Obesity and eating behaviors in school children and adolescents -data from a cross sectional study from Bucharest, Romania.

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Abstract

Epidemiological data on obesity prevalence are scarce in Romanian population. Consequently, the aim of our study was to evaluate the prevalence of obesity and unhealthy behaviors among school children and adolescents from Bucharest, Romania.

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Most cited references 20

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Worldwide trends in childhood overweight and obesity.

Youfa Wang, Tim Lobstein (2005)

Obesity has become a global epidemic but our understanding of the problem in children is limited due to lack of comparable representative data from different countries, and varying criteria for defining obesity. This paper summarises the available information on recent trends in child overweight and obesity prevalence. PubMed was searched for data relating to trends over time, in papers published between January 1980 and October 2005. Additional studies identified by citations in retrieved papers and by consultation with experts were included. Data for trends over time were found for school-age populations in 25 countries and for pre-school populations in 42 countries. Using these reports, and data collected for the World Health Organization's Burden of Disease Program, we estimated the global prevalence of overweight and obesity among school-age children for 2006 and likely prevalence levels for 2010. The prevalence of childhood overweight has increased in almost all countries for which data are available. Exceptions are found among school-age children in Russia and to some extent Poland during the 1990s. Exceptions are also found among infant and pre-school children in some lower-income countries. Obesity and overweight has increased more dramatically in economically developed countries and in urbanized populations. There is a growing global childhood obesity epidemic, with a large variation in secular trends across countries. Effective programs and policies are needed at global, regional and national levels to limit the problem among children.

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Long-term morbidity and mortality of overweight adolescents. A follow-up of the Harvard Growth Study of 1922 to 1935.

A Must, P Jacques, G Dallal … (1992)

Overweight in adults is associated with increased morbidity and mortality. In contrast, the long-term effect of overweight in adolescence on morbidity and mortality is not known. We studied the relation between overweight and morbidity and mortality in 508 lean or overweight adolescents 13 to 18 years old who participated in the Harvard Growth Study of 1922 to 1935. Overweight adolescents were defined as those with a body-mass index that on two occasions was greater than the 75th percentile in subjects of the same age and sex in a large national survey. Lean adolescents were defined as those with a body-mass index between the 25th and 50th percentiles. Subjects who were still alive were interviewed in 1988 to obtain information about their medical history, weight, functional capacity, and other risk factors. For those who had died, information on the cause of death was obtained from death certificates. Overweight in adolescent subjects was associated with an increased risk of mortality from all causes and disease-specific mortality among men, but not among women. The relative risks among men were 1.8 (95 percent confidence interval, 1.2 to 2.7; P = 0.004) for mortality from all causes and 2.3 (95 percent confidence interval, 1.4 to 4.1; P = 0.002) for mortality from coronary heart disease. The risk of morbidity from coronary heart disease and atherosclerosis was increased among men and women who had been overweight in adolescence. The risk of colorectal cancer and gout was increased among men and the risk of arthritis was increased among women who had been overweight in adolescence. Overweight in adolescence was a more powerful predictor of these risks than overweight in adulthood. Overweight in adolescence predicted a broad range of adverse health effects that were independent of adult weight after 55 years of follow-up.

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Comparison of overweight and obesity prevalence in school-aged youth from 34 countries and their relationships with physical activity and dietary patterns.

I. Janssen, P T Katzmarzyk, W Boyce … (2005)

The purposes of this systematic review were to present and compare recent estimates of the prevalence of overweight and obesity in school-aged youth from 34 countries and to examine associations between overweight and selected dietary and physical activity patterns. Data consisted of a cross-sectional survey of 137 593 youth (10-16 years) from the 34 (primarily European) participating countries of the 2001-2002 Health Behaviour in School-Aged Children Study. The prevalence of overweight and obesity was determined based on self-reported height and weight and the international child body mass index standards. Logistic regression was employed to examine associations between overweight status with selected dietary and physical activity patterns. The two countries with the highest prevalence of overweight (pre-obese + obese) and obese youth were Malta (25.4% and 7.9%) and the United States (25.1% and 6.8%) while the two countries with the lowest prevalence were Lithuania (5.1% and 0.4%) and Latvia (5.9% and 0.5%). Overweight and obesity prevalence was particularly high in countries located in North America, Great Britain, and south-western Europe. Within most countries physical activity levels were lower and television viewing times were higher in overweight compared to normal weight youth. In 91% of the countries examined, the frequency of sweets intake was lower in overweight than normal weight youth. Overweight status was not associated with the intake of fruits, vegetables, and soft drinks or time spent on the computer. In conclusion, the adolescent obesity epidemic is a global issue. Increasing physical activity participation and decreasing television viewing should be the focus of strategies aimed at preventing and treating overweight and obesity in youth.

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Author and article information

Journal

Journal ID (iso-abbrev): BMC Public Health

Title: BMC public health

Publisher: Springer Science and Business Media LLC

ISSN (Electronic): 1471-2458

ISSN (Print): 1471-2458

Publication date (Electronic): Mar 01 2015

Volume: 15

Affiliations

[1 ] Carol Davila University of Medicine and Pharmacy Elias Hospital Endocrinology Discipline/Elias Hospital, 17 Marasti bvd, Bucharest, 7900, Romania. carmen_gabriela_barbu@yahoo.co.uk.

[2 ] Department of Epidemiology, Carol Davila University of Medicine and Pharmacy Epidemiology Discipline/National Institute for Development and Research in Microbiology and Imunology "Cantacuzino" Bucharest, Spl. Independentei nr. 103, Sector 5, Code 050096, Bucharest, Romania. monicadeliat@gmail.com.

[3 ] Carol Davila University of Medicine and Pharmacy Elias Hospital Endocrinology Discipline/Elias Hospital, 17 Marasti bvd, Bucharest, 7900, Romania. albualice@yahoo.com.

[4 ] Carol Davila University of Medicine and Pharmacy Elias Hospital Endocrinology Discipline/Elias Hospital, 17 Marasti bvd, Bucharest, 7900, Romania. ancaelenasirbu@yahoo.com.

[5 ] Carol Davila University of Medicine and Pharmacy Elias Hospital Endocrinology Discipline/Elias Hospital, 17 Marasti bvd, Bucharest, 7900, Romania. sorinamartin@gmail.com.

[6 ] Department of Epidemiology, Carol Davila University of Medicine and Pharmacy Epidemiology Discipline/National Institute for Development and Research in Microbiology and Imunology "Cantacuzino" Bucharest, Spl. Independentei nr. 103, Sector 5, Code 050096, Bucharest, Romania. adrianbancescu@yahoo.com.

[7 ] Carol Davila University of Medicine and Pharmacy Elias Hospital Endocrinology Discipline/Elias Hospital, 17 Marasti bvd, Bucharest, 7900, Romania. simonafica@yahoo.com.

Article

Publisher Item ID: 10.1186/s12889-015-1569-9

DOI: 10.1186/s12889-015-1569-9

PMC ID: 4350655

PubMed ID: 25885216

SO-VID: 90363a62-470e-458f-b8e1-a34a82eab871

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Obesity and eating behaviors in school children and adolescents -data from a cross sectional study from Bucharest, Romania.

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Chinese Journal of School Health

Most cited references 20

Worldwide trends in childhood overweight and obesity.

Long-term morbidity and mortality of overweight adolescents. A follow-up of the Harvard Growth Study of 1922 to 1935.

Comparison of overweight and obesity prevalence in school-aged youth from 34 countries and their relationships with physical activity and dietary patterns.

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Cited by 9

Most referenced authors 683