Abstract

Background: Children worldwide are increasingly becoming overweight and obese and developing related health problems, including hypertension, lipid disorders, abnormal glucose tolerance, type 2 diabetes, and secondary psychological disorders. The aim of the study was to determine sociodemographic risk factors that predict an increase in BMI in children at an early school age. Material and method: The study covered 4972 children aged 8–10 years, including boys (N = 2461) and girls (N = 2511). Measurements of basic anthropometric indicators were used, such as body height, body weight, body composition, and physical fitness. The criteria developed by the International Obesity Task Force (IOTF) were adopted. Sociodemographic features were analyzed based on a diagnostic survey. IBM SPSS Statistics v.25 (Mineral Midrange SA, Warsaw, Poland) and IBM SPSS Amos software (Mineral Midrange SA, Warsaw, Poland) were used to perform descriptive statistics, the Kolmogorov-Smirnov test, Pearson′s chi-square test, Student’s t-test, and the Mann-Whitney U test. The statistical significance index was assumed to be p < 0.05, while p < 0.01 was taken as an indicator of a trend which was not completely statistically significant. Results: Both the children and their parents had mainly moderate BMI. A total of 78.7% of children were within the weight norm. Among girls, extreme obesity was two times more frequent than extreme underweight. The examined boys were significantly taller, heavier, and had a higher BMI than girls. There were significant differences between boys and girls in BMI; however, gender alone accounted for less than 1% variance. The influence of parents′ characteristics was much greater, increasing the explained variance to 10%. Body weight of mothers and fathers (p < 0.001), mother′s height (p < 0.01) and both parents′ level of education (p < 0.001) were detected as significant predictors of children’s BMI. Conclusions: The analysis of selected sociodemographic and health factors determining the BMI of the child population indicates the need for preventive action and health promotion both among children and their parents.

Highlights

  • Obesity is a chronic systemic disease that significantly shortens human life and is a recognized factor leading to many health disorders [1]

  • The influence of nutrition, TV watching and physical activity on BMI, which we found to affect our study population’s BMI, is confirmed by Tabak et al, (2012) who analyzed the relationship between the frequency of family meals and body weight of 13-year-olds and selected determinants in a group of 605 children

  • Overweight was more frequent among boys, while among girls the proportion of those with extremely low weight was two times more frequent than in boys

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Summary

Introduction

Obesity is a chronic systemic disease that significantly shortens human life and is a recognized factor leading to many health disorders [1]. Its growing trend is remarkable: It is predicted that by 2030 the number of obese people living in the U.S alone will have grown by 65 million and in the UK by 11 million, resulting in an additional 6–8.5 million cases of diabetes, 5.7–7.3 million cases of heart disease and stroke, and 492,000–669,000 additional cancer cases for both these countries [2]. Children worldwide are increasingly becoming overweight and obese and developing related health problems, including hypertension, lipid disorders, abnormal glucose tolerance, type 2 diabetes, and secondary psychological disorders. The aim of the study was to determine sociodemographic risk factors that predict an increase in BMI in children at an early school age. Material and method: The study covered 4972 children aged 8–10 years, including boys (N = 2461) and girls (N = 2511). IBM SPSS Statistics v.25 (Mineral Midrange SA, Warsaw, Poland) and IBM SPSS Amos software (Mineral Midrange SA, Warsaw, Poland) were used to perform descriptive statistics, the Kolmogorov-Smirnov test, Pearson0 s chi-square test, Student’s t-test, and the

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