Evaluation of the Change in the Prevalence of Overweight and Obesity in Schoolchildren in South-west Turkey from 2005 to 2014

  • Tuğba KOCA Division of Pediatric Gastroenterology, Hepatology and Nutrition, Faculty of Medicine, Suleyman Demirel University, Isparta, Turkey
  • Selim DERECI Division of Pediatric Gastroenterology, Hepatology and Nutrition, Faculty of Medicine, Suleyman Demirel University, Isparta, Turkey
  • Özgür PIRGON Division of Pediatric Endocrinology, Faculty of Medicine, Suleyman Demirel University, Isparta, Turkey
  • Mustafa AKÇAM Division of Pediatric Gastroenterology, Hepatology and Nutrition, Faculty of Medicine, Suleyman Demirel University, Isparta, Turkey
Keywords: Childhood obesity, Gender, Overweight, Prevalence, Trend, Turkey

Abstract

Abstract Background: To examine the prevalence of overweight and obesity among schoolchildren in our region and to compare the results with previous studies conducted in the same region in 2005 and 2009. Methods: This study was conducted at seven primary and three high schools in the center of the province of Isparta, Turkey in 2014, randomly selected for two studies of obesity five and nine years previously. Students were weighed and measured, and BMI was calculated. The results were then compared with those from 2005 and 2009. Results: The study consisted of 7116 students, 3445 (48.4%) females, and with a mean age of 11.7±2.7 yr (range 5.8-18.9 yr). The prevalence of overweight was 13.6% and that of obesity 9.9%. When the data were compared with the 2005 and 2009 studies, a statistically significant increase was determined in the prevalence of overweight (X2 = 4.826, P=0.0280 and X2 =19.012, P<0.0001). The prevalence of obesity in the 2005 and 2009 studies was 11.6% and 12.5%, compared to 9.9% this study. The decrease observed in this study was statistically significant (X2=8.720, P=0.0031 and X2=20.708, P<0.0001). The total prevalence's of overweight and obesity combined were 23.8%, 23.5% and 23.5% for 2005, 2009 and 2014, respectively. Conclusion: The prevalence of combined overweight and obesity was stable over the nine years, but there was significant increase in the prevalence of overweight. Population-based preventive strategies, therefore, need to be maintained and intensified.  

References

WHO (2010). Global status report on non-communicable diseases 2010. Geneva. http://www.who.int/nmh/publications/ncd_report_full_en.pdf

Lobstein T, Baur L, Uauy R (2004). Obesity in children and young people: a crisis in public health. Obes Rev, 5 Suppl 1:4-104.

Park MH, Falconer C, Viner RM, Kinra S (2012). The impact of childhood obesity on morbidity and mortality in adulthood: a systematic review. Obes Rev, 13:985–1000.

Skinner AC, Skelton JA (2014). Prevalance and trends in obesity and severe obesity among children in the United States, 1999-2012. JAMA Pediatr, 168:561-6.

Tola HT, Akyol P, Eren E et al (2007). Obe-sity prevalence and factors affecting obe-sity frequency in children and adolescents in Isparta. J Child, 7:100-104.(In Turkish)

Akçam M, Boyacı A, Pirgon O, Dündar B (2013). Evaluation of the change in the prevalence of childhood obesity in ten schools in the province of Isparta. Turk Arch Ped, 48:152-155.

Kukulu K, Savran S, Muslu L, Yirmibeşoğlu SG (2010). Dietary habits, economic sta-tus, academic performance and body mass index in schoolchildren: a compara-tive study. J Child Health Care, 14:355-366.

Inal S, Canbulat N (2013). General Overview on Childhood Obesity. J Curr Pediatr, 11:27-30.(In Turkish)

Semiz S, Özdemir ÖM, Özdemir AS (2008). The prevalence of obesity in childhood 6-15 years of age in Denizli. Pamukkkale Med J, 1:1–4

Kayıran PG, Taymaz T, Kayıran SM et al (2011). The frequency of overweight, obesity and short stature among primary school students in three different regions of Turkey. Med Bull Sisli Etfal Hosp, 45:13-18.

Çalışır H, Karaçam Z (2011). The prevalence of overweight and obesity in primary schoolchildren and its correlation with sociodemographic factors in Aydın, Tur-key. Int J Nurs Pract,17:166-173.

Dündar Y, Evliyaoğlu O, Hatun Ş (2000). Short stature and obesity in schoolchil-dren: a neglected problem. Turkiye Klin-ikleri J Pediatr, 9:19-22.

Şimşek F, Ulukol B, Berberoğlu M et al (2005). Obesity prevalence in a primary school and a high school in Ankara. Univ J Med Faculty, 58:163-6. (In Turkish)

Centers for Disease Control and Prevention (CDC) (2011). Obesity in K–8 Students- New York City, 2006–07 to 2010–11 School Years. MMWR Morb Mortal Wkly Rep, 60:1673-1678.

Stamatakis E, Zaninotto P, Falaschetti E et al (2010). Time trends in childhood and adolescent obesity in England from 1995 to 2007 and projections of prevalence to 2015. J Epidemiol Community Health, 64:167-174.

Moraeus L1, Lissner L, Sjöberg A (2014). Stable prevalence of obesity in Swedish schoolchildren from 2008 to 2013 but widening socio-economic gap in girls. Ac-ta Paediatr, 103: 1277-1284.

Heinen MM, Murrin C, Daly L et al (2014). The Childhood Obesity Surveillance Initi-ative (COSI) in the Republic of Ireland: Findings from 2008, 2010 and 2012. Ire-land, Dublin: Health Service Executive.

Zhang L, Kolbo JR, Kirkup M et al (2014). Prevalence and trends in overweight and obesity among Mississippi public school students, 2005-2013. J Miss State Med As-soc, 55:80-87.

Martin K, Rosenberg M, Pratt IS et al (2014). Prevalence of overweight, obesity and underweight in Western Australian school-aged children; 2008 compared with 2003. Public Health Nutr, 17:2687-91.

Kotanidou EP, Grammatikopoulou MG, Spiliotis BE et al (2013). Ten-year obesity and overweight prevalence in Greek chil-dren: a systematic review and meta-analysis of 2001-2010 data. Hormones (Ath-ens), 12:537-549.

Salanave B, Peneau S, Rolland-Cachera MF et al (2009). Stabilization of overweight prevalence in French children between 2000 and 2007. Int J Pediatr Obes, 4:66-72.

Kelishadi R, Haghdoost AA, Sadeghirad B, Khajehkazemi R (2014). Trend in the prevalence of obesity and overweight among Iranian children and adolescents: a systematic review and meta-analysis. Nutrition, 30:393-400.

Zametkin AJ, Zoon CK, Klein HW, Mun-son S (2004). Psychiatric aspects of child and adolescent obesity: a review of the past 10 years. J Am Acad Child Adolesc Psy-chiatry, 43:134-150.

Hyska J, Mersini E, Mone I, Burazeri G (2014). Prevalence and demographic cor-relates of overweight and obesity among children in a transitional southern Euro-pean population. J Community Health, 39:828-834.

World Health Organization (2008). School policy framework: implementation of the WHO global strategy on diet, physical activity and health. http://www.who.int/dietphysicalactivity/SPF-en-2008.pdf

WHO (2007). The challenge of obesity in the European region and strategies for response. Branca F, Nikogosian H, Lob-stein T (editors). http://www.euro.who.int/__data/assets/pdf_file/0010/74746/E90711.pdf

Brug J, van Stralen MM, te Velde SJ et al (2012). Differences in weight status and energy-balance related behaviors among schoolchildren across Europe: the EN-ERGY-project. PLoS One, 7:e34742.

Ogden CL, Carroll MD, Kit BK, Flegal KM (2012). Prevalence of obesity and trends in body mass index among US children and adolescents, 1999-2010. JAMA, 307:483-490.

Keane E, Kearney PM, Perry IJ et al (2014). Trends and prevalence of overweight and obesity in primary school aged children in the Republic of Ireland from 2002-2012: a systematic review. BMC Public Health, 14:974.

Marques A, Gaspar De Matos M (2014). Trends and correlates of overweight and obesity among adolescents from 2002 to 2010: A three-cohort study based on a representative sample of Portuguese ado-lescents. Am J Hum Biol, 26:844-9.

Published
2017-12-31
How to Cite
1.
KOCA T, DERECI S, PIRGON Özgür, AKÇAM M. Evaluation of the Change in the Prevalence of Overweight and Obesity in Schoolchildren in South-west Turkey from 2005 to 2014. IJPH. 47(1):33-9.
Section
Original Article(s)