UTICAJ SOCIOEKONOMSKIH I DEMOGRAFSKIH PARAMETARA NA GOJAZNOST DECE OD 7 DO 11 GODINA U SEVERNOBAČKOM REGIONU
UTICAJ SOCIOEKONOMSKIH I DEMOGRAFSKIH PARAMETARA NA GOJAZNOST DECE
Sažetak
U Republici Srbiji, gojaznost prerasta u veliki problem. Cilj rada je bio da se utvrdi nutritivni status dece od 7 do 11 godina i mogući faktori koji utiču na gojaznost. Transferzalno antropološko istraživanje je urađeno u osnovnim školama u ruralnim i urbanim sredinama severnobačkog regiona Vojvodine (severni deo Republike Srbije). Istraživanje je sprovedeno od 2017. do 2020. godine i obuhvatilo je 1057 dečaka i 1085 devojčica, starosti od 6.50 do 11.49 decimalnih godina. Izračunat je Indeks telesne mase (ITM kg/ m2), a nutritivni status je određen pomoću kriterijuma IOTF. Korišćenjem logističke regresione analize utvrđena je interakcija gojaznosti sa socioekonomskim i demografskim faktorima. Pothranjenost je prisutna kod 5.53% učenika (3.78% dečaka i 7.28% devojčica). Prevalencija prekomerne uhranjenosti je utvrđena kod 18% ispitanika (19.02% dečaka i 17.69% devojčica), a gojaznosti kod 9.73% ispitanika (11.54% dečaka i 7.93% devojčica). Utvrđena je značajna povezanost pojedinih sociodemografskih parametara sa vrednostima ITM i pojavom gojaznosti kod oba pola. Rezultati ukazuju da je prekomerna telesna masa prisutna kod 27.73% ispitanika i da predstavlja javno zdravstveni problem kod dece mlađeg školskog uzrasta u ovom regionu Vojvodine.
Reference
Ahrens, W., Pigeot, I., Pohlabeln, H., De Henauw, S., Lissner, L., Molnár, D., et al. (2014). Prevalence of overweight and obesity in European children below the age of 10. Int J Obes (Lond), 38 S2:599–107. doi:10.1038/ijo.2014.140.
Cole, TJ., Bellizzi, MC., Flegal, KM., Dietz, WH. (2000). Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ. 320:1240-1243.
Farajian, P., Panagiotakos, D.B., Risvas G., Karasouli, K., Bountziouka V., Voutzourakis, N., Zampelas, A. (2012). Socio-economic and demographic determinants of childhood obesity prevalence in Greece: the GRECO (Greek Childhood Obesity) study. Public Health Nutrition. 16(2): 240-247.
Garrido-Miguel, M., Caver-Redondo I., Alvarez-Bueno, C., Rodriguez-Artelejo, F., Moreno, L.A., Ruiz, JR. et al. (2019). Prevalence and Trends of Overweight and Obesity in European Children From 1999-2016. A Systematic Review and Meta-Analysis. JAMA Pediatr.173(10): doi:10.1001/jamapediatrics.2019.2430
Lamerz, A., Kuepper-Nybelen, J., Wehle, C. Bruning, N., Trost-Brinkhues, G., Brenner, H. et al. (2005) Social class, parental education, and obesity prevalence in a study of six-year-old children in Germany. Int J Obes (Lond) 29, 373–380.
Marković, L., Ðordić, V., Trajković, N., Božić, P., Halaši, S., Cvejić, D., Ostojić, S. (2021). Childhood Obesity in Serbia on the Rise. Children, 8, 409. https://doi.org/10.3390/children8050409
Mladenova, S., Andreenko, E. (2015). Influence of socio-economic and demographic factors, feeding and physical activity on nutritional status of 8-15-year-old Bulgarian children and adolescents: preliminary results. Nutr Hosp. 32(6):2559-2569.
Muthuri, SK., Onywera, VO., Tremblay, MS., Broyles, ST., Chaput, JP., Fogelholm, M, et al. (2016). Relationships between parental education and overweight with childhood overweight and physical activity in 9-11 year old children: results from a 12-country study. PLoS One, 11(8):e0147746. 10.1371/journal.pone.0147746
Ng, M., Fleming, T., Robinson, M., Thomson, B., Graetz, N., Margono, C., et al. (2014). 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 . 384(9945):766–81. doi: 10.1016/S0140-6736(14)60460-8.
Pavlović, M. (1999). Nutritional status of children in North Bačka region. Public Health Institute Subotica, Yugoslavia.
Ruiz, M., Goldblatt, P., Morrison, J., Porta, D., Forastiere, F., Hryhorczuk, D., et al. (2016). Impact of low maternal education on early childhood overweight and obesity in Europe. Paediatr Perinat Epidemiol. 30(3):274–84. 10.1111/ppe.12285
Schienkiewitz, A., Brettschneider, AK., Damerow, S., Schaffrath Rosario, A. (2018). Übergewicht und Adipositas im Kindes-und Jugendalter in Deutschland - Querschnittergebnisse aus KiGGS Welle 2 und Trends. J Heal Monit., 3((3)):60–74.
Shrewsbury, V., Wardle, J. (2008). Socioeconomic status and adiposity in childhood: a systematic review of cross-sectional studies 1990–2005. Obesity (Silver Spring), 16((2)):275–84.
Spinelli, A., Buoncristiano, M., Kovacs, V.A., Yngve, A., Spiroski, J., Obreja, G., et al. (2019). Prevalence of Severe Obesity among Primary School Children in 21 European Countries. Obes Facts. 2019;12(2):244-258. doi: 10.1159/000500436.
Zhang, YX., Wang, ZX., Zhao, JS., Chu, ZH. (2016). Prevalence of overweight and obesity among children and adolescents in Shandong, China: urban-rural disparity. J Trop Pediatr. 62(4):293–300. 10.1093/tropej/fmw011
