Overweight In School-aged Children Research Articles

OVERWEIGHT IN SCHOOL-AGE CHILDREN AND ITS RISK FACTORS

Introduction: According to data from the Basic Health Research in 2018, the prevalence of overweight and obesity among children in East Java Province was 24.27%. This prevalence is still higher than the national average. Aims: This study aims to analyze the risk factors for overweight in school-age children in Tawangsari Village, Sidoarjo Regency, East Java Province. Methods: This study used a case-control design and involved 132 school-age children at 1 and 3 Tawangsari State Elementary Schools, Sidoarjo Regency. The respondents were divided into two groups, namely case and control. The data were analyzed using multiple logistic regression with a significance level at 0.05. Result: The results of the multivariate analysis suggested that sedentary behavior (p = 0.002; Exp(B) = 8.340), sugar intake (p = 0.000; Exp(B) = 9.125) and vegetable and fruit intake (p = 0.007; Exp(B) = 20.643) were significant variables (p < 0.05). Conclusion: School-age children with low levels of physical activity were found to be 8.34 times more likely to be overweight compared to those with high levels of physical activity. In addition, excessive sugar intake and inadequate consumption of vegetable and fruit were associated with a higher likelihood of being overweight in school-age children. However, dietary diversity is not a risk factor for overweight in school-aged children.

FAMILY NURSING CARE USING NUTRITION EDUCATION INTERVENTION ON THE BODY MASS INDEX (BMI) IN SCHOOL-AGE CHILDREN WITH OBESITY IN RT 02 RW 07 KELURAHAN GROGOL KECAMATAN LIMO DEPOK CITY

Introduction: The incidence of obesity is continually increasing worldwide, including in both developed and developing countries. This condition can jeopardize health and increase the risk of disabilities in adults. Health education is defined as an effort to provide or improve the understanding, attitude, and actions taken by society in maintaining and improving their health. The purpose of this writing is to evaluate the effectiveness of health education interventions in reducing body mass index (BMI) in school-age children. Method: The implementation method of the intervention is in the form of providing health education to school-age children. In providing health education about obesity in children by eating a diet and consuming healthy foods. Results: The results of the two-week implementation showed that treated patients experienced a decrease in BMI of 0.60 SD, while discharged patients experienced a decrease in BMI of 0.59. It can be concluded that providing health education intervention to school-age children who are obese is an effective measure to reduce their body mass index Conclusion: Therefore, as part of the management of obesity and overweight in school-age children, community nurses are expected to be able to implement health education.

Chronotype is associated with eating behaviors, physical activity and overweight in school-aged children

BackgroundA later chronotype has been found to be associated with unhealthy habits and diseases, such as an unhealthy diet and metabolic syndrome in adults. Little is known about the association between chronotype, eating habits, physical activity and obesity. Thus, this study aimed to explore the relationships between chronotype, eating behaviors, physical activity, and overweight in Chinese school-aged children.MethodsData from this study was based on 952 schoolchildren (10–12 y) from six primary schools that participated in China. Anthropometric measurements of height and body weight were performed. Information about sleeping habits, dietary behaviors, and other lifestyle behaviors was gathered using a self-administered questionnaire. Multiple linear regression analysis or multivariable logistic regression model was performed to assess the associations between chronotype, eating behaviors, physical activity, and overweight.ResultsNearly 70% (69.9%) of the participants had a self-reported morning chronotype. Multiple linear regression analysis revealed chronotype score was positively associated with physical activities (all P values < 0.001) and sleep duration (all P values < 0.001) and negatively associated with BMI, meal time, eating jet lag and social jet lag (all P values < 0.001). Multivariable logistic regression analysis showed that compared to morning types, non-morning types individuals were more likely to be overweight (OR = 1.593, P value < 0.05), and had more frequent consumption of fast food (OR = 1.616, P value < 0.05), but less frequent consumption of milk (OR = 0.716, P value < 0.05), less time taking part in moderate (OR = 1.356, P value < 0.05) or muscle strengthening (OR = 1.393, 1.877, P value < 0.05) physical activity.ConclusionsThis study indicates that early chronotype children are more active, have healthier dietary habits, get more sleep, have shorter social jet lag, and are less likely to be overweight than non-early chronotype children. Our findings suggest that later chronotype may be a potential indicator in the early detection of overweight, unhealthy eating, and physical inactivity behaviors.Plain english summaryChronotype has been found to have an important impact on individual’s health. In the present study, we conducted a cross-sectional study to investigate the association between chronotype, eating behaviors, physical activity, and overweight in school-aged children. The findings showed that children with early chronotype is associated with more active, healthier dietary behaviors, longer sleep duration, short social jet lag, and a lower risk of overweight.

Fostering Growth Mindset Principles in the Prevention of Type 2 Diabetes Through a Narrative Game

The number of overweight school-age children facing the risk of Type 2 diabetes from obesity is rising at an alarming rate worldwide. Studies have shown that adopting a healthy lifestyle by following a nourishing diet and engaging in frequent physical activity is vital in tackling the problem. However, knowing about it does not equate to knowing how to do it. Hence, through design research, we employed a cross-disciplinary approach in creating an educational simulation to inform and provide the how-to on making health-related choices for teenagers. This study was aimed at constructing an interactive visual novel by intertwining growth mindset principles with the game’s narrative using the integrative behaviour prediction model as the framework. Upon completion of the prototype, we asked four students to test the game, and their feedback was analysed for emerging themes. Discovery learning, the thrill of the game, and empowerment by information each coincide with the three essential design elements of successful educational experiences: simulation, game, and pedagogy. The findings suggest that the potential for growth mindset principles to be used to reinforce healthy decision-making among teenagers through a narrative game is highly promising, while at the same time providing the learners with a meaningful and engaging experience.

Effects of aerobic exercise and resistance exercise on physical indexes and cardiovascular risk factors in obese and overweight school-age children: A systematic review and meta-analysis.

Obesity is a serious social and public health problem in the world, especially in children and adolescents. For school-age children with obesity, this stage is in the transition from childhood to adolescence, and both physical, psychological, and external environments will be full of challenges. Studies have showed that school-age children are the largest proportion of people who continue to be obese in adulthood. Physical exercise is considered as an effective way to control weight. Therefore, we focus on this point to study which factors will be improved to reduce childhood obesity. To assess the effects of aerobic and resistance exercise on physical indexes, such as body mass index (BMI) and body fat percentage, and cardiovascular risk factors such as VO2peak, triglycerides (TG) and low-density lipoprotein (LDL), high-density lipoprotein (HDL), total cholesterol (TC), insulin and insulin resistance in school-age children who are overweight or obese. PubMed, SPORTDiscus, Medline, Cochrane-Library, Scopus, Ovid and Web of Science were searched to locate studies published between 2000 and 2021 in obese and overweight school-age children between 6-12 years old. The articles are all randomized controlled trials (RCTs) and in English. Data were synthesized using a random-effect or a fixed-effect model to analyze the effects of aerobic and resistance exercise on six elements in in school-age children with overweight or obese. The primary outcome measures were set for BMI. A total of 13 RCTs (504 participants) were identified. Analysis of the between-group showed that aerobic and resistance exercise were effective in improving BMI (MD = -0.66; p < 0.00001), body fat percentage (MD = -1.29; p = 0.02), TG (std.MD = -1.14; p = 0.005), LDL (std.MD = -1.38; p = 0.003), TC (std.MD = -0.77; p = 0.002), VO2peak (std.MD = 1.25; p = 0.001). However, aerobic and resistance exercise were not significant in improving HDL (std.MD = 0.13; p = 0.27). Aerobic exercise and resistance exercise are associated with improvement in BMI, body fat percentage, VO2peak, TG, LDL, TC, while not in HDL in school-age children with obesity or overweight. Insulin and insulin resistance were not able to be analyzed in our review. However, there are only two articles related to resistance exercise in children with obesity and overweight at school age, which is far less than the number of 12 articles about aerobic exercise, so we cannot compare the effects of the two types of exercises.

Educación alimentaria y nutricional para reducir la obesidad en escolares de Panamá: protocolo de estudio

El sobrepeso en escolares representa un creciente problema de salud pública en Panamá. El objetivo es desarrollar y validar un programa de intervención en educación alimentaria y nutricional (EAN) contra el sobrepeso y la obesidad en escolares de Panamá bajo la perspectiva de una política pública intersectorial de salud y educación. La intervención se basa en el cambio de conducta bajo el modelo socio-ecológico que favorezca la adopción de comportamientos alimentarios y de estilos de vida más saludables. Se trata de un estudio en 768 escolares de diseño cuasi experimental, pre-post intervención, prospectivo y sin grupo control, de tipo observacional explicativo en instituciones de educación básica general del sector público en tres Distritos de Panamá Oeste: La Chorrera, Capira y Chame. Se seleccionaron 5 escuelas, la escuela Victoria DˈSpinay y La Herradura en el Distrito de La Chorrera, la escuela Hernando Bárcenas en el Distrito de Capira y las escuelas El Espavé y Berta Elida Fernández en el Distrito de Chame. El protocolo fue registrado en la plataforma internacional de ensayos Nº ISRCTN28920505. Se obtendrán datos sociodemográficos, antropométricos, nutricionales y alimentarios; de seguridad alimentaria; y de conocimiento, actitud, percepción y comportamiento sobre alimentación y estilos de vida saludables de marzo a diciembre de 2019 durante la implementación del programa intersectorial denominado “Escuelas Saludables” del Ministerio de Salud y del Ministerio de Educación de Panamá. Se describirán y compararán los datos utilizando estadística paramétrica y no paramétrica. El protocolo de estudio fue revisado y aprobado por el Comité de Bioética de la Universidad de Panamá (Ref. CBUP/Nº075/2019), registrado en la Dirección General de Salud (DIGESA) del MINSA (Nº 881). Se solicitará consentimiento informado firmado por parte de los acudientes y asentimiento por cada niño participante. Los resultados del estudio serán difundidos ampliamente en revistas indexadas de revisión de pares y en congresos de salud y nutrición.Número de registro de protocolo: ISRCTN28920505.

Pediatrician Communication About High Blood Pressure in Children With Overweight/Obesity During Well-Child Visits

Despite recognition that hypertension is associated with childhood obesity, data suggest that high blood pressure (BP) is infrequently diagnosed in children. This study sought to examine provider communication with overweight school-age children regarding BP measurements that were high at well-child visits. Cross-sectional mixed-methods analysis of audio-recorded communication from well-child visits with overweight 6-12-year-olds. Data from the subset of children with elevated BPs were used for this study. Three BP measures obtained at the audio-recorded visit were averaged, paired with historical BPs stored in the health record, and compared to contemporary/Fourth-Report thresholds to determine if children had elevated/hypertensive BPs only at the audio-recorded visit or met hypertension-diagnostic criteria (hypertension-level BP ≥3 separate visits). Two reviewers used visit transcripts to categorize communication about BP as "absent," "unclear," or "direct." Provider use of a billing diagnosis for elevated BP/hypertension in visits with direct-BP-communication was explored. In 36 of 126 (29%) visit-audio-recordings, children had elevated/hypertensive BPs. Thirty-three of the 36 eligible (92%) had intelligible audio-recordings. Of these, 9 (25%) were overweight and 24 (75%) had obesity. Seventeen (52%) had elevated BPs, and 16 (48%) hypertensive BPs. Ten (30%) met criteria for hypertension diagnosis. BP communication was absent in 20 visits (61%), unclear in 8 (24%), and direct in 5 visits (15%). Billing diagnoses for elevated BP/hypertension were entered at 4 of 5 (80%) visits with direct-BP communication. Most overweight children with elevated BPs did not receive communication that BP is high at well-child visits. Relevant billing diagnoses may indicate direct-BP communication.

The Link Between Nutrition and Physical Activity in Increasing Academic Achievement.

Research demonstrates a link between decreased cognitive function in overweight school-aged children and improved cognitive function among students with high fitness levels and children engaging in regular physical activity (PA). The purpose of this study was to examine whether regular PA and proper nutrition together had a significant effect on academic achievement. Using the seventh wave of the Early Childhood Longitudinal Study, Kindergarten Class 1998-99 (ECLS-K) dataset, linear regression analysis with a Jackknife resampling correction was conducted to analyze the relationship among nutrition, PA, and academic achievement, while controlling for socioeconomic status, age, and sex. A nonactive, unhealthy nutrition group and a physically active, healthy nutrition group were compared on standardized tests of academic achievement. Findings indicated that PA levels and proper nutrition significantly predicted achievement scores. Thus, the active, healthy nutrition group scored higher on reading, math, and science standardized achievement tests scores. There is a strong connection between healthy nutrition and adequate PA, and the average performance within the population. Thus, results from this study suggest a supporting relationship between students' health and academic achievement. Findings also provide implications for school and district policy changes.

Impulse oscillometry and obesity in children

ObjectiveTo compare impulse oscillometry system parameters of normal-weight children with overweight and obese children. MethodAll participants were submitted to the evaluation of lung function (spirometry and impulse oscillometry) following the American Thoracic Society standards. The evaluation of respiratory mechanics was performed using the Jaeger™ MasterScreen™ Impulse Oscillometry System (Erich Jaeger, Germany), three tests were recorded, with acquisition for at least 20seconds. ResultsThe study included 81 children (30 in the control group, 21 in the overweight group, and 30 the in obesity group), matched for age and sex. Regarding spirometry data, obesity group showed higher numerical values in relation to the control group; however, there were no significant differences among the three groups. For impulse oscillometry parameters, there was a difference between control group and obesity group for respiratory impedance (p=0.036), resistance at 5hertz (p=0.026), resonant frequency (p=0.029), and reactance area (p=0.014). For the parameters expressed in percentage of predicted, there were differences in resistance at 5 hertz, resonant frequency, and reactance area between control group and obesity group. ConclusionsObese children showed increased oscillometry parameters values representative of airway obstruction, compared to normal-weight children. Changes in some oscillometry parameters can already be observed in overweight school-aged children.

Vitamin D deficiency is common and is associated with overweight in Mexican children aged 1-11 years.

To assess vitamin D dietary sources, intake and 25-hydroxyvitamin D status and their association with individual and sociodemographic characteristics in Mexican children. Data obtained from 2695 children aged 1-11 years from the Mexican National Health and Nutrition Survey (2012) were analysed. Diet was assessed by a 141-item FFQ. 25-Hydroxyvitamin D was measured by a chemiluminescent assay. Mean vitamin D intake was 3·38 (se 0·09) µg/d (135·2 (se 3·6) IU/d) among pre-school children and 2·85 (se 0·06) µg/d (114·0 (se 2·4) IU/d) in school-age children. Milk accounted for 64·4 % of vitamin D intake in pre-school children and 54·7 % in school-age children. Vitamin D deficiency (serum 25-hydroxyvitamin D<50 nmol/l) was 25·9 % in pre-schoolers and 36·6 % in school-age children. Overweight/obese school-age children had a higher risk of vitamin D deficiency compared with normal-weight children (OR=2·23; 95 % CI 1·36, 3·66; P<0·05). Vitamin D intakes are low in Mexican children, and milk is the main source of the vitamin. Vitamin D deficiency is common and associated with overweight in school-age children.

Parental Views of Promoting Fruit and Vegetable Intake Among Overweight Preschoolers and School-Aged Children

Given the importance of parental influence on children’s eating habits, we explored perceptions of parents of overweight (body mass index–for-age percentile ≥85%) preschoolers (3-5 years) and overweight school-aged children (6-12 years) regarding challenges in promoting fruit and vegetable intake and how they and other family members influence their overweight children’s dietary habits. Focus groups were conducted with 13 parents of overweight preschoolers and 14 parents of overweight school-aged children. Codes and themes were developed by inductive data analysis. Four common themes were identified: short shelf life of fresh fruits and vegetables prohibiting parents from purchasing, children’s taste changes in fruits and vegetables, parents having the primary influence on children’s dietary intake, and wanting fruits and vegetables “ready to go.” Parents of school-aged children were more concerned about their children’s weight, and extended family members negatively influenced children’s dietary intake compared with parents of preschoolers. Our findings provide valuable insight for nutrition/health educators when developing family-based interventions for weight management.

Evaluating the Effect of Lifestyle Education Based on Health Belief Model for Mothers of Obese and Overweight School-age Children on Obesity-Related Behaviors.

Background:Nowadays, childhood obesity is a matter of significant concern because of its negative effects on personal health and harmful socioeconomic consequences. The purpose of the present study was to evaluate the effectiveness of lifestyle education based on the health belief model for mothers of obese and overweight school-age children on obesity-related behaviors.Materials and Methods:In this quasi-experimental study, 64 obese and overweight elementary students and their mothers who met the inclusion criteria participated. The participants were randomly categorized into two groups (experimental and control). The experimental group received the considered interference, which consisted of four educational sessions based on the health belief model. Data collection tool was a standard questionnaire. The questionnaire filled by the participants during interviews conducted before, immediately after, and two months after the intervention. Data were analyzed using Mann–Whitney, Chi-square, student's t-test, repeated-measures analysis of variance, and least significant difference tests.Results:Mean scores of obesity-related behavior before the intervention were not significantly different between the experimental and control group (53.41 (6.78). vs 54.72 (4.63); P = 0.37), however, were different immediately after (58.41 (6.88) vs 54.81 (4.66); P = 0.02) and two months after the intervention (62.34 (8.62) vs 55.84 (7.59); P = 0.002).Conclusions:This study indicated the effectiveness of lifestyle education based on the health belief model for improving obesity-related behaviors. Therefore, the use of this educational program is recommended for mothers.

Assessment of Home Food Environment among Healthy Weight and Overweight School-age Children

Assessment of Home Food Environment among Healthy Weight and Overweight School-age Children

Actual Body Weight and the Parent's Perspective of Child's Body Weight among Rural Canadian Children.

The prevalence of being overweight during childhood continues to increase in the USA and Canada and children living in rural areas are more at risk than their urban counterparts. The objectives of this study were to evaluate how well the parent’s perception of their child’s weight status correlated with objectively measured weight status among a group of rural children and to identify predictors of inaccurate parental perceptions of child’s weight status. Participants were children from the Saskatchewan Rural Health Study conducted in 2010. Self-administered questionnaires were distributed through rural schools to parents of children in grades one to eight. Parents reported their child’s height and weight and rated their child’s weight status (underweight, just about the right weight, or overweight). Standardized body mass index (BMI) categories were calculated for clinically measured height and weight and for parental report of height and weight for 584 children. Logistic regression analysis was performed to identify predictors of misclassification of the parent’s perception of child’s weight status adjusting for potential confounders. Clinically measured overweight was much higher (26.5%) compared to parental perceived overweight (7.9%). The misclassification of the child’s BMI was more likely to occur if the child was a boy (odds ratio (OR) = 1.58) or non-Caucasian (OR = 2.03). Overweight was high in this group of rural children and parental perception of weight status underestimated the actual weight status of overweight school-age children. Parental reporting of child weight status has implications for public health policy and prevention strategies. Future research should focus on assessing longitudinal effects of parental misperceptions of child’s weight status.

Częstość występowania nadwagi i otyłości u dzieci w wieku szkolnym w regionie bieszczadzkim w Polsce

IntroductionControlling the occurrence of excess weight in children population and taking early preventive action are very important for prophylaxis. The problems in children and adolescents are heterogeneous criteria for the assessment of body weight. In Poland, the most common are using the BMI centile charts, but much more standardized criteria, enabling international comparisons are IOTF cut-off points. AimThe aim of the study was to determine the prevalence of obesity and overweight in school-aged children in the Bieszczady region. Material and MethodsA total of 1012 children, who were attending primary schools in the Bieszczady region, took part in this study. Following a favorable opinion of the Bioethics Committee, the survey was conducted among parents/carers, and anthropometric measurements were done in children. Obesity among children was assessed by BMI centile charts (OLAF, 2010) and the IOTF ‘cut-off’ points. ResultsThe average age in the group was 9±2 years, and 45% were boys and 55% girls (p=0.002). The prevalence of overweight and obesity in the study group determined by the BMI percentile charts was 17,6%, but using the IOTF criteria it was 19.3%. Analyzing the prevalence of obesity based on sex, two different criteria were used: Polish and international; it was found that the occurrence in boys group at the same level was 5.9%, while in the group of girls, observed differences using the criterion OLAF obesity show occurrence at the level of 8.3%, and using the criteria IOTF drop to 7%. ConclusionsMonitoring the scale of obesity by making standardized cross-sectional studies can follow trends in this area.

Prevalence of underweight and overweight among school-aged children and it's association with children's sociodemographic and lifestyle in Indonesia

ObjectivesUnderweight remains a health problem among Indonesian children, and the incidence of overweight continuously increases. This study aims to determine factors associated with underweight and overweight in school-aged children in Indonesia. MethodsThis study is a cross-sectional investigation on parents and children aged 6–13 years in elementary schools in Makassar, Indonesia. The participants included 877 children and their parents. Anthropometric data were obtained using standardized equipment, and sociodemographic and lifestyle data were determined using a questionnaire. The nutritional status of the children was assessed based on the child growth standard prescribed by the WHO. ResultsThe prevalence rates of underweight and overweight among the children were 14.5% and 20.4%, respectively. Underweight was more prevalent in boys. Factors such as mother's level of education, having an underweight father, and playing outdoors on weekends for more than 2 h were significantly associated with underweight children. By contrast, mothers with high levels of education, overweight parents, sleeping for less than 9 h, and playing outdoors on weekends for less than 1 h were significantly associated with overweight children. ConclusionsThe prevalence of underweight and overweight among school-aged children in Makassar, Indonesia is high. These conditions are associated with the sociodemographic characteristics of children and parents, as well as the lifestyle of children. Parental characteristics and children's lifestyle should be considered when planning prevention and intervention programs for underweight or overweight children.

A randomized controlled trial on a multicomponent intervention for overweight school-aged children - Copenhagen, Denmark.

BackgroundObesity amongst children is a growing problem worldwide. In contrast to adults, little is known on the effects of controlled weight loss on components of the metabolic syndrome in children. The primary aim of the study was to evaluate the effects of a 20-week exercise and diet guidance intervention on body mass index (BMI) in a group of overweight children. Our hypothesis was an observed reduction in BMI and secondarily in body fat content, insulin insensitivity, and other components of the metabolic syndrome in the intervention group.MethodsSchool children from Copenhagen were randomly allocated to an intervention group (n = 19) or a control group (n = 19). Anthropometric assessment, whole body dual-energy X-ray absorptiometry scan, two hours oral glucose tolerance test, steps measured by pedometer, and fitness tests were measured at baseline and at 20 weeks.ResultsThirty-seven children (30 girls) participated at baseline, aged 8.7 ± 0.9 years with a BMI of 21.8 ± 3.7 kg/m2 (mean ± SD), and 36 children completed the study. The intervention group decreased their BMI (the intervention effect is the difference in change between the groups adjusted for the respective baseline values (DELTA) = -2.0 kg/m2, 95% CI: -2.5; -1.5, P <0.001), total body mass (DELTA = -4.0 kg, 95% CI: -4.9; -3.0, P <0.001), and fat mass (DELTA = -3.3 kg, 95% CI: -4.2; -2.7, P <0.001) compared to the control group after the intervention. The intervention group displayed decreased waist, hip and waist-to-height ratio (WHtR) (all three variables; P <0.001), area under curve for plasma insulin (P <0.05), and increased mean and minimum steps/day (P <0.05 and P <0.01, respectively).ConclusionsThe multicomponent intervention had significant favorable effects on BMI, weight, WHtR, mean and minimum steps/day, and fat mass. In addition, similar beneficial metabolic effects were found in the children as shown in adults, e.g. increase in peripheral insulin sensitivity.Trial registrationClinicaltrials.gov Identifier number NCT01660789.

Hookworm infestation is highly prevalent in both underweight and overweight school aged children in rural area: an observation from field study in Thailand

ObjectiveTo report the prevalence of hookworm egg detected in stool examinations of a group of school aged children living in a Thai-Cambodia border area. MethodsThis work is a cross-sectional study performed as a field survey during the rural developmental camp. Basic parasitological study is done. ResultsOf 156 studied stool samples, the hookworm can be seen in 100 samples giving the prevalence rate equal to 64.1%. ConclusionsBased on the present cross sectional study, it can be seen that the prevalence of hookworm infestation is high in both underweight and overweight school aged children in this area.

Factors associated with obesity and overweight in school-aged children

To assess the factors associated with excess weight (overweight/obese) in school children enrolled in the public education network in Divinópolis, Minas Gerais, Brazil. Cross-sectional study with 1187 children between 6 and 14 years of age from municipal schools in Divinópolis, Minas Gerais. The prevalence of obesity and overweight was calculated based on the parameters of the World Health Organization, using the WHO Anthro-Plus Program. Logistic regression was used to identify the variables associated with excess weight, at a significance level of 5%. A prevalence of 24.4% of excess weight was identified. Family income and maternal education were determinants of overweight in the study population (p&lt;0.05). Excess weight was configured as an important health problem among the students. The public power needs to implement intersectoral measures with a view to the prevention and reduction of the prevalence of overweight and obesity among school-aged children.

Food Intake and Overweight in School-Aged Children in Germany: Results of the GINIplus and LISAplus Studies

Objective: To investigate the cross-sectional association between food intake and overweight in children. Methods: Height and weight were measured in 2,565 school-aged children. Intakes of 11 food groups were categorized (low, medium and high) using specific tertile cutoffs. Multivariate energy partition models were applied. Adjustment included energy intake from other food groups, city, family income, parental education and ‘screen' time. Possible underreporters were identified and used in sensitivity analyses. Results: Compared to low intake, high intakes of meat, fish, beverages and bakery products were associated with greater BMI z-scores [β (95% CI) = 0.32 (0.21, 0.42), 0.13 (0.03, 0.24), 0.23 (0.11, 0.35) and 0.10 (-0.01, 0.20)] and increased risk of being overweight [odds ratio (OR) (95% CI) = 2.08 (1.58, 2.73), 1.39 (1.08, 1.80), 1.36 (1.01, 1.84) and 1.62 (1.24, 2.11)]. Conversely, medium and high intakes of confectionery were associated with smaller BMI z-scores [β = -0.18 (-0.28, -0.07) and -0.22 (-0.33, -0.12)] and decreased risk of being overweight [OR = 0.64 (0.50, 0.83) and 0.53 (0.40, 0.68)]. These associations were robust to sensitivity analyses. Conclusions: Intakes of meat, fish, beverages and bakery products correlate with body weight status.