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Determinants of the prevalence and incidence of overweight in children and adolescents.
Public Health Nutr. 2010 Nov; 13(11):1870-81.PH

Abstract

OBJECTIVE

To systematically analyse determinants of overweight prevalence and incidence in children and adolescents, as a basis of treatment and prevention.

DESIGN

Cross-sectional and longitudinal data of the Kiel Obesity Prevention Study (KOPS).

SETTING

Schools in Kiel, Germany.

SUBJECTS

Cross-sectional data from 6249 students aged 5-16 years and 4-year longitudinal data from 1087 children aged 5-11 years. Weight status of students was assessed and familial factors (weight status of parents and siblings, smoking habits), social factors (socio-economic status, nationality, single parenting), birth weight as well as lifestyle variables (physical activity, media time, nutrition) were considered as independent variables in multivariate logistic regression analyses to predict the likelihood of the student being overweight.

RESULTS

The cross-sectional data revealed the prevalence of overweight as 18·3 % in boys and 19·2 % in girls. In both sexes determinants of overweight prevalence were overweight and obese parents, overweight siblings, parental smoking, single parenthood and non-German nationality. High birth weight and low physical activity additionally increased the risk in boys. High media time and low parental education were significant determinants in girls. Effect of media time was mediated by maternal weight status in boys as well as by socio-economic status and age in girls. From the longitudinal data, the 4-year cumulative incidence of overweight was 10·0 % in boys and 8·2 % in girls. Parental obesity, parental smoking and low physical activity were determinants of overweight incidence in boys, whereas paternal obesity increased the risk in girls.

CONCLUSIONS

Treatment and prevention should address family and social determinants with a focus on physical activity and media use.

Authors+Show Affiliations

Institut für Humanernährung und Lebensmittelkunde, Christian-Albrechts-Universität zu Kiel, Düsternbrooker Weg 17, D-24105 Kiel, Germany.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

20338087

Citation

Plachta-Danielzik, Sandra, et al. "Determinants of the Prevalence and Incidence of Overweight in Children and Adolescents." Public Health Nutrition, vol. 13, no. 11, 2010, pp. 1870-81.
Plachta-Danielzik S, Landsberg B, Johannsen M, et al. Determinants of the prevalence and incidence of overweight in children and adolescents. Public Health Nutr. 2010;13(11):1870-81.
Plachta-Danielzik, S., Landsberg, B., Johannsen, M., Lange, D., & Müller, M. J. (2010). Determinants of the prevalence and incidence of overweight in children and adolescents. Public Health Nutrition, 13(11), 1870-81. https://doi.org/10.1017/S1368980010000583
Plachta-Danielzik S, et al. Determinants of the Prevalence and Incidence of Overweight in Children and Adolescents. Public Health Nutr. 2010;13(11):1870-81. PubMed PMID: 20338087.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Determinants of the prevalence and incidence of overweight in children and adolescents. AU - Plachta-Danielzik,Sandra, AU - Landsberg,Beate, AU - Johannsen,Maike, AU - Lange,Dominique, AU - Müller,Manfred James, Y1 - 2010/03/26/ PY - 2010/3/27/entrez PY - 2010/3/27/pubmed PY - 2011/2/11/medline SP - 1870 EP - 81 JF - Public health nutrition JO - Public Health Nutr VL - 13 IS - 11 N2 - OBJECTIVE: To systematically analyse determinants of overweight prevalence and incidence in children and adolescents, as a basis of treatment and prevention. DESIGN: Cross-sectional and longitudinal data of the Kiel Obesity Prevention Study (KOPS). SETTING: Schools in Kiel, Germany. SUBJECTS: Cross-sectional data from 6249 students aged 5-16 years and 4-year longitudinal data from 1087 children aged 5-11 years. Weight status of students was assessed and familial factors (weight status of parents and siblings, smoking habits), social factors (socio-economic status, nationality, single parenting), birth weight as well as lifestyle variables (physical activity, media time, nutrition) were considered as independent variables in multivariate logistic regression analyses to predict the likelihood of the student being overweight. RESULTS: The cross-sectional data revealed the prevalence of overweight as 18·3 % in boys and 19·2 % in girls. In both sexes determinants of overweight prevalence were overweight and obese parents, overweight siblings, parental smoking, single parenthood and non-German nationality. High birth weight and low physical activity additionally increased the risk in boys. High media time and low parental education were significant determinants in girls. Effect of media time was mediated by maternal weight status in boys as well as by socio-economic status and age in girls. From the longitudinal data, the 4-year cumulative incidence of overweight was 10·0 % in boys and 8·2 % in girls. Parental obesity, parental smoking and low physical activity were determinants of overweight incidence in boys, whereas paternal obesity increased the risk in girls. CONCLUSIONS: Treatment and prevention should address family and social determinants with a focus on physical activity and media use. SN - 1475-2727 UR - https://www.unboundmedicine.com/medline/citation/20338087/Determinants_of_the_prevalence_and_incidence_of_overweight_in_children_and_adolescents_ L2 - https://www.cambridge.org/core/product/identifier/S1368980010000583/type/journal_article DB - PRIME DP - Unbound Medicine ER -