scholarly journals Clustering of Multiple Energy Balance-Related Behaviors in School Children and its Association with Overweight and Obesity—WHO European Childhood Obesity Surveillance Initiative (COSI 2015–2017)

Nutrients ◽  
2019 ◽  
Vol 11 (3) ◽  
pp. 511 ◽  
Author(s):  
Silvia Bel-Serrat ◽  
Ana Ojeda-Rodríguez ◽  
Mirjam Heinen ◽  
Marta Buoncristiano ◽  
Shynar Abdrakhmanova ◽  
...  
Keyword(s):  
Childhood Obesity ◽  
Energy Balance ◽  
Central Asia ◽  
Weight Status ◽  
Overweight And Obesity ◽  
World Health ◽  
East Europe ◽  
West Central ◽  
Mediterranean Countries ◽  
South Europe

It is unclear how dietary, physical activity and sedentary behaviors co-occur in school-aged children. We investigated the clustering of energy balance-related behaviors and whether the identified clusters were associated with weight status. Participants were 6- to 9-year-old children (n = 63,215, 49.9% girls) from 19 countries participating in the fourth round (2015/2017) of the World Health Organization (WHO) European Childhood Obesity Surveillance Initiative. Energy balance-related behaviors were parentally reported. Weight and height were objectively measured. We performed cluster analysis separately per group of countries (North Europe, East Europe, South Europe/Mediterranean countries and West-Central Asia). Seven clusters were identified in each group. Healthier clusters were common across groups. The pattern of distribution of healthy and unhealthy behaviors within each cluster was group specific. Associations between the clustering of energy balance-related behaviors and weight status varied per group. In South Europe/Mediterranean countries and East Europe, all or most of the cluster solutions were associated with higher risk of overweight/obesity when compared with the cluster ‘Physically active and healthy diet’. Few or no associations were observed in North Europe and West-Central Asia, respectively. These findings support the hypothesis that unfavorable weight status is associated with a particular combination of energy balance-related behavior patterns, but only in some groups of countries.

scholarly journals Hispanic Maternal Perception of Preschoolers’ Bodyweight Status in Samples from the United States of America and Mexico

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 1101-1101
Author(s):  
Summer Wilmoth ◽  
Yolanda Flores-Peña ◽  
Leah Carrillo ◽  
Elana Martinez ◽  
Erica Sosa ◽  
...  
Keyword(s):  
United States ◽  
Childhood Obesity ◽  
Obesity Prevention ◽  
Weight Status ◽  
The United States ◽  
Overweight And Obesity ◽  
Actual Rate ◽  
Actual Weight ◽  
Hispanic Mothers ◽  
The Us

Abstract Objectives Childhood obesity is a major public health concern, which disproportionally affects Hispanic children in the United States (US) and Mexico. Mothers are key influencers to their children's health and growth. As part of a pilot obesity prevention study, Hispanic mothers’ perception of their preschoolers’ weight status was assessed to inform the development of intervention strategies. Methods Study subjects were Hispanic mothers and their preschoolers between the ages of 3 and 5 enrolled in participating Head Star Centers in Texas, US or kindergartens in Northern Mexico. Upon informed consent, mothers completed a self-administered questionnaire assessing their perception of their preschoolers’ weight status. Preschoolers’ body weight and height were measured; and their actual weight status was classified using the CDC's age and gender specific BMI references. Results Preliminary data included 85 and 294 child-mother pairs from US and Mexico, respectively. The US sample had a higher rate of overweight and obesity (35%) in comparison to the Mexico sample (19%). There was a great discrepancy between mothers’ perception and their children's actual weight status in both samples. Although only approximately 5% of children were underweight, 14% of American and 24% of Mexican mothers perceived their children being underweight. Contrarily, only 4.8% of American mothers perceived their children as a little overweight or obese, as compared to the actual rate of 35%. Similarly, only 5% of Mexican mothers perceived their children as a little overweight or obese, as compared to the actual rate of 19%. Conclusions Hispanic mothers in the US and Mexico appear to worry about their normal weight children being underweight, while overlooking the overweight and obesity problem. Early childhood obesity prevention programming is needed to aggressively address Hispanic mothers’ preference of chubby children, and the mothers’ underestimation of overweight and obesity among their preschoolers. Funding Sources The Mexico's National Science and Technology Council & The Kellogg´s Institute of Nutrition and Health.

scholarly journals Systematic review of interventions in the childcare setting with direct parental involvement: effectiveness on child weight status and energy balance-related behaviours

2019 ◽  
Vol 16 (1) ◽  
Author(s):  
I. van de Kolk ◽  
S. R. B. Verjans-Janssen ◽  
J. S. Gubbels ◽  
S. P. J. Kremers ◽  
S. M. P. L. Gerards
Keyword(s):  
Physical Activity ◽  
Systematic Review ◽  
Energy Balance ◽  
Parental Involvement ◽  
Sedentary Behaviour ◽  
Weight Status ◽  
Overweight And Obesity ◽  
Early Years ◽  
Effect Sizes ◽  
Intervention Effectiveness

Abstract Background The early years are a crucial period to promote healthy energy balance-related behaviours in children and prevent overweight and obesity. The childcare setting is important for health-promoting interventions. Increasingly, attention has been paid to parental involvement in childcare-based interventions. The aim of this systematic review is to evaluate the effectiveness of these interventions with direct parental involvement on the children’s weight status and behavioural outcomes. Methods A systematic search was conducted in four electronic databases to include studies up until January 2019. Studies written in English, describing results on relevant outcomes (weight status, physical activity, sedentary behaviour and/or nutrition-related behaviour) of childcare-based interventions with direct parental involvement were included. Studies not adopting a pre-post-test design or reporting on pilot studies were excluded. To improve comparability, effect sizes (Cohen’s d) were calculated. Information on different types of environment targeted (e.g., social, physical, political and economic) was extracted in order to narratively examine potential working principles of effective interventions. Results A total of 22 studies, describing 17 different interventions, were included. With regard to the intervention group, 61.1% found some favourable results on weight status, 73.3% on physical activity, 88.9% on sedentary behaviour, and all on nutrition-related behaviour. There were studies that also showed unfavourable results. Only a small number of studies was able to show significant differences between the intervention and control group (22.2% weight status, 60.0% physical activity, 66.6% sedentary behaviour, 76.9% nutrition behaviour). Effect sizes, if available, were predominantly small to moderate, with some exceptions with large effect sizes. The interventions predominantly targeted the socio-cultural and physical environments in both the childcare and home settings. Including changes in the political environment in the intervention and a higher level of intensity of parental involvement appeared to positively impact intervention effectiveness. Conclusion Childcare-based interventions with direct parental involvement show promising effects on the children’s energy balance-related behaviours. However, evidence on effectiveness is limited, particularly for weight-related outcomes. Better understanding of how to reach and involve parents may be essential for strengthening intervention effectiveness.

scholarly journals Prevalence of Overweight and Obesity in Hispanic Preschool Children in San Luis Obispo County, California

2012 ◽  
Vol 10 (SI-Latino) ◽  
pp. 114-122
Author(s):  
Kristine Z. Jankovitz ◽  
Karen J. McGaughey ◽  
Kyla Tom ◽  
Dayna Ravalin ◽  
Ann Yelmokas McDermott
Keyword(s):  
Preschool Children ◽  
Childhood Obesity ◽  
Head Start ◽  
Weight Status ◽  
Overweight And Obesity ◽  
Hispanic Children ◽  
San Luis ◽  
Over Time ◽  
Preschool Aged Children

The purpose of the study was to determine the prevalence of overweight and obese (OW/OB) preschool children in San Luis Obispo County. Preschool children ages 3-5 years were measured for height and weight in 2006 (n = 482) and in 2009/10 combined (n = 559). The CDC BMI calculator for ages 2-20 was used to determine BMI classification. In 2006, 26.4% were OW/OB and by 2009/10, 34.8% were OW/OB. Rates were similar among boys and girls (p = 0.70) and increased significantly over time (p = 0.0070). Caucasian and Hispanic children had similar OW/OB rates in 2006, but by 2009/10 the Hispanic children were 2.7 times more likely to be obese (CI: 1.68, 4.57). Because Hispanic children were more likely to attend Head Start or California State preschools versus private preschools (78.0%, 81.0% and 7.4% respectively), it appears Head Start and California State preschools would be a likely place for interventions directed to meet the needs of Hispanic preschoolers, and may serve to reverse the trend in childhood obesity and address the disparity in weight status among Hispanic preschool aged children.

scholarly journals BMI status relative to international and national growth references among Pakistani school-age girls

2020 ◽  
Author(s):  
Asima Karim ◽  
Rizwan Qaisar
Keyword(s):  
Reference Values ◽  
Weight Status ◽  
Task Force ◽  
Growth Parameters ◽  
Overweight And Obesity ◽  
World Health ◽  
Study Cohort ◽  
Kappa Statistics ◽  
School Age ◽  
Local Data

Abstract Background A sizable proportion of school going children from developing countries has abnormal growth parameters, which are often not standardized with international reference values. We intended to evaluate the prevalence of BMI status in schoolgirls of the Punjab by using international and national references. Methods In this population based cross-sectional study, 10,050 school-going girls aged 8–16 years from 12 districts of northern, central and southern Punjab were recruited. Estimates of normal weight, underweight, overweight and obesity were calculated in the girls according to three international BMI references including centres for disease control (CDC) 2000, international obesity task force (IOTF) 2012 and world health organisation (WHO) 2007 in addition to national reference for population under study. We used Cohen’s kappa statistics to analyse agreement of our data with reference values. Results There was marked overestimation of underweight (23.9%, 14.5%, 15.2% and 4.37%), slight underestimation of overweight (5.3%, 7.3%, 7.9% and 8.97%) and moderate underestimation of obesity (1.9%, 1.5%, 2.2% and 5.67%) according to CDC, IOTF, WHO and local reference, respectively. When the weight status of the study cohort was compared with the local data, we found comparable results in all the four weight categories. Conclusion We recommend selection of appropriate reference to estimate prevalence of weight status in school-age girls for devising strategies for public health policy and management.

scholarly journals Dietary Patterns and Weight Status of Primary School Children in Serbia

2021 ◽  
Vol 9 ◽  
Author(s):  
Predrag Bozic ◽  
Visnja Djordjic ◽  
Lidija Markovic ◽  
Dragan Cvejic ◽  
Nebojsa Trajkovic ◽  
...  
Keyword(s):  
Dietary Patterns ◽  
Weight Status ◽  
Vegetable Consumption ◽  
Task Force ◽  
Cross Sectional Study ◽  
Overweight And Obesity ◽  
Primary School Children ◽  
World Health ◽  
Cross Sectional ◽  
Health Organization

The purpose of the present cross-sectional study was to examine dietary patterns and the prevalence of underweight, overweight, and obesity among Serbian children. Furthermore, the study analyzed the association between dietary patterns and weight status. A nationally representative sample of 6–9-year-old children (n = 3,067) was evaluated as part of the Fifth Round World Health Organization European Childhood Obesity Surveillance Initiative. The children's height and weight were measured by trained field examiners, while their parents or guardians filled paper versions of the food frequency questionnaire to collect information related to the child's breakfast habits and food and beverage intake. According to the International Obesity Task Force cut-off points, the overall prevalence of overweight (including obesity) and underweight were 28.9 and 8.1%, respectively. The majority of parents reported that their children (84.5%) had breakfast every day, while only 39.5 and 37% of children had daily fruit and vegetable consumption, respectively. The children who do not eat breakfast every day are more likely to be obese (OR = 1.50), while a higher intake frequency of nutrient-poor beverages such as soft drinks increases the risk of being not only overweight (OR = 1.32) but also underweight (OR = 1.39). Regular monitoring and understanding of dietary patterns and weight status is crucial to inform, design, and implement strategies to reduce national and global diet and obesity-related diseases. Urgent actions need to be taken from public policymakers to stop and reverse the increasing trend of overweight (including obesity) among Serbian children.

scholarly journals Prevalence of overweight and obesity among school children of Bhaktapur and Kathmandu

2019 ◽  
Vol 8 (2) ◽  
pp. 55-59
Author(s):  
Pawana Kayastha ◽  
Binit Vaidya ◽  
Dipesh Shakya
Keyword(s):  
Blood Pressure ◽  
Body Mass Index ◽  
Childhood Obesity ◽  
Body Mass ◽  
Low Income ◽  
Overweight And Obesity ◽  
World Health ◽  
Noncommunicable Diseases ◽  
Obesity And Overweight ◽  
Prevalence Of Obesity

Background: World Health Organization defines childhood obesity as “one of the most serious public health challenges”. Low income countries like Nepal experience a burden of infectious diseases as well as rising incidence of noncommunicable diseases frequently associated with obesity. There is paucity of information on childhood obesity in Nepal. Objectives: This study aims to determine the prevalence of childhood obesity and overweight in school going children and find its association with blood pressure.Methodology: A school based cross-sectional analytical study was conducted on 509 children aged between 10-16 years, studying in grade 5-10 of private schools in Kathmandu and Bhaktapur. Simple random sampling technique was used for data collection. Anthropometric measurements and blood pressure were taken using standard protocol. Obesity was assessed using Body Mass Index criteria.Results: The overall prevalence of obesity and overweight in children were found to be 1.6% and 6.1% respectively. This study also showed that prevalence of obesity in children from Kathmandu is comparatively more, which was statistically significant (p<0.001). A highly significant relationship was observed for diastolic blood pressure and Body Mass Index (p<0.001) between the two groups.Conclusion: This study concludes that obesity though small in percentage, was found in rising trend when compared with previous data. Also, there was strong association with blood pressure, so timely identification and control of obesity is required for prevention of development of other cardiovascular comorbidities.

scholarly journals Overweight and Obesity Among School-aged Children and Maternal Preventive Practices against Childhood Obesity in Select Local Government Areas of Lagos, Southwest, Nigeria

2019 ◽  
Vol 8 (1) ◽  
pp. 70-83
Author(s):  
Oluwafunmilayo Funke Adeniyi ◽  
Gabriel T. Fagbenro ◽  
Foluke A. Olatona
Keyword(s):  
Childhood Obesity ◽  
Local Government ◽  
Overweight And Obesity ◽  
The Body ◽  
World Health ◽  
School Age Children ◽  
Categorical Variables ◽  
School Aged Children ◽  
Preventive Practices ◽  
Southwest Nigeria

Background: Childhood obesity is an emerging epidemic in the developing countries, particularly in the urban settings. This study examines the prevalence of overweight and obesity among school-aged children and the maternal preventive practices against childhood obesity. Methods: This is a cross-sectional study of school-aged children aged 6-13 years and mothers from two Local Government Areas of Lagos State, Southwest Nigeria. Multi-stage sampling technique was used to select study areas and participants, while data were collected using an interviewer administered questionnaire. The Body Mass Index (BMI) of children were determined using the World Health Organisation (WHO) 2007 reference charts. Chi-square test was used to analyze categorical variables and logistic regression analyses were conducted to determine the factors associated with the nutritional status and maternal childhood obesity preventive practices. All analyses were conducted using the Statistical Package for Social Sciences (SPSS) 21. Results: In all, 440 children comprising of 232 boys (52.7%) and 208 girls (42.3%) were studied. Of these, 29 of the participants (6.6%) were overweight, while 39 of them (8.9%) were obese. Most of the children (71.2%) consumed root/tubers and processed cereals while 9 (0.02%) and (17) 0.04% consumed fruits and vegetables. BMI was only significantly related to child age and sex. In all, 243 mothers (55.2%) had good practices against childhood obesity. Levels of maternal preventive practices were not significantly associated with child BMI. Conclusions and Global Health Implications: Overweight/obesity among school-aged children in Lagos is high. Only half of the mothers were involved in preventive practices against childhood obesity. There is need for continuous education and advocacy concerning healthy diet and other preventive strategies against childhood obesity in Lagos, and potentially other parts of the developing world. Key words: • Overweight • Obesity • School-age children • Childhood Maternal preventive practices • Lagos • Nigeria   Copyright © 2019 Adeniyi et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

scholarly journals Determinants of overweight and obesity among selected school going children in Tumkur (tier 2) city, Karnataka, India

2016 ◽  
Vol 4 (1) ◽  
pp. 256
Author(s):  
Imtiaz Ahmed ◽  
Ashok Jayaram ◽  
Krishna Iyengar
Keyword(s):  
Childhood Obesity ◽  
Eating Habits ◽  
Gallbladder Disease ◽  
Cross Sectional Study ◽  
Overweight And Obesity ◽  
World Health ◽  
Tier 2 ◽  
Indian Children ◽  
Cross Sectional ◽  
Major Health Problem

Background: The World Health Organization has described obesity as one of today's most neglected public health problems. Obesity in children appears to increase the risk of subsequent morbidity (like sleep apnea, NIDDM, Gallbladder disease, Dyslipidemia, Insulin resistance etc.), whether or not obesity persists into adulthood.1 In developing countries such as India, especially in urban populations, childhood obesity is emerging as a major health problem nearly 8 to 23 percent children are obese and overweight by various study.  Aims and Objectives: To assess the determinants of overweight and obesity in selected government, aided and unaided schools of Tumkur city.Methods: A cross sectional study was done with 2207 students, aged 10-16 years from 10 schools in Tumkur (tier-2) City. Recommended cut-off points for Indian children (IAP Classification 2012) were utilized to assess overweight and obesity.2 Out of 2207 students 290 were found to be overweight and obese. Twice their number i.e., 580 normal BMI students of same age and gender were selected randomly as controls to study the determinants of overweight and obesity.Results: Prevalence of childhood overweight was 7.02% and obesity was 6.12% respectively. Children of higher educated family found to be more overweight and obese. High socio-economic group children had higher prevalence of obesity than low socio-economic group. Snacking habit and eating of junk food promoted the obesity. Increased hours of schooling lack of physical activity, tuition classes, more homework, TV watching, use of computers and playing video games contributed to sedentary lifestyle, which triggered the onset of obesity among children.Conclusions: Overall prevalence of overweight and obesity among school going children was 13.14%. It was more in boys (13.24%) than girls (13.04%), respectively. The higher prevalence of overweight in school children of Tumkur may be attributed to their eating habits, as well as to their lack of awareness on proper eating habits. Education of parents had a direct relationship to childhood obesity. In addition, low involvement in physical activities may also have influenced the rate of overweight and obesity.

scholarly journals BMI status relative to international and national growth references among Pakistani school-age girls

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Rizwan Qaisar ◽  
Asima Karim
Keyword(s):  
Reference Values ◽  
Weight Status ◽  
Task Force ◽  
Growth Parameters ◽  
Overweight And Obesity ◽  
World Health ◽  
Study Cohort ◽  
Kappa Statistics ◽  
School Age ◽  
Local Reference

Abstract Background A sizable proportion of school-going children from developing countries has abnormal growth parameters, often not standardized with international reference values. We aimed to assess the prevalence of underweight, overweight, and obesity in the schoolgirls of Punjab according to international and local references. Methods In this population-based cross-sectional study, 10,050 school-going girls aged 8–16 years from 12 districts of northern, central, and southern Punjab were recruited. Estimates of normal weight, underweight, overweight and obesity were calculated in the girls according to three international BMI references including centers for disease control (CDC) 2000, the international obesity task force (IOTF) 2012 and world health organisation (WHO) 2007 in addition to a local reference for the population under study. We used Cohen’s kappa statistics to analyse the agreement of our data with reference values. Results There was marked overestimation of underweight (23.9%, 14.5%, 15.2% and 4.37%), slight underestimation of overweight (5.3%, 7.3%, 7.9% and 8.97%) and moderate underestimation of obesity (1.9%, 1.5%, 2.2% and 5.67%) according to CDC, IOTF, WHO and local reference, respectively. When the weight status of the study cohort was compared with the local data, we found comparable results in all four weight categories. Conclusion We recommend population-wide further studies to estimate the prevalence of weight status in school-age girls for devising appropriate references and for planning strategies for public health policy and management.

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