Comparative appraisal of educational inequalities in overweight and obesity among adults in 19 European countries

Roskam, Albert-Jan; Kunst, Anton E.; Oyen, Herman Van; Demarest, Stefaan; Klumbienė, Jūratė; Regidor, Enrique; Helmert, Uwe; Jusot, Florence; Dzúrová, Dagmar; Mackenbach, Johan P.

doi:10.1093/ije/dyp329

Cited by 187 publications

(183 citation statements)

References 37 publications

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“…It may be linked to the higher consumption of energy-dense foods and increased sedentary activity (37)(38)(39)(40) among males in this age group. Growing evidence suggests that overweight and obesity are socially patterned (41,42) and may also be linked to the cultural environment (43,44) and cultural practice of food distribution and consumption within households locally (45) . In fact, our report of dietary intakes in this population suggests that more girls consumed fruit and vegetables at least five times per week, while twice as many boys were in the highest tertile for soda and fizzy beverage consumption (A Ramcharitar-Bourne, unpublished results).…”

Section: Discussionmentioning

confidence: 99%

Correlates of adiposity in a Caribbean pre-school population

Ramcharitar-Bourne

Nichols

Badrie

2013

Public Health Nutr.

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Objective: To evaluate ethnic and anthropometric correlates of adiposity among a nationally representative, multi-ethnic, Trinidadian pre-school population. Design: Cross-sectional study conducted between June 2008 and July 2009. Setting: Government and privately owned Early Childhood Care and Education Centres in Trinidad. Subjects: A total of 596 pre-school children (aged 31-73 months) from thirty-four schools had their weight, height, mid-upper arm circumference, waist circumference, biceps and triceps skinfold thicknesses measured by a registered dietitian using standard procedures. Percentage body fat was estimated using a foot-to-foot bioelectric impedance analyser (Tanita 531, Tokyo, Japan). Date of birth, religion and ethnicity were extracted from school records and pre-schoolers' ethnicity was categorized as East Indian, African, Mixed (a combination of two or more ethnicities), Chinese or Caucasian. Results: Anthropometric variables explained significantly more of the variance in adiposity among girls (67?4-88?1 %) than boys (24?4-39?2 %; P , 0?0 0 1). Pre-schoolers of African descent were significantly taller, heavier and had higher abdominal fat and mid-upper arm circumference than their East Indian and Mixed counterparts (all P , 0?001). The overall prevalence of excess adiposity ($25 % body fat) as determined by bioelectrical impedance was 14?6 %, while 2?9 % of the children were undernourished according to WHO weight-for-age criteria. Differences in anthropometry were non-existent between children attending government and private pre-schools. Conclusions: Gender, ethnicity and anthropometry all explained excess adiposity in these pre-schoolers. These findings highlight the need to elucidate the mechanisms that may be involved in explaining these differences, particularly those of ethnic origin.

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Section: Discussionmentioning

confidence: 99%

Correlates of adiposity in a Caribbean pre-school population

Ramcharitar-Bourne

Nichols

Badrie

2013

Public Health Nutr.

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“…Therefore the difference between eastern and western Turkey (11) at the τth quantile of BMI can be decomposed into composition and structural effects as follows: (13) (14) (15) then structural and composition effect can be written in terms of the sum of contribution of each covariate as: (16) (17) where indicates the omitted group effect, and indicate the element of and at quartile respectively. and are the respective contributions of the covariate to composition and structure effect at quartile [44].…”

Section: Methodsmentioning

confidence: 99%

“…Robert and Reither [4] investigated obesity in the United States and indicated that individuals with lower socio-economic status (SES) have higher rates of obesity. Wamala et al [8], Kleiser et al [5] and Roskam et al [11] investigated the prevalence of obesity in Sweden, Germany, and nineteen European countries…”

Section: Introductionmentioning

confidence: 99%

Public Pedagogy Analysis in Coal-Rich Areas in Pakistan and China

Ashraf¹,

Ismat²,

Milenković³

2015

IJSSH

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Abstract-This study aims to explore socioeconomic and regional variations of obesity among Turkish women at reproductive age (15-49). Using the data from Turkish Demographic and Health Survey, it identifies the socioeconomic determinants of obesity in different regions with different levels of development. Afterwards, it measures income-related obesity inequalities by employing concentration indices. Finally, it decomposes the measured inequalities and obesity gap between eastern and western Turkey into percentage contributions of socioeconomic covariates. Accordingly, age, ethnicity, education, income, marital status and employment are significantly associated with obesity in Turkey. Inequality analysis suggests that obesity is more concentrated among wealthier women in eastern Turkey whereas it is more concentrated among poorer women in western Turkey. Decompositions of the inequalities reveal that the inequalities are predominantly associated with wealth and ethnicity. The findings imply that eastern Turkey reflects the characteristics with of developing countries while western Turkey is closer to developing countries. Therefore, the study suggests that designing specific policies for regions with different levels of development will be useful in reducing the inequalities between eastern and western Turkey. In this respect, it is believed that policies dealing with the nutritional issues of eastern women and policies encouraging healthy behaviour of western women may be useful in reducing the inequalities between eastern and western Turkey.

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“…Otros estudios demostraron asociaciones divergentes entre esas variables. En países desarrollados la prevalencia de exceso de peso es mayor en individuos con baja escolaridad (33,34) . Ya, en los países en desarrollo, se percibe una asociación positiva entre el exceso de peso y el aumento de los años de estudio para el sexo masculino, mientras que para el sexo femenino la asociación es inversa (23) .…”

Section: Nº 44 Octubre 2016unclassified

Excesso de peso e fatores associados: um estudo de base populacional

Martins

Chagas²,

Andrade³

et al. 2016

eglobal

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RESUMENEste estudio tuvo como objetivo estimar el predominio del sobrepeso y factores asociados entre adultos y ancianos.Es un estudio transversal, de base poblacional, realizado en ciudad de tamaño medio del Norte de Minas Gerais, Brasil. Fueron entrevistadas personas de edad igual o superior a 18 años. Se realizó un análisis múltiple por regresión de Poisson, tomando, como variable dependiente, el sobrepeso (IMC ≥ 25kg/m 2 ). El predominio del sobrepeso fue el 53,7%. Después del análisis múltiple, permanecieron asociados al sobrepeso: edad igual o superior a 40 años, estar casado/vivir en unión estable, el consumo de alcohol, el tabaquismo, la hipertensión y depresión.Los resultados ponen de manifiesto una preocupante prevalencia del sobrepeso. Entre las variables asociadas, en el modelo final, están las relacionadas con el estilo de vida. En este sentido las acciones de promoción de la salud son fundamentales para la prevención del sobrepeso entre los adultos y los ancianos.

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Comparative appraisal of educational inequalities in overweight and obesity among adults in 19 European countries

Abstract: In most European countries, people of lower educational attainment are now most likely to be overweight or obese. An increasing level of socio-economic development was associated with an emergence of inequalities among men, and a persistence of these inequalities among women.

Cited by 187 publications

References 37 publications

Correlates of adiposity in a Caribbean pre-school population

Correlates of adiposity in a Caribbean pre-school population

Public Pedagogy Analysis in Coal-Rich Areas in Pakistan and China

Excesso de peso e fatores associados: um estudo de base populacional

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