Skip to main content
Top
Published in: BMC Public Health 1/2010

Open Access 01-12-2010 | Research article

Should public health interventions aimed at reducing childhood overweight and obesity be gender-focused?

Authors: Aline Simen-Kapeu, Paul J Veugelers

Published in: BMC Public Health | Issue 1/2010

Login to get access

Abstract

Background

Overweight in childhood is a major public health concern that calls for immediate preventative action. An increasing number of reports suggest that gender specific approaches to prevention may be more effective. However, there is a paucity of information to guide gender-sensitive health promotion and population health interventions for the prevention of overweight in childhood. In the present study, we sought to determine gender-differentials in overweight and underlying behaviors, nutrition and physical activity, among pre-adolescents in Alberta, Canada, to inform the discussion on gender-focused interventions for chronic disease prevention.

Methods

In 2008, we surveyed 3421 grade five students and their parents of 148 randomly selected schools. Students completed the Harvard food frequency questionnaire, questions on physical activities, and had their height and weight measured. Parents completed questions on socio-economic background and child's lifestyle. We applied multilevel regression methods to assess gender differentials in overweight, nutrition and physical activity.

Results

Overall, the prevalence of overweight was slightly higher among boys (29.1%) than girls (27.9%) with more pronounced differences in towns and urban geographies. Boys reported to be much more physically active relative to girls (OR = 2.12, 95% CI: 1.73-2.60). Diets of boys, relative to those of girls, reportedly constituted more fat and were less likely to meet the recommendation of 6 daily servings of vegetables and fruits (OR = 0.81, 95% CI: 0.71-0.93).

Conclusion

Our findings confirm the existence of gender differences in physical activity and nutrition, and support gender-focused health promotion whereby priority is given to physical activity among girls and to healthy eating among boys.
Literature
1.
go back to reference Lobstein T, Baur LA, Uauy R: Obesity in children and young people: a crisis in public health. Obes Rev. 2004, 5 (Suppl 1): 4-104. 10.1111/j.1467-789X.2004.00133.x.CrossRefPubMed Lobstein T, Baur LA, Uauy R: Obesity in children and young people: a crisis in public health. Obes Rev. 2004, 5 (Suppl 1): 4-104. 10.1111/j.1467-789X.2004.00133.x.CrossRefPubMed
2.
go back to reference Shields M: Overweight and obesity among children and youth. Health Rep. 2006, 17: 27-42.PubMed Shields M: Overweight and obesity among children and youth. Health Rep. 2006, 17: 27-42.PubMed
3.
go back to reference Raine KD: Determinants of healthy eating in Canada: an overview and synthesis. Can J Public Health. 2005, 96 (Suppl 3): S8-15.PubMed Raine KD: Determinants of healthy eating in Canada: an overview and synthesis. Can J Public Health. 2005, 96 (Suppl 3): S8-15.PubMed
4.
go back to reference Veugelers PJ, Fitzgerald AL: Prevalence of and risk factors for childhood overweight and obesity. Can Med Ass J. 2005, 173: 607-613. 10.1503/cmaj.050445.CrossRef Veugelers PJ, Fitzgerald AL: Prevalence of and risk factors for childhood overweight and obesity. Can Med Ass J. 2005, 173: 607-613. 10.1503/cmaj.050445.CrossRef
5.
go back to reference Sweeting HN: Gendered dimensions of obesity in childhood and adolescence. Nutr J. 2008, 14: 7:1- Sweeting HN: Gendered dimensions of obesity in childhood and adolescence. Nutr J. 2008, 14: 7:1-
6.
go back to reference Krieger N: Genders, sexes, and health: what are the connections - and why does it matter?. Int J Epidemiol. 2003, 32: 652-657. 10.1093/ije/dyg156.CrossRefPubMed Krieger N: Genders, sexes, and health: what are the connections - and why does it matter?. Int J Epidemiol. 2003, 32: 652-657. 10.1093/ije/dyg156.CrossRefPubMed
7.
go back to reference Skelton JA, Cook SR, Auinger P, Klein JD, Barlow SE: Prevalence and trends of severe obesity among US children and adolescents. Acad Pediatr. 2009, 9: 322-329. 10.1016/j.acap.2009.04.005.CrossRefPubMedPubMedCentral Skelton JA, Cook SR, Auinger P, Klein JD, Barlow SE: Prevalence and trends of severe obesity among US children and adolescents. Acad Pediatr. 2009, 9: 322-329. 10.1016/j.acap.2009.04.005.CrossRefPubMedPubMedCentral
8.
go back to reference Munakata H, Sei M, Ewis AA, Umeno M, Sato Y, Nakano T, Sakamoto K, Yoshida Y, Onishi C, Nakahori Y: rediction of Japanese children at risk for complications of childhood obesity: gender differences for intervention approaches. J Med Invest. 2010, 57: 62-68. 10.2152/jmi.57.62.CrossRefPubMed Munakata H, Sei M, Ewis AA, Umeno M, Sato Y, Nakano T, Sakamoto K, Yoshida Y, Onishi C, Nakahori Y: rediction of Japanese children at risk for complications of childhood obesity: gender differences for intervention approaches. J Med Invest. 2010, 57: 62-68. 10.2152/jmi.57.62.CrossRefPubMed
9.
go back to reference Wisniewski AB, Chernausek SD: Gender in childhood obesity: family environment, hormones, and genes. Gend Med. 2009, 6 (Suppl 1): 76-85. 10.1016/j.genm.2008.12.001. ReviewCrossRefPubMed Wisniewski AB, Chernausek SD: Gender in childhood obesity: family environment, hormones, and genes. Gend Med. 2009, 6 (Suppl 1): 76-85. 10.1016/j.genm.2008.12.001. ReviewCrossRefPubMed
10.
go back to reference 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. 10.1038/sj.ijo.0801923.CrossRefPubMed 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. 10.1038/sj.ijo.0801923.CrossRefPubMed
11.
go back to reference Baskin ML, Ard J, Franklin F, Allison DB: Prevalence of obesity in the United States. Obes Rev. 2005, 6: 5-7. 10.1111/j.1467-789X.2005.00165.x.CrossRefPubMed Baskin ML, Ard J, Franklin F, Allison DB: Prevalence of obesity in the United States. Obes Rev. 2005, 6: 5-7. 10.1111/j.1467-789X.2005.00165.x.CrossRefPubMed
12.
go back to reference Watkins DC, Murray LJ, McCarron P, Boreham CA, Cran GW, Young IS, McGartland C, Robson PJ, Savage JM: Ten-year trends for fatness in Northern Irish adolescents: the Young Hearts Projects--repeat cross-sectional study. Int J Obes (Lond). 2005, 29: 579-585. 10.1038/sj.ijo.0802945.CrossRef Watkins DC, Murray LJ, McCarron P, Boreham CA, Cran GW, Young IS, McGartland C, Robson PJ, Savage JM: Ten-year trends for fatness in Northern Irish adolescents: the Young Hearts Projects--repeat cross-sectional study. Int J Obes (Lond). 2005, 29: 579-585. 10.1038/sj.ijo.0802945.CrossRef
13.
go back to reference Xie B, Chou CP, Spruijt-Metz D, Reynolds K, Clark F, Palmer PH, Gallaher P, Sun P, Guo Q, Johnson CA: Socio-demographic and economic correlates of overweight status in Chinese adolescents. Am J Health Behav. 2007, 31: 339-352.CrossRefPubMed Xie B, Chou CP, Spruijt-Metz D, Reynolds K, Clark F, Palmer PH, Gallaher P, Sun P, Guo Q, Johnson CA: Socio-demographic and economic correlates of overweight status in Chinese adolescents. Am J Health Behav. 2007, 31: 339-352.CrossRefPubMed
14.
go back to reference Salazar-Martinez E, Allen B, Fernandez-Ortega C, Torres-Mejia G, Galal O, Lazcano-Ponce E: Overweight and obesity status among adolescents from Mexico and Egypt. Arch Med Res. 2006, 37: 535-542. 10.1016/j.arcmed.2005.10.014.CrossRefPubMed Salazar-Martinez E, Allen B, Fernandez-Ortega C, Torres-Mejia G, Galal O, Lazcano-Ponce E: Overweight and obesity status among adolescents from Mexico and Egypt. Arch Med Res. 2006, 37: 535-542. 10.1016/j.arcmed.2005.10.014.CrossRefPubMed
15.
go back to reference Bénéfice E, Garnier D, Simondon KB, Malina RM: Relationship between stunting in infancy and growth and fat distribution during adolescence in Senegalese girls. Eur J Clin Nutr. 2001, 55: 50-58. 10.1038/sj.ejcn.1601121.CrossRefPubMed Bénéfice E, Garnier D, Simondon KB, Malina RM: Relationship between stunting in infancy and growth and fat distribution during adolescence in Senegalese girls. Eur J Clin Nutr. 2001, 55: 50-58. 10.1038/sj.ejcn.1601121.CrossRefPubMed
16.
go back to reference Lorson BA, Melgar-Quinonez HR, Taylor CA: Correlates of fruit and vegetable intakes in US children. J Am Diet Ass. 2009, 109: 474-478. 10.1016/j.jada.2008.11.022.CrossRef Lorson BA, Melgar-Quinonez HR, Taylor CA: Correlates of fruit and vegetable intakes in US children. J Am Diet Ass. 2009, 109: 474-478. 10.1016/j.jada.2008.11.022.CrossRef
17.
go back to reference Galloway T: Gender differences in growth and nutrition in a sample of rural Ontario schoolchildren. Am J Hum Biol. 2007, 19: 774-788. 10.1002/ajhb.20637.CrossRefPubMed Galloway T: Gender differences in growth and nutrition in a sample of rural Ontario schoolchildren. Am J Hum Biol. 2007, 19: 774-788. 10.1002/ajhb.20637.CrossRefPubMed
18.
go back to reference Caine-Bish NL, Scheule B: Gender differences in food preferences of school-aged children and adolescents. J Sch Health. 2009, 79: 532-540. 10.1111/j.1746-1561.2009.00445.x.CrossRefPubMed Caine-Bish NL, Scheule B: Gender differences in food preferences of school-aged children and adolescents. J Sch Health. 2009, 79: 532-540. 10.1111/j.1746-1561.2009.00445.x.CrossRefPubMed
19.
go back to reference Al Sabbah H, Vereecken C, Kolsteren P, Abdeen Z, Maes L: Food habits and physical activity patterns among Palestinian adolescents: findings from the national study of Palestinian schoolchildren (HBSC-WBG2004). Public Health Nutr. 2007, 10: 739-46. 10.1017/S1368980007665501.CrossRefPubMed Al Sabbah H, Vereecken C, Kolsteren P, Abdeen Z, Maes L: Food habits and physical activity patterns among Palestinian adolescents: findings from the national study of Palestinian schoolchildren (HBSC-WBG2004). Public Health Nutr. 2007, 10: 739-46. 10.1017/S1368980007665501.CrossRefPubMed
20.
go back to reference Irving HM, Adlaf EM, Allison KR, Paglia A, Dwyer JJ, Goodman J: Trends in vigorous physical activity participation among Ontario adolescents, 1997-2001. Can J Public Health. 2003, 94: 272-274.PubMed Irving HM, Adlaf EM, Allison KR, Paglia A, Dwyer JJ, Goodman J: Trends in vigorous physical activity participation among Ontario adolescents, 1997-2001. Can J Public Health. 2003, 94: 272-274.PubMed
21.
go back to reference Kirchengast S, Marosi A: Gender differences in body composition, physical activity, eating behavior and body image among normal weight adolescents--an evolutionary approach. Coll Antropol. 2008, 32: 1079-86.PubMed Kirchengast S, Marosi A: Gender differences in body composition, physical activity, eating behavior and body image among normal weight adolescents--an evolutionary approach. Coll Antropol. 2008, 32: 1079-86.PubMed
22.
go back to reference Hoelscher DM, Barroso C, Springer A, Castrucci B, Kelder SH: Prevalence of self-reported activity and sedentary behaviors among 4th-, 8th-, and 11th-grade Texas public school children: the school physical activity and nutrition study. J Phys Act Health. 2009, 6: 535-547.PubMed Hoelscher DM, Barroso C, Springer A, Castrucci B, Kelder SH: Prevalence of self-reported activity and sedentary behaviors among 4th-, 8th-, and 11th-grade Texas public school children: the school physical activity and nutrition study. J Phys Act Health. 2009, 6: 535-547.PubMed
23.
go back to reference De Cocker K, Ottevaere C, Sjöström M, Moreno LA, Wärnberg J, Valtueña J, Manios Y, Dietrich S, Mauro B, Artero EG, Molnár D, Hagströmer M, Ruiz JR, Sarri K, Kafatos A, Gottrand F, De Henauw S, Maes L, De Bourdeaudhuij I: Self-reported physical activity in European adolescents: results from the HELENA (Healthy Lifestyle in Europe by Nutrition in Adolescence) study. Public Health Nutr. 2010, in press De Cocker K, Ottevaere C, Sjöström M, Moreno LA, Wärnberg J, Valtueña J, Manios Y, Dietrich S, Mauro B, Artero EG, Molnár D, Hagströmer M, Ruiz JR, Sarri K, Kafatos A, Gottrand F, De Henauw S, Maes L, De Bourdeaudhuij I: Self-reported physical activity in European adolescents: results from the HELENA (Healthy Lifestyle in Europe by Nutrition in Adolescence) study. Public Health Nutr. 2010, in press
24.
go back to reference Brown T, Summerbell C: Systematic review of school-based interventions that focus on changing dietary intake and physical activity levels to prevent childhood obesity: an update to the obesity guidance produced by the National Institute for Health and Clinical Excellence. Obes Rev. 2009, 10: 110-141. 10.1111/j.1467-789X.2008.00515.x.CrossRefPubMed Brown T, Summerbell C: Systematic review of school-based interventions that focus on changing dietary intake and physical activity levels to prevent childhood obesity: an update to the obesity guidance produced by the National Institute for Health and Clinical Excellence. Obes Rev. 2009, 10: 110-141. 10.1111/j.1467-789X.2008.00515.x.CrossRefPubMed
26.
go back to reference Rockett HR, Wolf AM, Colditz GA: Development and reproducibility of a food frequency questionnaire to assess diets of older children and adolescents. J Am Diet Assoc. 1995, 95: 336-40. 10.1016/S0002-8223(95)00086-0.CrossRefPubMed Rockett HR, Wolf AM, Colditz GA: Development and reproducibility of a food frequency questionnaire to assess diets of older children and adolescents. J Am Diet Assoc. 1995, 95: 336-40. 10.1016/S0002-8223(95)00086-0.CrossRefPubMed
27.
go back to reference 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. 10.1136/bmj.320.7244.1240.CrossRefPubMedPubMedCentral 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. 10.1136/bmj.320.7244.1240.CrossRefPubMedPubMedCentral
28.
go back to reference Crocker PRE, Bailey DA, Faulkner RA, Kowalski KC, McGrath R: Measuring general levels of physical activity: Preliminary evidence for the Physical Activity Questionnaire for Older Children. Med Sci Sports Exerc. 1997, 29: 1344-1349.CrossRefPubMed Crocker PRE, Bailey DA, Faulkner RA, Kowalski KC, McGrath R: Measuring general levels of physical activity: Preliminary evidence for the Physical Activity Questionnaire for Older Children. Med Sci Sports Exerc. 1997, 29: 1344-1349.CrossRefPubMed
32.
go back to reference Willett W: Nutritional Epidemiology. 1998, New York: Oxford University Press, 2CrossRef Willett W: Nutritional Epidemiology. 1998, New York: Oxford University Press, 2CrossRef
33.
go back to reference Keleher H: Why build a health promotion evidence base about gender?. Health Promot Int. 2004, 19: 277-279. 10.1093/heapro/dah313.CrossRefPubMed Keleher H: Why build a health promotion evidence base about gender?. Health Promot Int. 2004, 19: 277-279. 10.1093/heapro/dah313.CrossRefPubMed
34.
go back to reference Tremblay MS, Willms JD: Secular trends in the body mass index of Canadian children. Can Med Ass J. 2000, 163: 1429-1433. Tremblay MS, Willms JD: Secular trends in the body mass index of Canadian children. Can Med Ass J. 2000, 163: 1429-1433.
35.
go back to reference Hanning RM, Woodruff SJ, Lambraki I, Jessup L, Driezen P, Murphy CC: Nutrient intakes and food consumption patterns among Ontario students in grades six, seven, and eight. Can J Public Health. 2007, 98: 12-16.PubMed Hanning RM, Woodruff SJ, Lambraki I, Jessup L, Driezen P, Murphy CC: Nutrient intakes and food consumption patterns among Ontario students in grades six, seven, and eight. Can J Public Health. 2007, 98: 12-16.PubMed
36.
go back to reference Hedley AA, Ogden CL, Johnson CL, Carroll MD, Curtin LR, Flegal KM: Prevalence of overweight and obesity among US children, adolescents, and adults, 1999-2002. JAMA. 2004, 291: 2847-2850. 10.1001/jama.291.23.2847.CrossRefPubMed Hedley AA, Ogden CL, Johnson CL, Carroll MD, Curtin LR, Flegal KM: Prevalence of overweight and obesity among US children, adolescents, and adults, 1999-2002. JAMA. 2004, 291: 2847-2850. 10.1001/jama.291.23.2847.CrossRefPubMed
37.
go back to reference Galloway T: Gender differences in growth and nutrition in a sample of rural Ontario schoolchildren. Am J Hum Biol. 2007, 19: 774-788. 10.1002/ajhb.20637.CrossRefPubMed Galloway T: Gender differences in growth and nutrition in a sample of rural Ontario schoolchildren. Am J Hum Biol. 2007, 19: 774-788. 10.1002/ajhb.20637.CrossRefPubMed
38.
go back to reference Botton J, Heude B, Kettaneh A, Borys JM, Lommez A, Bresson JL, Ducimetiere P, Charles MA, FLVS Study Group: Cardiovascular risk factor levels and their relationships with overweight and fat distribution in children: the Fleurbaix Laventie Ville Santé II study. Metabolism. 2007, 56: 614-622. 10.1016/j.metabol.2006.12.006.CrossRefPubMedPubMedCentral Botton J, Heude B, Kettaneh A, Borys JM, Lommez A, Bresson JL, Ducimetiere P, Charles MA, FLVS Study Group: Cardiovascular risk factor levels and their relationships with overweight and fat distribution in children: the Fleurbaix Laventie Ville Santé II study. Metabolism. 2007, 56: 614-622. 10.1016/j.metabol.2006.12.006.CrossRefPubMedPubMedCentral
39.
go back to reference Sherar LB, Esliger DW, Baxter-Jones AD, Tremblay MS: Age and gender differences in youth physical activity: does physical maturity matter?. Med Sci Sports Exerc. 2007, 39: 830-835. 10.1249/mss.0b013e3180335c3c.CrossRefPubMed Sherar LB, Esliger DW, Baxter-Jones AD, Tremblay MS: Age and gender differences in youth physical activity: does physical maturity matter?. Med Sci Sports Exerc. 2007, 39: 830-835. 10.1249/mss.0b013e3180335c3c.CrossRefPubMed
40.
go back to reference Storey KE, Forbes LE, Fraser SN, Spence JC, Plotnikoff RC, Raine KD, Hanning RM, McCargar LJ: Diet quality, nutrition and physical activity among adolescents: the Web-SPAN (Web-Survey of Physical Activity and Nutrition) project. Public Health Nutr. 2009, 12: 2009-2017. 10.1017/S1368980009990292.CrossRefPubMed Storey KE, Forbes LE, Fraser SN, Spence JC, Plotnikoff RC, Raine KD, Hanning RM, McCargar LJ: Diet quality, nutrition and physical activity among adolescents: the Web-SPAN (Web-Survey of Physical Activity and Nutrition) project. Public Health Nutr. 2009, 12: 2009-2017. 10.1017/S1368980009990292.CrossRefPubMed
41.
go back to reference Sallis JF, Saelens BE: Assessment of physical activity by self-report: status, limitations, and future directions. Res Q Exerc Sport. 2000, 71 (2 Suppl): S1-14. ReviewCrossRefPubMed Sallis JF, Saelens BE: Assessment of physical activity by self-report: status, limitations, and future directions. Res Q Exerc Sport. 2000, 71 (2 Suppl): S1-14. ReviewCrossRefPubMed
42.
go back to reference Thomson AM, Baxter-Jones AD, Mirwald RL, Bailey DA: Comparison of physical activity in male and female children: does maturation matter?. Med Sci Sports Exerc. 2005, 37: 1902-1908. 10.1249/01.mss.0000176306.11134.23.CrossRef Thomson AM, Baxter-Jones AD, Mirwald RL, Bailey DA: Comparison of physical activity in male and female children: does maturation matter?. Med Sci Sports Exerc. 2005, 37: 1902-1908. 10.1249/01.mss.0000176306.11134.23.CrossRef
43.
go back to reference Malina RM, Eisenmann JC, Cumming SP, Ribeiro B, Aroso J: Maturity-associated variation in the growth and functional capacities of youth football (soccer) players 13-15 years. Eur J Appl Physiol. 2004, 91: 555-562. 10.1007/s00421-003-0995-z.CrossRefPubMed Malina RM, Eisenmann JC, Cumming SP, Ribeiro B, Aroso J: Maturity-associated variation in the growth and functional capacities of youth football (soccer) players 13-15 years. Eur J Appl Physiol. 2004, 91: 555-562. 10.1007/s00421-003-0995-z.CrossRefPubMed
44.
go back to reference Wang Y: Is obesity associated with early sexual maturation? A comparison of the association in American boys versus girls. Pediatrics. 2002, 110: 903-910. 10.1542/peds.110.5.903.CrossRefPubMed Wang Y: Is obesity associated with early sexual maturation? A comparison of the association in American boys versus girls. Pediatrics. 2002, 110: 903-910. 10.1542/peds.110.5.903.CrossRefPubMed
45.
go back to reference Champagne CM, Bogle ML, Karge WH: Using national dietary data to measure dietary changes. Public Health Nutr. 2002, 5: 985-10.1079/PHN2002375.CrossRefPubMed Champagne CM, Bogle ML, Karge WH: Using national dietary data to measure dietary changes. Public Health Nutr. 2002, 5: 985-10.1079/PHN2002375.CrossRefPubMed
46.
go back to reference Moffat T, Galloway T, Latham J: Stature and adiposity among children in contrasting neighborhoods in the city of Hamilton, Ontario, Canada. Am J Hum Biol. 2005, 17: 355-367. 10.1002/ajhb.20125.CrossRefPubMed Moffat T, Galloway T, Latham J: Stature and adiposity among children in contrasting neighborhoods in the city of Hamilton, Ontario, Canada. Am J Hum Biol. 2005, 17: 355-367. 10.1002/ajhb.20125.CrossRefPubMed
47.
go back to reference Cooke L, Grant M: Support for evidence-based practice. Semin Oncol Nurs. 2002, 18: 71-78. 10.1053/sonu.2002.30049.CrossRefPubMed Cooke L, Grant M: Support for evidence-based practice. Semin Oncol Nurs. 2002, 18: 71-78. 10.1053/sonu.2002.30049.CrossRefPubMed
48.
go back to reference Bird CE, Rieker PP: Gender matters: an integrated model for understanding men's and women's health. Soc Sci Med. 1999, 48: 745-755. 10.1016/S0277-9536(98)00402-X.CrossRefPubMed Bird CE, Rieker PP: Gender matters: an integrated model for understanding men's and women's health. Soc Sci Med. 1999, 48: 745-755. 10.1016/S0277-9536(98)00402-X.CrossRefPubMed
49.
go back to reference Ostlin P: Gender perspective on socio-economic inequalities in Health. Reducing inequalities in Health. Edited by: Mackenbach J and Bakker M. 2002, London, Routledge, 25-49. Ostlin P: Gender perspective on socio-economic inequalities in Health. Reducing inequalities in Health. Edited by: Mackenbach J and Bakker M. 2002, London, Routledge, 25-49.
50.
go back to reference Hylton J: Improving Health Status through Intersectorial cooperation. 2003, Muttart Foundation, Edmonton, Canada Hylton J: Improving Health Status through Intersectorial cooperation. 2003, Muttart Foundation, Edmonton, Canada
51.
go back to reference Ostlin P, Eckermann E, Mishra US, Nkowane M, Wallstam E: Gender and health promotion: a multisectoral policy approach. Health Promot Int. 2006, 21: 25-35. 10.1093/heapro/dal048.CrossRefPubMed Ostlin P, Eckermann E, Mishra US, Nkowane M, Wallstam E: Gender and health promotion: a multisectoral policy approach. Health Promot Int. 2006, 21: 25-35. 10.1093/heapro/dal048.CrossRefPubMed
52.
go back to reference Thomas H: Obesity prevention programs for children and youth: why are their results so modest?. Health Educ Res. 2006, 21: 783-795. 10.1093/her/cyl143.CrossRefPubMed Thomas H: Obesity prevention programs for children and youth: why are their results so modest?. Health Educ Res. 2006, 21: 783-795. 10.1093/her/cyl143.CrossRefPubMed
53.
go back to reference Kremers SP, de Bruijn GJ, Droomers M, van Lenthe F, Brug J: Moderators of environmental intervention effects on diet and activity in youth. Am J Prev Med. 2007, 32: 163-172. 10.1016/j.amepre.2006.10.006.CrossRefPubMed Kremers SP, de Bruijn GJ, Droomers M, van Lenthe F, Brug J: Moderators of environmental intervention effects on diet and activity in youth. Am J Prev Med. 2007, 32: 163-172. 10.1016/j.amepre.2006.10.006.CrossRefPubMed
54.
go back to reference Shields M, Tremblay MS: Canadian childhood obesity estimates based on WHO, IOTF and CDC cut-points. Int J Pediatr Obes. 2010, 5 (3): 265-73. 10.3109/17477160903268282.CrossRefPubMed Shields M, Tremblay MS: Canadian childhood obesity estimates based on WHO, IOTF and CDC cut-points. Int J Pediatr Obes. 2010, 5 (3): 265-73. 10.3109/17477160903268282.CrossRefPubMed
55.
go back to reference Edwards J, Evans J, Brown AD: Using routine growth data to determine overweight and obesity prevalence estimates in preschool children in the Capital Health Region of Alberta. Can J Public Health. 2008, 99: 91-94.PubMed Edwards J, Evans J, Brown AD: Using routine growth data to determine overweight and obesity prevalence estimates in preschool children in the Capital Health Region of Alberta. Can J Public Health. 2008, 99: 91-94.PubMed
56.
go back to reference Wang Y, Wang JQ: A comparison of international references for the assessment of child and adolescent overweight and obesity in different populations. Eur J Clin Nutr. 2002, 56: 973-982. 10.1038/sj.ejcn.1601415.CrossRefPubMed Wang Y, Wang JQ: A comparison of international references for the assessment of child and adolescent overweight and obesity in different populations. Eur J Clin Nutr. 2002, 56: 973-982. 10.1038/sj.ejcn.1601415.CrossRefPubMed
57.
go back to reference Kain J, Uauy R, Vio F, Albala C: Trends in overweight and obesity prevalence in Chilean children: comparison of three definitions. Eur J Clin Nutr. 2002, 56: 200-204. 10.1038/sj.ejcn.1601301.CrossRefPubMed Kain J, Uauy R, Vio F, Albala C: Trends in overweight and obesity prevalence in Chilean children: comparison of three definitions. Eur J Clin Nutr. 2002, 56: 200-204. 10.1038/sj.ejcn.1601301.CrossRefPubMed
58.
go back to reference Rockett HR, Breitenbach M, Frazier AL, Witschi J, Wolf AM, Field AE, Colditz GA: Validation of a youth/adolescent food frequency questionnaire. Prev Med. 1997, 26: 808-816. 10.1006/pmed.1997.0200.CrossRefPubMed Rockett HR, Breitenbach M, Frazier AL, Witschi J, Wolf AM, Field AE, Colditz GA: Validation of a youth/adolescent food frequency questionnaire. Prev Med. 1997, 26: 808-816. 10.1006/pmed.1997.0200.CrossRefPubMed
59.
go back to reference Schaefer EJ, Augustin JL, Schaefer MM, Rasmussen H, Ordovas JM, Dallal GE, Dwyer JT: Lack of efficacy of a food-frequency questionnaire in assessing dietary macronutrient intakes in subjects consuming diets of known composition. Am J Clin Nutr. 2000, 71: 746-51.PubMed Schaefer EJ, Augustin JL, Schaefer MM, Rasmussen H, Ordovas JM, Dallal GE, Dwyer JT: Lack of efficacy of a food-frequency questionnaire in assessing dietary macronutrient intakes in subjects consuming diets of known composition. Am J Clin Nutr. 2000, 71: 746-51.PubMed
60.
go back to reference Paul DR, Rhodes DG, Kramer M, Baer DJ, Rumpler WV: Validation of a food frequency questionnaire by direct measurement of habitual ad libitum food intake. Am J Epidemiol. 2005, 162: 806-814. 10.1093/aje/kwi279.CrossRefPubMed Paul DR, Rhodes DG, Kramer M, Baer DJ, Rumpler WV: Validation of a food frequency questionnaire by direct measurement of habitual ad libitum food intake. Am J Epidemiol. 2005, 162: 806-814. 10.1093/aje/kwi279.CrossRefPubMed
Metadata
Title
Should public health interventions aimed at reducing childhood overweight and obesity be gender-focused?
Authors
Aline Simen-Kapeu
Paul J Veugelers
Publication date
01-12-2010
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2010
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-10-340

Other articles of this Issue 1/2010

BMC Public Health 1/2010 Go to the issue