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Changes in the prevalence of overweight/obesity and adiposity among pre-school children in Kraków, Poland, from 2008 to 2018

Published online by Cambridge University Press:  06 January 2020

Magdalena Żegleń ,
Łukasz Kryst Open the ORCID record for Łukasz Kryst [Opens in a new window] ,
Małgorzata Kowal ,
Agnieszka Woronkowicz  and
Jan Sobiecki
Magdalena Żegleń
Affiliation:
Department of Anthropology, University of Physical Education in Kraków, Poland
Łukasz Kryst*
Affiliation:
Department of Anthropology, University of Physical Education in Kraków, Poland
Małgorzata Kowal
Affiliation:
Department of Anthropology, University of Physical Education in Kraków, Poland
Agnieszka Woronkowicz
Affiliation:
Department of Anthropology, University of Physical Education in Kraków, Poland
Jan Sobiecki
Affiliation:
Department of Anthropology, University of Physical Education in Kraków, Poland
*
*Corresponding author. Email: lkryst@poczta.onet.pl
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Abstract

Socioeconomic changes occurring over time influence the lifestyle choices of a population, and these can significantly affect children’s body weight and composition. The aim of this study was to assess the changes in prevalence of overweight, obesity and adiposity in pre-school children in Poland between 2008 and 2018. Body height, body weight and subscapular and triceps skinfolds were measured in 2167 children aged 3–7 years from Kraków. Body mass index and adiposity (percentage body fat, %BF) were calculated for the children, who were then categorized as underweight, normal weight, overweight or obese according to Cole’s cut-off points. Adiposity was categorized according to the z-scores for %BF as low (<−1), normal (−1 to 1) or high (>1). Differences between cohorts were analysed using the chi-squared test. Only the decrease in the prevalence of obesity in 5-year-old girls was found to be statistically significant. However, some overall tendencies were noted. Decreases in the prevalence of underweight, overweight and obesity were observed for both sexes, as well as in the incidence of high adiposity in boys and low adiposity in girls. Increases in the prevalence of high adiposity in girls and low adiposity in boys were also noted. There was no significant change in the prevalence of overweight and obesity among pre-school children over the study decade, and the visible tendencies included decreases in the prevalence of excess body weight and adiposity as well as underweight and low body fat. Also, the visible trends in adiposity were mostly negative. Further studies should, however, also consider the levels of physical fitness and activity of children, as these have a crucial influence on the measured characteristics.

Keywords

BMIAdiposityPreschool children
Type
Research Article
Information
Journal of Biosocial Science , Volume 52 , Issue 6 , November 2020 , pp. 895 - 906
Copyright
© Cambridge University Press 2020

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References

Baranowska, B and Krzyżanowska-Świniarska, B (2005) Eating dissorders [Zaburzenia odżywiania]. In Szczeklik, A (ed.) Internal diseases. Practical Medicine [Choroby wewnętrzne. Medycyna Praktyczna], Kraków, pp. 1222–1225.Google Scholar
Barlow, SE (2007) Expert committee recommendations regarding the prevention, assessment, and treatment of child and adolescent overweight and obesity: summary report. Pediatrics 120 (Supplement 4), S164–S192.CrossRefGoogle ScholarPubMed
Barlow, SE and Dietz, WH (1998) Obesity evaluation and treatment: Expert Committee recommendations. The Maternal and Child Health Bureau, Health Resources and Services Administration and the Department of Health and Human Services. Pediatrics 102(3), E29.Google ScholarPubMed
Brzeziński, M, Jankowski, M, Jankowska, A, Niedzielska, A and Kamińska, B (2018) Is there a rapid increase in prevalence of obesity in Polish children? An 18-year prospective observational study in Gdansk, Poland. Archives of Medical Science 14, 22–29.CrossRefGoogle Scholar
Cattaneo, A, Monasta, L, Stamatakis, E, Lioret, S, Castetbon, K, Frenken, F et al. (2010) Overweight and obesity in infants and pre-school children in the European Union: a review of existing data. Obesity Reviews 11(5), 389–398.CrossRefGoogle ScholarPubMed
Chowdhury, S, Shahabuddin, AK, Seal, AJ, Talukder, KK, Hassan, Q, Begum, RA et al. (2000) Nutritional status and age at menarche in a rural area of Bangladesh. Annals of Human Biology 27(3), 249–256.Google Scholar
Cole, TJ, Bellizzi, MC, Flegal, KM and Dietz, WH (2000) Establishing a standard definition for child overweight and obesity worldwide: international survey. British Medical Journal 320(7244), 1240–1243.CrossRefGoogle ScholarPubMed
Cole, TJ, Flegal, KM, Nicholls, D and Jackson, AA (2007) Body mass index cut offs to define thinness in children and adolescents: international survey. British Medical Journal 335(7612), 194.CrossRefGoogle ScholarPubMed
Curhan, GC, Chertow, GM, Willett, WC, Spiegelman, D, Colditz, GA, Manson, JE et al. (1996a) Birth weight and adult hypertension and obesity in women. Circulation 94(6), 1310–1315.CrossRefGoogle ScholarPubMed
Curhan, GC, Willett, WC, Rimm, EB, Spiegelman, D, Ascherio, AL and Stampfer, MJ (1996b) Birth weight and adult hypertension, diabetes mellitus, and obesity in US men. Circulation 94(12), 3246–3250.CrossRefGoogle ScholarPubMed
de Onis, M, Blössner, M and Borghi, E (2010) Global prevalence and trends of overweight and obesity among preschool children. American Journal of Clinical Nutrition 92(5), 1257–1264.CrossRefGoogle ScholarPubMed
Dietz, WH (1994) Critical periods in childhood for the development of obesity. American Journal of Clinical Nutrition 59(5), 955–959.CrossRefGoogle ScholarPubMed
Dietz, WH (1998) Health consequences of obesity in youth: childhood predictors of adult disease. Pediatrics 101, 518–525.Google ScholarPubMed
Durda-Masny, M, Hanć, T, Czapla, Z and Szwed, A (2019) BMI at menarche and timing of growth spurt and puberty in Polish girls – longitudinal study. Anthropologischer Anzeiger 76(1), 37–47.CrossRefGoogle ScholarPubMed
Epstein, LH (1996) Family-based behavioural intervention for obese children International Journal of Obesity and Related Metabolic Disorders 20 (Supplement 1), S14–21.Google ScholarPubMed
España-Romero, V, Mitchell, JA, Dowda, M, O’Neill, JR and Pate, RR (2013) Objectively measured sedentary time, physical activity and markers of body fat in preschool children. Pediatric Exercise Science 25(1), 154–163.CrossRefGoogle ScholarPubMed
Eveleth, PB and Tanner, JM (1976) Worldwide Variation in Human Growth (8th edition). CUP Archive, London.Google Scholar
Finn, K, Johannsen, N and Specker, B (2002) Factors associated with physical activity in preschool children. Journal of Pediatrics 140(1), 81–85.CrossRefGoogle ScholarPubMed
Freedman, DS, Mei, Z, Srinivasan, SR, Berenson, GS and Dietz, WH (2007) Cardiovascular risk factors and excess adiposity among overweight children and adolescents: the Bogalusa Heart Study. Journal of Pediatrics 150(1), 12–17.e2.CrossRefGoogle ScholarPubMed
GUS (2018) 100 years of Poland in numbers, 1918–2018. [100 lat Polski w liczbach, 1918–2018]. Central Statistical Office [Główny Urząd Statystyczny (GUS)], Warsaw.Google Scholar
Graversen, L, Sørensen, TIA, Petersen, L, Sovio, U, Kaakinen, M, Sandbaek, A et al. (2014) Preschool weight and body mass index in relation to central obesity and metabolic syndrome in adulthood. PLoS One 9(3), e89986.CrossRefGoogle ScholarPubMed
Hales, CM, Carroll, MD, Fryar, CD and Ogden, CL (2017) Prevalence of obesity among adults and youth: United States, 2015–2016. NCHS Data Brief 288, 1–8.Google Scholar
Hansen, SE, Hasselstrom, H, Gronfeldt, V, Froberg, K and Andersen, L (2005) Cardiovascular disease risk factors in 6–7-year-old Danish children: the Copenhagen School Child Intervention Study. Preventive Medicine 40(6), 740–746.Google ScholarPubMed
Jodkowska, M, Woynarowska, B and Oblacińska, A (2007) Screening test for detecting disorders in physical development in school children and adolescents. [Test przesiewowy do wykrywania zaburzeń w rozwoju fizycznym u dzieci i młodzieży w wieku szkolnym] Methodological materials for school nurses and primary care physicians [Materiały metodyczne dla pielęgniarek szkolnych oraz lekarzy podstawowej opieki zdrowotnej], Zielona Góra.Google Scholar
Kalies, H, Lenz, J and von Kries, R (2002) Prevalence of overweight and obesity and trends in body mass index in German pre-school children, 1982–1997. International Journal of Obesity 26(9), 1211–1217.CrossRefGoogle Scholar
Kendzor, DE, Caughy, MO and Owen, MT (2012) Family income trajectory during childhood is associated with adiposity in adolescence: a latent class growth analysis. BMC Public Health 12(1), 611.CrossRefGoogle ScholarPubMed
Khatoon, T, Kumar Verma, A, Kumari, R, Rupani, R, Singh, M and Rizvi, A (2011) Original research paper age at menarche and affecting bio-social factors among the girls of Lucknow, Uttar Pradesh. Journal of the Indian Academy of Forensic Medicine 33(3), 221–223.Google Scholar
Koebnick, C, Mohan, YD, Li, X and Young, DR (2015) Secular trends of overweight and obesity in young southern Californians 2008–2013. Journal of Pediatrics 167(6), 1264–1271.CrossRefGoogle ScholarPubMed
Komlos, J and Baten, J (2004) Looking backward and looking forward: anthropometric research and the development of social science history. Social Science History 28(2), 191–210.Google Scholar
Kowal, M, Kryst, Ł, Sobiecki, J and Woronkowicz, A (2013) Secular trends in body composition and frequency of overweight and obesity in boys aged 3–18 from Krakow, Poland, within the last 30 years (from 1983 to 2010). Journal of Biosocial Science 45(1), 111–134.CrossRefGoogle Scholar
Kowal, M, Kryst, Ł, Woronkowicz, A and Sobiecki, J (2014) Long-term changes in body composition and prevalence of overweight and obesity in girls (aged 3–18) from Kraków (Poland) from 1983, 2000 and 2010. Annals of Human Biology 41(5), 415–427.CrossRefGoogle ScholarPubMed
Kowal, M, Woronkowicz, A, Kryst, Ł, Sobiecki, J and Pilecki, MW (2016) Sex differences in prevalence of overweight and obesity, and in extent of overweight index, in children and adolescents (3–18 years) from Kraków, Poland in 1983, 2000 and 2010. Public Health Nutrition 19(6), 1035–1046.CrossRefGoogle ScholarPubMed
Kryst, Ł, Kowal, M, Woronkowicz, A, Sobiecki, J and Cichocka, BA (2012) Secular changes in height, body weight, body mass index and pubertal development in male children and adolescents in Kraków, Poland. Journal of Biosocial Science 44(4), 495–507.CrossRefGoogle ScholarPubMed
Kułaga, Z, Grajda, A, Gurzkowska, B, Wojtyło, M, Góźdź, M and Litwin, M (2016) The prevalence of overweight and obesity among Polish school-aged children and adolescents. Epidemiological Review 70(4), 641–651.Google ScholarPubMed
Litwin, SE (2014) Childhood obesity and adulthood cardiovascular disease: quantifying the lifetime cumulative burden of cardiovascular risk factors. Journal of the American College of Cardiology 64(15), 1588–1590.CrossRefGoogle ScholarPubMed
Lobstein, T and Jackson-Leach, R (2006) Estimated burden of paediatric obesity and co-morbidities in Europe. Part 2. Numbers of children with indicators of obesity-related disease. International Journal of Pediatric Obesity 1(1), 33–41.CrossRefGoogle ScholarPubMed
Maffetone, PB, Rivera-Dominguez, I and Laursen, PB (2017) Overfat adults and children in developed countries: the public health importance of identifying excess body fat. Frontiers in Public Health 5, 190.CrossRefGoogle ScholarPubMed
Marques-Vidal, P, Madeleine, G, Romain, S, Gabriel, A and Bovet, P (2008) Secular trends in height and weight among children and adolescents of the Seychelles, 1956–2006. BMC Public Health 8(1), 166.CrossRefGoogle ScholarPubMed
Mazur, A, Klimek, K, Telega, G, Filip, R and Małecka-Tendera, E (2014) Ten-year secular trend of overweight and obesity in school children in south-eastern Poland. Annals of Agricultural and Environmental Medicine 21(3), 634–638.CrossRefGoogle ScholarPubMed
Ministry of Health (2015) National Health Program for 2016–2020 [Narodowy Program Zdrowia na lata 2016–2020]. Ministry of Health, Warsaw.Google Scholar
Nader, PR, O’Brien, M, Houts, R, Bradley, R, Belsky, J and Crosnoe, R et al. (2006). Identifying risk for obesity in early childhood. Pediatrics 118(3), e594–e601.CrossRefGoogle ScholarPubMed
Nicaise, V, Kahan, D and Sallis, JF (2011) Correlates of moderate-to-vigorous physical activity among preschoolers during unstructured outdoor play periods. Preventive Medicine 53(4–5), 309–315.CrossRefGoogle ScholarPubMed
Obuchowicz, A (2005) Epidemiology of overweight and obesity – a growing health problem in the population of children and adolescents. [Epidemiologia nadwagi i otyłości – narastającego problemu zdrowotnego w populacji dzieci i młodzieży.] Endocrinology, Obesity and Metabolic Disorders [Endokrynologia, Otyłość i Zaburzenia Przemiany Materiiv] 1(3), 9–12.Google Scholar
Olds, TS (2009) One million skinfolds: secular trends in the fatness of young people 1951–2004. European Journal of Clinical Nutrition 63(8), 934–946.CrossRefGoogle ScholarPubMed
Osteria, TS (1983) Nutritional status and menarche in a rural community in the Philippines. Philippine Journal of Nutrition 36(4), 150–156.Google Scholar
Pate, RR, McIver, K, Dowda, M, Brown, WH and Addy, C (2008) Directly observed physical activity levels in preschool children. Journal of School Health 78(8), 438–444.CrossRefGoogle ScholarPubMed
Pate, RR, Pfeiffer, KA, Trost, SG, Ziegler, P and Dowda, M (2004) Physical activity among children attending preschools. Pediatrics 114(5), 1258–1263.CrossRefGoogle ScholarPubMed
Perenc, L, Radochońska, A and Błajda, J (2016) The development of body fat in children and adolescents from Rzeszów and its variability over 35 years. [Rozwój otłuszczenia ciała u dzieci i młodzieży z Rzeszowa oraz jego zmienność na przestrzeni 35 lat]. Medical Review 14(1), 27–47.CrossRefGoogle Scholar
Perkins, JM, Supramanian, SV, Smith, GD and Özaltin, E (2016) Adult height, nutrition, and population health. Nutrition. Reviews 74, 149–165.Google ScholarPubMed
Piekorz, Z, Lewandowski, A, Goch, A, Radzimińska, A, Strojek, K, Bułatowicz, I et al. (2016) Overweight and the level of flexibility of school children – research report [Nadwaga a poziom gibkości dzieci szkolnych – raport z badań]. Journal of Education, Health and Sport 6(9), 451–459.Google Scholar
Rogers, I (2003) The influence of birthweight and intrauterine environment on adiposity and fat distribution in later life. International Journal of Obesity 27(7), 755–777.CrossRefGoogle ScholarPubMed
Rush, E, Kirk, M, Parmar, P, Young, L and Obolonkin, V (2018) Secular trends 2013–2017 in overweight and visible dental decay in New Zealand preschool children: influence of ethnicity, deprivation and the Under-5-Energize nutrition and physical activity programme. Journal of Developmental Origins of Health and Disease 31, 1–8.Google Scholar
Saczuk, J, Wasiluk, A and Wilczewski, A (2018) Body height and age at menarche of girls from eastern Poland in the period of political transformation. Anthropological Review 81(2), 130–145.CrossRefGoogle Scholar
Salanave, B, Peneau, S, Rolland-Cachera, MF, Hercberg, S and Castetbon, K (2009) Stabilization of overweight prevalence in French children between 2000 and 2007. International Journal of Pediatric Obesity 4(2), 66–72.CrossRefGoogle ScholarPubMed
Saldanha-Gomes, C, Heude, B, Charles, MA, de Lauzon-Guillain, B, Botton, J, Carles, S et al. (2017) Prospective associations between energy balance-related behaviors at 2 years of age and subsequent adiposity: the EDEN mother–child cohort. International Journal of Obesity 41(1), 38–45.CrossRefGoogle ScholarPubMed
Schrempft, S, Van Jaarsveld, CHM, Fisher, A and Wardle, J (2015) The obesogenic quality of the home environment: associations with diet, physical activity, TV viewing, and BMI in preschool children. PLoS One 10(8), e134490.CrossRefGoogle ScholarPubMed
Sedlak, P, Pařízková, J, Daniš, R, Dvořáková, H and Vignerová, J (2015) Secular changes of adiposity and motor development in Czech preschool children: lifestyle changes in fifty-five year retrospective study. BioMed Research International 2015, 1–9.CrossRefGoogle ScholarPubMed
Sedlak, P, Pařízková, J, Procházková, L, Cvrčková, L and Dvořáková, H (2017) Secular changes of adiposity in Czech children aged from 3 to 6 years: latent obesity in preschool age. BioMed Research International 2017, 1–9.CrossRefGoogle ScholarPubMed
Shirasawa, T, Ochiai, H, Nanri, H, Nishimura, R, Ohtsu, T, Hoshino, H, Tajima, N and Kokaze, A (2015) Trends of underweight and overweight/obesity among Japanese schoolchildren from 2003 to 2012, defined by body mass index and percentage overweight cutoffs. Journal of Epidemiology 25(7), 482–488.CrossRefGoogle ScholarPubMed
Sigmund, E, Sigmundová, D and Ansari, WE (2009) Changes in physical activity in pre-schoolers and first-grade children: longitudinal study in the Czech Republic. Child: Care, Health and Development 35(3), 376–382.Google ScholarPubMed
Skinner, AC, Perrin, EM and Skelton, JA (2016) Prevalence of obesity and severe obesity in US children, 1999–2014. Obesity 24(5), 1116–1123.CrossRefGoogle Scholar
Skouteris, H, Hartley-Clark, L, McCabe, M, Milgrom, J, Kent, B, Herring, SJ and Gale, J (2010) Preventing excessive gestational weight gain: a systematic review of interventions. Obesity Reviews 11(11), 757–768.CrossRefGoogle ScholarPubMed
Slaughter, MH, Lohman, TG, Boileau, RA, Horswill, CA, Stillman, RJ, Van Loan, MD, Bemben, DA (1988) Skinfold equations for estimation of body fatness in children and youth. Human Biology 60(5), 709–723.Google ScholarPubMed
Soini, A (2015) Always on the move? Measured physical activity of 3-year-old preschool children. Thesis from the University of Jyväskylä.Google Scholar
Steinberger, J, Daniels, SR, Eckel, RH, Hayman, L, Lustig, RH, McCrindle, B and Mietus-Snyder, ML (2009) Progress and challenges in metabolic syndrome in children and adolescents: a scientific statement from the American Heart Association Atherosclerosis, Hypertension, and Obesity in the Young Committee of the Council on Cardiovascular Disease in the Young; Council on Cardiovascular Nursing; and Council on Nutrition, Physical Activity, and Metabolism. Circulation 119(4), 628–647.CrossRefGoogle Scholar
Vijayakumar, P, Wheelock, KM, Kobes, S, Nelson, RG, Hanson, RL, Knowler, WC and Sinha, M (2018) Secular changes in physical growth and obesity among southwestern American Indian children over four decades. Pediatric Obesity 13(2), 94–102.CrossRefGoogle ScholarPubMed
Wedderkopp, N, Froberg, K, Hansen, HS and Andersen, LB (2004) Secular trends in physical fitness and obesity in Danish 9-year-old girls and boys: Odense School Child Study and Danish substudy of the European Youth Heart Study. Scandinavian Journal of Medicine and Science in Sports 14(3), 150–155.CrossRefGoogle ScholarPubMed
WHO (2017) Childhood Overweight and Obesity. URL: https://www.who.int/dietphysicalactivity/childhood/en/ (accessed 21st January 2019).Google Scholar
Xiao, Y, Qiao, Y, Pan, L, Liu, J, Zhang, T, Li, N et al. (2015) Trends in the prevalence of overweight and obesity among Chinese preschool children from 2006 to 2014. PLoS One 10(8), e0134466.CrossRefGoogle ScholarPubMed
Yamamoto, S, Becker, S, Fischer, J and De Bock, F (2011) Sex differences in the variables associated with objectively measured moderate-to-vigorous physical activity in preschoolers. Preventive Medicine 52(2), 126–129.CrossRefGoogle ScholarPubMed