Stabilization and reversal of child obesity in Andalusia using objective anthropometric measures by socioeconomic status

Sánchez-Cruz, José-Juan; Ruiter, Ingrid de; Jiménez-Moleón, José-Juan; García, L.; Sánchez, María‐José

doi:10.1186/s12887-018-1295-4

Cited by 11 publications

(13 citation statements)

References 37 publications

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“…There is also evidence from other recent studies conducted in Australia and other developed countries of a plateau or, even, a decline in prevalence of overweight and obesity in children and adolescents [1, 19–23, 37]. It has been postulated that these trends reflect a positive effect of public health campaigns designed to prevent excess weight gain in children at the local, state and national level [38, 39].…”

Section: Discussionmentioning

confidence: 96%

“…The effect of SES is generally understood to be mediated through differences in weight-related behaviours [17, 37, 42, 43]. Compared to those from high SES background, ACT Year 6 children of low SES background reported lower levels of physical activity, higher levels of screen time and greater fast food and SSD consumption.…”

Section: Discussionmentioning

confidence: 99%

“…Compared to those from high SES background, ACT Year 6 children of low SES background reported lower levels of physical activity, higher levels of screen time and greater fast food and SSD consumption. These differences may reflect difficulties experienced by lower socio-economic groups in receiving or actively responding to health promotion messages [23, 25, 37]. This lack of effectiveness in low SES groups, which has the unintended effect of widening inequality [23, 44], suggests that more targeted intervention strategies or regulations are needed.…”

Section: Discussionmentioning

confidence: 99%

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Trends in overweight and obesity by socioeconomic status in Year 6 school children, Australian Capital Territory, 2006–2018

et al. 2019

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BackgroundDue to the high prevalence and adverse consequences, overweight and obesity in children continues to be a major public health concern worldwide. Socioeconomic background and health-related behaviours (such as diet, physical activity and sedentary behaviors) are important factors associated with weight status in children. Using a series of height and weight assessments from the Australian Capital Territory Physical Activity and Nutrition Survey (ACTPANS), trends in prevalence of overweight and obesity by socioeconomic status were examined in ACT Year 6 school children between 2006 and 2018.MethodsThe ACTPANS has been conducted every 3 years since 2006. A total of 6729 children were surveyed. Complete data on height and weight were available for 6384 (94.9%) participants. Trends in the prevalence of overweight and obesity and associations between weight status and risk factors (such as socioeconomic status, physical activity, screen time and consumption of sugar-sweetened soft drinks (SSD)) were examined using logistic regression.ResultsThe prevalence of overweight and obesity remained stable in girls (from 22.5% in 2006 to 21.6% in 2018) but declined in boys (from 27.8 to 17.9%). During the same period, levels of physical activity increased slightly, while screen time and the consumption of fast food and SSD decreased. Socioeconomic gradient, based on the school-level Index of Community Socio-Educational Advantage (ICSEA), was highly associated with prevalence of overweight and obesity. Since 2006, the estimated prevalence of overweight and obesity has remained high in the lowest SES groups, but a concurrent downward trend was observed in the highest SES group, leading to increasing disparity between SES groups. Children in the lowest ICSEA quintile were more likely to be overweight or obese compared to those in the moderate and highest ICSEA quintiles. Children in lower ICSEA quintiles also reported lower levels of physical activity, higher levels of screen time, and higher levels of fast food and SSD consumption compared to those in higher ICSEA quintiles.ConclusionsWhile recent trends in overweight and obesity in ACT children are encouraging, the prevalence remains unacceptably high, especially in those from low socioeconomic backgrounds. Additional prevention efforts are required to address the socioeconomic disparity.

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Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Trends in overweight and obesity by socioeconomic status in Year 6 school children, Australian Capital Territory, 2006–2018

et al. 2019

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“…However, according to the NCD Risk Factor Collaboration (NCD-RisC), the obesity prevalence from 5-19 years all around the world has increased from 1992 to 2011 (9,8% vs 21,4%) and this upward trend continued until 2016 (NCD-RisC 2017). Despite some international and national works support this increase (Ruíz Pérez et al 2008;Salcedo et al 2010;Ng et al 2014), other authors noted a stabilization (Ogden et al 2016;Ramiro-González et al 2017;Hardy et al 2017;De Ruiter et al 2017;Aranceta-Bartrina and Pérez-Rodrigo 2018) and even in some cases a decrease (Schmidt Morgen et al 2013;Skinner and Skelton 2014;Koebnick et al 2015;Lazzeri et al 2015; Agencia Española de Consumo, Seguridad Alimentaria y Nutrición 2016; Miqueleiz et al 2016;Bygdell et al 2017;Sánchez-Cruz et al 2018;Herter-Aeberli et al 2019). In Australia (Hardy et al 2017), USA (Skinner and Skelton 2014;Ogden et al 2016) and some European countries (Schmidt Morgen et al 2013;Lazzeri et al 2015;Herter-Aeberli et al 2019) such a stabilization and downward trend have been reported.…”

Section: Discussionmentioning

confidence: 98%

Prevalence and secular trend of childhood overweight and obesity in a Mediterranean area of Southeast Spain

Pastor-Fajardo

Bosch-Giménez

Larqué

et al. 2020

Child and Adolescent Obesity

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Introduction: Childhood obesity epidemic is a worldwide public health problem, but recent studies show a stabilization trend. Objective: To study the prevalence of overweight and obesity in school-age children from a Mediterranean area in Southeast Spain from 1992 to 2011. Methods: Cross-sectional study at two-time points (1992 and 2011) of representative samples of children aged 6-11 years (n = 737 and 620, respectively). Weight and height were measured by trained personnel. Overweight and obesity were defined according to Body Mass Index (BMI) using the International Obesity Task Force (IOTF) and the World Health Organization (WHO) criteria. Results: The prevalence of overnutrition (overweight plus obesity) decreased significantly from 1992 to 2011, with a decrease of 45.4% to 36.0% (according to the WHO cutoffs) or 37.3% to 30.0% (according to the IOTF cutoffs). Obesity decreased significantly according to WHO criteria (19.6% to 13.5%) while overweight remained stable. When grouping by sex, overnutrition in girls remained stable with a prevalence of 39.0% (WHO) or 34.0% (IOTF) in 1992, and 35.7% (WHO) or 31.1% (IOTF) in 2011. However, in boys a significant decrease is observed, with a prevalence of 50.0% (WHO) or 38.8% (IOTF) in 1992, decreasing to 38.8% (WHO) and 29.5% (IOTF) in 2011. Conclusions: Even though the prevalence of childhood overweight and obesity remained at high levels, according to our results in the studied period there was a decrease in the Mediterranean area of Southeast Spain. There was variability between sex, with a significant decrease only in males. Prevalence estimates varied depending on the reference values used.

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“…Las tasas más altas de sobrepeso y obesidad infantil se encontraron en los países de la cuenca del mediterráneo; España, Malta, Italia y Grecia (Aranceta-Bartrina, Gianzo-Citores, & Pérez-Rodrigo, 2020;Ortiz-Pinto et al, 2020). Esta prevalencia varía según el estatus donde se sitúen las familias, cuánto mayor estatus económico, menores tasas de sobrepeso y obesidad (Sánchez-Cruz, de Ruiter, Jiménez-Moleón, García, & Sánchez, 2018).…”

Section: Introductionunclassified

Efectos del sedentarismo en niños en edad escolar: revisión sistemática de estudios longitudinales (Effects of sedentary school-age children: a systematic review of longitudinal studies)

Sánchez

Pozo-Cruz

Alfonso-Rosa

et al. 2020

Retos

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El objetivo de este estudio fue conocer qué investigaciones de carácter longitudinal se han llevado a cabo que hayan analizado variables relacionadas con el sobrepeso, la obesidad y el sedentarismo en edad escolar, y qué datos se pueden extraer de las mismas. Se revisaron las siguientes bases de datos: MEDLINE (PubMed), Scopus, SportDiscus y WOS (Web of Science). Dicha revisión fue realizada siguiendo el modelo PICOs, y a partir de él, se constituyó el protocolo de búsqueda utilizando términos que definan o representen a niños y jóvenes en edad escolar, que puedan presentar o no sobrepeso u obesidad y sedentarismo. Siguiendo el procedimiento Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA), de los 2237 estudios encontrados tan solo 28 cumplieron todos los criterios, por lo que fueron analizados en su totalidad para poder ser incluidos en la revisión. La calidad metodológica de los estudios se evaluó mediante la escala Newcastle-Otawa. De los 28 estudios seleccionados finalmente, 13 tenían una calidad metodológica buena, mientras que los 15 restantes tenían una calidad aceptable. Tras realizar la revisión, se puede concluir que el sedentarismo se ve aumentado paulatinamente con la edad mientras que la actividad física decrece, y consecuentemente, esta situación hace que el sobrepeso y la obesidad se vean incrementadas. Abstract: The objective of this study was to find out what longitudinal researches have been carried out that have analyzed variables related to overweight, obesity and sedentary lifestyle in school age, and what data can be extracted from them. A systematic review of the MEDLINE (PubMed), Scopus, SportDiscus and WOS (Web of Science) databases was carried out following the PICOs model, using terms that define or represent children and young people of school age, who may or may not be overweight or obese. Following the PRISMA procedure, of the 2237 studies found only 28 met all the criteria and were therefore analyzed in their entirety for inclusion in the review. The methodological quality of the studies was assessed using the Newcastle-Otawa scale. Of the 28 studies finally selected, 13 were of good methodological quality, while the remaining 15 were of acceptable quality. After review was conducted, it can be concluded that sedentary lifestyle is gradually increased with age while physical activity decreases, and consequently, this situation causes overweight and obesity increase.

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Stabilization and reversal of child obesity in Andalusia using objective anthropometric measures by socioeconomic status

Cited by 11 publications

References 37 publications

Trends in overweight and obesity by socioeconomic status in Year 6 school children, Australian Capital Territory, 2006–2018

Trends in overweight and obesity by socioeconomic status in Year 6 school children, Australian Capital Territory, 2006–2018

Prevalence and secular trend of childhood overweight and obesity in a Mediterranean area of Southeast Spain

Efectos del sedentarismo en niños en edad escolar: revisión sistemática de estudios longitudinales (Effects of sedentary school-age children: a systematic review of longitudinal studies)

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