Overweight and Underweight Prevalence Trends in Children from Romania - Pooled Analysis of Cross-Sectional Studies between 2006 and 2015

Chirita-Emandi, Adela; Barbu, Carmen; Cinteza, Elena Eliza; Chesaru, Bianca Ioana; Gafencu, Mihai; Mocanu, Veronica; Paşcanu, Ionela; Tatar, Simona; Bălgrădean, Mihaela; Dobre, Michaela; Fica, Simona; Ichim, Gabriela; Pop, Raluca; Puiu, Maria

doi:10.1159/000444173

Cited by 46 publications

(49 citation statements)

References 34 publications

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“…The association between gender and overweight/obesity is inconsistent in the literature. A number of studies reported higher prevalence in girls , some found higher estimates in boys and others reported similar prevalence estimates . In a study involving Australian school children, obesity prevalence did not differ between boys and girls in primary school children; however, substantial gender differences were observed among adolescents in high school suggesting age–gender interactions .…”

Section: Discussionmentioning

confidence: 93%

Prevalence of overweight and obesity among African primary school learners: a systematic review and meta‐analysis

Adom

Kengne

Villiers

et al. 2019

Obesity Science & Practice

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SummaryIntroductionThe increasing trend in the global prevalence of childhood overweight and obesity presents a major public health challenge. This study reports the results of a systematic review and meta‐analysis to estimate the prevalence of overweight and obesity among primary school learners residing in Africa according to the different body mass index criteria and population level characteristics.MethodsA search of multiple databases was conducted to identify relevant research articles published between January 1980 and February 2017. Random effects models were used to pool prevalence data within and across population level characteristics after variance stabilization through arcsine transformation (PROSPERO registration number CRD42016035248).ResultsData from 45 studies across 15 African countries, and comprising 92,379 and 89,468 participants for overweight and obesity estimates were included. Estimated overweight and obesity prevalence differed significantly across criteria: 10.5% [95% confidence interval, CI: 7.1–14.3] and 6.1% [3.4–9.7] by World Health Organization; 9.5% [6.5–13.0] and 4.0% [2.5–5.9] by International Obesity Task Force; and 11.5% [9.6–13.4] and 6.9% [5.0–9.0] by Centre for Diseases Control, respectively (p = 0.0027 for overweight; p < 0.0001 for obesity). Estimates were mostly higher in urban, and private schools, but generally similar by gender, major geographic regions, publication year and sample size. Substantial heterogeneity in the estimates across and within criteria were not always explained by major study characteristics.ConclusionOverweight and obesity are prevalent among African primary school learners, particularly those attending urban, and private schools. The results from this meta‐analysis could be helpful in making informed decisions on childhood obesity prevention efforts in African countries.

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Section: Discussionmentioning

confidence: 93%

Prevalence of overweight and obesity among African primary school learners: a systematic review and meta‐analysis

Adom

Kengne

Villiers

et al. 2019

Obesity Science & Practice

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“…Contrary to other studies, although point estimates for childhood obesity and overweight were generally higher in females than in males, no significant gender difference in childhood obesity or overweight was found in the current meta-analysis. Reports on the gender difference in childhood obesity or overweight prevalence are inconsistent; some studies report higher prevalence in males [64,65], others report higher prevalence in females [66]while some report no gender difference in childhood obesity or overweight prevalence [67]. In a similar study involving a meta-analysis of obesity and overweight among school-going children in Africa, no gender difference in obesity or overweight prevalence was reported [56].…”

Section: Discussionmentioning

confidence: 99%

Childhood Obesity and Overweight in Ghana: A Systematic Review and Meta-Analysis

Akowuah

Kobia‐Acquah

2020

Journal of Nutrition and Metabolism

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e increasing prevalence of childhood obesity and overweight is considered a public health issue in both developed and developing countries. is systematic review and meta-analysis estimates the prevalence of childhood obesity and overweight in Ghana. A multiple database search was conducted for articles published between January 1, 2001, and October 31, 2019, reporting the prevalence of childhood obesity and overweight in Ghana. Databases searched include PubMed, Google Scholar, Scopus, Cochrane Library, World Health Organization (WHO) Library Information System, and Africa Journals Online. Data were pooled from the articles to calculate an overall estimate of childhood obesity and overweight using a random-effects model after variance stabilization with Freeman-Tukey double arcsine transformation. is review adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Sixteen studies with a combined sample size of 29,160 were included in the review. Analysis indicates that approximately 19% of children in Ghana either have obesity or are overweight. e prevalence of childhood obesity and overweight was 8.6% (95% CI: 4.8%-13.4%) and 10.7% (95% CI: 5.9%-16.6%), respectively. Although not significant, higher obesity (4.6% vs. 2.6%) and overweight (11.0% vs. 7.2%) prevalence were estimated for females than for males. ere was a significantly higher obesity prevalence estimate (17.4% vs. 8.9%) in rural settings than in urban settings (p � 0.0255). e high prevalence of childhood obesity and overweight estimated in this review is of worrying concern. It is a significant public health problem that has implications on the health of present and future generations in Ghana and as such calls for proactive measures to be put in place. Also, the driving forces behind the increasing prevalence of childhood obesity in Ghana need to be investigated.

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“…Two methods were used for obtaining informed consent from the participants in our study [25] . The first method used a "passive consent" or "opt out" method, where parents were fully informed about all study procedures through a school information meeting.…”

Section: Ethical Considerationsmentioning

confidence: 99%

Weight Status Is Associated with Blood Pressure, Vital Capacity, Dental Decay, and Visual Acuity among School-Age Children in Chengdu, China

Peng

Li²,

Zhang³

et al. 2016

Ann Nutr Metab

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Aims: To examine the association of weight status with the prevalence of blood pressure (BP), vital capacity, dental decay, and visual acuity among school-age children in Chengdu, China and to find the potential role of weight status to predict the common and frequently occurring diseases among school-age children. Methods: A cross-sectional study was conducted among 12,297 children aged 6-18 years from 10 schools in the Jinniu District of Chengdu, China. Body height, weight, waist circumference (WC), and BP were measured. Vital capacity, dental decay, and visual acuity were detected. Results: The overall prevalence of underweight, overweight, obesity, abdominal obesity, high BP, bad vital capacity weight index, dental decay, and low vision were 7.18, 13.47, 7.57, 18.90, 2.78, 21.93, 38.81, and 45.79%, respectively. After controlling for age, gender, and WC, it was found that overweight and obese children had a higher risk of developing high BP than normal weight children ([OR 4.20, p < 0.001] and [OR 8.76, p < 0.001], respectively), And adjusting for age, gender, and chest circumference, the risk of having bad vital capacity weight index among children with overweight and obesity was higher ([OR 2.15, p < 0.001] and [OR 5.40, p < 0.001], respectively), and the risk with underweight was lower (OR 0.35, p < 0.001). After eliminating the influential factors of gender and age, children who were underweight were 1.16 times (OR 1.16, p = 0.048) more likely to have caries than children with normal weight, but obese children were found to have a lower prevalence for dental cavities than children with normal weight (OR 0.79, p = 0.002). Underweight and obese children had a higher prevalence of low vision; the OR of the appearance of low vision was 1.21 (p = 0.016) for underweight children and 1.23 (p = 0.009) for obese children after adjusting the age and gender. Conclusions: Abnormal weight status among Chengdu urban school-age children was found to be a severe health problem, and it was strongly associated with BP, vital capacity, dental decay, and visual acuity.

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Overweight and Underweight Prevalence Trends in Children from Romania - Pooled Analysis of Cross-Sectional Studies between 2006 and 2015

Cited by 46 publications

References 34 publications

Prevalence of overweight and obesity among African primary school learners: a systematic review and meta‐analysis

Prevalence of overweight and obesity among African primary school learners: a systematic review and meta‐analysis

Childhood Obesity and Overweight in Ghana: A Systematic Review and Meta-Analysis

Weight Status Is Associated with Blood Pressure, Vital Capacity, Dental Decay, and Visual Acuity among School-Age Children in Chengdu, China

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