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Multi-level influences on childhood obesity in Sweden: societal factors, parental determinants and child's lifestyle

Artikel i vetenskaplig tidskrift
Författare Lotta Moraeus
Lauren Lissner
A. Yngve
E. Poortvliet
U. Al-Ansari
Agneta Sjöberg
Publicerad i International Journal of Obesity
Volym 36
Nummer/häfte 7
Sidor 969-976
ISSN 0307-0565
Publiceringsår 2012
Publicerad vid Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa
Institutionen för kost- och idrottsvetenskap
Sidor 969-976
Språk en
Länkar dx.doi.org/10.1038/ijo.2012.79
Ämnesord child, overweight, lifestyle, population density, parent's weight status, body-mass index, physical-activity, overweight prevalence, urban, trends, adolescents, prevention, risk
Ämneskategorier Klinisk medicin, Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi

Sammanfattning

BACKGROUND: Swedish school children living in rural areas and in areas with low education are at excess risk of becoming overweight. This study examines influences of societal and individual characteristics (children and their parents) on prevalence of overweight and obesity, in a national sample of 7-9-year-old children. METHOD: Anthropometric and lifestyle data were collected in a nationally representative sample of 3636 Swedish children. Overweight and obesity (International Obesity Task Force (IOTF)) data were analyzed in relation to lifestyle factors, parental weight, education and breast-feeding. RESULTS: The prevalence of overweight was 15.6% including 2.6% obese. Urbanization level and parental characteristics (weight status and education) were related to risk of overweight. Overall less favorable lifestyle characteristics were observed in rural areas and for children of low/medium educated mothers. Boys had greater risk of obesity in semi-urban and rural areas but this was not true for girls. For children's overweight, the living area effect was attenuated in multivariate analysis, while there was an association with origin of parents, high parental weight and medium maternal education. For obesity, the living area effect remained in boys while having two non-Nordic parents predicted obesity in girls. Parental weight status was associated with obesity in both girls and boys. CONCLUSION: Individual and societal factors influence children's weight status, and parental weight status is a strong determinant. Including overweight and obese parents in future health promoting interventions could be a strategy to prevent children from becoming overweight, but identifying those parents may prove difficult. To ensure reaching children with the greatest needs, targeting high risk areas might be a more effective approach.

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