scholarly journals Trends in obesity at the national and local level among South Korean adolescents

2016 ◽  
Vol 11 (2) ◽  
Author(s):  
Kyungsoo Han ◽  
Sejin Park ◽  
Jürgen Symanzik ◽  
Sookhee Choi ◽  
Jeongyong Ahn

Obesity is a global phenomenon affecting all socioeconomic groups, irrespective of age, gender or ethnicity. In many countries, obesity trends are causing serious public health concerns threatening the viability of basic health care delivery. In this article, we examine the trends of adolescent obesity at the national level in South Korea introducing a new approach for visualising data at the local level based on linked micromap plots. Our analysis shows that the obesity rates for 2013 have only increased slightly since 2006 for South Korean adolescents of both genders in various age groups. However, considerable increases could be observed for the subgroup of adolescent males and adolescent females living in rural areas. Trends at the local level show a slight increase of the prevalence of obesity in most regions of the country, with the highest obesity prevalence found in the Northeast.

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Sébastien Czernichow ◽  
Adeline Renuy ◽  
Claire Rives-Lange ◽  
Claire Carette ◽  
Guillaume Airagnes ◽  
...  

AbstractThis study provides trends in obesity prevalence in adults from 2013 to 2016 in France. 63,582 men and women from independent samples upon inclusion from the Constances cohort were included. Anthropometrics were measured at Health Screening Centers and obesity defined as a Body mass index (BMI) ≥ 30 kg/m2; obesity classes according to BMI are as follows: class 1 [30–34.9]; class 2 [35–39.9]; class 3 [≥ 40 kg/m2]. Linear trends across obesity classes by sex and age groups were examined in regression models and percentage point change from 2013 to 2016 for each age category calculated. All analyses accounted for sample weights for non-response, age and sex-calibrated to the French population. Prevalence of obesity ranged from 14.2 to 15.2% and from 14 to 15.3% in women and men respectively from 2013 to 2016. Class 1 obesity category prevalence was the only one to increase significantly across survey years in both men and women (p for linear trend = 0.04 and 0.01 in women and men respectively). The only significant increase for obesity was observed in the age group 18–29 y in both women and men (+ 2.71% and + 3.26% point increase respectively, equivalent to an approximate rise of 50% in women and 93% in men, p = 0.03 and 0.02 respectively). After adjustment for survey non-response and for age and sex distribution, the results show that class 1 obesity prevalence has significantly increased in both women and men from 2013 to 2016, and only in young adults in a representative sample of the French population aged 18–69 years old.


2003 ◽  
Vol 19 (suppl 1) ◽  
pp. S77-S86 ◽  
Author(s):  
Juliana Kain ◽  
Fernando Vio ◽  
Cecilia Albala

Obesity rates have increased markedly in Latin America, especially during the last 10-15 years, becoming a public health problem in most countries. Prevalence of obesity among preschool children remains low, while among schoolchildren it has increased considerably. Prevalence is high in the adult population, especially among women with less schooling. In developed populations, obesity occurs more frequently among the poor; the opposite occurs in less developed societies, where in households undergoing nutritional transition, underweight can coexist with obesity. The most important determinant factors involved in the increasing obesity prevalence are fetal and infant nutritional conditions (stunting), education and socioeconomic conditions, dietary changes (especially increased total energy intake), and physical inactivity. Because chronic diseases are the main causes of death in the Region and obesity is one of the main risk factors for these diseases, policies to improve economic and educational levels with the implementation of health promotion and prevention should be a priority in every country.


2019 ◽  
Vol 16 ◽  
pp. 48-61 ◽  
Author(s):  
Pragya Khanal ◽  
Bishnu H. Wagle ◽  
Suraj Upadhaya ◽  
Prayash Ghimire ◽  
Suman Acharya

Climate change is projected to increase in vulnerable areas of the world, and marginalized communities residing in rural areas are more vulnerable to the change. The perceptions of climate change and adaptation strategies made by such communities are important considerations in the design of adaptation strategies by policy-makers. We examined the most marginalized indigenous group "Chepang" communities' perceptions towards this change, variability, and their attitudes to adaptations and adapted coping measures in mid-hills of Nepal. We interviewed 155 individuals from two Chepang communities, namely, Shaktikhor and Siddhi in Chitwan district of Nepal. We also analyzed biophysical data to assess the variability. The findings showed that the Chepang community has experienced significant impacts of climate change and variability. They attributed crop disease, insect infestation, human health problem, and weather-related disaster as the impacts of climate change. Strategies they have adopted in response to the change are the use of intense fertilizers in farmland, hybrid seeds cultivation, crop diversification, etc. Local level and national level adaptation policies need to be designed and implemented as soon as possible to help climate vulnerable communities like Chepangs to cope against the impacts of climate change.


2004 ◽  
Vol 7 (3) ◽  
pp. 453-460 ◽  
Author(s):  
Berit L Heitmann ◽  
Ulla Strøger ◽  
Kim L Mikkelsen ◽  
Claus Holst ◽  
Thorkild IA Sørensen

AbstractObjective:To examine to what extent the obesity epidemic is a general phenomenon in adults by assessing the secular change, by birth cohort and age, in the prevalence of obesity and median body mass index (BMI) in Danish men and women measured between 1964 and 1994.Design:Multiple cross-sectional population surveys.Setting:The greater Copenhagen area of Denmark.Subjects:The study included 17 065 men (30 336 observations) and 13 417 women (24 065 observations), aged 20–84 years.Main outcome measures:Trends in median BMI and prevalence of obesity estimated from measured height and weight in 10-year age groups.Results:In general the prevalence of obesity was increasing, although in an irregular way: among men in two phases, during the 1970s and 1990s and among women only during the 1990s. Great heterogeneity was observed between birth cohorts and age groups. There was only little indication of an increasing trend in obesity prevalence for women, except for the 55–64-year-olds. In men, the prevalence of obesity was increasing in all age groups except in the youngest ones, and it was statistically significant only for men aged 35–74 years. There was no significant linear change in median BMI in any group, except for an increasing trend among men aged 50 years and above.Conclusion:Although the overall Danish trend for obesity prevalence, similar to trends world-wide, showed a marked increase, the trend was very heterogeneous and generally neither uniform nor significantly positive; the changes were irregular, different among men and women, and different in the different age and birth cohorts. The obesity problem in middle-aged and older men of certain birth cohorts poses a specific public health challenge. Future studies of determinants behind the heterogeneity in the development of the obesity epidemic may provide clues to its causes.


2018 ◽  
Vol 17 (4) ◽  
pp. 67-73 ◽  
Author(s):  
V. G. Vilkov ◽  
S. A. Shalnova ◽  
A. D. Deev ◽  
Yu. A. Balanova ◽  
S. E. Efstifeeva ◽  
...  

Aim. To evaluate the dynamics of obesity and mean body mass index (BMI) in Russia and USA in various age and gender categories during 1975-2014.Material and methods. By a repeat analysis of one-moment studies of Russian and US population in 1975-1982 and 2007-2014, the values of obesity and BMI were assessed in men and women age 25-64 y. o. Into analysis, the data was included from Russian part of the Lipid Clinics study and multicenter ESSE-RF study (Epidemiology of cardiovascular diseases and risk factors in various regions of Russian Federation). American data acquired from the studies NHANES (National Health And Nutrition Examination Survey), open access. Total number of observations 48974.Results. In the 80s of XX century in all age groups of women the mean BMI levels were lower in USA comparing to Russia, in men there were no significant differences. For the following 30 years in Russia the situation improved for men and women <45 y. o. — differences with USA changed modality, and currently BMI in Russia is lower than in USA.Conclusion. Russia was below the US 30 years ago by the mean BMI in females of all ages, with no differences for males. For the following 30 years in the US there was significant increase of BMI in all age strata of men and women, and in Russia dynamics was the same, but lesser. Comparison of the prevalence of obesity in men 30 years ago showed some predominance of obesity in American males, especially young, but not statistically significant. Russian women had higher prevalence of obesity regardless of age. Currently, obesity in young age is more prevalent in men and women of USA, and >45 years old — in Russia.


1970 ◽  
Vol 19 (2) ◽  
pp. 126-130 ◽  
Author(s):  
MK Uddin ◽  
MH Sardar ◽  
MZ Hossain ◽  
MM Alam ◽  
MF Bhuya ◽  
...  

Objective: To determine the prevalence of anaemia in children of 6 to 59 months old in Narayanganj, Bangladesh to help policy makers to formulate health and nutrition policies in national level. Methods: In 2009, a representative sample of 767 young children (age ranging from 6 to 59 months) had their haemoglobin concentration measured. The sampling process was in three stages: at first, 5 Upazila hospitals, 1 District hospital and a 200 bedded specialized hospital were randomly selected to represent the whole district and its 5 geographic urban and rural areas. Next, using census lists, 15 census sectors were randomly chosen. Finally, 767 children of 6-59 months were selected. Blood was collected by vein puncture and haemoglobin concentration was measured with a haemoglobin meter. Data were analysed to determine prevalence of anaemia. Results: The prevalence of anemia among the children of 5-59 months old was 40.9% for the district as a whole. Prevalence in the municipal region of Narayanganj was 40.9%. The rural areas had the highest prevalence of 66.9%. Prevalence was almost two times higher in children of 6-23 months in comparison to children of 24-59 months i.e. 61.8% and 31.0% respectively. The mean haemoglobin concentrations in the younger and older age groups were 10.4(±1.5) g/ dl and 11.4(±1.4) g/dl respectively. There is no difference found between the sexes. Conclusion: This is the first assessment of anaemia prevalence among young children in Narayangaj, Bangladesh. As there is very high prevalence of anaemia among the children studied in Fatulla upazila, especially those in the age group 6-23 months, public health interventions are needed here most. Key words: Anaemia; iron deficiency anaemia; haemoglobin; child heath; Bangladesh. DOI: 10.3329/jdmc.v19i2.7084J Dhaka Med Coll. 2010; 19(2) : 126-130


2020 ◽  
Vol 36 ◽  
pp. 77-86
Author(s):  
Sharon Oladiji

The RapidSMS is an online database system which was introduced in Nigeria in 2011 as an open source software tool for monitoring birth registration process. The innovation allows real-time tracking of the local government and regional birth registration activities with the core machinery being registration at the local levels. Birth registrars are reporting aggregated numbers and registration disaggregated in four age groups < 1, 1–4, 5–9, 10–17 by sex, geographical location and by registration centre. The center-by-center data collection mechanism reflects the children’s population data indicating where birth registration coverage varies substantially between states and in some cases between local government/community setting. The dashboard is helping to identify where non-registered children likely account for some of the most excluded and vulnerable children in Nigerian communities and where rates are often lowest for such children. These statistics are mostly found in rural areas, from poor families and with parents who have minimal or no formal education. The innovation (with its functionality improved on consistent basis) is helping to identify disparities in service delivery and facilitating prompt, evidence-based responses to areas where birth registration levels are low. It is assisting with tracking the trend of registration that will help the country reach the Sustainable Development Goals (SDGs) – birth registration-goal 16.9 by 2030. Specific focus is on how the dashboard is helping to improve data acquisition and analysis including registration coverage and not just registration events. The write up further explores how the RapidSMS is providing a platform for real-time analysis of decentralized birth registration data as an essential information for understanding efficient service delivery, improved local level registration and developing specific solutions where state level analysis and solutions are often too broad.


2021 ◽  
Author(s):  
Modrite Pelse ◽  
◽  
Liga Svanberga ◽  
Arianna Todorova ◽  
Sabine Berzina ◽  
...  

The public prefers to express their opinions on the development of the surrounding area, make assessments and comments, as well as participate in surveys. However, the involvement of the public itself in improving the immediate surroundings and in solving the problems of its fellows is not always sufficient. The research aims to determine whether there are differences in public involvement in addressing municipal problems across various population groups within a municipality. The paper presents the results of an extensive survey. The research considered problems within one municipality in Latvia – Jelgava municipality – and analysed the rural territories located in the immediate vicinity of the centre of the municipality as well as those being the furthest from the centre. The results of the research revealed that young people were most satisfied with their lives in their municipality if their places of residence were closer to the centre of the municipality. The ability to influence the decisions of one’s own local government was highly valued by residents in the age group from 26 to 44 years in the rural territories that were in the immediate vicinity of the centre the municipality, yet this possibility was most often rated as weak among the youth living in the most remote rural territories from the centre of the municipality. Population involvement in solving a problem relevant to the society was the most frequently used way when the population requested a municipal employee to solve this problem. A large segment of the society in rural areas admitted that they did nothing, and this passivity was also evident in the group of young people who lived further away from the centre of the municipality. The involvement of the population in national-level public activities across all age groups and territories was quite equal, as the active population were involved in Saeima elections, campaigns for collecting signatures and donating various thing


Author(s):  
Mariia Ilina ◽  
Yulia Shpyliova

Public-private partnership is the instrument of cooperation between state and business. It has many forms and functions but the only purpose to improve welfare of the territories. In relations between state and business the partnership can play dominant, subsidiary or supervisory role, regulate the institutional mechanism of financial cooperation, develop strategies, solve conflicts and provide social, communal and infrastructure services. Currently implementation of the public-private partnership mechanism in Ukraine is complicated because of shortcomings and gaps in legislation, deficit of different levels budgets, institutional inability of local governments to plan and implement partnership projects and low efficiency of economic activity of business entities. Concerning implementation of the mechanism on rural areas it should be substantially enhanced at the national level for many reasons. Firstly economic situation in most rural areas in Ukraine is depressed and community budgets lack funds. It proves the necessity to intensify economic cooperation and introduce other forms of cooperation. On the other hand, many negative socio-demographic trends (migration, depopulation, social exclusion and marginalization) are inherent in rural areas. It makes difficult for local governments to cooperate with communities members. Capability of the state to support partnerships is also complicated major because of underdeveloped organizational and economic support mechanism. Lack of annual plans to finance partnership projects, funds, technical support to implement projects, and no ways to get state guarantees are the evidence. Taking into account rural territories have no much capacity for development, the mechanism of public-private partnership should include the following key steps: identifying priority areas for PPP application, considering socio-economic potential of different types of the territories and social relevance of a project for a community; improving the qualification level of project management personnel; involvement of the private sector into infrastructural projects; state support for pilot projects; ensuring more transparency in decision making and use of budget resources and simplifying project selection requirements. Implementation of the PPP mechanism on rural areas will improve their infrastructure and satisfy social needs of residents. In order to improve the mechanism of state support for the implementation of PPP projects at the local level it is needed to establish a national specialized agency, define clearly powers of the state authorities, local self-government authorities and members of communities involved into PPP implementation. The other task is to create an informational framework. The purpose of the article is to substantiate how the public-private partnership’s mechanism can work on rural areas.


2018 ◽  
Vol 2018 ◽  
pp. 1-7 ◽  
Author(s):  
Cheng-Fang Tsai ◽  
How-Ran Guo ◽  
Yen-Cheng Tseng ◽  
Der-Chung Lai

Motor disability (MD) is not uncommon in children, but data at the national level are scarce. As the Taiwan government certifies and registers disabled residents for providing services on a routine basis, the registry provides a unique opportunity for studying MD. Using data from the registry, we calculated the prevalence of MD by age, sex, and geographic area and assessed the changes from 2004 to 2010. We excluded cases under 3 years old because the government discourages the certification at this age. We found that cases between 3 and 17 years old decreased from 8187 to 6022 per year from 2004 to 2010 and the prevalence generally decreased every year in all age groups. There were more boy cases than girl cases every year, and the prevalence rate ratios ranged from 1.26 to 1.39 (p<0.05 in all years), with a decreasing trend over time (p<0.01). Rural areas had higher prevalence in all the years, and the prevalence rate ratio decreased from 1.31 to 1.23 (p<0.05 in all years), with a decreasing trend over time (p<0.05). Further studies identifying the risk factors contributing to the decreases might help in the prevention of MD in the future.


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