Abstract
OBJECTIVE:
To examine secular trends in measures of fatness over a 10-y period (the 1990s) in Northern Irish schoolchildren.
DESIGN:
Repeat cross-sectional surveys.
SUBJECTS:
In total, 12- and 15-y-old children randomly selected from post-primary schools. A total of 1015 children studied between 1989 and 1990, and 2017 studied between 1999 and 2001.
MEASUREMENTS:
The same study methods were applied in both surveys. Body mass index (BMI) was calculated from height and weight, and percentage body fat (%BF) was derived from skinfold measurements at four sites. Dietary intake was assessed using a diet history method and habitual physical activity (PA) was estimated from a self-report questionnaire.
RESULTS:
Increases were seen in both height and weight in all age–sex groups. The overall prevalence of overweight/obesity increased from 15.0 to 19.6%, but 12-y-old girls contributed most to this increase (15.9–26.3%), with a modest increase observed also in 15-y-old boys. Increases in mean BMI (19.2–20.3 kg/m2) and mean %BF (25.8–27.1%) were seen in 12-y-old girls, with no significant changes in any of the other subgroups. Mean energy intake increased in girls but not in boys, while mean PA score decreased in 12-y-old girls, but was unchanged in the other three groups. All age–sex groups showed substantial increases in the sugar intake while fat intake increased in girls and decreased in boys.
CONCLUSION:
Increases in indices of fatness were seen among school-age children in Northern Ireland during the 1990s. Trends differed between age–sex groups with the largest changes seen in 12-y-old girls. It remains to be seen whether the large increase in overweight/obesity in this group tracks into adulthood, with consequences for chronic disease incidence in women.
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References
Lew EA, Garfinkel L . Variations in mortality by weight among 750,000 men and women. J Chron Dis 1979; 32: 563–576.
Van Itallie TB . Health implications of overweight and obesity in the United States. Ann Intern Med 1985; 103: 983–988.
DiPietro L, Mossberg HO, Stunkard AJ . A 40-year history of overweight children in Stockholm: life-time overweight, morbidity, and mortality. Int J Obes Relat Metab Disord 1994; 18: 585–590.
Must A, Jacques PF, Dallal GE, Bajema CJ, Dietz WH . Long-term morbidity and mortality of overweight adolescents. A follow-up of the Harvard Growth Study of 1922 to 1935. N Engl J Med 1992; 327: 1350–1355.
National Audit Office. Tackling obesity in England, 2001. London (Ref Type: Report).
Serdula MK, Ivery D, Coates RJ, Freedman DS, Williamson DF, Byers T . Do obese children become obese adults? A review of the literature. Prev Med 1993; 22: 167–177.
Charney E, Goodman HC, McBride M, Lyon B, Pratt R . Childhood antecedents of adult obesity. Do chubby infants become obese adults? N Engl J Med 1976; 295: 6–9.
Braddon FE, Rodgers B, Wadsworth ME, Davies JM . Onset of obesity in a 36 year birth cohort study. Br Med J (Clin Res Ed) 1986; 293: 299–303.
Livingstone M . Childhood obesity in Europe: a growing concern. Public Health Nutr 2001; 4: 109–116.
Reilly JJ, Dorosty AR . Epidemic of obesity in UK children. Lancet 1999; 354: 1874–1875.
Bundred P, Kitchiner D, Buchan I . Prevalence of overweight and obese children between 1989 and 1998: population based series of cross sectional studies. BMJ 2001; 322: 326–328.
Troiano RP, Flegal KM, Kuczmarski RJ, Campbell SM, Johnson CL . Overweight prevalence and trends for children and adolescents. The National Health and Nutrition Examination Surveys, 1963 to 1991. Arch Pediatr Adolesc Med 1995; 149: 1085–1091.
Chinn S, Rona RJ . Prevalence and trends in overweight and obesity in three cross sectional studies of British Children, 1974–94. BMJ 2001; 322: 24–26.
Chinn S, Rona RJ . Trends in weight-for-height and triceps skinfold thickness for English and Scottish children, 1972–1982 and 1982–1990. Paediatr Perinat Epidemiol 1994; 8: 90–106.
Boreham C, Savage JM, Primrose D, Cran G, Strain J . Coronary risk factors in school children. Arch Dis Child 1993; 68: 182–186.
Riddoch C . Northern Ireland fitness survey—1989. Division of Physical and Health Education, Queens University of Belfast: Belfast; 1990.
Boreham CA, Paliczka VJ, Nichols AK . A comparison of the PWC170 and 20-MST tests of aerobic fitness in adolescent schoolchildren. J Sports Med Phys Fitness 1990; 30: 19–23.
van Staveren WA, de Boer JO, Burema J . Validity and reproducibility of a dietary history method estimating the usual food intake during one month. Am J Clin Nutr 1985; 42: 554–559.
Livingstone MB, Prentice AM, Coward WA, Strain JJ, Black AE, Davies PS, Stewart CM, McKenna PG, Whitehead RG . Validation of estimates of energy intake by weighed dietary record and diet history in children and adolescents. Am J Clin Nutr 1992; 56: 29–35.
Paul AA, Southgate DAT . McCance and Widdowson's The composition of foods. HMSO: London; 1978.
Holland B, Welch AA, Unwin ID, Buss DH, Paul AA, Southgate DAT . McCance and Widdowson's The composition of foods. The Royal Society of Chemistry: London; 1991.
Tanner JM . Growth at Adolescence. Blackwell: Oxford; 1962.
Office of Population, Censuses & Surveys. Standard occupational classification. HMSO: London; 1990.
Walton KA, Murray LJ, Gallagher AM, Cran GW, Savage MJ, Boreham C . Parental recall of birthweight: a good proxy for recorded birthweight? Eur J Epidemiol 2000; 16: 793–796.
Cole TJ, Bellizzi MC, Flegal KM, Dietz WH . Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ 2000; 320: 1240–1243.
Joint FAO/WHO/UNU Expert Consultation. Energy and protein requirements, Vol. 724. WHO Technical Report Series. WHO: Geneva; 1985. pp 1–67.
Durnin JV, Rahaman MM . The assessment of the amount of fat in the human body from measurements of skinfold thickness. Br J Nutr 1967; 21: 681–689.
McCarthy HD, Ellis SM, Cole TJ . Central overweight and obesity in British youth aged 11–16 years: cross sectional surveys of waist circumference. BMJ 2003; 326: 624.
World Health Organisation. Obesity: preventing and managing the global epidemic. WHO/NUT/98.1. WHO: Geneva; 1998.
Lobstein TJ, James WP, Cole TJ . Increasing levels of excess weight among children in England. Int J Obes Relat Metab Disord 2003; 27: 1136–1138.
Freedman DS, Srinivasan SR, Valdez RA, Williamson DF, Berenson GS . Secular increases in relative weight and adiposity among children over two decades: the Bogalusa Heart Study. Pediatrics 1997; 99: 420–426.
Kautiainen S, Rimpela A, Vikat A, Virtanen SM . Secular trends in overweight and obesity among Finnish adolescents in 1977–1999. Int J Obes Relat Metab Disord 2002; 26: 544–552.
Hulens M, Beunen G, Claessens AL, Lefevre J, Thomis M, Philippaerts R, Borms J, Vrijens J, Lysens R, Vansant G . Trends in BMI among Belgian children, adolescents and adults from 1969 to 1996. Int J Obes Relat Metab Disord 2001; 25: 395–399.
Tremblay MS, Katzmarzyk PT, Willms JD . Temporal trends in overweight and obesity in Canada, 1981–1996. Int J Obes Relat Metab Disord 2002; 26: 538–543.
Department of Health. Health survey for England 2000. HMSO: London; 2002.
Department of Health. Health Survey for England 1995. HMSO: London; 1997.
Adamson A, Rugg-Gunn A, Butler T, Appleton D, Hackett A . Nutritional intake, height and weight of 11–12-year-old Northumbrian children in 1990 compared with information obtained in 1980. Br J Nutr 1992; 68: 543–563.
Department of Health. The diets of British school children. HMSO: London; 1989.
Gregory J, Lowe S . National diet and nutrition survey: young people aged 4 to 18 years. HMSO: London; 2000.
Bailey RC, Olson J, Pepper SL, Porszasz J, Barstow TJ, Cooper DM . The level and tempo of children's physical activities: an observational study. Med Sci Sports Exerc 1995; 27: 1033–1041.
Riddoch C, Mahoney C, Murphy N, Boreham CA, Cran G . The physical activity patterns of Northern Irish schoolchildren ages 11–16 years. Pediatr Exerc Sci 1991; 3: 300–309.
Carriere G . Parent and child factors associated with youth obesity. Health Rep 2003; 14 (Suppl: 29–39): 29–39.
Kmietowicz Z . Parents key to reducing overweight in children. BMJ 2003; 327: 832.
Schwartz MB, Puhl R . Childhood obesity: a societal problem to solve. Obes Rev 2003; 4: 57–71.
Storing up problems. The medical case for a slimmer nation. Royal Colleges of Physicians, Royal College of Paediatrics and Child Health, and Faculty of Public Health, 2004. London.
Department of Health. Choosing health—a consultation on action to improve people's health. Department of Health: London; 2004.
Acknowledgements
The YH2000 project was funded by a grant from the Department of Health and Social Services in Northern Ireland. PMcC is funded by a Department of Health public health career scientist award.
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Watkins, D., Murray, L., McCarron, P. et al. Ten-year trends for fatness in Northern Irish adolescents: the Young Hearts Projects—repeat cross-sectional study. Int J Obes 29, 579–585 (2005). https://doi.org/10.1038/sj.ijo.0802945
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DOI: https://doi.org/10.1038/sj.ijo.0802945
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