Adipositas bei Kindern und Jugendlichen – Einfluss von Migrationshintergrund und Bildung der Eltern auf das Auftreten eines metabolischen Syndroms

Dannemann, A.; Ernert, Andrea; Rücker, Petra; Babitsch, Birgit; Wiegand, Susanna

doi:10.1007/s00103-011-1258-5

Cited by 14 publications

(2 citation statements)

References 17 publications

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“…18 Furthermore, although BMI has been shown to be associated with socioeconomic status (SES) the SES was rarely even considered as factor that might affect HbA1c values. 19 With regard to the influence of gender, the existing literature reports results, which vary from no significant gender differences to higher HbA1c levels in males. 8,16 Furthermore, to date, research has not yet ascertained the effects of puberty on HbA1c.…”

Section: Introductionmentioning

confidence: 99%

HbA1c percentiles and the association between BMI , age, gender, puberty, and HbA1c levels in healthy German children and adolescents

et al. 2021

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Objective: The measurement of glycated hemoglobin (HbA1c) represents one way to detect type 1 and 2 diabetes in children at an early stage. However, to date, variations in HbA1c levels are not fully understood, even in healthy children. With this in mind, the present study aimed to establish HbA1c reference values in healthy children and to investigate the influence of various independent variables.Study Design and Methods: Two thousand four hundred fifty-five healthy children and adolescents aged between 0.5 and 18 years participated in the population-based cohort study LIFE Child, Germany. Age-and gender-dependent percentiles were estimated, enabling HbA1c values to be converted into standard deviation scores (SDS).Logistic regression models were applied to assess associations between HbA1c-SDS (as outcome) and age, gender, BMI, birth weight, physical activity, pubertal status, and socioeconomic status (SES; as explanatory variables).Results: The mean HbA1c value was 31.79 mmol/mol or 5.06% (SD = 3.3 mmol/mol, SD = 0.3%). Positive associations with HbA1c values were identified for age (b = 0.09, p < 0.001), gender (b = 0.25, p = 0.007), and BMI-SDS (b = 0.06, p < 0.001). In addition, obesity was related to higher HbA1c values (b = 0.29, p < 0.001). Compared to prepuberty, the pubertal and postpubertal stages were associated with higher HbA1c levels. Furthermore, higher SES was associated with higher HbA1c-SDS (b = 0.01, p = 0.04). Conclusion:The present study established HbA1c reference values based on a large sample of healthy German children and adolescents. Age, gender, SES, pubertal stage, and BMI were found to be associated with higher HbA1c levels.

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Section: Introductionmentioning

confidence: 99%

HbA1c percentiles and the association between BMI , age, gender, puberty, and HbA1c levels in healthy German children and adolescents

et al. 2021

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“…Children with migration background have a higher BMI [ 9 ], although this was not observed in our study population with exclusively overweight and obese subjects. An association between migration background and poorer health has been shown in children [ 25 , 26 ]. This knowledge could have led to a more intensive care with a higher frequency of screening for cardiovascular risk factors.…”

Section: Discussionmentioning

confidence: 99%

Screening for Co-Morbidity in 65,397 Obese Pediatric Patients from Germany, Austria and Switzerland: Adherence to Guidelines Improved from the Year 2000 to 2010

Flechtner-Mors

Wiegand

Gellhaus³

et al. 2013

Obes Facts

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Objective: The aim of the study was to analyze the adherence to current guidelines for co-morbidity screening in overweight and obese pediatric patients participating in the Adipositas-Patienten-Verlaufsdokumentation (APV) initiative in three German-speaking countries. Methods: APV database: 181 centers from Germany, Austria and Switzerland, specialized in obesity care, contributed standardized, anonymous data of medical examinations from 65,397 patients performed between 2000 and 2010. Completeness of screening for hypertension, dyslipidemia, and impaired glucose metabolism was analyzed using adjusted means. Results: Mean age of the cohort was 12.5 ± 2.9 years and 46.5% were male. 17.3% were overweight (>90th-97th percentile), 45.1% obese (>97th-99.5th percentile), and 37.7% extremely obese (>99.5th percentile). In 2000, blood pressure was documented for 55.1% of patients, increasing to 88.7% in 2010. The rate of lipid diagnostics also improved from 45.0 to 67.7%,and screening for diabetes rose from 32.7 to 62.3% in the same time period.Blood pressure measurements were performed more often during inpatient care (88.5%) compared to outpatient programs (77.5%). Screening was more complete with increasing age and increasing degree of obesity. In boys screening rate was higher than in girls. Conclusion: During the 11-year period, screening for co-morbidity improved significantly in overweight or obese children and adolescents. However, adherence to guidelines is still insufficient in some institutions. Quality control based on benchmarking may improve obesity care and outcome.

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Socio‐demographic and behavioral risk factors associated with the high prevalence of overweight and obesity in portuguese children

Bingham

Varela‐Silva

Ferrão

et al. 2013

American J Hum Biol

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Objectives Childhood obesity is a public health concern in Portugal. Socio‐demographic and behavioral factors are highly associated with obesity but are not clearly understood. This article aims to update the prevalence of overweight and obesity in Portuguese children and to explore the influence and risks of socio‐demographic factors and behavioral factors. Methods A cross‐sectional study of Portuguese children aged 3–10 years from all 18 mainland districts took place between March 2009 and January 2010. The sample was composed by 17,136 children, 3–10 years of age (8,455 boys; 8,681 girls). Height, weight, and other anthropometric measurements were obtained by trained technicians. Body mass index (BMI) was calculated along with other anthropometric variables. Data analyses took place between April and September 2012. The overweight/obesity classification was established by age‐and sex‐specific BMI cut‐off points as defined by the International obesity task force (IOTF). Parents completed questionnaires about socio‐demographic and behavioral characteristics of the family. Results Almost 28% of the Portuguese children were overweight or obese (19.7% overweight; 8.2% obese). Prevalence was greater in girls than in boys. Logistic regression models found that the odds of childhood obesity were significantly affected by biological, socio‐demographic, and behavioral factors. Conclusions The protective factors against childhood overweight/obesity in this sample of Portuguese children are: (i) being male; (ii) having been breastfeed; (iii) having been born from mothers who did not smoke during pregnancy; (iv) engaging in little sedentary behaviors (TV, PC, and playing electronic games); (iv) performing at least 1 h of moderate physical activity every day; and (v) having parents with higher educational levels who also have their BMI within the healthy ranges. Am. J. Hum. Biol. 25:733–742, 2013. © 2013 Wiley Periodicals, Inc.

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Adipositas bei Kindern und Jugendlichen – Einfluss von Migrationshintergrund und Bildung der Eltern auf das Auftreten eines metabolischen Syndroms

Cited by 14 publications

References 17 publications

HbA1c percentiles and the association between BMI , age, gender, puberty, and HbA1c levels in healthy German children and adolescents

HbA1c percentiles and the association between BMI , age, gender, puberty, and HbA1c levels in healthy German children and adolescents

Screening for Co-Morbidity in 65,397 Obese Pediatric Patients from Germany, Austria and Switzerland: Adherence to Guidelines Improved from the Year 2000 to 2010

Socio‐demographic and behavioral risk factors associated with the high prevalence of overweight and obesity in portuguese children

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