Changes in the prevalence of obesity in Czech adolescents between 2018 and 2022 and its current correlates: HBSC Study
Authors:
E. Sigmund 1; P. Baďura 1; J. Voráčová 2; D. Sigmundová 1; J. Kopčáková 3; V. Hobza JR. 4; M. Kalman 4
Authors‘ workplace:
Univerzita Palackého v Olomouci Fakulta tělesné kultury, Institut aktivního životního stylu Vedoucí: Mgr. František Chmelík, Ph. D.
1; Univerzita Palackého v Olomouci Fakulta tělesné kultury, Katedra společenských věd v kinantropologii Vedoucí: doc. PhDr. Zbyněk Svozil, Ph. D.
2; Univerzita P. J. Šafárika v Košicích Lékařská fakulta, Ústav psychologie zdraví a metodologie výzkumu Vedoucí: prof. Mgr. Andrea Madarasová Gecková, Ph. D.
3; Univerzita Palackého v Olomouci Fakulta tělesné kultury, Katedra rekreologie Vedoucí: Mgr. Zdeněk Hamřík, Ph. D.
4
Published in:
Prakt. Lék. 2023; 103(4): 195-201
Category:
Of different specialties
Overview
Objective: The main objective of the study is to determine changes in the prevalence of obesity in a representative cohort of Czech adolescents between 2018 and 2022 and its current correlates with respect to the socioeconomic status (SES) of adolescents’ families.
Methods: A nationally representative sample of 24535 adolescents aged 11–15 years (n = 11629/129062018/2022; boys: 50.4/50.6%2018/2022) was drawn from last two cycles of an online questionnaire survey conducted in 2018 and 2022. The SES of the families of the participating adolescents was categorised using the Family Affluence Scale. Obesity was represented by > 97% on the age-differentiated World Health Organization Percentile Body Mass Index charts differentiated by gender and age of adolescents. The chi-square tests (χ2) were performed to assess differences in prevalence of obesity in each gender and SES categories of adolescents between 2018 and 2022. Multiple logistic regression analysis was used to analyse the relationship between different correlates and obesity in adolescents in 2022 separately for boys and girls.
Results: There was no significant increase in the prevalence of obesity among girls or boys in any SES family category between 2018 and 2022. Adolescents from low SES families had the significantly highest (p < 0.001) prevalence of obesity (11%BOYS and 5.8%GIRLS) compared to other SES categories of adolescents. Among adolescents from low SES families, individuals who engaged in daily moderate to vigorous physical activity (PA) (p < 0.005) or 3 times per week vigorous PA (p < 0.05) had significantly lower odds of obesity than their less active peers. Skipping breakfast significantly (p < 0.05) increased the odds of obesity, but only in adolescents from low SES families. Shorter screen time significantly reduced (p < 0.05) the odds of obesity in all SES categories of adolescents.
Conclusions: Obesity, because of long-term positive energy balance mediated by imbalanced behaviour, is most pronounced in adolescents from low SES families. It was confirmed that significantly lower odds of obesity in adolescents from low SES families are associated with regular practice of recommended PA, shorter ST duration and not skipping regular breakfast.
Keywords:
obesity – HBSC study – socioeconomic status – Physical activity – breakfast – sleeping
Sources
- WHO. WHO European Regional Obesity Report 2022. Copenhagen: WHO Regional Office for Europe 2022 [online]. Dostupné z: https://apps.who.int/iris/bitstream/handle/10665/353747/ 9789289057738-eng.pdf [cit. 17-04-2023].
- Romieu I, Dossus L, Barquera S, et al. Energy balance and obesity: what are the main drivers? Cancer Causes Control 2017; 28(3): 247–258.
- Inchley J, Currie D, Budisavljevic S, et al. Spotlight on adolescent health and weell-being. Findings from the 2017/2018 Health Behaviour in School-aged Children (HBSC) survey in Europe and Canada. International report. Volume 1. Key findings. Copenhagen: WHO Regional Office for Europe 2020 [online]. Dostupné z: https:// apps.who.int/iris/handle/10665/332091 [cit. 2023-09-08].
- Goto R, Nianogo R, Okubo Y, et al. Evaluation of obesity trends among US adolescents by socioeconomic status, 1999–2018. JAMA Pediatrics. 2022; 176(9): 937–940.
- de Onis M, Onyango AW, Borghi E, et al. Development of a WHO growth reference for school-aged children and adolescents. Bull World Health Organ. 2007; 85(9): 660–667.
- Sigmund E, Sigmundová D, Badura P, et al. Time-trends and correlates of obesity in Czech adolescents in relation to family socioeconomic status over a 16-year study period (2002–2018). BMC Public Health. 2020; 20(1): 229. Dostupné z: https://doi.org/10.1186/s12889-020-8336-2 [cit. 2023-09-08].
- Torsheim T, Cavallo F, Levin KA, et al. Psychometric validation of the revised family affluence scale: a latent variable approach. Child Ind Res. 2016; 9(3): 771–784. Dostupné z: https://doi.org/10.1007/s12187-015-9339-x [cit. 2023-09-08].
- Corell M, Chen Y, Friberg P, et al. Does the family affluence scale reflect actual parental earned income, level of education and occupational status? A validation study using register data in Sweden. BMC Public Health. 2021; 21(1): 1995. Dostupné z: https://doi.org/10.1186/s12889-021-11968-2 [cit. 20-04-2023].
- Hobza V, Hamrik Z, Bucksch J, De Clercq B. The Family Affluence Scale as an indicator for socioeconomic status: validation on regional income differences in the Czech Republic. Int J Environ Res Public Health 2017; 14(12): 1540. Dostupné z: https://doi.org/10.3390/ijerph14121540 [cit. 2023-09-08].
- Bull FC, Al-Ansari SS, Biddle S, et al. World Health Organization 2020 guidelines on physical activity and sedentary behaviour. Br J Sports Med. 2020; 54(24): 1451–1462. Dostupné z: http://dx.doi.org/10.1136/bjsports-2020-102955 [cit. 2023-09-08].
- Paruthi S, Brooks LJ, DʼAmbrosio C, et al. Recommended amount of sleep for pediatric populations: a consensus statement of the American Academy of Sleep Medicine. J Clin Sleep Med. 2016; 12(6): 785–786. Dostupné z: https://jcsm.aasm.org/doi/pdf/10.5664/jcsm.5866 [cit. 2023-09-08].
- Inchley J, Currie D, Budisavljevic S, et al. Spotlight on adolescent health and weell-being. Findings from the 2017/2018 Health Behaviour in School-aged Children (HBSC) survey in Europe and Canada. International report. Volume 2. Key data. Copenhagen: WHO Regional Office for Europe 2020 [online]. Dostupné z: https://apps.who.int/iris/handle/10665/332104 [cit. 2023-09-08].
- Lobstein T, Jackson-Leach R, Powis J, et al. World Obesity Atlas 2023. London: World Obesity Federation 2023. Dostupné z: https://data.worldobesity.org/publications/?cat=19 [cit. 202309-08].
- Gätjens I, Hasler M, di Giuseppe R, et al. Family and lifestyle factors mediate the relationship between socioeconomic status and fat mass in children and adolescents. Obes Facts. 2020; 13(6): 596–607. Dostupné z: https://dx.doi.org/10.1159/000511927 [cit. 2023-09-08].
- Anekwe CV, Jarrell AR, Townsend MJ, et al. Socioeconomics of obesity. Curr Obes Rep. 2020; 9(3): 272–279
Labels
General practitioner for children and adolescents General practitioner for adultsArticle was published in
General Practitioner
2023 Issue 4
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