Preview

Current Pediatrics

Advanced search

PREVALENCE AND GENDER CHARACTERISTICS OF OBESITY IN ADOLESCENTS IN THE CITY OF PERM

https://doi.org/10.15690/vsp.v13i5.1148

Abstract

Background: Currently, there is a well-publicised worldwide increase in obese patients. The origins of adult obesity, in the majority of cases, are in children. Objective: Our aim was to study the prevalence and gender features of excess weight and obesity in adolescents in Perm. Methods: The study included adolescents aged 13–14, living in the city of Perm. Medical examinations were compared in statistics from 2005 and 2013. Weight, height and waist circumference were measured on all children. Body mass index was calculated, as was a standard deviation coefficient. Sexual development was evaluated according to the criteria of Tanner. Results: 828 adolescents were viewed (444 in 2005 and 384 in 2013). The prevalence of overweight adolescents in 2005 was 12.5%, including 3.1% who were obese. In 2013, 20.3% of adolescents were diagnosed as overweight, with 5.5% being diagnosed as obese. Abdominal obesity to type was diagnosed in 52.4% of obese children. Over the past 8 years, the number of adolescents who are overweight and obese has increased by more than half. A statistically significant increase has beenrecorded for overweight adolescents (ᵪ2 = 5,16; p = 0,023). In adolescents with excess body weight, growth rates were higher than in those children with either normal body weight or obesity; these differences were statistically significant in boys (p = 0.016). The total score of puberty in boys who were overweight was statistically significantly higher than adolescents with normal body weight orobesity (p = 0.0116). Conclusion: The percentage of children who are overweight and obese hasincreased by 74% and 67%, respectively over an 8-year period, resulting ina statistically significant increase in relation to overweight children. There was a significant increase in the number of teenage girls who are overweight.

About the Authors

R. M. Ahmedova
E.A. Wagner Perm State Academy of Medicine
Russian Federation


L. V. Sofronova
E.A. Wagner Perm State Academy of Medicine
Russian Federation


R. N. Trefilov
E.A. Wagner Perm State Academy of Medicine
Russian Federation


References

1. World Health Organization (WHO) Global Health Observatory Data Repository. Geneva, Switzerland: WHO. 2014. (Available from: http://www.who.int/mediacentre/factsheets/fs311/en/).

2. Намазова-Баранова Л. С., Ресненко А. Б. Ожирение. М.: ПедиатрЪ. 2012. 24 с.

3. Prevention and Treatment of Pediatric Obesity: An Endocrine Society Clinical Practice Guideline Based on Expert Opinion. JCEM. 2008; 93 (12): 4576–4599.

4. Ogden C. L., Carroll M. D., Flegal K. M. High body mass index for age among US children and adolescents, 2003–2006. JAMA. 2008; 299 (20): 2401–2405.

5. Miqueleiz E., Lostao L., Ortega P., Santos J. M., Astasio P., Regidor E. Trends in the prevalence of childhood overweight and obesity according to socioeconomic status: Spain, 1987–2007. Eur. J. Clin. Nutr. 2014; 68 (2): 209–214.

6. Картелищев A. B., Румянцев А.Г., Смирнова Н. С. Ожирение у детей и подростков. Причины и современные технологии терапии и профилактики. М.: Бином. 2013. 280 с.

7. Дедов И. И., Мельниченко Г. А., Бутрова С. А., Савельева Л. В., Бодавели О. В., Буйдина Т. А., Вихарева М. В., Воробьева В. А., Есаян Р. М., Зайкова И. О., Камшилова К. А., Киселева Н. Г., Кова ренко М. А., Михайлова Е. Г., Ооржак У. С., Панфилова В. Н., Пьянкова Е. Ю., Сметанина С. А., Сергеева Н. Е., Суплотова Л. А., Таранушенко Т. Е., Харитонова Н. Е., Чеботникова Т. В., Чер няк И. Ю., Шаленная И. Г., Яновская М. Е. Ожирение у подростков в России. Ожирение и метаболизм. 2006; 4: 30–34.

8. Малиевский О. А., Маслова Н. Г. Распространенность ожирения и избыточной массы тела у детей и подростков. Мат-лы IX Всерос. науч.-практ. конф. детских эндокринологов. Архангельск. 2013. 26 с.

9. Cole T., Bellizzi M. C., Flegal K. M., Dietz W. H. Establishing a standart definition for child overweight and obesity wordwide: international survey. BMJ. 2000; 320: 1240.

10. de Onis M., Onyango A. W., Borghi E., Siyam B., Nishida S., Siekmann J. Development of a WHO growth reference for school-aged children and adolescents. Bull. World Health Organ. 2007; 85: 660–667.

11. Fernandez J. R., Red den D. T., Pietrobelli A., Allison D. B. Waist circumference percentiles in nationally representative samples of African American, European-American, and Mexican-American children and adolescents. J. Pediatr. 2004; 145 (4): 439–444.

12. Marshall W. A., Tanner J. M. Variations in pattern of pubertal changes in girls. Arch. Dis. Child. 1969; 44 (235): 291–303.

13. Петеркова В. А., Ремизов О. В. Ожирение в детском возрасте. Ожирение и метаболизм. 2004; 1: 17–23.

14. Kotanidou E. P., Grammatikopoulou M. G., Spiliotis B. E., KanakaGantenbein C., Tsigga M., Galli-Tsinopoulou A. Ten-year obesity and overweight prevalence in Greek children: a systematic review and meta-analysis of 2001–2010 data. Hormones (Athens). 2013; 12 (4): 537–549.

15. May A. L., Freedman D., Sherry B., Blanck H. M. Obesity — United States, 1999–2010. MMWR Surveill. Summ. 2013; 62 (3): 120–128.

16. Burt Solorzano C. M., McCartney C. R. Obesity and the pubertal transition in girls and boys. Reproducton. 2010; 140 (3): 399–410.

17. De Leonibus C., Marcovecchio M. L., Chiarrelli F. Update on statural growth and pubertal development in obese children. Pediatr. Rep. 2012; 4 (4): 35.

18. Marcovecchio M. L., Chiarrelli F. Obesity and growth during childhood and puberty. World Rew. Nutr. Diet. 2013; 106: 135–141.

19. Park M. J., Kim H. S., Kang J. H., Kim D. H., Chung C. Y. Serum levels of insulin-like growth factor (IGF)-1, free IGF-1, IGF binding protein (IGFBP)-1, IGFBP-3 and insulin in obese children. J. Pediatr. Endocrinol. Metab. 1999; 12 (2): 139–144.

20. Fennoy I. Effect of obesity on linear growth. Curr. Opin. Endocrinol. Diabetes Obes. 2013; 20 (1): 44–49.

21. Дедов И. И., Петеркова В. А. Детская эндокринология. М.: Универсум Паблишинг. 2006. 600 с.

22. Potter C. M., Ulijaszek S. J. Predicting adult obesity from measures in earlier life. J. Epidemiol. Community Health. 2013; 67 (12): 1032–1037.

23. Russell M., Trevisan M., Stranges S. Childhood obesity, other cardiovascular risk factors, and premature death. N. Engl. J. Med. 2010; 362 (19): 1840.

24. Halfon N., Verhoef P. A., Kuo A. A. Childhood antecedents to adult cardiovascular disease. Pediatr. Rev. 2012; 33 (2): 51–60.

25. Luttikhuis H. O., Baur L., Jansen H., Shrewsbury V. A., O’Malley C., Stolk R. P., Summerbell C. D. Interventions for treating obesity in children. Cochr. Database Syst. Review. 2009; 1: CD001872.

26. Петеркова В. А., Васюкова О. В., Окороков П. Л. Динамика уровня адипонектина в крови при лечении ожирения у подростков: сравнение двух вариантов терапии. Проблемы эндокринологии. 2013; 2 (59): 26–33.


Review

For citations:


Ahmedova R.M., Sofronova L.V., Trefilov R.N. PREVALENCE AND GENDER CHARACTERISTICS OF OBESITY IN ADOLESCENTS IN THE CITY OF PERM. Current Pediatrics. 2014;13(5):37-41. (In Russ.) https://doi.org/10.15690/vsp.v13i5.1148

Views: 1219


ISSN 1682-5527 (Print)
ISSN 1682-5535 (Online)