Socioeconomic inequalities and severe obesity—Sex differences in a nationwide study of 1.12 million Israeli adolescents.

Summary: Introduction: In a nationwide population of adolescents, we investigated the sex‐specific association of socioeconomic position (SEP) with severe obesity, and trends over time. Methods: The cohort comprises all Israeli adolescents (mean ± SD age 17.3 ± 0.5 years) who were medically examined...

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Publicado en:Pediatric Obesity Vol. 15; no. 12; pp. 1 - 11
Autores principales: Pinhas‐Hamiel, Orit, Reichman, Brian, Afek, Arnon, Derazne, Estela, Tzur, Dorit, Hamiel, Uri, Bader, Tarif, Muhsen, Khitam, Twig, Gilad
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Dec2020
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2020
      vid: 15
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1111/ijpo.12681
        146915460
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        atl: Socioeconomic inequalities and severe obesity—Sex differences in a nationwide study of 1.12 million Israeli adolescents.
      aug:
        au:
          Pinhas‐Hamiel, Orit
          Reichman, Brian
          Afek, Arnon
          Derazne, Estela
          Tzur, Dorit
          Hamiel, Uri
          Bader, Tarif
          Muhsen, Khitam
          Twig, Gilad
        affil: Pediatric Endocrine and Diabetes Unit, Edmond and Lily Safra Children's Hospital, Sheba Medical Center, Ramat Gan, Israel
      sug:
        subj:
          Socioeconomic Factors
          Obesity, Morbid In Adolescence
          Obesity, Morbid Risk Factors
          Obesity, Morbid Trends
          Sex Factors
          Risk Assessment
          Human
          Israel
          Adolescence
          Descriptive Statistics
          Odds Ratio
          Comparative Studies
          Male
          Female
          Adolescent: 13-18 years
          Male
          Female
      ab: Summary: Introduction: In a nationwide population of adolescents, we investigated the sex‐specific association of socioeconomic position (SEP) with severe obesity, and trends over time. Methods: The cohort comprises all Israeli adolescents (mean ± SD age 17.3 ± 0.5 years) who were medically examined, before mandatory military service during 2000 to 2015. Of 1 120 362 adolescents, 239 816 (21.4%) were classified with overweight or with obesity classes I to III using the International Obesity Task Force criteria. Data were compared between 2000 to 2009 and 2010 to 2015. Results: Considering more advantaged residential SEP as the reference group, the respective odds ratios (ORs ± 95%CI) of less advantaged SEP for obesity classes I to III in 2010 to 2015 were 1.48 (1.40‐1.56), 1.66 (1.51‐1.83), and 1.73 (1.45‐2.08) for males; and 1.72 (1.60‐1.84), 1.89 (1.66‐2.15), and 2.62 (2.04‐3.37) for females. All point estimates were higher than in the preceding decade. Considering female inductees from the more advantaged SEP as the reference group, ORs were higher for males in the more advantaged SEP group, for overweight, 1.31 (1.27‐1.36); class I obesity, 1.29 (1.20‐1.38); class II obesity, 1.34 (1.18‐1.53); and class III obesity, 1.60 (1.24‐2.07). Similarly, in the less and medium advantaged SEP groups, increased ORs for males compared with females were observed in all obesity groups. Results persisted using United States Centers for Disease Control and Prevention growth charts. Conclusions: Adolescents with less rather than more advantaged residential SEP are at greater risk of severe obesity. Adolescent males, of all residential SEP groups had higher odds than females for all classes of obesity.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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