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Published in: BMC Pediatrics 1/2018

Open Access 01-12-2018 | Research article

Stabilization and reversal of child obesity in Andalusia using objective anthropometric measures by socioeconomic status

Authors: José-Juan Sánchez-Cruz, I de Ruiter, J J Jiménez-Moleón, Ll García, Maria-Jose Sánchez

Published in: BMC Pediatrics | Issue 1/2018

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Abstract

Background

Childhood obesity continues to be a significant public health issue worldwide. Recent national studies in Spain show a stable picture. However, prevalence and trends differ by socio-economic status, age, and region. We present the trend in childhood excess weight prevalence, aged 8–15 years, in Andalusia from 2011-2012 to 2015–2016 by socio-economic status.

Methods

Using the cross-sectional Andalusian Health Surveys, objective anthropometric measures were taken for a representative sample of 8–15 year olds in Andalusia in 2011–2012 and 2015–2016. Prevalence and changes in prevalence of excess weight (overweight plus obesity) were calculated, using both the WHO and IOTF criteria, overall and for sex, age and three different indicators of SES.

Results

Overall prevalence of excess weight decreased from 42.0% in 2011–2012 to 35.4% in 2015–2016. Overweight decreased from 28.2 to 24.2% and obesity from 13.8 to 11.2%. In 2011–2012 the prevalence of excess weight in boys was 46.0%and 37.9% in girls; in 2015–2016 the difference became significant with 41% of boys with excess weight compared with 30% in girls.

Conclusions

Childhood excess weight prevalence in Andalusia has decreased slightly between 2011-2012 and 2015–2016. Notably, a decrease in obesity prevalence in girls aged 8–15 years was recorded. In 2011–2012 a social gradient for excess weight prevalence across three SES indicators was observed: in 2015–2016 this gradient disappeared. Nonetheless, prevalence remains too high.
Literature
1.
go back to reference Sanchez-Cruz JJ, Jimenez-Moleon JJ, Fernandez-Quesada F, Sanchez MJ. Prevalence of child and youth obesity in Spain in 2012. Rev Esp Cardiol. 2013. Sanchez-Cruz JJ, Jimenez-Moleon JJ, Fernandez-Quesada F, Sanchez MJ. Prevalence of child and youth obesity in Spain in 2012. Rev Esp Cardiol. 2013.
2.
go back to reference Salcedo V, Gutierrez-Fisac JL, Guallar-Castillon P, Rodriguez-Artalejo F, Gutiérrez-Fisac JL, Guallar-Castillón P, et al. Trends in overweight and misperceived overweight in Spain from 1987 to 2007. Int J Obes. 2010;34:1759–65.CrossRef Salcedo V, Gutierrez-Fisac JL, Guallar-Castillon P, Rodriguez-Artalejo F, Gutiérrez-Fisac JL, Guallar-Castillón P, et al. Trends in overweight and misperceived overweight in Spain from 1987 to 2007. Int J Obes. 2010;34:1759–65.CrossRef
3.
go back to reference Wijnhoven TM, Van Raaij JM, Spinelli A, Starc G, Hassapidou M, Spiroski I, et al. WHO European childhood obesity surveillance initiative: body mass index and level of overweight among 6-9-year-old children from school year 2007/2008 to school year 2009/2010. BMC Public Health. 2014;14. Wijnhoven TM, Van Raaij JM, Spinelli A, Starc G, Hassapidou M, Spiroski I, et al. WHO European childhood obesity surveillance initiative: body mass index and level of overweight among 6-9-year-old children from school year 2007/2008 to school year 2009/2010. BMC Public Health. 2014;14.
4.
go back to reference De Ruiter I, Olmedo-Requena R, Sánchez-Cruz JJ, Jiménez-Moleón JJ. Trends in child obesity and underweight in Spain by birth year and age, 1983 to 2011. Rev Española Cardiol (English Ed). 2017. De Ruiter I, Olmedo-Requena R, Sánchez-Cruz JJ, Jiménez-Moleón JJ. Trends in child obesity and underweight in Spain by birth year and age, 1983 to 2011. Rev Española Cardiol (English Ed). 2017.
5.
go back to reference Singh AS, Mulder C, Twisk JW, van MW, Chinapaw MJ. Tracking of childhood overweight into adulthood: a systematic review of the literature. Obes Rev. 2008;9:474–88.CrossRef Singh AS, Mulder C, Twisk JW, van MW, Chinapaw MJ. Tracking of childhood overweight into adulthood: a systematic review of the literature. Obes Rev. 2008;9:474–88.CrossRef
6.
go back to reference Commission on Ending Childhood Obesity. Report of the commission on ending childhood obesity. In: World Health Organization; 2016. Commission on Ending Childhood Obesity. Report of the commission on ending childhood obesity. In: World Health Organization; 2016.
7.
go back to reference Twig G, Yaniv G, Levine H, Leiba A, Goldberger N, Derazne E, et al. Body-mass index in 2.3 million adolescents and cardiovascular death in adulthood. N Engl J Med. 2016. Twig G, Yaniv G, Levine H, Leiba A, Goldberger N, Derazne E, et al. Body-mass index in 2.3 million adolescents and cardiovascular death in adulthood. N Engl J Med. 2016.
8.
go back to reference Escribano García S, Vega Alonso AT, Lozano Alonso J, Álamo Sanz R, Lleras Muñoz S, Castrodeza Sanz J, et al. Obesity in castile and Leon, Spain: epidemiology and association with other cardiovascular risk factors. Rev Española Cardiol (English Ed). 2011;64:63–6.CrossRef Escribano García S, Vega Alonso AT, Lozano Alonso J, Álamo Sanz R, Lleras Muñoz S, Castrodeza Sanz J, et al. Obesity in castile and Leon, Spain: epidemiology and association with other cardiovascular risk factors. Rev Española Cardiol (English Ed). 2011;64:63–6.CrossRef
9.
go back to reference Weiss R, Dufour S, Taksali SE, Tamborlane WV, Petersen KF, Bonadonna RC, et al. Prediabetes in obese youth: a syndrome of impaired glucose tolerance, severe insulin resistance, and altered myocellular and abdominal fat partitioning. Lancet. 2003;362:951–7.CrossRef Weiss R, Dufour S, Taksali SE, Tamborlane WV, Petersen KF, Bonadonna RC, et al. Prediabetes in obese youth: a syndrome of impaired glucose tolerance, severe insulin resistance, and altered myocellular and abdominal fat partitioning. Lancet. 2003;362:951–7.CrossRef
10.
go back to reference McCrindle BW. Cardiovascular consequences of childhood obesity. Can. J Cardiol. 2015:124–30.CrossRef McCrindle BW. Cardiovascular consequences of childhood obesity. Can. J Cardiol. 2015:124–30.CrossRef
11.
go back to reference Ballesteros Arribas JM, Dal-Re Saavedra M, Pérez-Farinós N, Villar Villalba C. La estrategia para la nutrición, actividad física y prevención de la obesidad (estrategia NAOS). Rev Esp Salud Publica. 2007:443–9. Ballesteros Arribas JM, Dal-Re Saavedra M, Pérez-Farinós N, Villar Villalba C. La estrategia para la nutrición, actividad física y prevención de la obesidad (estrategia NAOS). Rev Esp Salud Publica. 2007:443–9.
12.
go back to reference Martínez-Vizcaíno V, Solera Martínez M, Notario Pacheco B, Sánchez López M, García-Prieto JC, Torrijos Niño C, et al. Trends in excess of weight, underweight and adiposity among Spanish children from 2004 to 2010: the Cuenca study. Public Health Nutr. 2012;15:2170–4.CrossRef Martínez-Vizcaíno V, Solera Martínez M, Notario Pacheco B, Sánchez López M, García-Prieto JC, Torrijos Niño C, et al. Trends in excess of weight, underweight and adiposity among Spanish children from 2004 to 2010: the Cuenca study. Public Health Nutr. 2012;15:2170–4.CrossRef
13.
go back to reference Ogden CL, Carroll MD, Kit BK, Flegal KM. Prevalence of childhood and adult obesity in the United States, 2011-2012. JAMA. 2014;311:806.CrossRef Ogden CL, Carroll MD, Kit BK, Flegal KM. Prevalence of childhood and adult obesity in the United States, 2011-2012. JAMA. 2014;311:806.CrossRef
14.
go back to reference Olds T, Maher C, Zumin S, Peneau S, Lioret S, Castetbon K, et al. Evidence that the prevalence of childhood overweight is plateauing: data from nine countries. IntJ Pediatr Obes. 2011;6:342–60.CrossRef Olds T, Maher C, Zumin S, Peneau S, Lioret S, Castetbon K, et al. Evidence that the prevalence of childhood overweight is plateauing: data from nine countries. IntJ Pediatr Obes. 2011;6:342–60.CrossRef
15.
go back to reference Hardy LL, Mihrshahi S, Gale J, Drayton BA, Bauman A, Mitchell J. 30-year trends in overweight, obesity and waist-to-height ratio by socioeconomic status in Australian children, 1985 to 2015. Int J Obes. 2017;41:76–82.CrossRef Hardy LL, Mihrshahi S, Gale J, Drayton BA, Bauman A, Mitchell J. 30-year trends in overweight, obesity and waist-to-height ratio by socioeconomic status in Australian children, 1985 to 2015. Int J Obes. 2017;41:76–82.CrossRef
16.
go back to reference España. Estudio Aladino 2015 - Estudio de vigilancia del crecimiento, alimentación, actividad física, desarrollo infantil y obesidad en España. 2015. In: AECOSAN; 2015. España. Estudio Aladino 2015 - Estudio de vigilancia del crecimiento, alimentación, actividad física, desarrollo infantil y obesidad en España. 2015. In: AECOSAN; 2015.
17.
go back to reference Bammann K, Gwozdz W, Lanfer A, Barba G, De Henauw S, Eiben G, et al. Socioeconomic factors and childhood overweight in europe: results from the multi-Centre IDEFICS study. Pediatr. Obes. 2013;8:1–12.CrossRef Bammann K, Gwozdz W, Lanfer A, Barba G, De Henauw S, Eiben G, et al. Socioeconomic factors and childhood overweight in europe: results from the multi-Centre IDEFICS study. Pediatr. Obes. 2013;8:1–12.CrossRef
18.
go back to reference Martínez-Vizcaíno V, Solera-Martínez M, Cavero-Redondo I, García-Prieto JC, Arias-Palencia N, Notario-Pacheco B, et al. Association between parental socioeconomic status with underweight and obesity in children from two Spanish birth cohorts: a changing relationship. BMC Public Health. 2015;15:1276.CrossRef Martínez-Vizcaíno V, Solera-Martínez M, Cavero-Redondo I, García-Prieto JC, Arias-Palencia N, Notario-Pacheco B, et al. Association between parental socioeconomic status with underweight and obesity in children from two Spanish birth cohorts: a changing relationship. BMC Public Health. 2015;15:1276.CrossRef
19.
go back to reference Wang Y, Lim H. The global childhood obesity epidemic and the association between socio-economic status and childhood obesity. Int Rev Psychiatry. 2012;24:176–88.CrossRef Wang Y, Lim H. The global childhood obesity epidemic and the association between socio-economic status and childhood obesity. Int Rev Psychiatry. 2012;24:176–88.CrossRef
20.
go back to reference Chung A, Backholer K, Wong E, Palermo C, Keating C, Peeters A. Trends in child and adolescent obesity prevalence in economically advanced countries according to socioeconomic position: a systematic review. Obes Rev. 2016;17:276–95.CrossRef Chung A, Backholer K, Wong E, Palermo C, Keating C, Peeters A. Trends in child and adolescent obesity prevalence in economically advanced countries according to socioeconomic position: a systematic review. Obes Rev. 2016;17:276–95.CrossRef
21.
go back to reference Martinez-Vizcaino V, Sanchez LM, Moya MP, Solera MM, Notario PB, Salcedo AF, et al. Trends in excess weight and thinness among Spanish schoolchildren in the period 1992-2004: the Cuenca study. Public Heal Nutr. 2009;12:1015–8.CrossRef Martinez-Vizcaino V, Sanchez LM, Moya MP, Solera MM, Notario PB, Salcedo AF, et al. Trends in excess weight and thinness among Spanish schoolchildren in the period 1992-2004: the Cuenca study. Public Heal Nutr. 2009;12:1015–8.CrossRef
22.
go back to reference World Health Organization. The WHO Child Growth Standards. 2015. World Health Organization. The WHO Child Growth Standards. 2015.
23.
go back to reference World Obesity Federation. Extended international (IOTF) body mass index cut-offs for thinness. In: Overweight and obesity in children; 2013. World Obesity Federation. Extended international (IOTF) body mass index cut-offs for thinness. In: Overweight and obesity in children; 2013.
24.
go back to reference Regidor E. [the Goldthorpe social class classification: framework of reference for the proposal for the measure of social class by the working group of the Spanish epidemiological society]. Rev. Esp. Salud Publica. 2001;75:13–22. Regidor E. [the Goldthorpe social class classification: framework of reference for the proposal for the measure of social class by the working group of the Spanish epidemiological society]. Rev. Esp. Salud Publica. 2001;75:13–22.
25.
go back to reference Ajejas Bazán MJ, Jiménez Trujillo MI, Wärnberg J, Domínguez Fernández S, López de Andrés A, Pérez Farinós N. Differences in the prevalence of diagnosis of overweight-obesity in Spanish children according to the diagnostic criteria set used. Gac. In: Sanit; 2017. Ajejas Bazán MJ, Jiménez Trujillo MI, Wärnberg J, Domínguez Fernández S, López de Andrés A, Pérez Farinós N. Differences in the prevalence of diagnosis of overweight-obesity in Spanish children according to the diagnostic criteria set used. Gac. In: Sanit; 2017.
26.
go back to reference Lissner L, Sohlström A, Sundblom E, Sjöberg A. Trends in overweight and obesity in Swedish schoolchildren 1999–2005: Has the epidemic reached a plateau?: National prevalence of obesity. Obes Rev. 2010:553–9. Lissner L, Sohlström A, Sundblom E, Sjöberg A. Trends in overweight and obesity in Swedish schoolchildren 1999–2005: Has the epidemic reached a plateau?: National prevalence of obesity. Obes Rev. 2010:553–9.
27.
go back to reference Olds T, Maher C, Zumin S, Péneau S, Lioret S, Castetbon K, et al. Evidence that the prevalence of childhood overweight is plateauing: data from nine countries. Int J Pediatr Obes. 2011;6:342–60.CrossRef Olds T, Maher C, Zumin S, Péneau S, Lioret S, Castetbon K, et al. Evidence that the prevalence of childhood overweight is plateauing: data from nine countries. Int J Pediatr Obes. 2011;6:342–60.CrossRef
28.
go back to reference Wabitsch M, Moss A, Kromeyer-Hauschild K. Unexpected plateauing of childhood obesity rates in developed countries. BMC Med. 2014;12:17.CrossRef Wabitsch M, Moss A, Kromeyer-Hauschild K. Unexpected plateauing of childhood obesity rates in developed countries. BMC Med. 2014;12:17.CrossRef
29.
go back to reference Blüher S, Meigen C, Gausche R, Keller E, Pfäffle R, Sabin M, et al. Age-specific stabilization in obesity prevalence in German children: a cross-sectional study from 1999 to 2008. Int J Pediatr Obes. 2011;6:e199–206.CrossRef Blüher S, Meigen C, Gausche R, Keller E, Pfäffle R, Sabin M, et al. Age-specific stabilization in obesity prevalence in German children: a cross-sectional study from 1999 to 2008. Int J Pediatr Obes. 2011;6:e199–206.CrossRef
30.
go back to reference Aeberli I, Ammann RS, Knabenhans M, Molinari L, Zimmermann MB. Decrease in the prevalence of paediatric adiposity in Switzerland from 2002 to 2007. Public Health Nutr. 2010;13:806–11.CrossRef Aeberli I, Ammann RS, Knabenhans M, Molinari L, Zimmermann MB. Decrease in the prevalence of paediatric adiposity in Switzerland from 2002 to 2007. Public Health Nutr. 2010;13:806–11.CrossRef
31.
go back to reference [Ley de seguridad alimentaria y nutrición]. Spanish Official Bulletin (BOE); 2011. [Ley de seguridad alimentaria y nutrición]. Spanish Official Bulletin (BOE); 2011.
33.
go back to reference Johannsson E, Arngrimsson SA, Thorsdottir I, Sveinsson T. Tracking of overweight from early childhood to adolescence in cohorts born 1988 and 1994: overweight in a high birth weight population. Int J Obes. 2006;30:1265–71.CrossRef Johannsson E, Arngrimsson SA, Thorsdottir I, Sveinsson T. Tracking of overweight from early childhood to adolescence in cohorts born 1988 and 1994: overweight in a high birth weight population. Int J Obes. 2006;30:1265–71.CrossRef
34.
go back to reference López-Siguero JP, García JMF, Castillo JDDL, Molina JAM, Cosano CR, Ortiz AJ. Cross-sectional study of height and weight in the population of Andalusia from age 3 to adulthood. BMC Endocr Disord. 2008;8:S1.CrossRef López-Siguero JP, García JMF, Castillo JDDL, Molina JAM, Cosano CR, Ortiz AJ. Cross-sectional study of height and weight in the population of Andalusia from age 3 to adulthood. BMC Endocr Disord. 2008;8:S1.CrossRef
35.
go back to reference Vuorela N, Saha M-T, Salo M. Prevalence of overweight and obesity in 5- and 12-year-old Finnish children in 1986 and 2006. Acta Paediatr. 2009;98:507–12.CrossRef Vuorela N, Saha M-T, Salo M. Prevalence of overweight and obesity in 5- and 12-year-old Finnish children in 1986 and 2006. Acta Paediatr. 2009;98:507–12.CrossRef
36.
go back to reference Cameron AJ, Ball K, Pearson N, Lioret S, Crawford DA, Campbell K, et al. Socioeconomic variation in diet and activity-related behaviours of Australian children and adolescents aged 2-16 years. Pediatr Obes. 2012;7:329–42.CrossRef Cameron AJ, Ball K, Pearson N, Lioret S, Crawford DA, Campbell K, et al. Socioeconomic variation in diet and activity-related behaviours of Australian children and adolescents aged 2-16 years. Pediatr Obes. 2012;7:329–42.CrossRef
37.
go back to reference Stamatakis E, Zaninotto P, Falaschetti E, Mindell J, Head J. Time trends in childhood and adolescent obesity in England from 1995 to 2007 and projections of prevalence to 2015. J Epidemiol Community Health. 2010;64:167–74.CrossRef Stamatakis E, Zaninotto P, Falaschetti E, Mindell J, Head J. Time trends in childhood and adolescent obesity in England from 1995 to 2007 and projections of prevalence to 2015. J Epidemiol Community Health. 2010;64:167–74.CrossRef
38.
go back to reference Zhu L, Thomas B. School-based obesity policy, social capital, and gender differences in weight control behaviors. Am J Public Health. 2013;103:1067–73.CrossRef Zhu L, Thomas B. School-based obesity policy, social capital, and gender differences in weight control behaviors. Am J Public Health. 2013;103:1067–73.CrossRef
39.
go back to reference De Ruiter I, Olmedo-Requena R, Jiménez-Moleón JJ. Parental and child factors associated with under-estimation of children with excess weight in Spain. Matern Child Health J. 2017:1–9. De Ruiter I, Olmedo-Requena R, Jiménez-Moleón JJ. Parental and child factors associated with under-estimation of children with excess weight in Spain. Matern Child Health J. 2017:1–9.
40.
go back to reference Knai C, Lobstein T, Darmon N, Rutter H, McKee M. Socioeconomic patterning of childhood overweight status in Europe. Int J Environ Res Public Health. 2012:1472–89.CrossRef Knai C, Lobstein T, Darmon N, Rutter H, McKee M. Socioeconomic patterning of childhood overweight status in Europe. Int J Environ Res Public Health. 2012:1472–89.CrossRef
41.
go back to reference Watts AW, Mason SM, Loth K, Larson N, Neumark-Sztainer D. Socioeconomic differences in overweight and weight-related behaviors across adolescence and young adulthood: 10-year longitudinal findings from project EAT. Prev Med (Baltim). 2016;87:194–9.CrossRef Watts AW, Mason SM, Loth K, Larson N, Neumark-Sztainer D. Socioeconomic differences in overweight and weight-related behaviors across adolescence and young adulthood: 10-year longitudinal findings from project EAT. Prev Med (Baltim). 2016;87:194–9.CrossRef
Metadata
Title
Stabilization and reversal of child obesity in Andalusia using objective anthropometric measures by socioeconomic status
Authors
José-Juan Sánchez-Cruz
I de Ruiter
J J Jiménez-Moleón
Ll García
Maria-Jose Sánchez
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Pediatrics / Issue 1/2018
Electronic ISSN: 1471-2431
DOI
https://doi.org/10.1186/s12887-018-1295-4

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