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Growing ethnic disparities in prevalence of overweight and obesity in children 2-15 years in the Netherlands.
Eur J Public Health. 2018 12 01; 28(6):1023-1028.EJ

Abstract

Background

Overweight and obesity rates stabilized or declined in the largest ethnic groups in the Netherlands, while reports on thinness are conflicting. Ethnic inequalities in time trends are unknown. The aim of this study was to examine (differences in) trends in overweight (including obesity), obesity, severe obesity and thinness in children of Dutch, Turkish, Moroccan and South Asian descent.

Methods

A retrospective cross-sectional study based on 135 150 height and weight measurements, taken between 2007 and 2015 in 77 058 children, aged 2-15 years, living in the city of The Hague (the Netherlands). Trends were determined with logistic regression. An interaction term was added to the model to test for effects of ethnicity on time trends.

Results

In Dutch children, overweight, obesity and severe obesity rates declined between 2007 and 2015, while overweight remained stable in Turkish, Moroccan and South Asian children. Turkish children showed a decrease in obesity (OR 0.981; 95% confidence interval 0.965-0.998), and Moroccan children in severe obesity (OR 0.918; 95% CI 0.877-0.962). South Asian children had the highest overweight and obesity rates of all ethnic groups (32.7 and 21.5% in 2015, respectively). Thinness rates were generally low and only decreased in South Asian children (0.940; 95% CI 0.886-0.997).

Conclusions

Ethnic inequalities in overweight and obesity rates widened since 2007, despite a decline in overweight and/or obesity in most ethnic groups. Ethnic specific interventions are highly needed, especially for South Asian children.

Authors+Show Affiliations

Department of Public Health and Primary Care, Leiden University Medical Center, Leiden, The Netherlands. Department of Child Health, TNO, Leiden, The Netherlands.Department of Epidemiology, GGD (Municipal Health Service) Haaglanden, The Hague, The Netherlands.Department of Public Health and Primary Care, Leiden University Medical Center, Leiden, The Netherlands. Department of Epidemiology, GGD (Municipal Health Service) Haaglanden, The Hague, The Netherlands.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

29893809

Citation

de Wilde, Jeroen A., et al. "Growing Ethnic Disparities in Prevalence of Overweight and Obesity in Children 2-15 Years in the Netherlands." European Journal of Public Health, vol. 28, no. 6, 2018, pp. 1023-1028.
de Wilde JA, Meeuwsen RC, Middelkoop BJ. Growing ethnic disparities in prevalence of overweight and obesity in children 2-15 years in the Netherlands. Eur J Public Health. 2018;28(6):1023-1028.
de Wilde, J. A., Meeuwsen, R. C., & Middelkoop, B. J. (2018). Growing ethnic disparities in prevalence of overweight and obesity in children 2-15 years in the Netherlands. European Journal of Public Health, 28(6), 1023-1028. https://doi.org/10.1093/eurpub/cky104
de Wilde JA, Meeuwsen RC, Middelkoop BJ. Growing Ethnic Disparities in Prevalence of Overweight and Obesity in Children 2-15 Years in the Netherlands. Eur J Public Health. 2018 12 1;28(6):1023-1028. PubMed PMID: 29893809.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Growing ethnic disparities in prevalence of overweight and obesity in children 2-15 years in the Netherlands. AU - de Wilde,Jeroen A, AU - Meeuwsen,Rianne C, AU - Middelkoop,Barend J, PY - 2018/6/13/pubmed PY - 2019/5/23/medline PY - 2018/6/13/entrez SP - 1023 EP - 1028 JF - European journal of public health JO - Eur J Public Health VL - 28 IS - 6 N2 - Background: Overweight and obesity rates stabilized or declined in the largest ethnic groups in the Netherlands, while reports on thinness are conflicting. Ethnic inequalities in time trends are unknown. The aim of this study was to examine (differences in) trends in overweight (including obesity), obesity, severe obesity and thinness in children of Dutch, Turkish, Moroccan and South Asian descent. Methods: A retrospective cross-sectional study based on 135 150 height and weight measurements, taken between 2007 and 2015 in 77 058 children, aged 2-15 years, living in the city of The Hague (the Netherlands). Trends were determined with logistic regression. An interaction term was added to the model to test for effects of ethnicity on time trends. Results: In Dutch children, overweight, obesity and severe obesity rates declined between 2007 and 2015, while overweight remained stable in Turkish, Moroccan and South Asian children. Turkish children showed a decrease in obesity (OR 0.981; 95% confidence interval 0.965-0.998), and Moroccan children in severe obesity (OR 0.918; 95% CI 0.877-0.962). South Asian children had the highest overweight and obesity rates of all ethnic groups (32.7 and 21.5% in 2015, respectively). Thinness rates were generally low and only decreased in South Asian children (0.940; 95% CI 0.886-0.997). Conclusions: Ethnic inequalities in overweight and obesity rates widened since 2007, despite a decline in overweight and/or obesity in most ethnic groups. Ethnic specific interventions are highly needed, especially for South Asian children. SN - 1464-360X UR - https://www.unboundmedicine.com/medline/citation/29893809/Growing_ethnic_disparities_in_prevalence_of_overweight_and_obesity_in_children_2_15_years_in_the_Netherlands_ L2 - https://academic.oup.com/eurpub/article-lookup/doi/10.1093/eurpub/cky104 DB - PRIME DP - Unbound Medicine ER -