranda-Balboa
- PROFITH “PROmoting FITness and Health through Physical Activity” Research Group, Department of Physical Education and Sports, Faculty of Sport Sciences, Sport and Health University Research Institute (iMUDS), University of Granada, 18071 Granada, Spain; (Á.R.-J.); (R.G.S.-A.); (M.J.A.-B.); (M.H.-C.); (P.C.)
| | - Manuel Herrador-Colmenero
- PROFITH “PROmoting FITness and Health through Physical Activity” Research Group, Department of Physical Education and Sports, Faculty of Sport Sciences, Sport and Health University Research Institute (iMUDS), University of Granada, 18071 Granada, Spain; (Á.R.-J.); (R.G.S.-A.); (M.J.A.-B.); (M.H.-C.); (P.C.)
- La Inmaculada Teacher Training Centre, University of Granada, 18071 Gradana, Spain
| | - Emilio Villa-González
- PROFITH “PROmoting FITness and Health through Physical Activity” Research Group, Department of Physical Education and Sports, Faculty of Education and Sport Sciences, Sport and Health University Research Institute (iMUDS), University of Granada, 52071 Melilla, Spain; (Y.B.-R.); (E.V.-G.)
| | - Palma Chillón
- PROFITH “PROmoting FITness and Health through Physical Activity” Research Group, Department of Physical Education and Sports, Faculty of Sport Sciences, Sport and Health University Research Institute (iMUDS), University of Granada, 18071 Granada, Spain; (Á.R.-J.); (R.G.S.-A.); (M.J.A.-B.); (M.H.-C.); (P.C.)
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14
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Sorić M, Jurak G, Đurić S, Kovač M, Strel J, Starc G. Increasing trends in childhood overweight have mostly reversed: 30 years of continuous surveillance of Slovenian youth. Sci Rep 2020; 10:11022. [PMID: 32620828 PMCID: PMC7335166 DOI: 10.1038/s41598-020-68102-2] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2019] [Accepted: 06/19/2020] [Indexed: 11/09/2022] Open
Abstract
The aim of this study is to describe trends in overweight and obesity among Slovenian youth for the period 1989-2018. Nearly all schoolchildren in Slovenia had their height and weight measured annually, which lead to a total of 6,738,510 data-points during the 30-year period. The IOTF cut-off points and Joinpoint regression were used to examine annual percent change (APC) in overweight and obesity prevalence across 3 age groups (7-10, 11-14 and 15-18 years). Obesity approximately tripled, while overweight doubled between 1989 and late 2000s in both genders. Since then overweight has been steadily decreasing in all 3 age groups for boys and in 7-10-year-old girls. Obesity has also been declining since 2009, but only in the youngest boys and girls (APC = - 1.9, 95% CI = - 3.2 to - 0.6 and APC = - 1.6, 95% CI = - 3.0 to - 0.2, respectively). Unfavourable trends were noted only in 15-18-year-old girls, with obesity rising at an unchanged rate over the past 30 years (APC = 4.8, 95% CI = 4.5-5.1). Overweight and obesity among Slovenian youth has increased dramatically over the last 3 decades. Still, during the last decade this rise has been reversed or at least stopped. This reversal of trends was more marked in boys than in girls, and in young children compared to adolescents.
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Affiliation(s)
- Maroje Sorić
- Faculty of Sport, University of Ljubljana, Gortanova 22, Ljubljana, Slovenia. .,Faculty of Kinesiology, University of Zagreb, Zagreb, Croatia.
| | - Gregor Jurak
- Faculty of Sport, University of Ljubljana, Gortanova 22, Ljubljana, Slovenia
| | - Saša Đurić
- Faculty of Sport, University of Ljubljana, Gortanova 22, Ljubljana, Slovenia
| | - Marjeta Kovač
- Faculty of Sport, University of Ljubljana, Gortanova 22, Ljubljana, Slovenia
| | - Janko Strel
- Faculty of Sport, University of Ljubljana, Gortanova 22, Ljubljana, Slovenia
| | - Gregor Starc
- Faculty of Sport, University of Ljubljana, Gortanova 22, Ljubljana, Slovenia
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15
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Pastor-Fajardo MT, Bosch-Giménez VM, Larqué E, Solano Navarro C, Fuentes-Castelló MÁ, Pastor-Rosado J. Prevalence and secular trend of childhood overweight and obesity in a Mediterranean area of Southeast Spain. CHILD AND ADOLESCENT OBESITY 2020. [DOI: 10.1080/2574254x.2020.1784640] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022] Open
Affiliation(s)
| | | | - Elvira Larqué
- Department of Physiology, University of Murcia, Murcia, Spain
| | - Carmen Solano Navarro
- Department of Pediatrics, Hospital Universitario Virgen De La Arrixaca, Murcia, Spain
| | | | - José Pastor-Rosado
- Department of Pediatrics, Hospital General Universitario De Elche, Elche, Spain
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16
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Aranceta-Bartrina J, Gianzo-Citores M, Pérez-Rodrigo C. Prevalencia de sobrepeso, obesidad y obesidad abdominal en población española entre 3 y 24 años. Estudio ENPE. Rev Esp Cardiol 2020. [DOI: 10.1016/j.recesp.2019.07.011] [Citation(s) in RCA: 42] [Impact Index Per Article: 10.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
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17
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Aranceta-Bartrina J, Gianzo-Citores M, Pérez-Rodrigo C. Prevalence of overweight, obesity and abdominal obesity in the Spanish population aged 3 to 24 years. The ENPE study. ACTA ACUST UNITED AC 2020; 73:290-299. [PMID: 31987815 DOI: 10.1016/j.rec.2019.07.023] [Citation(s) in RCA: 18] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2019] [Accepted: 07/12/2019] [Indexed: 01/07/2023]
Abstract
INTRODUCTION AND OBJECTIVES The aim of this study was to assess the prevalence of excess weight and abdominal obesity (AO), based on individual anthropometric measurements, according to various criteria in the Spanish population aged 3 to 24 years and to analyze their distribution by age and sex. METHODS We analyzed data from the ENPE study. This analysis included the population aged 3 to 24 years (n=1601). Anthropometric measurements were taken in participants' homes by trained observers following standardized international protocols. We defined overweight and obesity according to the International Obesity Task Force, World Health Organization, and Orbegozo 2011 criteria, and AO according to a waist-to-height index ≥ 0.5, Taylor criteria, and the 90th percentile of Orbegozo 2011. RESULTS The prevalence of excess weight (overweight+obesity) exceeded 30% with all the criteria used. The prevalence of excess overweight (International Obesity Task Force) was estimated at 34.1% (95%CI, 31.8-36.4) and obesity at 10.3% (95%CI, 8.9-11.9). The estimated prevalence of AO (waist-to-height index ≥ 0.5) was 31.2% (95%CI, 29.0-33.5), and 20.9% (95%CI, 18.1-22.1) satisfied all 3 criteria. A total of 16% (95%CI, 13.8-17.8) were overweight and had concomitant AO. CONCLUSIONS The prevalence of overweight, obesity and AO in the Spanish population aged 3 to 24 years old is high and is higher in men than in women. When distinct criteria were used, the prevalence of AO was approximately 30%. Among persons classified as obese by the 3 criteria, 71.6% were also classified as having AO according to distinct cutoffs.
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Affiliation(s)
- Javier Aranceta-Bartrina
- Departamento de Ciencias de la Alimentación y Fisiología, Universidad de Navarra, Pamplona, Navarra, Spain; Instituto de Investigaciones Biomédicas y Sanitarias, Universidad de Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, Las Palmas, Spain; Departamento de Fisiología, Facultad de Medicina, Universidad del País Vasco (UPV/EHU), Leioa, Vizcaya, Spain; Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición CB12/03/30038 (CIBERobn), Instituto de Salud Carlos III, Madrid, Spain.
| | - Marta Gianzo-Citores
- Biobanco Vasco, Fundación Vasca de Innovación e Investigación Sanitarias (BIOEF), Baracaldo, Vizcaya, Spain
| | - Carmen Pérez-Rodrigo
- Departamento de Fisiología, Facultad de Medicina, Universidad del País Vasco (UPV/EHU), Leioa, Vizcaya, Spain
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Barrio Mateu LA, León Valladares D, Cordero Rodríguez Y, Borges Silva F, Pérez León A, Deturnell Y, Castro Y. Applied cineanthropometry in a comparative study between Aymara and non-Aymara children from 8 to 10 years of age in Northern Chile. GAZZETTA MEDICA ITALIANA ARCHIVIO PER LE SCIENZE MEDICHE 2019. [DOI: 10.23736/s0393-3660.18.03959-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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19
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Prevalence of underweight in children and adolescents (aged 3-18 years) from Kraków (Poland) in 1983 and 2010. Public Health Nutr 2019; 22:2210-2219. [PMID: 31213211 DOI: 10.1017/s1368980019001319] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
OBJECTIVE To estimate the changes in the prevalence of underweight among girls and boys living in Kraków that occurred between 1983 and 2010. DESIGN The study was based on two cross-sectional surveys conducted in 1983 and 2010. The prevalence of underweight was estimated based on the International Obesity Task Force (IOTF) and Centers for Disease Control and Prevention (CDC) cut-off points. SETTING The study was conducted in Kraków, Poland. PARTICIPANTS Children aged 3-18 years (n 5245). RESULTS Between 1983 and 2010 the prevalence of underweight decreased in both sexes. Using the IOTF criteria, the prevalence of underweight decreased from 10·5 to 10·3 % in girls and from 8·9 to 7·5 % in boys, but it was still higher in girls than in boys. According to the CDC criteria, this prevalence decreased from 5·1 to 4·4 % and from 5·9 to 4·6 %, respectively, and was slightly lower in girls. According to the IOTF criteria, underweight prevalence increased slightly during childhood in both sexes while according to the CDC criteria it decreased in boys and did not change in girls. Among juveniles and adolescents, it decreased regardless of the method used. CONCLUSIONS The frequency of underweight in the population of children and adolescents from Kraków changed slightly in 1983 and 2010 despite economic and social changes. Depending on the cut-off points used, not only the magnitude but also the direction of changes between series could be different. In order to aid global monitoring, the prevalence of underweight as well as overweight should always be evaluated by several methods.
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20
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The Associations between Body Mass Index of Seven- and Eight-Year-Old Children, Dietary Behaviour and Nutrition-Related Parenting Practices. ACTA ACUST UNITED AC 2019; 55:medicina55010024. [PMID: 30669687 PMCID: PMC6359571 DOI: 10.3390/medicina55010024] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2018] [Revised: 01/11/2019] [Accepted: 01/17/2019] [Indexed: 01/16/2023]
Abstract
Background and objective: Body mass index (BMI) is one of the key indicators used to measure the growth of children. It could be affected by the children’s nutrition, which is essential for the proper development of the child. Nutrition of children could be affected by many environmental factors, for example, the socioeconomic environment of the family. The aim of this study was to identify the associations between the BMI of seven- and eight-year-old children, dietary behaviour and nutrition-related parenting practices. Materials and Methods: The study was carried out as part of the World Health Organization European Childhood Obesity Surveillance Initiative (WHO COSI). Data were collected using two instruments: objective anthropometric measurements and a questionnaire. The target participant group was 3969 Lithuanian first-formers. Factor analysis was used to summarise questions from the family form. Linear regression analysis was used to identify the associations between various factors and the BMI value of the children. The association between two groups of factors was analysed using Spearman correlation. Results: Factors of dietary behaviour like unhealthy food and proteins were significantly positively associated with BMI in children, while consumption of plant-based, dairy and confectionery items was significantly negatively associated with BMI. Factors of nutrition-related parenting practices like control of unhealthy food, food as a reward or punishment, and mealtime were significantly positively associated with BMI, while encouragement, pressure to eat, and liberal attitude were significantly negatively associated with BMI. The strongest associations were between control of unhealthy food and unhealthy food; cost of and preferences for food and plant-based food; variety of food and proteins; variety of food and plant-based food compared to other associations. Conclusions: The dietary behaviour and nutrition-related parenting practices were associated with BMI in children.
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Ortiz-Marrón H, Ortiz-Pinto MA, Cuadrado-Gamarra JI, Esteban-Vasallo M, Cortés-Rico O, Rey-Gayo L, Ordobás M, Galán I. Persistencia y variación del sobrepeso y la obesidad en la población preescolar de la Comunidad de Madrid tras dos años de seguimiento. Cohorte ELOIN. Rev Esp Cardiol (Engl Ed) 2018. [DOI: 10.1016/j.recesp.2017.12.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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22
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23
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Aranceta-Bartrina J, Pérez-Rodrigo C. Childhood Obesity: An Unresolved Issue. ACTA ACUST UNITED AC 2018; 71:888-891. [PMID: 30190188 DOI: 10.1016/j.rec.2018.05.042] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2018] [Accepted: 05/14/2018] [Indexed: 11/24/2022]
Affiliation(s)
- Javier Aranceta-Bartrina
- Departamento de Ciencias de la Alimentación y Fisiología, Universidad de Navarra, Pamplona, Navarra, Spain; Instituto de Investigaciones Biomédicas y Sanitarias, Universidad de Las Palmas de Gran Canaria (ULPGC), Las Palmas de Gran Canaria, Las Palmas, Spain; Departamento de Fisiología, Facultad de Medicina, Universidad del País Vasco (UPV/EHU), Leioa, Vizcaya, Spain; CIBER CB12/03/30038 Fisiopatología de la Obesidad y la Nutrición, CIBERobn, Instituto de Salud Carlos III (ISCIII), Madrid, Spain.
| | - Carmen Pérez-Rodrigo
- Departamento de Fisiología, Facultad de Medicina, Universidad del País Vasco (UPV/EHU), Leioa, Vizcaya, Spain
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Persistence and Variation in Overweight and Obesity Among the Pre-school Population of the Community of Madrid After 2 Years of Follow-up. The ELOIN Cohort. ACTA ACUST UNITED AC 2018; 71:902-909. [PMID: 29724637 DOI: 10.1016/j.rec.2017.12.024] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2017] [Accepted: 12/21/2017] [Indexed: 11/21/2022]
Abstract
INTRODUCTION AND OBJECTIVES The childhood obesity epidemic is a worldwide public health problem which starts at very early ages. The aim of this study was to determine the persistence of and variation in overweight and obesity among a cohort of children followed up from 4 to 6 years of age. METHODS The data were drawn from the ELOIN (Longitudinal Childhood Obesity Study), a population-based cohort in the Community of Madrid, Spain. A total of 2435 children were involved. Weight and height were objectively measured and standardised at 4 (2012-2013) and 6 years of age (2014-2015) by 31 purpose-trained pediatricians. Three reference criteria were used: the World Health Organization (WHO-2006), International Obesity Task Force (IOTF-2000), and Spanish tables of the Orbegozo Foundation 2004, were used to define "absence of excess weight", overweight and obesity. RESULTS According to the above three classification criteria, between the ages of 4 and 6 years the prevalence of overweight increased from 5.7%-16.5% (range of the 3 criteria) to 8.9%-17.0%, and obesity increased from 3.0%-5.4% to 6.1%-10.1%. Three out of every 4 obese children at age 4 years persisted with obesity at age 6 years, whereas 20.6%-29.3% who were overweight became obese. A total of 8.0% to 16.1% of children maintained "excess weight" (overweight/obesity), 7.9% to 11% were new cases, and 2.2% to 5.9% showed remission. CONCLUSIONS Excess weight increased between the ages of 4 and 6 years. Important variations were observed in weight status susceptible to intervention during well-child visits.
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Olmedillas H, Vicente-Rodríguez G. Estabilización en la prevalencia de niveles de sobrepeso y obesidad de la población infantil española. Rev Esp Cardiol (Engl Ed) 2017. [DOI: 10.1016/j.recesp.2017.01.034] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Olmedillas H, Vicente-Rodríguez G. Stabilization in the Prevalence of Overweight and Obesity in Spanish Children and Young Adolescents. ACTA ACUST UNITED AC 2017. [PMID: 28625401 DOI: 10.1016/j.rec.2017.02.047] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- Hugo Olmedillas
- Departamento de Biología Funcional, Universidad de Oviedo, Oviedo, Asturias, Spain
| | - Germán Vicente-Rodríguez
- Facultad de Ciencias de la Salud y del Deporte, Departamento de Fisiatría y Enfermería, Universidad de Zaragoza, Huesca, Spain; GENUD (Growth, Exercise, Nutrition and Development) Research Group, Zaragoza, Spain; Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Spain; EXERNET (Red de Investigación en Ejercicio Físico y Salud para Poblaciones Especiales), Spain; Instituto Agroalimentario de Aragón (IA2), Zaragoza, Spain.
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