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Erschienen in: Wiener klinische Wochenschrift 21-22/2012

01.11.2012 | original article

Impact of mother tongue and gender on overweight, obesity and extreme obesity in 24,989 Viennese children/adolescents (2–16 years)

verfasst von: Daniel Segna, Harald Widhalm, Maitrayee P. Pandey, Sonja Zehetmayer, Sabine Dietrich, Kurt Widhalm

Erschienen in: Wiener klinische Wochenschrift | Ausgabe 21-22/2012

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Summary

The present survey aims at determining the prevalence of extreme obesity (defined as a body mass index (BMI) ≥ 99.5th percentile) for the first time in Austria and at investigating the relationship between weight status and mother tongue in a representative Viennese sample of 24,989 children and adolescents (2–16 years) with a percentage of approximately 46 % of migration background.
Directly measured anthropometric data on body weight and height were collected and BMI was calculated. Prevalence of overweight, obesity and extreme obesity was determined for every subgroup according to mother tongue using the German national reference criteria by Kromeyer-Hauschild et al.
In this sample, 2.1 % of all children and adolescents had to be classified as being extremely obese. More boys (2.3 %) than girls (1.9 %) suffered from extreme obesity (p = 0.048). Total 1.7 % of children and adolescents with German as their native language, 2.5 % of Turkish native speakers and 2.9 % of children and adolescents with another mother tongue were extremely obese (p ≤ 0.001). The highest prevalence of overweight or obesity was found in Turkish-native-speaking children and adolescents (p ≤ 0.001), whereas the lowest one was found in German-native-speaking children and adolescents (p ≤ 0.001).
This large study clearly shows that extreme obesity is a common disease and largely neglected. Apparently, another native language than German, as an indicator for a migration background, may be associated with a substantially higher probability for the development of extreme obesity in Vienna, Austria. Thus, effective preventive measures to overcome obesity are urgently needed.
Literatur
2.
Zurück zum Zitat Wang Y, Lobstein T. Worldwide trends in childhood overweight and obesity. Int J Pediatr Obes. 2006;1:11–25. PubMedCrossRef Wang Y, Lobstein T. Worldwide trends in childhood overweight and obesity. Int J Pediatr Obes. 2006;1:11–25. PubMedCrossRef
3.
Zurück zum Zitat Must A, Strauss RS. Risk and consequences of childhood and adolescent obesity. Int J Obes Relat Metab Disord. 1999;23 Suppl 2:2–11. CrossRef Must A, Strauss RS. Risk and consequences of childhood and adolescent obesity. Int J Obes Relat Metab Disord. 1999;23 Suppl 2:2–11. CrossRef
4.
Zurück zum Zitat Herman KM, Craig CL, Gauvin L, Katzmarzyk PT. Tracking of obesity and physical activity from childhood to adulthood: the Physical Activity Longitudinal Study. Int J Pediatr Obes. 2009;4:281–8. PubMedCrossRef Herman KM, Craig CL, Gauvin L, Katzmarzyk PT. Tracking of obesity and physical activity from childhood to adulthood: the Physical Activity Longitudinal Study. Int J Pediatr Obes. 2009;4:281–8. PubMedCrossRef
5.
Zurück zum Zitat Chen W, Bao W, Begum S, Elkasabany A, Srinivasan SR, Berenson GS. Age-related patterns of the clustering of cardiovascular risk variables of syndrome X from childhood to young adulthood in a population made up of black and white subjects: the Bogalusa Heart Study. Diabetes. 2000;49:1042–8. PubMedCrossRef Chen W, Bao W, Begum S, Elkasabany A, Srinivasan SR, Berenson GS. Age-related patterns of the clustering of cardiovascular risk variables of syndrome X from childhood to young adulthood in a population made up of black and white subjects: the Bogalusa Heart Study. Diabetes. 2000;49:1042–8. PubMedCrossRef
6.
Zurück zum Zitat Flechtner-Mors M, Thamm M, Wiegand S, Reinehr T, Schwab KO, Kiess W, Widhalm K, Holl RW. APV initiative and the BMBF Competence Network Obesity. Comorbidities related to BMI category in children and adolescents: German/Austrian/Swiss Obesity Register APV compared to the German KiGGS Study. Horm Res Paediatr. 2012;77:19–26. PubMedCrossRef Flechtner-Mors M, Thamm M, Wiegand S, Reinehr T, Schwab KO, Kiess W, Widhalm K, Holl RW. APV initiative and the BMBF Competence Network Obesity. Comorbidities related to BMI category in children and adolescents: German/Austrian/Swiss Obesity Register APV compared to the German KiGGS Study. Horm Res Paediatr. 2012;77:19–26. PubMedCrossRef
7.
8.
Zurück zum Zitat Franks PW, Hanson RL, Knowler WC, Sievers ML, Bennett PH, Looker HC. Childhood obesity, other cardiovascular risk factors, and premature death. N Engl J Med. 2010;362:485–93. PubMedCrossRef Franks PW, Hanson RL, Knowler WC, Sievers ML, Bennett PH, Looker HC. Childhood obesity, other cardiovascular risk factors, and premature death. N Engl J Med. 2010;362:485–93. PubMedCrossRef
9.
Zurück zum Zitat Kiess W, Galler A, Reich A, et al. Clinical aspects of obesity in childhood and adolescence. J Obes Rev. 2001;2:29–36. CrossRef Kiess W, Galler A, Reich A, et al. Clinical aspects of obesity in childhood and adolescence. J Obes Rev. 2001;2:29–36. CrossRef
10.
Zurück zum Zitat Kirchengast S, Schober E. Obesity among male adolescent migrants in Vienna, Austria. Econ Hum Biol. 2008;6:204–11. PubMedCrossRef Kirchengast S, Schober E. Obesity among male adolescent migrants in Vienna, Austria. Econ Hum Biol. 2008;6:204–11. PubMedCrossRef
11.
Zurück zum Zitat Kirchengast S, Schober E. Obesity among female adolescents in Vienna, Austria—the impact of childhood weight status and ethnicity. BJOG. 2006;113:1188–94. PubMedCrossRef Kirchengast S, Schober E. Obesity among female adolescents in Vienna, Austria—the impact of childhood weight status and ethnicity. BJOG. 2006;113:1188–94. PubMedCrossRef
12.
Zurück zum Zitat Nagel G, Wabitsch M, Galm C, et al. Determinants of obesity in the Ulm Research on Metabolism, Exercise and Lifestyle in Children (URMEL-ICE). Eur J Pediatr. 2009;168:1259–67. PubMedCrossRef Nagel G, Wabitsch M, Galm C, et al. Determinants of obesity in the Ulm Research on Metabolism, Exercise and Lifestyle in Children (URMEL-ICE). Eur J Pediatr. 2009;168:1259–67. PubMedCrossRef
13.
Zurück zum Zitat Wabitsch M, Moß A. S3-Leitlinie Therapie der Adipositas im Kindes- und Jugendalter. Arbeitsgemeinschaft Adipositas im Kindes- und Jugendalter. http://​www.​uniduesseldorf.​de/​WWW/​AWMF/​ll/​050-002.​pdf.​ Wabitsch M, Moß A. S3-Leitlinie Therapie der Adipositas im Kindes- und Jugendalter. Arbeitsgemeinschaft Adipositas im Kindes- und Jugendalter. http://​www.​uniduesseldorf.​de/​WWW/​AWMF/​ll/​050-002.​pdf.​
14.
Zurück zum Zitat Berenson GS, Srinivasan SR, Bao W, Newman WP III, Tracy RE, Wattigney WA. Association between multiple cardiovascular risk factors and atherosclerosis in children and young adults: the Bogalusa Heart Study. N Engl J Med. 1998;338:1650–6. PubMedCrossRef Berenson GS, Srinivasan SR, Bao W, Newman WP III, Tracy RE, Wattigney WA. Association between multiple cardiovascular risk factors and atherosclerosis in children and young adults: the Bogalusa Heart Study. N Engl J Med. 1998;338:1650–6. PubMedCrossRef
15.
Zurück zum Zitat Fried M, Hainer V, Basdevant A, et al. Inter-disciplinary European guidelines on surgery of severe obesity. Int J Obes. 2007;31:569–77. Fried M, Hainer V, Basdevant A, et al. Inter-disciplinary European guidelines on surgery of severe obesity. Int J Obes. 2007;31:569–77.
16.
Zurück zum Zitat Cole TJ, Bellizzi MC, Flegal KM, Dietz WH. Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ. 2000;320:1240–3. PubMedCrossRef Cole TJ, Bellizzi MC, Flegal KM, Dietz WH. Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ. 2000;320:1240–3. PubMedCrossRef
17.
Zurück zum Zitat De Onis M, Garza C, Onyango AW, Rolland-Cachera MF. le Comité de nutrition de la Société française de pédiatrie. WHO growth standards for infants and young children. Arch Pediatr. 2009;16:47–53. PubMedCrossRef De Onis M, Garza C, Onyango AW, Rolland-Cachera MF. le Comité de nutrition de la Société française de pédiatrie. WHO growth standards for infants and young children. Arch Pediatr. 2009;16:47–53. PubMedCrossRef
18.
Zurück zum Zitat Kromeyer-Hauschild K, Wabitsch M, Kunze D, et al. Perzentile für den Body Mass Index für das Kindes- und Jugendalter unter Heranziehung verschiedener deutscher Stichproben. Monatsschr Kinderheilkd. 2001;149:807–18. CrossRef Kromeyer-Hauschild K, Wabitsch M, Kunze D, et al. Perzentile für den Body Mass Index für das Kindes- und Jugendalter unter Heranziehung verschiedener deutscher Stichproben. Monatsschr Kinderheilkd. 2001;149:807–18. CrossRef
19.
Zurück zum Zitat Dietrich S, Tsarmaklis G, Papadopoulou N, Tsiftis G, Widhalm K. The trend for an “Overweight North-South divide” for children does not apply for young children in big european cities. The prevalence of overweight, normalweight and obesity in 2–6.5 years old children in Vienna und Athens. Obes Metab. 2008;4:161–4. Dietrich S, Tsarmaklis G, Papadopoulou N, Tsiftis G, Widhalm K. The trend for an “Overweight North-South divide” for children does not apply for young children in big european cities. The prevalence of overweight, normalweight and obesity in 2–6.5 years old children in Vienna und Athens. Obes Metab. 2008;4:161–4.
20.
Zurück zum Zitat Tsarmaklis G, Dietrich S, Papadopoulou N, Vlachopapadopoulou E, Widhalm K. Prävalenz von Übergewicht und Adipositas bei 6-12jährigen Kindern: Vergleich zwischen Wien und Athen. Aktuel Ernaehr Med. 2006;31:73–6. Tsarmaklis G, Dietrich S, Papadopoulou N, Vlachopapadopoulou E, Widhalm K. Prävalenz von Übergewicht und Adipositas bei 6-12jährigen Kindern: Vergleich zwischen Wien und Athen. Aktuel Ernaehr Med. 2006;31:73–6.
21.
Zurück zum Zitat Brettschneider AK, Ellert U, Schaffrath Rosario A. Comparison of BMI derived from parent-reported height and weight with measured values: results from the German KiGGS study. Int J Environ Res Public Health. 2012;9:632–47. PubMedCrossRef Brettschneider AK, Ellert U, Schaffrath Rosario A. Comparison of BMI derived from parent-reported height and weight with measured values: results from the German KiGGS study. Int J Environ Res Public Health. 2012;9:632–47. PubMedCrossRef
22.
Zurück zum Zitat Ogden CL, Kuczmarski RJ, Flegal KM, et al. Centers for Disease Control and Prevention 2000 growth charts for the United States: improvements to the 1977 National Center for Health Statistics version. Pediatrics. 2002;109:45–60. PubMedCrossRef Ogden CL, Kuczmarski RJ, Flegal KM, et al. Centers for Disease Control and Prevention 2000 growth charts for the United States: improvements to the 1977 National Center for Health Statistics version. Pediatrics. 2002;109:45–60. PubMedCrossRef
23.
Zurück zum Zitat Willi SM, Oexmann MJ, Wright NM, Collop NA, Key LL Jr. The effects of a high-protein, low-fat, ketogenic diet on adolescents with morbid obesity: body composition, blood chemistries, and sleep abnormalities. Pediatrics. 1998;101:61–7. PubMedCrossRef Willi SM, Oexmann MJ, Wright NM, Collop NA, Key LL Jr. The effects of a high-protein, low-fat, ketogenic diet on adolescents with morbid obesity: body composition, blood chemistries, and sleep abnormalities. Pediatrics. 1998;101:61–7. PubMedCrossRef
24.
Zurück zum Zitat Metropolitan Life Insurance Company. Statistical bulletin. 40th issue. New York: Metropolitan Life Insurance Company; 1959. pp. 1–4. Metropolitan Life Insurance Company. Statistical bulletin. 40th issue. New York: Metropolitan Life Insurance Company; 1959. pp. 1–4.
25.
Zurück zum Zitat Freedman DS, Mei Z, Srinivasan SR, Berenson GS, Dietz WH. Cardiovascular risk factors and excess adiposity among overweight children and adolescents: the Bogalusa Heart Study. J Pediatr. 2007;150:12–7. PubMedCrossRef Freedman DS, Mei Z, Srinivasan SR, Berenson GS, Dietz WH. Cardiovascular risk factors and excess adiposity among overweight children and adolescents: the Bogalusa Heart Study. J Pediatr. 2007;150:12–7. PubMedCrossRef
26.
Zurück zum Zitat Niederer I, Kriemler S, Zahner L, Bürgi F, Ebenegger V, Marques P, Puder JJ. BMI group-related differences in physical fitness and physical activity in preschool-age children: a cross-sectional analysis. Res Q Exerc Sport. 2012;83:12–9. PubMed Niederer I, Kriemler S, Zahner L, Bürgi F, Ebenegger V, Marques P, Puder JJ. BMI group-related differences in physical fitness and physical activity in preschool-age children: a cross-sectional analysis. Res Q Exerc Sport. 2012;83:12–9. PubMed
27.
Zurück zum Zitat Apété GK, Zitouni D, Hubert H, Guinhouya BC. Compliance of children in northern France with physical activity recommendations. Perspect Public Health. 2012;132:81–8. PubMedCrossRef Apété GK, Zitouni D, Hubert H, Guinhouya BC. Compliance of children in northern France with physical activity recommendations. Perspect Public Health. 2012;132:81–8. PubMedCrossRef
28.
Zurück zum Zitat Population in Private Households with foreign background. http://​www.​statistik.​at/​web_​de/​statistiken/​bevoelkerung/​bevoelkerungsstr​uktur/​bevoelkerung_​nach_​migrationshinter​grund/​index.​html.​ Population in Private Households with foreign background. http://​www.​statistik.​at/​web_​de/​statistiken/​bevoelkerung/​bevoelkerungsstr​uktur/​bevoelkerung_​nach_​migrationshinter​grund/​index.​html.​
29.
Zurück zum Zitat Will B, Zeeb H, Baune BT. Overweight and obesity at school entry among migrant and German children: a cross-sectional study. BMC Public Health. 2005;5:45. PubMedCrossRef Will B, Zeeb H, Baune BT. Overweight and obesity at school entry among migrant and German children: a cross-sectional study. BMC Public Health. 2005;5:45. PubMedCrossRef
30.
Zurück zum Zitat Dehghan M, Akhtar-Danesh N, Merchant AT. Childhood obesity, prevalence and prevention. Nutr J. 2005;4:24. PubMedCrossRef Dehghan M, Akhtar-Danesh N, Merchant AT. Childhood obesity, prevalence and prevention. Nutr J. 2005;4:24. PubMedCrossRef
31.
Zurück zum Zitat Braveman PA, Cubbin C, Egerter S, Williams DR, Pamuk E. Socioeconomic disparities in health in the United States: what the patterns tell us. Am J Public Health. 2010;100 Suppl 1:186–96. CrossRef Braveman PA, Cubbin C, Egerter S, Williams DR, Pamuk E. Socioeconomic disparities in health in the United States: what the patterns tell us. Am J Public Health. 2010;100 Suppl 1:186–96. CrossRef
32.
Zurück zum Zitat Fernández-Alvira JM, Mouratidou T, Bammann K, Hebestreit A, Barba G, Sieri S, Reisch L, Eiben G, Hadjigeorgiou C, Kovacs E, Huybrechts I, Moreno LA. Parental education and frequency of food consumption in European children: the IDEFICS study. Public Health Nutr. 2012;12:1–12. CrossRef Fernández-Alvira JM, Mouratidou T, Bammann K, Hebestreit A, Barba G, Sieri S, Reisch L, Eiben G, Hadjigeorgiou C, Kovacs E, Huybrechts I, Moreno LA. Parental education and frequency of food consumption in European children: the IDEFICS study. Public Health Nutr. 2012;12:1–12. CrossRef
33.
Zurück zum Zitat Popkin BM, Udry JR. Adolescent obesity increases significantly in second and third generation U.S. immigrants: the National Longitudinal Study of Adolescent Health. J Nutr. 1998;128:701–6. PubMed Popkin BM, Udry JR. Adolescent obesity increases significantly in second and third generation U.S. immigrants: the National Longitudinal Study of Adolescent Health. J Nutr. 1998;128:701–6. PubMed
Metadaten
Titel
Impact of mother tongue and gender on overweight, obesity and extreme obesity in 24,989 Viennese children/adolescents (2–16 years)
verfasst von
Daniel Segna
Harald Widhalm
Maitrayee P. Pandey
Sonja Zehetmayer
Sabine Dietrich
Kurt Widhalm
Publikationsdatum
01.11.2012
Verlag
Springer Vienna
Erschienen in
Wiener klinische Wochenschrift / Ausgabe 21-22/2012
Print ISSN: 0043-5325
Elektronische ISSN: 1613-7671
DOI
https://doi.org/10.1007/s00508-012-0277-z

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