Further stabilization and even decrease in the prevalence rates of overweight and obesity in German children and adolescents from 2005 to 2015: a cross-sectional and trend analysis

Keß, Annette; Spielau, Ulrike; Beger, Christoph; Gausche, Ruth; Vogel, Mandy; Lipek, Tobias; Körner, Antje; Pfäffle, Roland; Kieß, Wieland

doi:10.1017/s1368980017002257

Cited by 44 publications

(29 citation statements)

References 44 publications

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“…On the basis of a representative sample of grade 5 children in Alberta, the prevalence of overweight decreased slightly (37.9% to 36.0%) while obesity remained relatively stable (14.2%‐14.6%) across a series of four cross‐sectional surveys from 2008 to 2014 . Other recent studies from high‐income countries have also described decreased or stabilized overweight and obesity in children, suggesting a plateau or reduction in excess weight among sub‐sets of children. Our finding that overweight (in boys and girls) and obesity (in boys only) decreased over time among those children from homes with higher annual incomes highlighted that socio‐economic inequalities moderate excess weight gain early in childhood, even in Alberta, a province that has higher household incomes than other Canadian provinces .…”

Section: Discussioncontrasting

confidence: 97%

Changes in the prevalence of overweight, obesity, and severe obesity between 2010 and 2017 in preschoolers: A population‐based study

2019

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Summary We evaluated changes in overweight, obesity, and severe obesity in a population of 4‐ to 6‐year‐olds from 2010 to 2017. Anthropometric data were collected during children's preschool immunization visits in Edmonton and Calgary, Alberta, Canada. Body mass index (BMI), BMI z scores, and weight status categories were based on the World Health Organization criteria. Across 8 years, we examined population‐level data from 161 114 children in which the prevalence of overweight (17.8%‐15.7%; P < .001) and obesity (4.7%‐4.2%; .004) decreased, while severe obesity (2.4%‐2.2%; .3) remained unchanged. Overweight decreased in both boys (19.2%‐16.8%; P < .0001) and girls (16.4%‐14.6%; .003); obesity decreased in boys (5.3%‐4.4%; .005), but not girls (4.1%‐3.9%; .2). Severe obesity was stable in both sexes. Annual household income and breast feeding had positive, but variable moderating effects on overweight and obesity exclusively. Overall, reductions in overweight and obesity were positive findings, but targeted strategies are needed to reduce severe obesity in preschoolers.

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Section: Discussioncontrasting

confidence: 97%

Changes in the prevalence of overweight, obesity, and severe obesity between 2010 and 2017 in preschoolers: A population‐based study

2019

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“…5.9% were obese (2). Though current trend analysis has shown that prevalence rates of overweight and obesity in children has reached stagnation (3,4), it is important to understand their determinants in order to control the epidemic.…”

Section: Resultsmentioning

confidence: 99%

A multi-level analysis of the association between built environmental factors and childhood overweight in the city of Hannover, Germany

Zhou¹,

Buck²,

Maier³

et al. 2020

Preprint

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Introduction In recent years, built environmental characteristics have been linked to childhood overweight, but the results remain inconsistent across studies. The present study examines associations between several built environmental features and body weight status (BMI) among a large sample of preschool children in the city of Hannover, Germany.Methods Walkability (index), green space availability and playground availability related to preschool children’s home environments was measured using the Geographic Information Systems (GIS) and data from OpenstreetMap (OSM). These built environment characteristics were linked to the data from the 2010-2014 school entry examinations in the Hannover city (n = 22,678), and analysed using multi-level linear regression models to examine associations between the built environment features and the BMI percentiles of these children (4-8 years old). Several socio-demographic factors were included in the analysis, including migration background, family structure and parental educational level. Results No significant associations of built environmental factors on children’s BMI were detected, but the effect between green space availability and BMI was modified by the parental educational level. In children with lower compared to higher educated parents, a higher spatial availability of greenspace was significantly associated with reduced body weight. Conclusion The finding of no overall association between the built environment and body weight could be due to misclassification in the presence of suboptimal variable reliability. However, the environmental effects may also be restricted to the less privileged children, which may indicate that built environmental features might have the potential to reduce health inequalities. Future research should continue to monitor the disparities in diverse built environment features and how these are related to children’s health.

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“…In Germany, according to the German Health Interview and Examination Surveys for Children and Adolescents ("Kinder-und Jugendgesundheitssurvey", KiGGS), 15.4% of children aged 3-17 years were overweight and 5.9% were obese (KiGGS Wave 2, 2014-2017) [2]. Though current trend analysis has shown that prevalence rates of overweight and obesity in children has reached stagnation [3,4], it is important to understand their determinants in order to control the epidemic.…”

Section: Introductionmentioning

confidence: 99%

Built Environment and Childhood Weight Status: A Multi-Level Study Using Population-Based Data in the City of Hannover, Germany

Zhou

Buck

Maier

et al. 2020

IJERPH

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In recent years, built environmental characteristics have been linked to childhood overweight, but the results remain inconsistent across studies. The present study examines associations between several built environmental features and body weight status (BMI) z-score among a large sample of preschool children in the city of Hannover, Germany. Walkability (Index), green space availability, and playground availability related to preschool children’s home environments were measured using data from OpenStreetMap (OSM). These built environment characteristics were linked to the data from the 2010–2014 school entry examinations in the Hannover city (n = 22,678), and analysed using multilevel linear regression models to examine associations between the built environment features and the BMI z-score of these children (4–8 years old). No significant associations of built environmental factors on children’s BMI were detected, but the effect between green space availability and BMI was modified by the parental educational level. In children with lower compared to higher educated parents, a higher spatial availability of greenspace was significantly associated with reduced body weight. Future research should continue to monitor the disparities in diverse built environment features and how these are related to children’s health.

show abstract

Further stabilization and even decrease in the prevalence rates of overweight and obesity in German children and adolescents from 2005 to 2015: a cross-sectional and trend analysis

Cited by 44 publications

References 44 publications

Changes in the prevalence of overweight, obesity, and severe obesity between 2010 and 2017 in preschoolers: A population‐based study

Changes in the prevalence of overweight, obesity, and severe obesity between 2010 and 2017 in preschoolers: A population‐based study

A multi-level analysis of the association between built environmental factors and childhood overweight in the city of Hannover, Germany

Built Environment and Childhood Weight Status: A Multi-Level Study Using Population-Based Data in the City of Hannover, Germany

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