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Büyük Şehirlerde Yaşayan Okul-Çağı Çocuklarında, Obezite, Kilolu Olmak ve Sosyo Ekonomik Durum Arasındaki İlişki

Yıl 2021, Cilt: 19 Sayı: 1, 76 - 83, 09.04.2021

Öz

risk faktörleri kentsel ve kırsal alanlarda farklılık göstermektedir. Bu çalışmanın
amacı, büyük bir metropol olan İstanbul’da düşük ve yüksek sosyo ekonomik
gruptaki öğrencilerde obezite ve fazla kilolu olma ile ilgili risk faktörlerini
belirlemek-tir.
Gereç ve Yöntem: Enine kesitli çalışma 5-15 yaş arası 490 okul çağı çocuğu
üzerinde gerçekleştirildi. Sosyo ekonomik duruma (SES) göre düşük ve yüksek
sosyo ekonomik gruplar belirlendi. Çocukların sosyo demografik özellikleri
ebeveynlerden toplandı.
Bulgular: Karbonhidrat bakımından zengin sık ara öğün yemenin (p=0,001) ve
hareketsiz yaşam tarzının (p=0,001) VKİ üzerindeki etkisi her iki SES grubunda
anlamlıydı. Yüksek SES grubunda, <10 yaşındaki erkek çocukların BMI’si <10
yaşındaki kızlarınkinden anlamlı derecede yüksekti; Erkekler ayrıca 10 yaşından
küçük veya daha büyük her iki yaş grubunda daha yüksek BMI’ye sahipti. Düşük SES grubunda, kızlar erkeklerden önemli ölçüde daha fazla kiloluydu. Yüksek aile geliri, yüksek baba BMI ve enerji açısından
zengin ürünler tüketmek çocuklarda obezite riskini 1.560 kat (OR: 1.560,% 95 CI: 1.046-2.326), 2.015 kat (OR: 2.015,% 95 CI:
1.092-3.720), ve 4,33 kez (OR: 4,330,% 95 CI: 2,897-6,472).
Sonuç: Sonuç olarak, yüksek aile geliri, yüksek baba BMI ve enerji açısından zengin ürünler tüketmek obezite riskini artırmıştır.
Her topluluğun kendine has özellikleri olduğunu, ancak erkek çocukların yüksek SES’li ailelerde yüksek BMI’lere sahip olduğunu
düşünüyoruz.

Kaynakça

  • 1. Ng M, Fleming T, Robinson M, Thomson B, Graetz N, Margono C, et al. Global, regional, and national prevalence of overweight and obesity in children and adults during 1980-2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet 2014;384:766-81.
  • 2. Ogden CL, Carroll MD, Kit BK, Flegal KM. Prevalence of childhood and adult obesity in the United States, 2011-2012.JAMA 2014;311:806-14.
  • 3. Skinner AC, Skelton JA. Prevalence and trends in obesity and severe obesity among children in the United States, 1999- 2012. JAMA Pediatr 2014;168:561-66.
  • 4. Dietz WH, Robinson TN. Clinical practice. Overweight children and adolescents. N Engl J Med 2005; 352(20): 2100-9.
  • 5. Eneli I, Dele Davis H. Epidemiology of childhood obesity. In: Dele Davis H, ed. Obesity in Childhood & Adolescence. Vol 1.Westport, Conn: Praeger Perspectives, 2008, p.3-19.
  • 6. Cole TJ, Bellizzi MC, Flegal KM, Dietz WH. Establishing a standard definition for child overweight and obesity worldwide:International survey. BMJ 2000;320:1240 3.
  • 7. Livingstone MB. Childhood obesity in Europe: a growing concern. Public Health Nutr 2001;4109-16.
  • 8. Bereket A, Atay Z. Current status of childhood obesity and its associated morbidities in Turkey. J Clin Res Pediatr Endocrinol 2012;4: -7.
  • 9. Sağlam H, Tarım O. Prevalence and correlates of obesity in schoolchildren from the city of Bursa. Turkey. J Clin Res Pediatr Endocrinol 2008;1:80-8.
  • 10. Han JC, Lawlor DA, Kimm SY. Childhood Obesity. Lancet 2010;375:1737-48.
  • 11. Lobstein T, Jackson-Leach R, Moodie ML, Hall KD, Gortmaker SL, Swinburn BA, et al. Child and adolescent obesity: part of a bigger picture. Lancet 2015; 385:2510-20.
  • 12. Ortega FB, Labayen I, Ruiz JR, Kurvinen E, Loit HM, Harro J, et al. Improvements in fitness reduce the risk of becoming overweight across puberty. Med Sci Sports Exerc 2011;43:1891- 7.
  • 13. Turkey Childhood (Primary School, 2nd Grade Students) Obesity Surveillance Initiative COSI-TUR 2016” Ministry of Health -General Directorate of Public Health, Ministry of National Education, World Health Organization Regional Office for Europe, Ministry of Health Publication No: 1126 Ankara 2019.
  • 14. Sweeting HN. Gendered dimensions of obesity in childhood and adolescence. Nutr J 2008;7:1.
  • 15. Bammann K, Gwozdz W, Lanfer A, Barba G, De Henauw S, Eiben G, et al. Socioeconomic factors and childhood overweight in Europe: results from the multi-centre IDEFICS study. Pediatr Obes 2013;8:1-12.
  • 16. Wang Y, Lobstein T. Worldwide trends in childhood overweight and obesity. Int J Pediatr Obes 2006;1:11-25.
  • 17. Karnik S, Kanekar A. Childhood Obesity: A Global Public Health Crisis. Int J Prev Med 2012;3:1-7.
  • 18. Popkin BM, Adair LS, Ng SW. Global nutrition transition and the pandemic of obesity in developing countries. Nutr Rev 2012;70:321.
  • 19. Gibson LY, Byrne SM, Davis EA. The role of family and maternal factors in childhood obesity. Med J Aust 2007;186:591-5.
  • 20. Ogden CL, Carroll MD, Fakhouri TH, Hales CM, Fryar CD, Li X, et al. Prevalence of obesity among youths by household income and education level of head of household - United States 2011-2014. MMWR Morb Mortal Wkly Rep 2018;67:186-9.

The Association Between Obesity, Being Overweight and Socio-economic Status Among School-Age Children Living in Big Cities

Yıl 2021, Cilt: 19 Sayı: 1, 76 - 83, 09.04.2021

Öz

Introduction: Obesity has become a serious health concern worldwide. Risk factors of obesity are different in urban and rural areas. The aim of this study was to
determine the risk factors related to obesity and being overweight among children in low and high socio-economic groups in a big metropolitan city, Istanbul.

Materials and Methods: A cross-sectional study was carried out on 490 schoolage children between 5 and 15 years. Low and high socio-economic groups
were determined according to socio-economic status (SES). Socio-demographic characteristics of children were collected from the parents.

Results: The effect of having frequent snacks rich in carbonhydrates (p=0,001) and sedentary lifestyles (p=0,001) on BMI was significant in both SES groups. In
high SES group, BMI of the <10 years boys was significantly higher than that of the <10 years girls; Boys also had higher BMI at both age groups of either younger
or older than 10 years. In low SES group, girls were significantly more overweight than boys. High family income, high paternal BMI and consuming energy rich
products increased the obesity risk in children 1,560 times (OR: 1,560, %95 CI: 1,046-2,326), 2,015 times (OR: 2,015, %95 CI: 1,092-3,720), and 4,33 times (OR:
4,330, %95 CI: 2,897-6,472), respectively.

Conclusions: As conclusion, high family income, high paternal BMI and consuming energy rich products incre-ased the obesity risk. We suggest that every
community has own characteristics but boys tend to have high BMIs in families with high SES.

Kaynakça

  • 1. Ng M, Fleming T, Robinson M, Thomson B, Graetz N, Margono C, et al. Global, regional, and national prevalence of overweight and obesity in children and adults during 1980-2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet 2014;384:766-81.
  • 2. Ogden CL, Carroll MD, Kit BK, Flegal KM. Prevalence of childhood and adult obesity in the United States, 2011-2012.JAMA 2014;311:806-14.
  • 3. Skinner AC, Skelton JA. Prevalence and trends in obesity and severe obesity among children in the United States, 1999- 2012. JAMA Pediatr 2014;168:561-66.
  • 4. Dietz WH, Robinson TN. Clinical practice. Overweight children and adolescents. N Engl J Med 2005; 352(20): 2100-9.
  • 5. Eneli I, Dele Davis H. Epidemiology of childhood obesity. In: Dele Davis H, ed. Obesity in Childhood & Adolescence. Vol 1.Westport, Conn: Praeger Perspectives, 2008, p.3-19.
  • 6. Cole TJ, Bellizzi MC, Flegal KM, Dietz WH. Establishing a standard definition for child overweight and obesity worldwide:International survey. BMJ 2000;320:1240 3.
  • 7. Livingstone MB. Childhood obesity in Europe: a growing concern. Public Health Nutr 2001;4109-16.
  • 8. Bereket A, Atay Z. Current status of childhood obesity and its associated morbidities in Turkey. J Clin Res Pediatr Endocrinol 2012;4: -7.
  • 9. Sağlam H, Tarım O. Prevalence and correlates of obesity in schoolchildren from the city of Bursa. Turkey. J Clin Res Pediatr Endocrinol 2008;1:80-8.
  • 10. Han JC, Lawlor DA, Kimm SY. Childhood Obesity. Lancet 2010;375:1737-48.
  • 11. Lobstein T, Jackson-Leach R, Moodie ML, Hall KD, Gortmaker SL, Swinburn BA, et al. Child and adolescent obesity: part of a bigger picture. Lancet 2015; 385:2510-20.
  • 12. Ortega FB, Labayen I, Ruiz JR, Kurvinen E, Loit HM, Harro J, et al. Improvements in fitness reduce the risk of becoming overweight across puberty. Med Sci Sports Exerc 2011;43:1891- 7.
  • 13. Turkey Childhood (Primary School, 2nd Grade Students) Obesity Surveillance Initiative COSI-TUR 2016” Ministry of Health -General Directorate of Public Health, Ministry of National Education, World Health Organization Regional Office for Europe, Ministry of Health Publication No: 1126 Ankara 2019.
  • 14. Sweeting HN. Gendered dimensions of obesity in childhood and adolescence. Nutr J 2008;7:1.
  • 15. Bammann K, Gwozdz W, Lanfer A, Barba G, De Henauw S, Eiben G, et al. Socioeconomic factors and childhood overweight in Europe: results from the multi-centre IDEFICS study. Pediatr Obes 2013;8:1-12.
  • 16. Wang Y, Lobstein T. Worldwide trends in childhood overweight and obesity. Int J Pediatr Obes 2006;1:11-25.
  • 17. Karnik S, Kanekar A. Childhood Obesity: A Global Public Health Crisis. Int J Prev Med 2012;3:1-7.
  • 18. Popkin BM, Adair LS, Ng SW. Global nutrition transition and the pandemic of obesity in developing countries. Nutr Rev 2012;70:321.
  • 19. Gibson LY, Byrne SM, Davis EA. The role of family and maternal factors in childhood obesity. Med J Aust 2007;186:591-5.
  • 20. Ogden CL, Carroll MD, Fakhouri TH, Hales CM, Fryar CD, Li X, et al. Prevalence of obesity among youths by household income and education level of head of household - United States 2011-2014. MMWR Morb Mortal Wkly Rep 2018;67:186-9.
Toplam 20 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular İç Hastalıkları
Bölüm Research Article
Yazarlar

Sibel Aka

Mujde Arapoğlu Bu kişi benim

Yayımlanma Tarihi 9 Nisan 2021
Yayımlandığı Sayı Yıl 2021 Cilt: 19 Sayı: 1

Kaynak Göster

APA Aka, S., & Arapoğlu, M. (t.y.). The Association Between Obesity, Being Overweight and Socio-economic Status Among School-Age Children Living in Big Cities. Güncel Pediatri, 19(1), 76-83.
AMA Aka S, Arapoğlu M. The Association Between Obesity, Being Overweight and Socio-economic Status Among School-Age Children Living in Big Cities. Güncel Pediatri. 19(1):76-83.
Chicago Aka, Sibel, ve Mujde Arapoğlu. “The Association Between Obesity, Being Overweight and Socio-Economic Status Among School-Age Children Living in Big Cities”. Güncel Pediatri 19, sy. 1 t.y.: 76-83.
EndNote Aka S, Arapoğlu M The Association Between Obesity, Being Overweight and Socio-economic Status Among School-Age Children Living in Big Cities. Güncel Pediatri 19 1 76–83.
IEEE S. Aka ve M. Arapoğlu, “The Association Between Obesity, Being Overweight and Socio-economic Status Among School-Age Children Living in Big Cities”, Güncel Pediatri, c. 19, sy. 1, ss. 76–83.
ISNAD Aka, Sibel - Arapoğlu, Mujde. “The Association Between Obesity, Being Overweight and Socio-Economic Status Among School-Age Children Living in Big Cities”. Güncel Pediatri 19/1 (t.y.), 76-83.
JAMA Aka S, Arapoğlu M. The Association Between Obesity, Being Overweight and Socio-economic Status Among School-Age Children Living in Big Cities. Güncel Pediatri.;19:76–83.
MLA Aka, Sibel ve Mujde Arapoğlu. “The Association Between Obesity, Being Overweight and Socio-Economic Status Among School-Age Children Living in Big Cities”. Güncel Pediatri, c. 19, sy. 1, ss. 76-83.
Vancouver Aka S, Arapoğlu M. The Association Between Obesity, Being Overweight and Socio-economic Status Among School-Age Children Living in Big Cities. Güncel Pediatri. 19(1):76-83.