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Social class and obesity in 12-year-old children in Brussels: Influence of gender and ethnic origin

  • Preventive Pediatrics and Epidemiology
  • Published:
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Abstract

From their school health files, the body mass index of 2607 children, 1268 boys and 1339 girls, from the Brussels region of Belgium was analysed. The aim was to study the relationship between obesity and social class, gender and nationality. In Belgian girls, the lower their social class, the higher was the prevalence and severity of obesity. There was no such significant relationship in Belgian boys, nor in immigrant children of either sex, although the overall prevalence of obesity was similar in all groups. These results question certain hypotheses proposed to explain the relationship between social class and obesity.

Conclusion

From early adolescence on, social inequality influences the prevalence of obesity in Belgian girls, but not in Belgian boys nor in immigrant children. Prevention of obesity should take into account the influence of gender, social class and ethnic origin.

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Abbreviations

BMI:

body mass index

References

  1. Braddon EMF, Rogers B, Wadsworth M, Davies JMC (1986) Onset of obesity in a 36-year birth cohort study. BMJ 293:299–303

    Article  PubMed  CAS  Google Scholar 

  2. Cole TJ, Freeman JV, Preece MA (1995) Body mass index reference curves for the UK, 1990. Arch Dis Child 73:25–29

    Article  PubMed  CAS  Google Scholar 

  3. Dean AG, Dean JA, Coulombier D, Brendel KA, Smith DC, Burton AH, et al (1994) Epi Info, Version 6: a word processing, database, and statistics program for epidemiology on microcomputers. Centers for Disease Control and Prevention, Atlanta, Georgia, U.S.A.

    Google Scholar 

  4. De Onis M, Habicht JP (1996) Anthropométric reference data for international use: recommandations from a World Health Organization Expert Committee. Am J Clin Nutr 64: 650–658

    PubMed  Google Scholar 

  5. Edlund B, Hallqvist G, Sjoden PO (1994) Attitudes to food, eating and dieting behaviour in 11- and 14-year-old Swedish children. Acta Paediatr 83:572–577

    PubMed  CAS  Google Scholar 

  6. Epstein LH, Valoski I, Wing PR (1985) Childhood obesity. Pediatr Clin North Am 32:363–379

    PubMed  CAS  Google Scholar 

  7. Flegal KM, Harlan WR, Landis JR (1988) Secular trends in body mass index and skinfold thickness with socioeconomic factors in young adult men. Am J Clin Nutr 48:544–551

    PubMed  CAS  Google Scholar 

  8. Garn SM, Leonard WR, Hawthorne VM (1986) Three limitations of the body mass index. Am J Clin Nutr 44: 996–997

    PubMed  CAS  Google Scholar 

  9. Gortmaker SL, Dietz WH, Sobol AM, Wehler CA (1987) Increasing pediatric obesity in the United States. Am J Dis Child 141:535–540

    PubMed  CAS  Google Scholar 

  10. Gortmaker SL, Must A, Perrin JM, Sobol AM, Dietz WH (1993) Social and economic consequences of overweight in adolescence and young adulthood. N Engl J Med 329:1008–1012

    Article  PubMed  CAS  Google Scholar 

  11. Greenland S, Robins JM (1985) Estimation of a common effect parameter from sparse follow-up data. Biometrics 41:55–68

    Article  PubMed  CAS  Google Scholar 

  12. Hammer LD, Kraemer HC, Wilson DM, Ritter PL, Dornbush SM (1991) Standardized percentile curves of body mass index for children and adolescents. Am J Dis Child 145: 259–263

    PubMed  CAS  Google Scholar 

  13. Himes JH, Dietz WH (1994) Guidelines for overweight in adolescent preventive services: recommandations from an expert committee. Am J Clin Nutr 59: 307–316

    PubMed  CAS  Google Scholar 

  14. Jeffery RW, Forster JL, Folsom AR, Luepker RV, Jacobs DR, Blackburn H (1989) The relationship between social class and body mass index in the Minnesota Heart Health Program. Int J Obesity 13:59–67

    CAS  Google Scholar 

  15. Jeffery RW, French SA, Forster JL, Spry VM (1991) Socio-economic status differences in health behaviors related to obesity: the Healthy Worker Project. Int J Obesity 15:689–696

    CAS  Google Scholar 

  16. Laurier D, Guiguet M, Nguyen Phong Chau, Welles JA, Valleron AJ (1992) Prevalence of obesity: a comparative survey in France, the United Kingdom and the United States. Int J Obesity 16:565–572

    CAS  Google Scholar 

  17. Lazarus R, Baur L, Webb, Blyth F (1996) Body mass index in screening for adiposity in children and adolescents: systematic evaluation using receiver operating characteristic curves. Am J Clin Nutr 63: 500–506

    PubMed  CAS  Google Scholar 

  18. Lindgren G, Strandell A, Cole T, Healy M, Tanner J (1995) Swedish population reference standards for height, weight and body mass index attained at 6 to 16 years (girls) or 19 years (boys). Acta Paediatr 84:1019–1028

    Article  PubMed  CAS  Google Scholar 

  19. Melnyk MG, Weinstein E (1994) Preventing obesity in black women by targeting adolescents: a literature review. J Am Diet Assoc 94(5):536–540

    Article  PubMed  CAS  Google Scholar 

  20. Must A, Jacques PF, Dallai GE, Bajema CJ, Dietz WH (1992) Long term morbidity and mortality of overweight adolescents. N Engl J Med 327:1350–1355

    PubMed  CAS  Google Scholar 

  21. Peckham CS, Stark O, Simonite V, Wolff OH (1983) Prevalence of obesity in British children born in 1946 and 1958. BMJ 286:1237–1242

    Article  PubMed  CAS  Google Scholar 

  22. Poskitt EME (1995) Defining childhood obesity: the relative body mass index (BMI). Acta Paediatr 84:961–963

    Article  PubMed  CAS  Google Scholar 

  23. Power C, Moynihan C (1988) Social class and changes in weight-for-height between childhood and early adulthood. Int J Obesity 12:445–453

    CAS  Google Scholar 

  24. Rolland-Cachera MF, Bellisle F (1986) No correlationship between adiposity and food intake: why are working class children fatter? Am J Clin Nutr 44:779–787

    PubMed  CAS  Google Scholar 

  25. Rolland-Cachera MF, Cole TJ, Sempé M, Tichet J Rossignol C, Charraud A (1991) Body Mass Index variations: centiles from birth to 87 years. Eur J Clin Nutr 45:13–21

    PubMed  CAS  Google Scholar 

  26. Seidman DS, Laor A, Gale R, Stevenson DK, Danon YL (1991) A longitudinal study of birth weight and being overweight in late adolescence. Am J Dis Child 145:782–785

    PubMed  CAS  Google Scholar 

  27. Sobal J, Stunkard AJ (1990) Socioeconomic status and obesity: a review of the literature. Psych Bul 105:260–275

    Article  Google Scholar 

  28. Sonne-Holm S, Sorensen TIA (1986) Prospective study of attainment of social class of severely obese subjects in relationship to parental social class, intelligence and education. BMJ 292:586–589

    Article  PubMed  CAS  Google Scholar 

  29. Stark O, Atkins Z, Wolff OH, Douglas JBW (1981) Longitudinal study of obesity in the National Survey of Health and Development. BMJ 283:13–17

    Article  PubMed  CAS  Google Scholar 

  30. White EM, Wilson AC, Green SA, Mc Cowan C, Thomas GE, Cairns AY, Ricketts IW (1995) Body mass index centile charts to assess fatness of British children. Arch Dis Child 72:38–41

    Article  PubMed  CAS  Google Scholar 

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De Spiegelaere, M., Hennart, P. & Dramaix, M. Social class and obesity in 12-year-old children in Brussels: Influence of gender and ethnic origin. Eur J Pediatr 157, 432–435 (1998). https://doi.org/10.1007/s004310050845

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  • DOI: https://doi.org/10.1007/s004310050845

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