Increasing social disparities in obesity among 15 000 pre-schoolers in a German district from 2009 to 2019.
Background Although childhood obesity prevalence has stagnated in many high-income regions after decades of increase, it continues to be a major public health problem with adverse effects. The objective was to examine obesity trends as a function of parental social status to identify obesity dispari...
| Publicado en: | European Journal of Public Health Vol. 33; no. 5; pp. 757 - 764 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Oxford University Press / USA
Oct2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=172993986&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 172993986 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 11011262 BHW jtl: European Journal of Public Health issn: 11011262 maglogo: N pubinfo: dt: Oct2023 vid: 33 iid: 5 pid: 622 pub: Oxford University Press / USA artinfo: ui: 172993986 172993986 172993986 10.1093/eurpub/ckad095 172993986 ppf: 757 ppct: 7 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Increasing social disparities in obesity among 15 000 pre-schoolers in a German district from 2009 to 2019. aug: au: Michel, Zora Krayl, Nele Götz, Katja Wienke, Andreas Mikolajczyk, Rafael Führer, Amand affil: Institute for Medical Epidemiology, Biometrics and Informatics (IMEBI), Interdisciplinary Centre for Health Sciences, Medical School of the Martin Luther University Halle-Wittenberg , Magdeburgerstraße 8 , 06112 Halle (Saale), Germany sug: subj: Pediatric Obesity Epidemiology Pediatric Obesity Trends Socioeconomic Disparities in Health In Infancy and Childhood Time Factors Parents Social Status Human Germany Child, Preschool Logistic Regression Linear Regression Male Female Pediatric Obesity Psychosocial Factors Odds Ratio Confidence Intervals Body Mass Index Descriptive Statistics Prevalence Health Inequities Child, Preschool: 2-5 years Male Female ab: Background Although childhood obesity prevalence has stagnated in many high-income regions after decades of increase, it continues to be a major public health problem with adverse effects. The objective was to examine obesity trends as a function of parental social status to identify obesity disparities among children. Methods Data from school entry examinations from 2009 to 2019 of 14 952 pre-schoolers in one German district were used. Logistic regression models (obesity/overweight as dependent variable) and a linear regression [BMI z -score (BMIz) as dependent variable] were performed adjusted for social status and sex to investigate time trends in overweight and obesity. Results Overall, we found an increase of obesity over time [odds ratio (ORs): 1.03 per year, 95% CI: 1.01–1.06]. Children with low social status had an OR of 1.08 per year (95% CI: 1.03–1.13), while the trend was less expressed in children with high social status (OR: 1.03 per year, 95% CI: 0.98–1.08). The mean BMIz decreased per year (regression coefficient −0.005 per year, 95% CI: −0.01 to 0.0) when considering all children. This decrease was more pronounced in children with high social status (regression coefficient: −0.011 per year, 95% CI: −0.019 to −0.004), compared with a slight increase of 0.014 (95% CI: −0.003 to 0.03) per year among children with low social status. Also, children with low parental social status were heavier and smaller than their peers with high social status. Conclusions Although the mean BMIz decreased among pre-schoolers, obesity prevalence and status-related inequity in obesity prevalence increased from 2009 to 2019 in the region studied. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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