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Weight disorders and anthropometric indices according to socioeconomic status of living place in Iranian children and adolescents: The CASPIAN-IV study.

Bahreynian M, Kelishadi R, Qorbani M, Motlagh ME, Kasaeian A, Ardalan G, Rad TA, Najafi F, Asayesh H, Heshmat R - J Res Med Sci (2015)

Bottom Line: Excess weight in children and adolescents is a multi-factorial phenomenon and associated with earlier risk of obesity-related diseases.We found considerable differences in the prevalence of anthropometric measures throughout the country by SES of the region.Health policy making and implementing health strategies should consider SES of regions.

View Article: PubMed Central - PubMed

Affiliation: Department of Pediatrics, Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran.

ABSTRACT

Background: Excess weight in children and adolescents is a multi-factorial phenomenon and associated with earlier risk of obesity-related diseases. This study aims to assess the prevalence of weight disorders and the mean values of anthropometric indices according to regional, socioeconomic, and urban-rural variations among Iranian children and adolescents.

Materials and methods: This nationwide study was performed in 2011-2012 among a representative multi-stage cluster sample of 14,880 Iranian students aged 6-8 years. The World Health Organization (WHO) reference curves were used to define weight disorders. Abdominal obesity was defined as the waist-to-height ratio (WHtR) of more than 0.5. Iran was classified into four regions according to the socioeconomic status (SES).

Results: The mean (95% confidence interval) of body mass index (BMI), waist circumference (WC), and hip circumference (HC) was 18.8 (18.7, 18.9) kg/m(2), 67.0 (66.7, 67.3) cm, and 80.8 (80.3, 81.2) cm, respectively. The prevalence of underweight was 12.2%. A total of 9.7%, 11.9%, and 19.1% of students overweight, obese, and abdominally obese, respectively. The highest mean of BMI, WC, wrist circumference, HC, and WHtR were related to the second high SES (North-northeast) area (19.2 [18.8, 19.5], 68.3 [67.3, 69.4], 14.8 [14.7, 15.0], 82.6 [81.1, 84.0], and 0.464 [0.460, 0.468]). In contrast, the lowest SES (Southeast) region had the lowest mean of these anthropometric indices (17.6 [17.1, 18.2], 63.2 [61.7, 64.8], 14.5 [14.2, 14.8], 76.9 [74.9, 79.0], and 0.439 [0.434, 0.444]).

Conclusion: We found considerable differences in the prevalence of anthropometric measures throughout the country by SES of the region. Health policy making and implementing health strategies should consider SES of regions.

No MeSH data available.


Related in: MedlinePlus

(h-k) Prevalence of weight disorders at provincial level
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Figure 2: (h-k) Prevalence of weight disorders at provincial level

Mentions: Table 2 shows the prevalence of weight disorders status at national and regional level by sex and living place. In all regions, the prevalence of underweight was higher in rural than in urban area, whereas, the prevalence of overweight, obesity, and abdominal obesity was higher in urban than in rural residents. The highest prevalence of overweight, obesity, and abdominal obesity were in second high SES (North-Northeast) (10.7% [9.5,12.1], 13.9% [12.4, 15.6], 23% [20.6, 25.6]) followed by the highest SES (Central) region (10.6% [9.5, 11.6], 13% [11.8, 14.3], 21% [19.4, 22.8]), and the lowest prevalence was in the lowest SES (Southeast) region (5.9% [4.5, 7.6], 6.3% [4.7, 8.4], 9.5% [7.6,12.0]). In contrast, the lowest SES (Southeast) region had the highest prevalence of underweight (21.9% [19.0, 25.0]), and second high SES (North-Northeast) area had the lowest prevalence (10.4% [8.5, 12.7]). Figure 2 and Appendix 2 show the prevalence of weight disorders and abdominal obesity at the provincial level in Iranian children and adolescents.


Weight disorders and anthropometric indices according to socioeconomic status of living place in Iranian children and adolescents: The CASPIAN-IV study.

Bahreynian M, Kelishadi R, Qorbani M, Motlagh ME, Kasaeian A, Ardalan G, Rad TA, Najafi F, Asayesh H, Heshmat R - J Res Med Sci (2015)

(h-k) Prevalence of weight disorders at provincial level
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4590198&req=5

Figure 2: (h-k) Prevalence of weight disorders at provincial level
Mentions: Table 2 shows the prevalence of weight disorders status at national and regional level by sex and living place. In all regions, the prevalence of underweight was higher in rural than in urban area, whereas, the prevalence of overweight, obesity, and abdominal obesity was higher in urban than in rural residents. The highest prevalence of overweight, obesity, and abdominal obesity were in second high SES (North-Northeast) (10.7% [9.5,12.1], 13.9% [12.4, 15.6], 23% [20.6, 25.6]) followed by the highest SES (Central) region (10.6% [9.5, 11.6], 13% [11.8, 14.3], 21% [19.4, 22.8]), and the lowest prevalence was in the lowest SES (Southeast) region (5.9% [4.5, 7.6], 6.3% [4.7, 8.4], 9.5% [7.6,12.0]). In contrast, the lowest SES (Southeast) region had the highest prevalence of underweight (21.9% [19.0, 25.0]), and second high SES (North-Northeast) area had the lowest prevalence (10.4% [8.5, 12.7]). Figure 2 and Appendix 2 show the prevalence of weight disorders and abdominal obesity at the provincial level in Iranian children and adolescents.

Bottom Line: Excess weight in children and adolescents is a multi-factorial phenomenon and associated with earlier risk of obesity-related diseases.We found considerable differences in the prevalence of anthropometric measures throughout the country by SES of the region.Health policy making and implementing health strategies should consider SES of regions.

View Article: PubMed Central - PubMed

Affiliation: Department of Pediatrics, Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran.

ABSTRACT

Background: Excess weight in children and adolescents is a multi-factorial phenomenon and associated with earlier risk of obesity-related diseases. This study aims to assess the prevalence of weight disorders and the mean values of anthropometric indices according to regional, socioeconomic, and urban-rural variations among Iranian children and adolescents.

Materials and methods: This nationwide study was performed in 2011-2012 among a representative multi-stage cluster sample of 14,880 Iranian students aged 6-8 years. The World Health Organization (WHO) reference curves were used to define weight disorders. Abdominal obesity was defined as the waist-to-height ratio (WHtR) of more than 0.5. Iran was classified into four regions according to the socioeconomic status (SES).

Results: The mean (95% confidence interval) of body mass index (BMI), waist circumference (WC), and hip circumference (HC) was 18.8 (18.7, 18.9) kg/m(2), 67.0 (66.7, 67.3) cm, and 80.8 (80.3, 81.2) cm, respectively. The prevalence of underweight was 12.2%. A total of 9.7%, 11.9%, and 19.1% of students overweight, obese, and abdominally obese, respectively. The highest mean of BMI, WC, wrist circumference, HC, and WHtR were related to the second high SES (North-northeast) area (19.2 [18.8, 19.5], 68.3 [67.3, 69.4], 14.8 [14.7, 15.0], 82.6 [81.1, 84.0], and 0.464 [0.460, 0.468]). In contrast, the lowest SES (Southeast) region had the lowest mean of these anthropometric indices (17.6 [17.1, 18.2], 63.2 [61.7, 64.8], 14.5 [14.2, 14.8], 76.9 [74.9, 79.0], and 0.439 [0.434, 0.444]).

Conclusion: We found considerable differences in the prevalence of anthropometric measures throughout the country by SES of the region. Health policy making and implementing health strategies should consider SES of regions.

No MeSH data available.


Related in: MedlinePlus