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Hamiel U, Pinhas-Hamiel O, Vivante A, Bendor C, Bardugo A, Afek A, Beer Z, Derazne E, Tzur D, Behar D, Itzhak A, Skorecki K, Tirosh A, Grossman E, Twig G. Impact of Immigration on Body Mass Index and Blood Pressure Among Adolescent Males and Females: A Nationwide Study. Hypertension 2019; 74:1316-1323. [PMID: 31630574 DOI: 10.1161/hypertensionaha.119.13706] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
Immigration from one cultural milieu to another has been associated with a greater risk for incident cardio-metabolic morbidity among adults. In this nationwide, population-based, cross-sectional study of data recorded from 1992 to 2016, we assessed the association between body mass index and blood pressure levels among adolescent immigrants, aged 16 to 19 years, of Ethiopian origin, and their secular trend of overweight and obesity. Adolescents of Ethiopian origin were classified as Israeli-born (n=16 153) or immigrants (N=23 487), with stratification by age at immigration. Adolescents whose fathers were at least 3 generations in Israel (n=277 789) served as a comparative group. Hypertensive-range blood pressure values adjusted for age, sex, and height served as outcome. Among adolescents of Ethiopian origin, overweight and obesity (body mass index ≥85th percentile), increased by 2.5 and 4-fold in males and females, respectively, during the study period, compared with a 1.5-fold increase among native Israeli-born males and females. The odds for hypertensive-range measurements increased with the length of residence in Israel: 7.3%, 10.6%, and 14.4% among males who immigrated at ages 12 to 19, 6 to 11.9, and 0 to 5.9 years, respectively; and 11.5%, 16.7%, and 19.3%, respectively, among females. Israeli-born Ethiopians had a significantly higher risk for hypertensive-range measurements at any body mass index level compared with native Israeli-born examinees, after adjusting for sociodemographic factors and health status. In conclusion, among Ethiopian Israeli adolescents, abnormal blood pressure correlates directly with the time-lapse since immigration. Immigrant populations require targeted surveillance and appropriate intervention.
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Affiliation(s)
- Uri Hamiel
- From the Department of Pediatrics, Assaf Harofeh Medical Center, Zerifin, Israel (U.H.).,Sackler School of Medicine, Tel-Aviv University, Tel Aviv-Yafo, Israel (U.H., O.P.-H., A.V., A.A., E.D., A.T., E.G., G.T.)
| | - Orit Pinhas-Hamiel
- Sackler School of Medicine, Tel-Aviv University, Tel Aviv-Yafo, Israel (U.H., O.P.-H., A.V., A.A., E.D., A.T., E.G., G.T.).,Pediatric Endocrine and Diabetes Unit, Edmond and Lily Safra Children's Hospital (O.P.-H.), Chaim Sheba Medical Center, Tel Hashomer, Ramat Gan, Israel
| | - Asaf Vivante
- Sackler School of Medicine, Tel-Aviv University, Tel Aviv-Yafo, Israel (U.H., O.P.-H., A.V., A.A., E.D., A.T., E.G., G.T.).,Department of Pediatrics B and Pediatric Nephrology Unit (A.V.), Chaim Sheba Medical Center, Tel Hashomer, Ramat Gan, Israel
| | - Cole Bendor
- Surgeon General Headquarters, Israel Defense Forces, Ramat Gan, Israel (C.B., A.B., Z.B., D.T., A.I., G.T.).,Department of Military Medicine, Hebrew University School of Medicine, Jerusalem, Israel (C.B., A.B., Z.B., G.T.)
| | - Aya Bardugo
- Surgeon General Headquarters, Israel Defense Forces, Ramat Gan, Israel (C.B., A.B., Z.B., D.T., A.I., G.T.).,Department of Military Medicine, Hebrew University School of Medicine, Jerusalem, Israel (C.B., A.B., Z.B., G.T.)
| | - Arnon Afek
- Sackler School of Medicine, Tel-Aviv University, Tel Aviv-Yafo, Israel (U.H., O.P.-H., A.V., A.A., E.D., A.T., E.G., G.T.).,Central Management (A.A., E.G.), Chaim Sheba Medical Center, Tel Hashomer, Ramat Gan, Israel
| | - Zivan Beer
- Surgeon General Headquarters, Israel Defense Forces, Ramat Gan, Israel (C.B., A.B., Z.B., D.T., A.I., G.T.).,Department of Military Medicine, Hebrew University School of Medicine, Jerusalem, Israel (C.B., A.B., Z.B., G.T.)
| | - Estela Derazne
- Sackler School of Medicine, Tel-Aviv University, Tel Aviv-Yafo, Israel (U.H., O.P.-H., A.V., A.A., E.D., A.T., E.G., G.T.)
| | - Dorit Tzur
- Surgeon General Headquarters, Israel Defense Forces, Ramat Gan, Israel (C.B., A.B., Z.B., D.T., A.I., G.T.)
| | | | - Avi Itzhak
- Surgeon General Headquarters, Israel Defense Forces, Ramat Gan, Israel (C.B., A.B., Z.B., D.T., A.I., G.T.)
| | - Karl Skorecki
- Azrieli Faculty of Medicine, Bar-Ilan University (K.S.)
| | - Amir Tirosh
- Sackler School of Medicine, Tel-Aviv University, Tel Aviv-Yafo, Israel (U.H., O.P.-H., A.V., A.A., E.D., A.T., E.G., G.T.).,Institute of Endocrinology (A.T.), Chaim Sheba Medical Center, Tel Hashomer, Ramat Gan, Israel
| | - Ehud Grossman
- Sackler School of Medicine, Tel-Aviv University, Tel Aviv-Yafo, Israel (U.H., O.P.-H., A.V., A.A., E.D., A.T., E.G., G.T.).,Central Management (A.A., E.G.), Chaim Sheba Medical Center, Tel Hashomer, Ramat Gan, Israel
| | - Gilad Twig
- Sackler School of Medicine, Tel-Aviv University, Tel Aviv-Yafo, Israel (U.H., O.P.-H., A.V., A.A., E.D., A.T., E.G., G.T.).,Department of Medicine and the Dr. Pinchas Bornstein Talpiot Medical Leadership Program (G.T.), Chaim Sheba Medical Center, Tel Hashomer, Ramat Gan, Israel.,Surgeon General Headquarters, Israel Defense Forces, Ramat Gan, Israel (C.B., A.B., Z.B., D.T., A.I., G.T.).,Department of Military Medicine, Hebrew University School of Medicine, Jerusalem, Israel (C.B., A.B., Z.B., G.T.)
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Desalew A, Mandesh A, Semahegn A. Childhood overweight, obesity and associated factors among primary school children in dire dawa, eastern Ethiopia; a cross-sectional study. BMC OBESITY 2017; 4:20. [PMID: 28572983 PMCID: PMC5452329 DOI: 10.1186/s40608-017-0156-2] [Citation(s) in RCA: 31] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/15/2017] [Accepted: 05/14/2017] [Indexed: 12/24/2022]
Abstract
Background Obesity in children is increasing worldwide. Malnutrition has become a double burden challenge of public health concern in developing countries. Childhood obesity increases the risk of chronic disease in childhood as well as adulthood. However, information is very scarce about childhood obesity in developing countries specifically in Ethiopia. Therefore, we aimed to assess childhood overweight, obesity and associated factors among primary school children at Dire Dawa, Eastern Ethiopia. Methods A school based cross-sectional study was conducted in Dire Dawa from 1st to 30th March, 2016. Study participants were selected using multistage sampling method. Pre-tested self-administered questionnaire, face to face interview technique and anthropometric measurements were used to collect data by eight well trained data collectors. Data were coded, cleaned and entered into EpiData software version 3.5.1, and exported into SPSS (version 21.0) statistical software, for data analysis. Bivariate and multivariate logistic regression were carried out to identify associated factors with childhood overweight and obesity. Statistical significance was declared using Adjusted Odds Ratio (AOR) at 95% CI and p-value less than 0.05. Results The prevalence of overweight and obesity were 14.7% (95% CI: 11.7, 18.0) and 5.8% (95% CI: 3.6, 8.0), respectively. Children who were from private school (AOR = 3.4, 95% CI: 1.4, 8.5), from families belonged to high socioeconomic class (AOR = 16.9, 95% CI: 6.5, 23.9), preferred sweetened foods (AOR = 2.3, 95% CI: 1.1, 5.1), had not engaged in regular physical exercise (AOR = 3.8, 95% CI: 1.5, 9.8), had experienced sedentary life style like spent their free time watching TV (AOR = 3.6, 95% CI: 1.6, 7.9), play computer game (AOR = 4.6, 95% CI:1.4,15.4), and were not having close friends (AOR = 2.9, 95% CI: 1.4, 6.2) were significantly associated with overweight/obesity risk. Conclusion Overweight/obesity in children is on alarming stage in the study area. Therefore, more attention should be given to creating awareness about healthy diet and improving life style through school and public media in collaboration with concerned bodies.
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Affiliation(s)
- Assefa Desalew
- School of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, Po. Box. 235, Harar, Ethiopia
| | - Alemnesh Mandesh
- Department of Nursing and Midwifery, School of Allied Health Sciences, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia
| | - Agumasie Semahegn
- School of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, Po. Box. 235, Harar, Ethiopia
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Todendi PF, Possuelo LG, Klinger EI, Reuter CP, Burgos MS, Moura DJ, Fiegenbaum M, Valim ARDM. Low-grade inflammation markers in children and adolescents: Influence of anthropometric characteristics and CRP and IL6 polymorphisms. Cytokine 2016; 88:177-183. [PMID: 27643980 DOI: 10.1016/j.cyto.2016.09.007] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2016] [Revised: 08/31/2016] [Accepted: 09/13/2016] [Indexed: 12/29/2022]
Abstract
Overweight and obesity are associated with chronic and subclinical inflammation due to an imbalance of inflammatory mediators. However, the association with gene polymorphism has been rarely studied in children. The aim of this study was to determine if serum concentrations of C-reactive protein (CRP) and interleukin-6 (IL-6) are related to the IL6 rs1800795, IL6 rs2069845 and CRP rs1205 polymorphisms (SNPs) according to body mass index (BMI) in a sample of children and adolescents. A cross-sectional study in 470 students between 7 and 17yearsof age of anthropometric characteristics, high sensitivity-CRP (Hs-CRP) and IL-6 levels and three SNPs genotyped. The prevalence ratio of hs-CRP>3mg/L in obese individuals was 4.15 (CI 2.43-7.06; p=0.01), and it was 1.91 (CI 1.03-3.55; p=0.03) in overweight individuals and 1.74 (CI 1.05-2.88 p=0.03) in females. Individuals with waist circumference (WC) and body fat percentage (BF%) alterations showed elevated levels of hs-CRP (p=4.3×10-5 and p=5.3×10-6). The combination of any two anthropometric measurement increases CRP levels, especially combinations with obesity body mass index (BMI): BMI+WC and BMI+BF%. Among the overweight/obesity group, T allele carriers of CRP rs1205 showed lower levels of hs-CRP (0.5, IQR=0.3-1.8mg/L) than CC homozygotes (1.5, IQR=0.4-3.4mg/L, p=0.018). Additionally, considering subjects with two or three anthropometric alterations for CRP rs1205: rs1205 T allele carriers had lower levels of hs-CRP (0.7, IQR=0.3-2.7mg/L) than CC homozygotes (1.2, IQR=0.5-3.5mg/L, p=0.02). In conclusion, carriers of the rs1205/T allele with higher BMIs had lower levels of hs-CRP. Schoolchildren who were overweight/obese had higher levels of CRP and IL-6, whereas individuals with WC and BF% alterations had higher levels of CRP.
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Affiliation(s)
- P F Todendi
- Post-Graduation Program in Health Promotion, University of Santa Cruz do Sul - UNISC, Santa Cruz do Sul, RS, Brazil.
| | - L G Possuelo
- Department of Biology and Pharmaceutical Sciences and the Post-Graduation Program in Health Promotion, University of Santa Cruz do Sul - UNISC, Santa Cruz do Sul, RS, Brazil.
| | - E I Klinger
- Post-Graduation Program in Health Promotion, University of Santa Cruz do Sul - UNISC, Santa Cruz do Sul, RS, Brazil.
| | - C P Reuter
- Department of Physical Education and Health and the Post-Graduation Program in Health Promotion, University of Santa Cruz do Sul - UNISC, Santa Cruz do Sul, RS, Brazil.
| | - M S Burgos
- Department of Physical Education and Health and the Post-Graduation Program in Health Promotion, University of Santa Cruz do Sul - UNISC, Santa Cruz do Sul, RS, Brazil.
| | - D J Moura
- Laboratory of Genetic Toxicology, Federal University of Health Sciences of Porto Alegre - UFCSPA, Porto Alegre, RS, Brazil.
| | - M Fiegenbaum
- Department of Basic Health Sciences, Federal University of Health Sciences of Porto Alegre - UFCSPA, Porto Alegre, RS, Brazil.
| | - Andréia Rosane de Moura Valim
- Department of Biology and Pharmaceutical Sciences and the Post-Graduation Program in Health Promotion, University of Santa Cruz do Sul - UNISC, Santa Cruz do Sul, RS, Brazil.
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