Obesity frequency and related risk factors in primary school children

Objective: The aim of this study was to determine the obesity and overweight situations and related factors among the children between the ages of 6-11 studying in Rize, Turkey. Methods: The study included 180 pediatric patients (86 girls and 94 boys) applying to our policlinic, who born between 2006 and 2010. The age, height, weight and gender of children and their parents, physical activity status of children, frequency of convenience goods consumption, education and income status of parents and duration of children spent on television were evaluated. Body mass indexes of participants were measured and compared with their socio-demographic characteristics. Results: Obesity was found in 12.2% and overweight was found in 15% of all students participating the study. While a relation was found between being obese or overweight with gender, body mass index of parents, staying more than 2 hours a day in front of television, fast-food consumption and low physicial activity; no relation could be found between the educational status of parents, time of starting supplementary food during infancy and and the duration of total breastfeeding. Conclusions: The increase in frequency of childhood obesity has been particularly important for identifying risk factors associated with obesity and competing with these factors in the early period. Family physicians, the first contact points of the patients, are the most important part of the health system in preventing childhood obesity. A higher prevalence of childhood obesity than other studies in the literature may indicate that obesity will become an increasingly common problem.

Keywords:

Obesity pediatric, body mass index,

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[1] WHO: Obesity Preventing And Managing The Global Epidemic. Report of a WHO Concultation. WHO Technical Report Series 894. Geneva: World Health Organization, 2000.
[2] World Health Organization. World health statistics 2015. World Health Organization, 2015.
[3] Williams EP, Mesidor M, Winters K, Dubbert PM, Wyatt SB. Overweight and obesity: prevalence, consequences, and causes of a growing public health problem. Curr Obes Rep 2015;4,:363-70.
[4] Eke, Petronilla. Evaluating the impact of evidence-based weight reduction program among the obese at a medical facility in North Central United States. Diss. Walden University, 2017.
[5] Misra A, Khurana L. Obesity and the metabolic syndrome in developing countries. J Clin Endocrinol Metab 2008:93(11 Suppl 1):S9-30.
[6] Pulkki-Råback L, Elovainio M, Kivimäki M, Raitakari OT, Keltikangas-Järvinen L. Temperament in childhood predicts body mass in adulthood: the Cardiovascular Risk in Young Finns Study. Health Psychol 2005;24:307-15.
[7] Zitsman, JL, Inge TH, Reichard KW, Browne AF, Harmon CM, Michalsky MP. Pediatric and adolescent obesity: management, options for surgery, and outcomes. J Pediatr Surg 2014;49:491-4.
[8] Taveras EM, Gillman MW, Kleinman KP, Rich-Edwards JW, Rifas-Shiman SL. Reducing racial/ethnic disparities in childhood obesity: the role of early life risk factors. JAMA Pediatr 2013;167:731-8.
[9] Liu JH, Jones SJ, Sun H, Probst JC, Merchant AT, Cavicchia P. Diet, physical activity, and sedentary behaviors as risk factors for childhood obesity: an urban and rural comparison. Child Obes 2012;8:440-8.
[10] Güven A, Odaci H, Ozgen IT, Bek Y. Effects of individual factors on adolescent obesity: study in Turkey. Pediatr Int 2008;50:356-62.
[11] Kelishadi R, Poursafa P. A review on the genetic, environmental, and lifestyle aspects of the early-life origins of cardiovascular disease. Curr Probl Pediatr Adolesc Health Care 2014;44:54-72.
[12] Vicente-Rodríguez G, Rey-López JP, Martín-Matillas M, Moreno LA, Wärnberg J, Redondo C, et al. Television watching, videogames, and excess of body fat in Spanish adolescents: the AVENA study. Nutrition 2008;24:654-62.
[13] Larsen L, Mandleco B, Williams M, Tiedeman M. Childhood obesity: prevention practices of nurse practitioners. J Am Acad Nurse Pract 2006;18:70-9.
[14] Giammattei J, Blix G, Marshak HH, Wollitzer AO, Pettitt DJ. Television watching and soft drink consumption: associations with obesity in 11- to 13-year-old schoolchildren. Arch Pediatr Adolesc Med 2003;157:882-6.
[15] Spear BA, Barlow SE, Ervin C, Ludwig DS, Saelens BE, Schetzina KE, Taveras EM. Recommendations for treatment of child and adolescent overweight and obesity. Pediatrics 2007;120(Supplement 4):254-88.
[16] World Health Organization. Obesity and overweight. http://www.who.int/mediacentre/factsheets/fs311/en/.
[17] Delpeuch F, Maire B. Obesity and developing countries of the South. Med Trop l997;57:380-8.
[18] T.C. Sağlık Bakanlığı, Türkiye sağlıklı beslenme ve hareketli hayat programı [2010-2014], Ankara. www.beslenme. saglik.gov.tr
[19] Weker H, Baranska M. Models of safe nutrition of children and adolescents as a basis for prevention of obesity. Med Wieku Rozwoj 2011;15:288-97.
[20] TÜİK, Türkiye Sağlık Araştırması, 2014.
[21] Bice H. Potansiyel bir sağlık sorunu: çocukluk döneminde obezite. Türkiye Klinikleri J Med Sci 1989; 9:117-23.
[22] Metinoğlu İ, Pekol S, Metinoğlu Y. [Factors affecting the prevalence of obesity in students between the ages of 10-12 in Kastamonu]. . Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 2012;3:117-23. [Article in Turkish]
[23] Andersen RE, Crespo CJ, Bartlett SJ, Cheskin LJ, Pratt M. Relationship of physical activity and television watching with body weight and level of fatness among children: results from the Third National Health and Nutrition Examination Survey. JAMA l998;279:938-42.
[24] Andersen RE. The spread of the childhood obesity epidemic. CMAJ 2000;l63:l46l-2.
[25] The Parliamentary Office of Science and Technology, Childhood obesity. Postnote September 2003 Number 205. www.parliament.uk/post.
[26] Epstein LH, Paluch RA, Consalvi A, RiordanK, Scholl T. Effects of manipulating sedentary behavior on physical activity and food intake. J Pediatr 2002;140:334-9.
[27] Kotz K, Story M. Food advertisements during children's Saturday morning television programming: are they consistent with dietary recommendations? J Am Diet Assoc l994;64:l296-l300.
[28] Robinson TN. Does television cause childhood obesity? JAMA l998;279:959-60.
[29] Saelens BE, Daniels SR. Childhood obesity: causes and therapies. Curr Opin Endocrinol Diabetes Obes 2003;l0:3-8.
[30] Para-Cabrera S. Association of obesity with physical activity, television programs and other forms of video viewing among children in Mexico City. Int J Obesity 1999;23:845-54.
[31] Amigo H, Bustos P, Erazo M, Cumsille P, Silva C. Determinant factors of excess of weight in school children: a multilevel study. Rev Med Chil 2007;135:1510-8.
[32] Wang Y, Liang H, Tussing L, Braunschweig C, Caballero B, Flay B. Obesity and related risk factors among low socio-economic status minority students in Chicago. Public Health Nutr 2007;10:927-38.
[33] Cinaz P, Bideci A. Obezite. İçinde: Günöz H, Öcal G, Yordam N, Kurtoğlu S. Pediatrik Endokrinoloji. Ankara. Kalkan Matbaacılık 2003; 487-505.