Potential determinants of obesity among children and adolescents in Germany: results from the cross-sectional KiGGS study

Kleiser, Christina; Rosario, Angelika Schaffrath; Mensink, Gert; Prinz‐Langenohl, Reinhild; Kurth, Bärbel‐Maria

doi:10.1186/1471-2458-9-46

Cited by 213 publications

(222 citation statements)

References 49 publications

(46 reference statements)

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“…In KOPS parental overweight and obesity were found as main determinants of overweight risk in German children and adolescents (Table 4), as in other studies (10)(11)(12)(13)(14) . By contrast, in the literature the impact of lifestyle factors was not uniform.…”

Section: Determinants Of Prevalencesupporting

confidence: 79%

Determinants of the prevalence and incidence of overweight in children and adolescents

Plachta-Danielzik

Landsberg

Johannsen

et al. 2010

Public Health Nutr.

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Objective: To systematically analyse determinants of overweight prevalence and incidence in children and adolescents, as a basis of treatment and prevention. Design: Cross-sectional and longitudinal data of the Kiel Obesity Prevention Study (KOPS). Setting: Schools in Kiel, Germany. Subjects: Cross-sectional data from 6249 students aged 5-16 years and 4-year longitudinal data from 1087 children aged 5-11 years. Weight status of students was assessed and familial factors (weight status of parents and siblings, smoking habits), social factors (socio-economic status, nationality, single parenting), birth weight as well as lifestyle variables (physical activity, media time, nutrition) were considered as independent variables in multivariate logistic regression analyses to predict the likelihood of the student being overweight. Results: The cross-sectional data revealed the prevalence of overweight as 18?3 % in boys and 19?2 % in girls. In both sexes determinants of overweight prevalence were overweight and obese parents, overweight siblings, parental smoking, single parenthood and non-German nationality. High birth weight and low physical activity additionally increased the risk in boys. High media time and low parental education were significant determinants in girls. Effect of media time was mediated by maternal weight status in boys as well as by socio-economic status and age in girls. From the longitudinal data, the 4-year cumulative incidence of overweight was 10?0 % in boys and 8?2 % in girls. Parental obesity, parental smoking and low physical activity were determinants of overweight incidence in boys, whereas paternal obesity increased the risk in girls.Conclusions: Treatment and prevention should address family and social determinants with a focus on physical activity and media use.Childhood obesity is a major public health challenge. At present there is a lack of convincing evidence about suitable and effective strategies for the prevention of childhood overweight. Recently, an obesity prevention evidence framework has been proposed (1) . Key policies include: (i) building a case for action on obesity; (ii) identifying contributing factors and points of intervention; (iii) defining opportunities for action; (iv) evaluating potential interventions; and (v) selecting a portfolio of specific policies, programmes and actions. Therefore, a systematic analysis of determinants of overweight in the micro-as well as the macro-environment is necessary to provide a sound basis for developing strategies against overweight. The systematic analysis should include an analysis of the determinants of overweight prevalence as well as overweight incidence, separately. Childhood overweight (and not only obesity) is predictive for adult morbidity and mortality (2) . In addition, the life-long persistence and health consequences of overweight and obesity in many children suggest a strong need for the prevention of overweight (2) . Primary prevention strategies address the whole population, in particular normalweight sub...

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Section: Determinants Of Prevalencesupporting

confidence: 79%

Determinants of the prevalence and incidence of overweight in children and adolescents

Plachta-Danielzik

Landsberg

Johannsen

et al. 2010

Public Health Nutr.

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“…34,[40][41][42][43][44] Data collected in a German health interview of 13,450 obese/overweight children found that obesity was strongly related to both low SES and parental obesity. 45 Similarly, low SES backgrounds in conjunction with high amounts of television viewing put children at a higher risk for being overweight. 46,47 Other aspects of SES have also been examined.…”

Section: Sleepmentioning

confidence: 99%

Chemical and non-chemical stressors affecting childhood obesity: a systematic scoping review

Lichtveld

Thomas

Tulve

2017

J Expo Sci Environ Epidemiol

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Childhood obesity in the United States has doubled over the last three decades and currently affects 17% of children and adolescents. While much research has focused on individual behaviors impacting obesity, little research has emphasized the complex interactions of numerous chemical and non-chemical stressors found in a child's environment and how these interactions affect a child's health and well-being. The objectives of this systematic scoping review were to (1) identify potential chemical stressors in the context of non-chemical stressors that impact childhood obesity; and, (2) summarize our observations for chemical and non-chemical stressors in regards to child-specific environments within a community setting. A review was conducted to identify chemical and non-chemical stressors related to childhood obesity for the childhood life stages ranging from prenatal to adolescence. Stressors were identified and grouped into domains: individual behaviors, family/household behaviors, community stressors, and chemical exposures. Stressors were related to the child and the child's everyday environments and used to characterize child health and well-being. This review suggests that the interactions of chemical and non-chemical stressors are important for understanding a child's overall health and well-being. By considering these relationships, the exposure science research community can better design and implement strategies to reduce childhood obesity.

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“…Nos Estados Unidos, no ano de 2002, 65,7% da população adulta apresentava excesso ponderal, e entre aqueles com idade de seis a 19 anos, 31% e 16% tinham sobrepeso e obesidade, respectivamente. Em estudo com crianças e adolescentes alemãs, constatouse que, em menos de duas décadas, o sobrepeso apresentou elevação de 50%, e o percentual de obesos duplicou 4,5 cou, resultando em 49% de indivíduos com sobrepeso e 14,6% com obesidade. Chama a atenção a alarmante prevalência em crianças (47,8%) e adolescentes (21,5%), os quais apresentaram incrementos percentuais de três e quatro vezes ao longo do mesmo intervalo de tempo 6 .…”

Section: Introductionunclassified

Excesso de peso em crianças e adolescentes no Estado de Pernambuco, Brasil: prevalência e determinantes

et al. 2012

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Potential determinants of obesity among children and adolescents in Germany: results from the cross-sectional KiGGS study

Abstract: Background: Obesity among children and adolescents is a growing public health problem. The aim of the present paper is to identify potential determinants of obesity and risk groups among 3-to 17-year old children and adolescents to provide a basis for effective prevention strategies.

Cited by 213 publications

References 49 publications

Determinants of the prevalence and incidence of overweight in children and adolescents

Determinants of the prevalence and incidence of overweight in children and adolescents

Chemical and non-chemical stressors affecting childhood obesity: a systematic scoping review

Excesso de peso em crianças e adolescentes no Estado de Pernambuco, Brasil: prevalência e determinantes

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