Overweight and Obesity Prevalence in Young Children Living in Athens
DOI:
https://doi.org/10.17140/PHOJ-2-117Keywords:
Obesity; Overweight; BMI; Children; Greece.Abstract
Background: The last decades, the epidemiological dimensions of childhood obesity are of major concern worldwide. Given its long-term health consequences, research findings regard-ing overweight and obesity prevalence in young children are valuable if policies against child-hood obesity are to be planned and implemented. As Greece, is one of the countries facing the problem of obesity, the aim of the present study was to assess overweight and obesity status in young children living in the capital of Greece, Athens.Methods: Seven hundred and fifty-two children (320 boys; 432 girls), aged 4-8 years (6.37±1.17 years) volunteered to participate and were divided into four age groups (4-5, 5-6, 6-7 and 7-8-year-old). Children’s body mass index (BMI) was calculated by dividing each participant’s weight (kg) by the square of standing body height (m2). Overweight and obesity definition was based on the International Obesity Task Force (IOTF) gender- and age-specific cut-off criteria.Results: The overall prevalence of overweight was 18.2% (18.1% boys; 18.3% girls) and of obesity 7.4% (5.6% boys; 8.8% girls). The χ2 tests revealed that there were no significant differ-ences in prevalence of overweight or obesity between boys and girls (χ2=2.76, p=.25). Regard-ing age groups, there was only one significant difference; that was between 6 and 7-year-old boys, with the 7-year-old surpassing the 6-year-old. Conclusions: The overweight/obesity is apparent among young Greek children at alarming lev-els. Carefully designed policy interventions are of great importance in order children’s dietary and physical activity patterns to be improved.
References
Matayka K. Managing obesity in children. Obes Pract. 2004; 4(2): 2-6.
Veugelers PJ, Fitzgerald AL. Prevalence of and risk factors for childhood overweight and obesity. CMAJ. 2005; 173(6): 607- 613. doi: 10.1503/cmaj.050445
Flegal KM, Kruszon-Moran D, Carroll MD, Fryar CD, Og-den CL. Trends in obesity among adults in the United States, 2005 to 2014. JAMA. 2016; 315(21); 2284-2291. doi: 10.1001/ jama.2016.6458
Nikooyeh B, Abdollahi Z, Salehi F, et al. Prevalence of obe-sity and overweight and its associated factors in urban adults from West Azerbaijan, Iran: The National Food and Nutritional Surveillance Program (NFNSP). Nutr Food Scien Res. 2016; 3(2): 21-26.
Wu Y. Overweight and obesity in China. BMJ (Clin Res ed). 2006; 333(7564): 362-363. doi: 10.1136/bmj.333.7564.362
van Jaarsveld, CH, Gulliford MC. Childhood obesity trends from primary care electronic health records in England be-tween 1994 and 2013: Population-based cohort study. Arch Dis Child. 2015. 100(3): 214-219. doi: 10.1136/archdis-child-2014-307151
Rajput N, Tuohy P, Mishra S, Smith A, Taylor, B. Overweight and obesity in 4-5-year-old children in New Zealand: Results from the first 4 years (2009-2012) of the B4School Check pro-gramme. J Paediatr Child Health. 2015; 51(3): 334-343. doi: 10.1111/jpc.12716
Ogden CL, Flegal KM, Carroll MD, Johnson CL. Prevalence and trends in overweight among U.S. children and adolescents, 1999-2000. JAMA. 2002; 288(14): 1728-1732. doi: 10.1001/ jama.288.14.1728
Silveira JAC, Colugnati FAB, Cocetti M, Taddei JA. Secu-lar trends and factors associated with overweight among Bra-zilian preschool children: PNSN-1989, PNDS-1996, and 2006/07. J Pediatr (Rio J). 2014; 90(2): 258-266. doi: 10.1016/j. jpedp.2013.09.002
Zong XN, Li H. Secular trends in prevalence and risk factors of obesity in infants and preschool children in 9 Chinese cities, 1986-2006. PLoS One. 2012; 7(10): e46942. doi: 10.1371/jour-nal.pone.0046942
Chu NF. Prevalence and trends of obesity among school chil-dren in Taiwan-the Taipei Children Heart Study. Int J Obes Relat Metab Disord. 2001; 25(2): 170-176. Web site. http://search. proquest.com/openview/501bfe7492e4fb99ed8a1bf11c4e424c /1?pq-origsite=gscholar&cbl=38864. Accessed November 24, 2016.
Júlíusson PB, Roelants M, Eide GE, Hauspie R, Waaler PE, Bjerknes R. Overweight and obesity in Norwegian children: Secular trends in weight-for-height and skinfolds. Acta Paediatr. 2007; 96(9): 1333-1337. doi: 10.1111/j.1651-2227.2007.00421.x
Parrino C, Rossetti P, Baratta R, et al. Secular trends in the prevalence of overweight and obesity in Sicilian schoolchildren aged 11-13 years during the last decade. PLoS One. 2012; 7(4): e34551. doi: 10.1371/journal.pone.0034551
Cattaneo A, Monasta L, Stamatakis E, et al. Overweight and obesity in infants and pre-school children in the European Union: A review of existing data. Obes Rev. 2010; 11(5): 389- 398. doi: 10.1111/j.1467-789X.2009.00639.x
Drewnowski A, Specter SE. Poverty and obesity: The role of energy density and energy costs. Am J Clin Nutr. 2004; 79(1): 6-16. Web site. http://ajcn.nutrition.org/content/79/1/6.short. Accessed November 24, 2016.
Pařízková J, Sedlak P, Dvořáková H, Lisá L, Bláha P. Secular trends of adiposity and motor abilities in preschool children. J Obes Wt Loss Ther. 2012; 2(153): 2.
Meirhaeghe A, Helbecque N, Cottel D, Amouyel P. Beta 2-adrenoceptor gene polymorphism, body weight, and physical activity. Lancet. 1999; 353(9156): 896. Web site. http://search. proquest.com/openview/94a3f0481a74d10128ffecc8c809852e /1?pq-origsite=gscholar&cbl=40246. Accessed November 24, 2016.
Church TS, Thomas DM, Tudor-Locke C, et al. Trends over 5 decades in U.S. occupation-related physical activity and their associations with obesity. PLoS One. 2011; 6(5): e19657. doi: 10.1371/journal.pone.0019657
Manios Y, Kourlaba G, Kondaki K, Grammatikaki E, Anastasiadou A, Roma-Giannikou E. Obesity and television watching in preschoolers in Greece:The GENESIS study.Obesity. 2009; 17(11): 2047-2053. doi: 10.1038/oby.2009.50
Lagiou A, Parava, M. Correlates of childhood obesity in Athens, Greece. Public Health Nutr. 2008; 11(09): 940-945. doi: 10.1017/S1368980008002462
Classen T, Hokayem C. Childhood influences on youth obesity. Econ Hum Biol. 2005; 3(2): 165-187.
Wang Y, Lobstein T. Worldwide trends in childhood over-weight and obesity. Int J Pediatr Obes. 2006; 1(1): 11-25. Web site. http://www.tandfonline.com/doi/abs/10.1080/17477160600 586747. Accessed November 24, 2016.
Manios Y, Costarelli V, Kolotourou M, Kondakis K, Tzavara C, Moschonis G. Prevalence of obesity in preschool Greek children, in relation to parental characteristics and region of residence. BMC Public Health. 2007; 7(1): 1. doi: 10.1186/1471- 2458-7-178
Whitaker RC. Predicting preschooler obesity at birth: The role of maternal obesity in early pregnancy. Pediatrics. 2004; 114(1): 29-36. Web site. http://pediatrics.aappublications.org/ content/114/1/e29.short. Accesseed November 24, 2016.
Stunkard AJ, Faith MS, Allison KC. Depression and obesity. Biol Psychiatry. 2003; 54(3): 330-337.
Power C, Lake JK, Cole TJ. Measurement and long-term health risks of child and adolescent fatness. Int J Obes Relat Metab Disord. 1997; 21(7): 507-526.
Nassis GP, Papantakou K, Skenderi K, et al. Aerobic exercise training improves insulin sensitivity without changes in body weight, body fat, adiponectin and inflammatory markers in overweight and obese girls. Metab Clin Exp. 2005; 54(11): 1472-1479.
Krekoukia M, Nassis GP, Psarra G, Skenderi K, Chrousos GP, Sidossis LS. Elevated total and central adiposity and low physical activity are associated with insulin resistance in chil-dren. Metab Clin Exp. 2007; 56(2): 206-213. doi: 10.1016/j.me-tabol.2006.09.014
Singla P, Bardoloi A, Parkash AA. Metabolic effects of obesity: A review. World J Diabetes. 2010; 1(3): 76-88. doi: 10.4239/wjd.v1.i3.76
Williams J, Wake M, Hesketh K, Maher E, Waters E. Health-related quality of life of overweight and obese children. JAMA. 2005; 293(1): 70-76. doi: 10.1001/jama.293.1.70
Sanderson K, Patton GC, McKercher C, Dwyer T, Venn AJ. Overweight and obesity in childhood and risk of mental disor-der: A 20-year cohort study. Aust N Z J Psychiatry. 2011; 45(5): 384-392. Web site. http://www.tandfonline.com/doi/abs/10.310 9/00048674.2011.570309. Accessed November 24, 2016.
Freedman DS, Sherry B. The validity of BMI as an indicator of body fatness and risk among children. Pediatrics. 2009; 124(1): S23-S34. Web site. http://pediatrics.aappublications.org/ content/124/Supplement_1/S23.short. Acceesed November 24, 2016.
Singh AS, Mulder C, Twisk JW, van Mechelen W, Chinapaw MJ. Tracking of childhood overweight into adulthood: A systematic review of the literature. Obes Rev. 2008; 9(5): 474- 488. doi: 10.1111/j.1467-789X.2008.00475.x
Baird J, Fisher D, Lucas P, et al. Being big or grow-ing fast: Systematic review of size and growth in infancy and later obesity. BMJ. 2005; 331(7522): 929-935. doi: 10.1136/ bmj.38586.411273.E0
Whitaker RC, Wright JA, Pepe MS, Seidel KD, Dietz WH. Predicting obesity in young adulthood from childhood and parental obesity. N Eng J Med. 1997; 337(13): 869-873. doi: 10.1056/NEJM199709253371301
James WPT. The epidemiology of obesity: The size of the problem. J Intern Med. 2008; 263(4): 336-352. doi: 10.1111/j.1365-2796.2008.01922.x
Beaglehole R, Bonita R, Horton R, et al. Priority actions for the non-communicable disease crisis. Lancet. 2011; 377(9775): 1438-1447. doi: 10.1016/S0140-6736(11)60393-0
Roditis ML, Parlapani ES, Tzotzas T, Hassapidou M, Krassas GE. Epidemiology and predisposing factors of obe-sity in Greece: From the Second World War until today. J Pe-diatr Endocrinol Metab. 2009; 22(5): 389-405. doi: 10.1515/ JPEM.2009.22.5.389
Brambilla P, Vezzoni M, Lucchini R, et al. Is the prevalence of overweight reducing at age 5-6 years? Ten years data col-lection in ASL Milano 2. Ital J Pediatr. 2012; 38(1): 24. doi: 10.1186/1824-7288-38-24
de Wilde JA, Verkerk PH, Middelkoop BJC. Declining and stabilising trends in prevalence of overweight and obe-sity in Dutch, Turkish, Moroccan and South Asian children 3-16 years of age between 1999 and 2011 in the Netherlands. Arch Dis Child. 2014; 201399(1): 46-51. doi: 10.1136/archdis-child-2013-304222
Olds T, Maher C, Zumin S, et al. Evidence that the prev-alence of childhood overweight is plateauing: Data from nine countries. Int J Pediatr Obes. 2011; 6(5-6): 342-360. Web site. http://www.tandfonline.com/doi/abs/10.3109/17477166.2011.6 05895. Accessed November 24, 2016.
Olds TS, Tomkinson GR, Ferrar KE, Maher CA. Trends in the prevalence of childhood overweight and obesity in Australia between 1985 and 2008. Int J Obes. 2010; 34(1): 57-66. doi: 10.1038/ijo.2009.211
Skinner AC, Skelton JA. Prevalence and trends in obesity and severe obesity among children in the United States, 1999- 2012. JAMA Pediatr. 2014; 168(6): 561-566. doi: 10.1001/jama-pediatrics.2014.21
Brinkman HJ, de Pee Saskia, Sanogo I, Subran L, Bloem MW. High food prices and the global financial crisis have re-duced access to nutritious food and worsened nutritional sta-tus and health. J Nutr. 2010; 140(1): 153S-161S. doi: 10.3945/ jn.109.110767
Hassapidou M, Daskalou E, Tsofliou F, et al. Prevalence of overweight and obesity in preschool children in Thes-saloniki, Greece. Hormones (Athens). 2015. doi: 10.14310/ horm.2002.1601
Kambas A, Venetsanou F, Avloniti A, et al. Pedometer de-termined physical activity and obesity prevalence of Greek chil-dren aged 4-6 years. Ann Hum Biol. 2015; 42(3): 231-236. doi: 10.3109/03014460.2014.943286
Kyriazis I, Rekleiti M, Saridi M, et al. Prevalence of obe-sity in children aged 6-12 years in Greece: Nutritional behaviour and physical activity. Arch Med Sci. 2012; 8(5): 859-864. doi: 10.5114/aoms.2012.31296
Kollias A, Skliros E, Stergiou GS, Leotsakos N, Saridi M, Garifallos D. Obesity and associated cardiovascular risk factors among schoolchildren in Greece: A cross-sectional study and re-view of the literature. J Ped Endocrin Metab. 2011; 24(11-12): 929-938. doi: 10.1515/JPEM.2011.309
Kollias AK, Skliros EA, Leotsakos N, Gikas A, Garifallos D. Childhood obesity in relation to parental weight status in Greece. Hippokratia. 2009; 13(4): 253. Web site. http://hippokratia.gr/ images/PDF/13-4/906.pdf. Accessed November 24, 2016.
Tambalis KD, Panagiotakos DB, Kavouras SA, et al. Eleven-year prevalence trends of obesity in Greek children: First evi-dence that prevalence of obesity is leveling off. Obesity. 2010; 18(1): 161-166. doi: 10.1038/oby.2009.188
Farajian P, Panagiotakos DB, Risvas G, et al. Socio-eco-nomic and demographic determinants of childhood obesity prevalence in Greece: The GRECO (Greek Childhood Obesity) study. Public Health Nutr. 2012; 16(2): 240-247. doi: 10.1017/ S1368980012002625
Farajian P, Risvas G, Karasouli K, et al. Very high childhood obesity prevalence and low adherence rates to the Mediterranean diet in Greek children: The GRECO study. Atherosclerosis. 2011; 217(2): 525-530. doi: 10.1016/j.atherosclerosis.2011.04.003
Dietz WH. Critical periods in childhood for the development of obesity. Am J Clin Nutr. 1994; 59(5): 955-959. Web site. http:// ajcn.nutrition.org/content/59/5/955.short. Accessed November 24, 2016.
Cummingham SA, Kramer MR, Nrayan KMV. Incidence of childhood obesity in the United States. N Engl J Med. 2014; 370(5): 403-411. doi: 10.1056/NEJMoa1309753
Skouteris H, Hartley-Clark L, McCabe M, et al. Preventing excessive gestational weight gain: A systematic review of inter-ventions. Obes Rev. 2010; 11(11): 757-768. doi: 10.1111/j.1467- 789X.2010.00806.x
Cole TJ, Bellizzi MC, Flegal KM, Dietz WH. Establishing a standard definition for child overweight and obesity worldwide: International survey. BMJ. 2000; 320(7244): 1240-1243. doi: 10.1136/bmj.320.7244.1240
Cole TJ, Flegal KM, Nicholls D, Jackson AA. Body mass index cut offs to define thinness in children and adolescents: In-ternational survey. BMJ. 2007; 335(7612): 194. doi: 10.1136/ bmj.39238.399444.55
de Onis M, Blössner M, Borghi E. Global prevalence and trends of overweight and obesity among preschool chil-dren. Am J Clin Nutr. 2010; 92(5): 1257-1264. doi: 10.3945/ ajcn.2010.29786
Krassas GE, Tzotzas T, Tsametis C, Konstantinidis T. Prevalence and trends in overweight and obesity among children and adolescents in Thessaloniki, Greece. JPEM. 2000; 14 Suppl 5: 1319-1326. Web site. http://europepmc.org/abstract/ med/11964029. Accessed November 24, 2016.
Papadimitriou A, Kounadi D, Konstantinidou M, Xepapadaki P, Nicolaidou P. Prevalence of obesity in elementary schoolchildren living in Northeast Attica, Greece. Obesity. 2006; 14(7): 1113-1117. doi: 10.1038/oby.2006.127
Georgiadis G, Nassis GP. Prevalence of overweight and obesity in a national representative sample of Greek children and adolescents. Eur J Clin Nutr. 2007; 61(9): 1072-1074. doi: 10.1038/sj.ejcn.1602619
Makedou KG, Moschous E, Kourtis AA. Prevalence of childhood obesity in schools of Northern Greece. AUMJ. 2011; 38(1): 17-19. Web site. https://ejournals.lib.auth.gr/aumj/article/ view/4685. Accessed November 24, 2016.
Xiao Y, Qiao Y, Pan L, et al. Trends in the prevalence of overweight and obesity among Chinese preschool children from 2006 to 2014. PLoS One. 2015; 10(8): e0134466. doi: 10.1371/ journal.pone.0134466
Sedlak P, Pařízková J, Daniš R, Dvořáková H, Vignerová J. Secular changes of adiposity and motor development in Czech preschool children: Lifestyle changes in fifty-five year retro-spective study. Bio Med Res Int. 2015: 823841. doi: 10.1155 /2015/823841
Ng M, Fleming T, Robinson M, et al. Global, regional, and national prevalence of overweight and obesity in children and adults during 1980-2013: A systematic analysis for the Global Burden of Disease Study 2013. Lancet. 2014; 384(9945): 766- 781. doi: 10.1016/S0140-6736(14)60460-8
Published
How to Cite
Issue
Section
License

This work is licensed under a Creative Commons Attribution 4.0 International License.
All content published in Public Health - Open Journal (PHOJ) is licensed under the Creative Commons Attribution 4.0 International License (CC BY 4.0). This license allows anyone to copy, distribute, transmit, and adapt the work — including for commercial purposes — provided appropriate credit is given to the original author(s) and source.