The prevalence of obesity and associated morbidity among 17-year-old Israeli conscripts

Elishkevits, Keren; Grotto, Itamar; Goldstein, Liav; Goldberg, Avishay; Shvarts, Shifra; Levin, Avi; Ohana, Nissim; Onn, Erez; Levi, Yoav; Dayan, Yosefa Bar

doi:10.1016/j.puhe.2004.05.021

Cited by 39 publications

(29 citation statements)

References 20 publications

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“…However, Patterson's cohort [31] included a high percentage of patients with leukemia (50% of the cohort) and patients treated with glucocorticoids (59%), both of which are associated with a higher risk for obesity. The obesity prevalence in our cohort was also lower than the results of a survey of 76,732 healthy adolescents in Israel (4.1% in males, 3.3% in females) [32]. This finding may be attributable to the increased awareness among endocrinologists/oncologists for obesity prevention, with early intervention for changes in lifestyle and physical activity among survivors.…”

Section: Discussioncontrasting

confidence: 69%

Endocrine Complications and Components of the Metabolic Syndrome in Survivors of Childhood Malignant Non-Brain Solid Tumors

et al. 2013

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Background/Aims: The substantial improvement in survival of children with cancer has been achieved at the cost of late effects.We aimed toevaluate the endocrine outcome in survivors of childhood non-brain malignant solid tumors (NBMST). Methods: We performed aretrospective medical record review for medical history, clinical and laboratory data of survivors (n = 139) followed at the endocrine clinic of a tertiary medical center. Outcome measures were frequency and types of endocrine dysfunction and components of the metabolic syndrome. Results: Median follow-up time was 9.0 years (range 1.2-29.5 years). At least one endocrine abnormality was found in 44 patients (31.7%). Abnormalities included hypogonadism (11.5%), hypothyroidism (9.4%), short stature (9.4%), growth hormone deficiency (8.6%) and components of the metabolic syndrome (15.1%). Height SDS decreased significantly (p = 0.004) during follow-up, whereas body mass index SDS tended to increase. On logistic regression analysis, treatment with cranial irradiation (p = 0.003), local radiation (p = 0.042), or bone marrow transplantation (p = 0.0001), and older age at last visit (p < 0.001) were associated with a significantly higher hazard of an endocrinopathy. Conclusions: The high rate of late endocrine dysfunction among survivors of childhood NBMST highlights the need to optimize the follow-up at the late-effects clinics to identify endocrine problems and allow early and effective intervention.

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Section: Discussioncontrasting

confidence: 69%

Endocrine Complications and Components of the Metabolic Syndrome in Survivors of Childhood Malignant Non-Brain Solid Tumors

et al. 2013

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“…There were far higher overall rates of IFG in Mexican Americans (13%) compared to black (4.2%) and white (7%) subjects. Similar results were found in a study of more than 76,000 seventeen year old Israeli conscripts, where hypertension and type 2 diabetes were more prevalent in overweight subjects [5]. Young Pima Indians (age 15-19 years) have seen a sixfold increase in type 2 diabetes prevalence in the past 40 years [22].…”

supporting

confidence: 83%

“…This was putatively related to significant changes in physical activity and dietary intake. Recent estimates in Irish children aged 4-16 years suggest an overall obesity prevalence of 6% [5]. Girls tended to be more obese than boys-11% of girls aged seven were obese.…”

mentioning

confidence: 94%

Obesity in Irish youth: epidemiology and implications

Finucane

2009

Ir J Med Sci

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The worldwide epidemic of type 2 diabetes has been paralleled by a marked increase in the prevalence of obesity, particularly in younger people. This will contribute significantly to the future burden of cardiovascular disease. Complex environmental and genetic factors contribute to obesity and related metabolic disorders. These disorders are now manifesting in younger age groups, including children. Recent studies have described the clinical and metabolic characteristics of these children. A solution to the obesity crisis will need to be co-ordinated, multi-faceted and well resource.

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“…The remaining 14 papers are detailed in Table 3. Two included 17-year olds with adults and used the adult definition of obesity (Bar Dayan et al, 2005;Daousi et al, 2005). One used BMI only as continuous (Ferreira et al, 2005), and did not define obesity.…”

Section: Resultsmentioning

confidence: 99%

Definitions of childhood obesity: current practice

Chinn

2006

Eur J Clin Nutr

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Objective: To review current practice in the definition of childhood obesity based on body mass index (BMI), in order to understand why the recommendations of the International Task Force on Obesity (IOTF) have not been fully adopted. Design: Literature search using MEDLINE to identify papers on childhood obesity published in the first 4 months of 2005, and a cited reference search on the recommendations of the IOTF. Results: Citations of the IOTF definition have increased since publication, but less than half of papers on childhood obesity published in the period used the definition. Most used the 95th centile of a national distribution to define obesity. Conclusions: Reasons for using centiles of a national distribution included the need for z-scores or centiles to define underweight or extreme obesity, not available in conjunction with the IOTF definition, inclusion of children under 2 years, and concerns about over-or underestimation of the prevalence of obesity. None of these preclude use of the principle underlying the IOTF definition, that of continuity with the adult definition of BMI of 30 kg/m 2 or more. Adoption of either the IOTF definition or corresponding centiles of a national distribution would enable comparisons of prevalence between countries and over time.

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The prevalence of obesity and associated morbidity among 17-year-old Israeli conscripts

Cited by 39 publications

References 20 publications

Endocrine Complications and Components of the Metabolic Syndrome in Survivors of Childhood Malignant Non-Brain Solid Tumors

Endocrine Complications and Components of the Metabolic Syndrome in Survivors of Childhood Malignant Non-Brain Solid Tumors

Obesity in Irish youth: epidemiology and implications

Definitions of childhood obesity: current practice

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