Abstract:Even in the semiarid region, the prevalence of overweight is high, and the need for early intervention to change this situation seems to be evident.
“…Not surprisingly, birth weight higher than 4000 grams involved a high risk for the occurrence of overweight in preschool years. These findings are consistent with previous reports (Armoon and Karimy, 2019;Gewa, 2010;Oppitz et al, 2014;Tchoubi et al, 2015;Yu et al, 2011). The relation between high birth weight and the increased risk of childhood overweight/obesity was attributed to endocrine and metabolic pathways.…”
Childhood obesity/overweight is a worldwide concern and its prevalence is increasing in many countries. The first aim of this study is to analyse the trends in overweight and obesity among children under the age of five in Turkey based on the new World Health Organization (WHO) standards, using data from the ‘five-round of the Turkey Demographic and Health Surveys’ (TDHSs). The second aim is to examine whether or not the maternal/household and individual-level factors are associated with overweight/obesity using TDHS 2003, 2008, and 2013 datasets. A total sample of 14,231 children under the age of five were extracted from the TDHS in 1993, 1998, 2003, 2008, and 2013 to determine the prevalence of the trend. Pooled data from 8,812 children were included in the analysis to examine factors associated with overweight/obesity. Taking into account the clustered data structure, multilevel logistic regression models were utilised. In 1993, 1998, 2003, 2008, and 2013 the prevalence of overweight children was 5.3%, 4.9%, 10.0%, 11% and 11.6%, respectively. The factors that were independently associated with overweight/obesity were as follows: living in single-parent households (adjusted odds ratio (aOR) = 2.27, 95%CI = 1.21–4.26), compared to living in dual-parent households; having an obese mother (aOR = 4.25, 95%CI = 1.73–10.44), overweight mother (aOR = 3.15, 95%CI = 1.29–7.69), and a normal-weight mother (aOR = 2.70, 95%CI = 1.11–6.59) compared to having an underweight mother; being aged between 13–24 months (aOR = 1.72, 95%CI = 1.30 to 2.27), compared to being aged 0-12 months; male gender (aOR = 1.30, 95%CI = 1.11 to 1.53); being stunted (aOR = 2.18, 95%CI = 1.74 to 2.73); high birth weight (aOR = 1.55, 95%CI = 1.08 to 2.23) compared to low birth weight. In addition, overweight was higher in children of mothers who had completed primary school (aOR = 1.21, 95%CI = 1.01 to 1.59) than children of mothers who had not completed primary school. These findings reveal that, over the years, there has been a substantial increase in obesity/overweight among children which demonstrates the importance of evaluating the overweight indicators at the maternal/household level.
“…Not surprisingly, birth weight higher than 4000 grams involved a high risk for the occurrence of overweight in preschool years. These findings are consistent with previous reports (Armoon and Karimy, 2019;Gewa, 2010;Oppitz et al, 2014;Tchoubi et al, 2015;Yu et al, 2011). The relation between high birth weight and the increased risk of childhood overweight/obesity was attributed to endocrine and metabolic pathways.…”
Childhood obesity/overweight is a worldwide concern and its prevalence is increasing in many countries. The first aim of this study is to analyse the trends in overweight and obesity among children under the age of five in Turkey based on the new World Health Organization (WHO) standards, using data from the ‘five-round of the Turkey Demographic and Health Surveys’ (TDHSs). The second aim is to examine whether or not the maternal/household and individual-level factors are associated with overweight/obesity using TDHS 2003, 2008, and 2013 datasets. A total sample of 14,231 children under the age of five were extracted from the TDHS in 1993, 1998, 2003, 2008, and 2013 to determine the prevalence of the trend. Pooled data from 8,812 children were included in the analysis to examine factors associated with overweight/obesity. Taking into account the clustered data structure, multilevel logistic regression models were utilised. In 1993, 1998, 2003, 2008, and 2013 the prevalence of overweight children was 5.3%, 4.9%, 10.0%, 11% and 11.6%, respectively. The factors that were independently associated with overweight/obesity were as follows: living in single-parent households (adjusted odds ratio (aOR) = 2.27, 95%CI = 1.21–4.26), compared to living in dual-parent households; having an obese mother (aOR = 4.25, 95%CI = 1.73–10.44), overweight mother (aOR = 3.15, 95%CI = 1.29–7.69), and a normal-weight mother (aOR = 2.70, 95%CI = 1.11–6.59) compared to having an underweight mother; being aged between 13–24 months (aOR = 1.72, 95%CI = 1.30 to 2.27), compared to being aged 0-12 months; male gender (aOR = 1.30, 95%CI = 1.11 to 1.53); being stunted (aOR = 2.18, 95%CI = 1.74 to 2.73); high birth weight (aOR = 1.55, 95%CI = 1.08 to 2.23) compared to low birth weight. In addition, overweight was higher in children of mothers who had completed primary school (aOR = 1.21, 95%CI = 1.01 to 1.59) than children of mothers who had not completed primary school. These findings reveal that, over the years, there has been a substantial increase in obesity/overweight among children which demonstrates the importance of evaluating the overweight indicators at the maternal/household level.
“… 30 However, there are Brazilian studies that suggest that the prevalence of being overweight is higher in children belonging to higher socioeconomic classes, which have more purchasing power for goods and food. 31 This divergence can be explained by the diversity of the population of Brazilian children living at different socioeconomic levels, and by the specificity of the population of children attending daycare centers.…”
Objective: To evaluate the prevalence, and identify factors associated with rapid
weight gain in preschool children. Methods: A cross sectional study was carried out with 136 children between 24 and 35
months of age attending public daycare centers in Mogi das Cruzes between
February and December 2014. Interviews were conducted with the mothers for
clinical, sociodemographic and anthropometric characterizations of the
children. It was considered to be rapid weight gain when the children
presented a difference greater than 0.67 between the weight for age Z score
from birth to evaluation. A logistic regression model was adjusted for
factors associated with rapid weight gain. Results: Fifty children (36.8%) presented rapid weight gain and 36 (26.5%) were
overweight. Of these, 22 children were in the rapid weight gain group. The
logistic model showed that longest total breastfeeding time (OR 0.94, 95%CI
0.88-0.99; p=0.031) was a protection factor, and low socioeconomic level (OR
4.18, 95%CI 1.04-18.60; p=0.044) was a risk factor for rapid weight
gain.Conclusions: There was a high prevalence of rapid weight gain and being overweight among
three year old preschoolers attending public day care centers in Brazil.
Encouraging the practice of breastfeeding children in the first years of
life, in addition to giving guidance about appropriate foods, especially for
families with a low socioeconomic status, can potentially contribute to
reduce rapid weight gain and, consequently, future metabolic complications
of being overweight.
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