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      Prevalence of overweight and obesity in children aged 6–13 years—alarming increase in obesity in Cracow, Poland

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          Abstract

          This study in children aged 6–13 years ( n = 1,499) was performed between October 2008 and March 2009. Height and weight measurements were taken to calculate BMI. The prevalence of overweight and obesity was determined by means of IOTF cut-offs with respect to age. Alarming is the fact that the percentage of obese children in Cracow increased dramatically from 1.04% in boys and 0.20% in girls in 1971 to 7% in boys and 3.6% in girls in 2009. In this report, a higher percentage of overweight boys was observed in rural boys (28.14%) than in urban ones (27.31%). Obesity was identified in an almost twice as high percentage of urban boys (7.78%) as in rural ones (3.52%). A higher percentage of overweight girls was registered in rural areas (16.49%) than in urban ones (16.09%). Obesity was prevailing in rural girls (4.12%) relative to their urban counterparts (3.44%). The highest number of overweight urban boys was diagnosed in the group of 12-year-olds ( n = 48) and rural boys in the group of 10-year-olds ( n = 39), as well as in urban girls aged 11 ( n = 17) and rural girls aged 9 ( n = 9). The highest number of obesity was observed in rural boys aged 12 ( n = 3) and in urban boys aged 9 and 10 ( n = 9 in both groups). In the group of girls, obesity prevailed in urban 9-year-olds ( n = 5) and in rural 7-year-olds ( n = 5). Conclusions: Overweight and obesity affect boys almost twice as frequently as girls. Obesity is twice as frequent in urban boys as in their rural peers.

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          Prevalence and trends in overweight and obesity in three cross sectional studies of British Children, 1974-94.

          To report trends in overweight and obesity, defined by new internationally agreed cut-off points, in children in the United Kingdom. Three independent cross sectional surveys. Primary schools in England and Scotland. 10 414 boys and 9737 girls in England and 5385 boys and 5219 girls in Scotland aged 4 to 11 years. Prevalence and change in prevalence of overweight and obesity, as defined by the international obesity task force, in 1974, 1984, and 1994, for each sex and country. Little change was found in the prevalence of overweight or obesity from 1974 to 1984. From 1984 to 1994 overweight increased from 5.4% to 9.0% in English boys (increase 3. 6%, 95% confidence interval 2.3% to 5.0%) and from 6.4% to 10.0% in Scottish boys (3.6%, 1.9% to 5.4%). Values for girls were 9.3% to 13. 5% (4.1%, 2.4% to 5.9%) and 10.4% to 15.8% (5.4%, 3.2% to 7.6%), respectively. The prevalence of obesity increased correspondingly, reaching 1.7% (English boys), 2.1% (Scottish boys), 2.6% (English girls), and 3.2% (Scottish girls). These results form a base from which trends can be monitored. The rising trends are likely to be reflected in increases in adult obesity and associated morbidity.
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            A comparison of international references for the assessment of child and adolescent overweight and obesity in different populations.

            To compare different references assessing child and adolescent overweight and obesity in different populations. Comparison cross-sectional study. The United States, Russia, China. A total of 6108 American, 6883 Russian and 3014 Chinese children aged 6-18 y. Using nationwide survey data from the USA (NHANES III, 1988-1994), Russia (1992), and China (1991), we compared three references: (1) the International Obesity Task Force (IOTF) reference, sex-age-specific body mass index (BMI) cut-offs that correspond to BMIs of 25 for overweight and 30 for obesity at age 18; (2) the World Health Organization (WHO) reference--BMI 85th percentiles for overweight in adolescents (10-19 y) and weight-for-height Z-scores for obesity in children under 10; (3) a USA reference--BMI 85th and 95th percentiles to classify overweight and obesity, respectively. Using the IOTF reference and 85th BMI percentiles, overweight prevalence was 6.4 and 6.5% in China, 15.7 and 15.0% in Russia, and 25.5 and 24.4% in the USA, respectively. Notable differences existed for several ages. Kappa (=0.84-0.98) indicated an excellent agreement between the two references in general, although they varied by sex-age groupings and countries. Overweight prevalence was twice as high in children (6-9 y) than in adolescents (10-18 y) in China and Russia, but was similar in the USA. Estimates of obesity prevalence using these three references varied substantially. The references examined produce similar estimates of overall overweight prevalence but different estimates for obesity. One should be cautious when comparing results based on different references. University of Illinois and University of North Carolina.
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              Prevalence of overweight and obesity among children in the United Arab Emirates.

              The aim of the study was to determine the prevalence of overweight and obesity in children in the United Arab Emirates (UAE). Secondary analysis was undertaken of data on 4381 children aged 5-17 years from the 1999 UAE-National Iodine Deficiency Surveillance Study. Data on weight and height from that study were used to calculate body mass index. The prevalence of overweight and obesity was estimated using International Obesity Task Force criteria. Overall, 944 (21.5%) of children were overweight and 601 (13.7%) of these were obese. More girls than boys were overweight (22.9% vs. 20.2%; P < or = 0.001). Non-citizen girls were more likely to be obese (odds ratios [OR] 1.767, 95% confidence intervals [CI] 1.48-2.102) than UAE girls. Boys in the rural areas had the lowest prevalence (23.6%) and were the least likely of all the children to be either overweight (OR 0.785, 95% CI 0.629-0.974) or obese 0.732 (95% CI 0.591-0.912). This study demonstrates a high prevalence of overweight in children in the UAE. Prompt actions are needed to initiate preventative and interventionist strategies to reverse the trend of this emerging epidemic.
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                Author and article information

                Contributors
                +48-12-6831329 , renatawozniacka@wp.pl
                Journal
                Eur J Pediatr
                European Journal of Pediatrics
                Springer-Verlag (Berlin/Heidelberg )
                0340-6199
                1432-1076
                7 July 2011
                7 July 2011
                February 2012
                : 171
                : 2
                : 245-251
                Affiliations
                [1 ]Orthopedics Rehabilitation Department, Faculty of Motor Rehabilitation, The Bronisław Czech University of Physical Education, Kraków, Poland
                [2 ]Department of Anatomy, Faculty of Motor Rehabilitation, The Bronisław Czech University of Physical Education, Al. Jana Pawła II 78, 31–571 Kraków, Poland
                [3 ]Statistic and Computer Science Division, The Bronisław Czech University of Physical Education, Kraków, Poland
                [4 ]Traumatic Surgery and Orthopedics Clinic, 5th Military Clinical Hospital and Policlinic, Independent Public Healthcare Facility, Kraków, Poland
                Article
                1519
                10.1007/s00431-011-1519-1
                3258396
                21735054
                08462ea9-f5e6-41b7-b4bc-cd6bf684942c
                © The Author(s) 2011
                History
                : 15 April 2011
                : 14 June 2011
                Categories
                Original Paper
                Custom metadata
                © Springer-Verlag 2012

                Pediatrics
                obesity,urban,overweight,rural,children
                Pediatrics
                obesity, urban, overweight, rural, children

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