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Socioeconomic status, overweight and obesity in prepuberal children: A study in an area of Northern Italy

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Abstract

The aim of this study was to determine whether socio-economical status (SES) is associated with overweight and obesity in prepuberal children. In an area of North-Western Italy a sample of 1420 children, aged 10–11 years, had his/her height and weight recorded, (overweight and obesity were defined, respectively, as relative body weight ≥120% and ≥140%), and parents were requested to compile a questionnaire exploring some demographic and social conditions. 23% of the sample resulted overweight or obese. Prevalence rate ratios (PRR) of overweight and obesity (together) were calculated, adjusting for parents' age, parents' area of birth, and school district. PRR for mother's lowest educational level compared to the highest was 1.59 (95% CI: 1.19–2.13), while for father's education was 1.21 (0.90–1.63). PRRs for ‘unemployed’ or ‘manual’ mother compared to ‘upper non manual’ were respectively 1.83 (1.20–2.79) and 2.20 (1.31–3.68), while for ‘unemployed’ or ‘manual’ father were 2.63 (1.97–2.63), and 1.63 (1.27–2.09). The cultural resources of the mother, and the economical resources of the family seem to influence the prevalence of weight gain in prepuberal children. This should be taken into account when planning programs for the prevention or reduction of obesity in children.

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References

  1. Ceratti F, Garavaglia M, Piatti L, et al. Screening dell'obesità nella popolazione scolastica della zona 20 di Milano ed intervento di educazione alimentare. Epid Prev 1990; 45: 1–8.

    Google Scholar 

  2. Maffeis C, Talamini G, Tató L. Influence of diet, physical activity and parent's obesity on children adiposity: A four-year longitudinal study. Int J Obesity 1998; 22: 758–764.

    Google Scholar 

  3. De Vito E, La Torre G, Langiano E, Berardi D, Ricciardi G. Overweight and obesity among secondary school children in Central Italy. Eur J Epidemiol 1999; 15: 649–654.

    Google Scholar 

  4. Rimm IJ, Rimm A. Association between juvenile onset of obesity and severe adult obesity in 73,532 women. Am J Public Health 1976; 66: 479–489.

    Google Scholar 

  5. Garn SM, La Velle M. Two-decade follow up of fatness in early childhood. Am J Dis Child 1985; 139: 181–185.

    Google Scholar 

  6. Sobal J, Stukard AJ. Socioeconomic status and obesity: A review of the literature. Psychol Bull 1989; 105: 260–275.

    Google Scholar 

  7. Sudquist J, Johansson SE. The influence of socioeconomic status, ethnicity and lifestyle on body mass index in a longitudinal study. Int J Epidemiol 1998; 27: 57–63.

    Google Scholar 

  8. Stukard AJ, D'Aquili E, Fox S, Filion RDL. The influence of social class on obesity and thinness in children. JAMA 1985; 221: 579–584.

    Google Scholar 

  9. Kimm SY, Obarzanek E, Barton BA, et al. Race, socioeconomic status and obesity in 9-to 10-year old girls: The NHLBI Growth and Health Study. Ann Epidemiol 1996; 6: 266–275.

    Google Scholar 

  10. Troiano RP, Flegal KM. Overweight children and adolescents: Description, epidemiology and demographics. Pediatrics 1998; 101: 497–504.

    Google Scholar 

  11. Hunter S, Frerichs PR, Webber LS, Berenson GS. Social status and cardiovascular disease risk factor variables in children: The Bogalusa Heart Study. J Chronic Dis 1979; 32: 441–449.

    Google Scholar 

  12. Khoury PR, Morrison JA, Laskarzenski P, et al. Relationships of education and occupation to coronary heart risk factors in schoolchildren and adults: The Princeton School District study. Am J Epidemiol 1981; 113: 378–395.

    Google Scholar 

  13. De Spiegalere M, Dramaix M, Hennart P. Socioeconomic status and changes in body mass from 3 to 5 years. Arch Dis Child 1998; 78: 477–478.

    Google Scholar 

  14. De Spiegalere M, Dramaix M, Hennart P. Social status and obesity during puberty. Int J Obesity 1998; 22: 268–274.

    Google Scholar 

  15. Jansen W, Hazebroek Kampschreur AA. Differences in height and weight between children living in neighbourhoods of different socioeconomic status. Acta Paediatr 1997; 86: 224–225.

    Google Scholar 

  16. Lissau-Lund-Sorensen I, Sorensen TIA. Prospective study of the influence of social factors in childhood on risk of overweight in young adulthood. Int J Obesity 1992; 16: 169–175.

    Google Scholar 

  17. Leino M, Porkka KV, Raitakari OT, Laitinen S, Taimela S, Viikari JS. Influence of parental occupation on coronary heart disease risk factors in children. The cardiovascular Risk in Young Finns Study. Int J Epidemiol 1996; 25: 1889–1895.

    Google Scholar 

  18. White E, Wilson A, Greene SA, et al. Growth screening and urban deprivation. J Med Screen 1995; 2–3: 140–144.

    Google Scholar 

  19. Duran Tauleria E, Rona RJ, Chinn S. Factors associated with weight for height and skinfold thickness in British children. J Epidemiol Community Health 1995; 49: 466–473.

    Google Scholar 

  20. Cole TJ. Weight-stature indexes to measure underweight, overweight and obesity. In: Himes JH (ed), Anthropometric Assessment of Nutritional Status, New York: Wiley-Liss, 1991; 83–111.

    Google Scholar 

  21. Himes JH, Dietz WH. Guidelines for overweight in adolescent preventive services: Recommendations from an expert committee. Am J Clin Nutr 1999; 59: 307–316.

    Google Scholar 

  22. Scholler DA. Use of the body mass index (BMI) as a measure of overweight in children and adolescents. J Pediatr 1998; 132: 191–193.

    Google Scholar 

  23. Crepaldi G, Belfiore F, Bosello O, et al. Epidemiologia del sovrappeso e dell'obesità: Rapporti tra prevalenza e mortalità. In: CCI S.O.S' 91 (ed), Sovrappeso Obesità e Salute: Consensus Conference Italiana. Roma: Luigi Pozzi, 1991; 148–156.

    Google Scholar 

  24. Hamil PVV, Drizd TA, Johnson CL, Reed RB, Roche AF, Moore WM. Physical growth: National Center for Health Statistics percentiles. Am J Clin Nutr 1979; 32: 607–629.

    Google Scholar 

  25. Skov T, Deddens J, Petersen MR, Endhal L. Prevalence proportion ratios: Estimation and hypotesis testing. Int J Epidemiol 1998; 27: 91–95.

    Google Scholar 

  26. Lissner L, Heitman BL. Dietary fat and obesity: Evidence from epidemiology. Eur J Clin Nutr 1995; 49: 79–90.

    Google Scholar 

  27. Goran MI, Hunter G, Nagy TR, Johnson R. Physical activity related energy expenditure and fat mass in young children. Int J Obes Relat Metab Disord 1997; 21: 171–178.

    Google Scholar 

  28. Ravussin E, Swiburn BA. Pathophysiology of obesity. Lancet 1992; 340: 404–408.

    Google Scholar 

  29. James WP, Nelson M, Ralph A, Leather SP. Socioeconomic determinants of health. The contribution of nutrition to inequalities in health. Br Med J 1997; 314: 1545–1549.

    Google Scholar 

  30. Guillaume M, Lapidus L, Lambert A. Obesity and nutrition in children. The Belgian Luxembourg Child Study IV. Eur J Clin Nutr 1998; 52: 323–328.

    Google Scholar 

  31. Guillaume M, Lapidus L, Bjorntorp P, Lambert A. Physical activity, obesity and cardiovascular risk factors in children. The Belgian Luxembourg Child Study II. Obes Res 1997; 5: 549–556.

    Google Scholar 

  32. Vannoni F, Burgio A, Quattrociocchi L, Costa G, Faggiano F. Differenze sociali e indicatori di salute soggettiva, malattie croniche, disabilità e stili di vita nell'indagine ISTAT sulla salute del 1994. Epid Prev 1999; 23: 207–214.

    Google Scholar 

  33. Bostrom G, Diderichsen F. Socioeconomic differentials in misclassification of height, weight and body mass index based on questionnaire data. Int J Epidemiol 1997; 26: 860–866.

    Google Scholar 

  34. Liberatos P, Lik BG, Kesley JL. The measurements of social class in epidemiology. Epidemiol Rev 1988; 10: 87–121.

    Google Scholar 

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Authors and Affiliations

  1. Servizio di Epidemiologia – Grugliasco (TO), Regione Piemonte – ASL 5, Italy

    R. Gnavi

  2. Servizio di Igiene degli Alimenti e della Nutrizione – Rivoli (TO) –, Regione Piemonte – ASL 5, Italy

    T.D. Spagnoli, C. Galotto, E. Pugliese, A. Carta & L. Cesari

Authors
  1. R. Gnavi
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  2. T.D. Spagnoli
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  3. C. Galotto
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  4. E. Pugliese
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  5. A. Carta
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  6. L. Cesari
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Gnavi, R., Spagnoli, T., Galotto, C. et al. Socioeconomic status, overweight and obesity in prepuberal children: A study in an area of Northern Italy. Eur J Epidemiol 16, 797–803 (2000). https://doi.org/10.1023/A:1007645703292

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