Secular Trends of Underweight, Overweight, and Obesity in Children and Adolescents from Ukraine

Dereń, Katarzyna; Wyszyńska, Justyna; Nyankovskyy, S.L.; Nyankovska, О.S.; Yatsula, M.S.; Łuszczki, Edyta; Sobolewski, Marek; Mazur, Artur

doi:10.3390/ijerph18063302

Cited by 6 publications

(7 citation statements)

References 37 publications

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“…The corresponding data just for obesity were 2.1%, 4.2% and 3.6% respectively 29 . Other data on trends 30 and regional variations of obesity 33 within Ukraine have also been published. It is also possible that the reportedly low prevalence of obesity is mainly relevant for older children aged 13–18 years.…”

Section: Resultsmentioning

confidence: 98%

“…Ukrainian parents have traditionally had low confidence in childhood vaccines, leading to low vaccination rates, but rates have started to increase after large measles outbreaks led to a number of deaths. Underweight 29,30,43 and child abuse 6 are also concerns. Adverse childhood experiences have been common 54 …”

Section: Discussionmentioning

confidence: 99%

“…After duplicates were removed, the titles and abstracts of 1,628 reports were reviewed by one of the authors (JFL), and 131 met the eligibility criteria (Figure 1). The current review was primarily based on 107 full papers, 2‐108 but, due to the scarcity of data, we also chose to cite five relevant abstracts 109‐113 for a more complete picture of child health in Ukraine. Our literature search was limited to papers published in English.…”

Section: Methodsmentioning

confidence: 99%

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Systematic review of health and disease in Ukrainian children highlights poor child health and challenges for those treating refugees

Ludvigsson

Лобода

2022

Acta Paediatrica

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Aim Millions of Ukrainian children have been internally displaced or fled to other countries because of the Russian war. This systematic review focused on their health needs and future challenges for clinicians. Methods A systematic literature search of the Medline, Embase and MedRxiv databases from 1 January 2010 to 31 March 2022 identified 1628 papers on the health of Ukrainian children and 112 were relevant to this review. Results In 2019, under‐5 mortality was 8 per 1000 live births in Ukraine. Underweight and adverse childhood experiences, including child abuse, were frequent compared to other European countries, while childhood obesity seemed less common. Alcohol consumption was common in women of reproductive age, including during pregnancy, risking foetal alcohol syndrome. Neonatal screening programmes provided low coverage. Vaccine hesitancy was common and vaccination rates were low. Other concerns were measles, HIV, antibiotic resistance and multi‐resistant tuberculosis. Many children are expected to suffer from psychological and physical trauma due to the war. Other healthcare challenges include low COVID‐19 vaccination rates and a preference for secondary and tertiary care, rather than primary care. Many people cannot afford medication. Conclusion Ukrainian children often have poor health and host countries need to be aware of their needs.

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Section: Resultsmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Systematic review of health and disease in Ukrainian children highlights poor child health and challenges for those treating refugees

Ludvigsson

Лобода

2022

Acta Paediatrica

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“…In Ukraine, the prevalence of overweight and obesity in women of childbearing age (18-44) is 14.1 % [1,2], with a similar rate of obesity reported in women during pregnancy [3]. Obesity in this age group is not only important because of its prevalence, but also because it has a negative impact on the different reproductive stages: menstrual cycle and ovulation, achieving pregnancy spontaneously and through assisted reproductive techniques (ART) and in terms of maternal/foetal complications during the pregnancy.…”

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confidence: 99%

Influence of obesity on reproductive health before and during pregnancy

Konwisser

Коrytko

2023

Mìžnarodnij endokrinologìčnij žurnal

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Most women with obesity are fertile, although obesity increases the risk of infertility. This review describes the influence of obesity on reproductive health before and during pregnancy and postpartum. It also discusses the multidisciplinary management of obesity during a woman’s reproductive period based on the scientific literature on the subject published from January 2015 to March 2022. Obesity is a risk factor for endometrial hyperplasia and cancer. Women with obesity have a lower response to ovarian stimulation. In ovulation induction treatments, there is less likelihood of ovulation using clomiphene citrate, higher doses of gonadotropins are required and a smaller number of follicles develop. Women with polycystic ovary syndrome (PCOS) have a higher likelihood of obesity (prevalence ranging from 14 to 75 % depending on the population studied), longitudinal weight gain and abdominal obesity compared to women without PCOS. Obesity and PCOS are two conditions with complex pathophysiologies and it is not clear which one of them acts as a cause or as a consequence of the other. The pregnancies of women with obesity are at increased risk of different complications, including gestational diabetes, hypertensive disease of pregnancy (gestational hypertension or preeclampsia), foetal malformations, prematurity, both spontaneous and induced by other complications, Caesarean delivery, postpartum haemorrhage and thromboembolism. Primary care practice includes health promotion and prevention actions, and it is often the first point of contact between a woman and her partner and the healthcare service before they conceive. Primary care is therefore responsible for providing this new family with quality prenatal care with preventive activities prior to pregnancy. In relation to obesity, this situation provides the opportunity for effective communication with women and their families about weight goals at this stage of life, the importance of weight loss prior to pregnancy, maximum weight gain during pregnancy and postpartum weight loss to reduce the risk of adverse outcomes in current and future pregnancies.

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“…За даними Всесвітньої організації охорони здоров'я, від надмірної маси тіла в сучасному світі страждає приблизно 1,5 млрд дорослого населення. За даними вітчизняних досліджень, близько 40 % населення України має надмірну масу тіла, а 25 % -ожиріння [2].…”

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Influence of overweight and obesity on the development of reproductive disorders in women

Payenok

2021

Mìžnarodnij endokrinologìčnij žurnal

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Obesity remains a serious health problem in all countries due to its prevalence and the development of significant health consequences associated with high morbidity and mortality. According to the World Health Organization, over 1.5 billion adults in the modern world are overweight. According to domestic studies, about 40 % of the population of Ukraine is overweight and 25 % is obese. The literature review focuses on the problem of obesity in the peri- and postmenopausal periods. Because adipose tissue is the site of conversion of bioactive estrogens from androgenic precursors, it could be assumed that obese women should be less likely to develop symptoms of menopausal disorders such as vascular disorders, osteoporosis. Obesity affects ovulation, oocyte maturation, processes in the endometrium, and the process of implantation. Obesity impairs reproductive function not only through the mechanisms of ovulation disorders: reduced fertility is observed in patients with regular ovulatory cycles. Other mechanisms (the complex influence of psychosocial factors; the level of proinflammatory cytokines secreted by adipose tissue is increased in obesity) have not only a direct embryotoxic effect, but also limit the invasion of the trophoblast, disrupting its normal formation. Excessive amounts of pro-inflammatory cytokines lead to local activation of prothrombinase and as a result to thrombosis, trophoblast infarction, its detachment and, ultimately, early miscarriage. The relationship between obesity and reproductive dysfunction has long been proven. At the same time, weight loss is known to improve this function in overweight and obese women. It is especially important that women with this pathology, who visit specialist physicians, receive the necessary recommendations and support aimed at weight loss.

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Secular Trends of Underweight, Overweight, and Obesity in Children and Adolescents from Ukraine

Cited by 6 publications

References 37 publications

Systematic review of health and disease in Ukrainian children highlights poor child health and challenges for those treating refugees

Systematic review of health and disease in Ukrainian children highlights poor child health and challenges for those treating refugees

Influence of obesity on reproductive health before and during pregnancy

Influence of overweight and obesity on the development of reproductive disorders in women

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