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The obesity epidemic in young men is not confined to low social classes—a time series of 18-year-old German men at medical examination for military service with different educational attainment

Abstract

OBJECTIVE:

Obesity prevalence is increasing worldwide and obesity is associated with low education. To assess if the overall increase of obesity prevalence is due to increasing obesity prevalence among low educated strata only.

DESIGN:

Data on n=1 883 783 males in their 19th year of life seen at physical examinations due to general conscription in Germany from 1989 to 1998.

MEASUREMENTS:

Stature and weight were measured in underpants and obesity defined as body mass index>30 kg/m2.

RESULTS:

From 1989 to 1998 an increase of body mass index values >70th percentile was observed. Overall obesity prevalence increased from 3.4% (95% CI 3.3–3.5) to 5.7% (95% CI 5.6–5.8). During the whole observation period, the prevalence of obesity was inversely related to educational level. The increase of obesity prevalence, however, was unrelated to educational level: for education less than 10 y from 4.9% (95% CI 4.7–5.0) to 7.7% (95% CI 7.5–7.9), for education of 10 y from 2.6% (95% CI 2.5–2.7) to 5.3% (95% CI 5.1–5.5) and for education of more than 10 y from 1.6% (95% CI 1.4–1.8) to 3.4% (95%CI 3.2-3.5).

CONCLUSION:

Prevalence of obesity increased among recruits of all educational levels, suggesting that preventive measures against obesity have to target all educational levels.

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References

  1. Ogden CL, Flegal KM, Carroll MD, Johnson CL . Prevalence and trends in overweight among US children and adolescents, 1999–2000. JAMA 2002; 288: 1728–1732.

    Article  PubMed  Google Scholar 

  2. Ebbeling CB, Pawlak DB, Ludwig DS . Childhood obesity: public-health crisis, common sense cure. Lancet 2002; 360: 473–482.

    Article  PubMed  Google Scholar 

  3. Mokdad AH, Serdula MK, Dietz WH, Bowman BA, Marks JS, Koplan JP . The spread of the obesity epidemic in the United States, 1991–1998. JAMA 1999; 282: 1519–1522.

    Article  CAS  PubMed  Google Scholar 

  4. Gnavi R, Spagnoli TD, Galotto C, Pugliese E, Carta A, Cesari L . Socioeconomic status, overweight and obesity in prepuberal children: a study in an area of Northern Italy. Eur J Epidemiol 2000; 16: 797–803.

    Article  CAS  PubMed  Google Scholar 

  5. Strauss RS, Pollack HA . Epidemic increase in childhood overweight, 1986–1998. JAMA 2001; 286: 2845–2848.

    Article  CAS  PubMed  Google Scholar 

  6. Flegal KM, Carroll MD, Ogden CL, Johnson CL . Prevalence and trends in obesity among US adults, 1999–2000. JAMA 2002; 288: 1723–1727.

    PubMed  Google Scholar 

  7. James WP, Nelson M, Ralph A, Leather S . Socioeconomic determinants of health. The contribution of nutrition to inequalities in health. BMJ 1997; 314: 1545–1549.

    CAS  PubMed  Google Scholar 

  8. Statistisches-Bundesamt-Deutschland. Statistical Yearbook for the Federal Republic of Germany. Metzler-Poeschel: Wiesbaden; 2003.

  9. WHO. Diet, physical activity and health. www.who.int/hpr/physactiv/economic.benefits.shtml 2003.

  10. Clopper CJ, Pearson ES . The use of confidence or fiducial limits illustrated in the case of the binomial. Biometrika 1934; 26: 404–413.

    Article  Google Scholar 

  11. Diggle PJ In: Atkinson AC, Copas JB, Pierce DA, Schwervish MJ, Titterington DM (eds). Time series—a biostatistical introduction. Oxford University Press: Oxford; 1990.

    Google Scholar 

  12. Kautiainen S, Rimpela A, Vikat A, Virtanen SM . Secular trends in overweight and obesity among Finnish adolescents in 1977–1999. Int J Obes Relat Metab Disord 2002; 26: 544–552.

    Article  CAS  PubMed  Google Scholar 

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

    CAS  PubMed  Google Scholar 

  14. Thomsen BL, Ekstrom CT, Sorensen TI . Development of the obesity epidemic in Denmark: cohort, time and age effects among boys born 1930–1975. Int J Obes Relat Metab Disord 1999; 23: 693–701.

    Article  CAS  PubMed  Google Scholar 

  15. Moreno LA, Sarria A, Fleta J, Rodriguez G, Bueno M . Trends in body mass index and overweight prevalence among children and adolescents in the region of Aragon (Spain) from 1985 to 1995. Int J Obes Relat Metab Disord 2000; 24: 925–931.

    Article  CAS  PubMed  Google Scholar 

  16. Kalies H, Lenz J, von Kries R . Prevalence of overweight and obesity and trends in body mass index in German pre-school children, 1982-1997. Int J Obes Relat Metab Disord 2002; 26: 1211–1217.

    Article  CAS  PubMed  Google Scholar 

  17. Statistisches-Bundesamt. Anteile der Abschluss-und Schularten an Schulentlassenen insgesamt. Zeitreihen – Nachweise Absolventen und Abgänger 2004; 5.

  18. Bundesministerium für Bildung und Forschung (BMBF). Grund-und Strukturdaten 2003/2004. Bundesministerium für Bildung und Forschung (BMBF). Bonn; 2004.

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Toschke, A., Lüdde, R., Eisele, R. et al. The obesity epidemic in young men is not confined to low social classes—a time series of 18-year-old German men at medical examination for military service with different educational attainment. Int J Obes 29, 875–877 (2005). https://doi.org/10.1038/sj.ijo.0802989

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