Prevalence of and contributing factors for overweight and obesity among Montenegrin schoolchildren.

Auteur(s) :
Martinovic M., Belojevic G., Evans GW., Lausevic D., Asanin B., Samardzic M., Terzic N., Pantovic S., Jaksic M., Boljevic J.
Date :
Oct, 2015
Source(s) :
European journal of public health. #25:5 p833-9
Adresse :
Department for Pathophysiology and Laboratory Medicine, Medical Faculty, University of Montenegro, Podgorica, Montenegro. goran.belojevic@hotmail.com

Sommaire de l'article

BACKGROUND
Newly emerging Western style economic systems provide new opportunities to study the prevalence and predictors of childhood obesity. We also provide for the first time a national study of childhood obesity using all three international anthropometric criteria.

METHODS
The sample included 4097 Montenegrin children, 2076 boys (50.7%) and 2021 girls. Anthropometric measurements were performed in school. The questionnaire for parents included questions on 24 potential contributing factors for childhood obesity. Nutritional status was assessed according to World Health Organization, US Center for Disease Prevention and Control and International Obesity Task Force (IOTF) criteria.

RESULTS
Overall percentage of Montenegrin children who are overweight or obese (IOTF) is 22.9% of which 5.3% are obese (7.0% boys vs. 3.5% girls). We found 10 factors to be independently associated with child obesity. Positive relations [odds ratio (95% confidence interval)] were found with maternal obesity [2.05 (1.68-2.51)], paternal obesity [1.67 (1.32-2.10)], paternal employment [1.40 (1.12-1.74)], maternal smoking [1.32 (1.08-1.61)], obesity at birth [1.33 (1.04-1.70)] and computer game playing [per hour-1.11 (1.00-1.24)]. Negative relations were found with female gender [0.64 (0.53-0.78)], the number of siblings [0.88 (0.78-0.98)], birth order [0.73 (0.64-0.83)] and age [0.92 (0.88-0.98)].

CONCLUSION
One out of four Montenegrin children is overweight, with two times more frequent obesity among boys compared with girls. Some previously salient predictors did not appear salient in this sample. To enable worldwide comparability, we propose the use of all three childhood obesity criteria in national studies.

Source : Pubmed
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