Body mass index of schoolchildren under exposure to endogenous and exogenous risk factors (on the example of the republic of Bashkortostan)

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UDC: 
616-056.5
Authors: 

L.Sh. Nazarova1, R.A. Daukaev1, D.E. Musabirov1, D.O. Karimov1, M.R. Yakhina1, E.R. Kudoyarov1, A.B. Bakirov1,2

Organization: 

1Ufa Research Institute of Occupational Health and Human Ecology, 94 Stepana Kuvykina St., Ufa, 450106, Russian Federation
2Bashkir State Medical University, 3 Lenina St., Ufa, 450008, Russian Federation

Abstract: 

High prevalence of obesity and overweight among population poses a serious threat for public health.

A survey was accomplished in 13 schools in Bashkortostan to estimate the nutritional status as per body mass index (BMI) of schoolchildren and their parents. Next, we analyzed relationships between participants’ nutritional statuses as per BMI and their age, sex, place of residence (urban / rural) and parental nutritional status as per BMI for children.

Among children, 50.0 % had normal body weight, 18.4 % had overweight, 16.9 % had underweight, 8.8 % were emaciated, and 5.9 % were obese. Among parents, these shares equaled 46.4, 33.1, 2.5, 1.3, and 16.7 % respectively. The profound analysis established that boys (as compared with girls) were overweighed and had BMI higher than its healthy range in general (overweight + obesity) statistically significantly more frequently; prevalence of obesity and also BMI higher than its healthy range in general was identified statistically significantly higher among fathers as opposed to mothers. In addition, it turned out that if parents either had BMI higher than its healthy range or were emaciated, their children had similar disorders statistically significantly more frequently. At the same time, if parents had normal body weight, their children were overweighed statistically significantly less frequently. The age of 15–17 years turned out to be associated with declining prevalence of obesity in boys (young males) and declining prevalence of elevated BMI in general in girls (young females). At the same time, a share of people with overweight and elevated BMI in general was statistically significantly higher among mothers older than 37 years. When considering places of residence, we established that both girls and mothers who lived in rural areas had BMI higher than its healthy range statistically significantly more frequently than their urban counterparts.

Keywords: 
body mass index, obesity, overweight, schoolchildren, parents, urban areas, rural areas, Bashkortostan
Nazarova L.Sh., Daukaev R.A., Musabirov D.E., Karimov D.O., Yakhina M.R., Kudoyarov E.R., Bakirov A.B. Body mass index of schoolchildren under exposure to endogenous and exogenous risk factors (on the example of the Republic of Bashkortostan). Health Risk Analysis, 2023, no. 4, pp. 76–85. DOI: 10.21668/health.risk/2023.4.07.eng
References: 
  1. Biryukova Ye.V., Solovyova I.V. Effective drug treatment of obesity is a prerequisite to successful management of obesity-related diseases. Effektivnaya farmakoterapiya, 2013, no. 3 (29), pp. 18–26 (in Russian).
  2. De Giuseppe R., Di Napoli I., Porri D., Cena H. Pediatric Obesity and Eating Disorders Symptoms: The Role of the Multidisciplinary Treatment. A Systematic Review. Front. Pediatr., 2019, vol. 7, pp. 123. DOI: 10.3389/fped.2019.00123
  3. Nikitina I.L. Obesity in children and adolescents: the problem and the ways of its solution. Review of Russian and international guidelines. Lechashchii vrach, 2018, no. 1, pp. 31–34 (in Russian).
  4. Obesity and overweight. WHO, 2021. Available at: https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight (January 11, 2021).
  5. Lazzeri G., Pammolli A., Pilato V., Giacchi M.V. Relationship between 8/9-yr-old school children BMI, parents' BMI and educational level: a cross sectional survey. Nutr. J., 2011, vol. 10, pp. 76. DOI: 10.1186/1475-2891-10-76
  6. Huang Y.Y., Jiang C.Q., Xu L., Zhang W.S., Zhu F., Jin Y.L., Thomas G.N., Cheng K.K., Lam T.H. Adiposity change and mortality in middle-aged to older Chinese: an 8-year follow-up of the Guangzhou Biobank Cohort Study. BMJ Open, 2020, vol. 10, no. 12, pp. e039239. DOI: 10.1136/bmjopen-2020-039239
  7. Katzmarzyk P.T., Chaput J.-P., Fogelholm M., Hu G., Maher C., Maia J., Olds T., Sarmiento O.L.
    [et al.]. International Study of Childhood Obesity, Lifestyle and the Environment (ISCOLE): Contributions to Understanding the Global Obesity Epidemic. Nutrients, 2019, vol. 11, no. 4, pp. 848. DOI: 10.3390/nu11040848
  8. Zhou Z., Liew J., Yeh Y.-C., Perez M. Appetitive Traits and Weight in Children: Evidence for Parents' Controlling Feeding Practices as Mediating Mechanisms. J. Genet. Psychol., 2020, vol. 181, no. 1, pp. 1–13. DOI: 10.1080/00221325.2019.1682506
  9. Cole T.J., Flegal K.M., Nicholls D., Jackson A.A. Body mass index cut offs to define thinness in children and adolescents: international survey. BMJ, 2007, vol. 335, no. 7612, pp. 194. DOI: 10.1136/bmj.39238.399444.55
  10. Bahreynian M., Qorbani M., Khaniabadi B.M., Motlagh M.E., Safari O., Asayesh H., Kelishadi R. Association between Obesity and Parental Weight Status in Children and Adolescents. J. Clin. Res. Pediatr. Endocrinol., 2017, vol. 9, no. 2, pp. 111–117. DOI: 10.4274/jcrpe.3790
  11. Kanter R., Caballero B. Global gender disparities in obesity: a review. Adv. Nutr., 2012, vol. 3, no. 4, pp. 491–498. DOI: 10.3945/an.112.002063
  12. Flegal K.M., Carroll M.D., Ogden C.L., Curtin L.R. Prevalence and trends in obesity among US adults, 1999–2008. JAMA, 2010, vol. 303, no. 3, pp. 235–241. DOI: 10.1001/jama.2009.2014
  13. Kapantais E., Tzotzas T., Ioannidis I., Mortoglou A., Bakatselos S., Kaklamanou M., Lanaras L., Kaklamanos I. First national epidemiological survey on the prevalence of obesity and abdominal fat distribution in Greek adults. Ann. Nutr. Metab., 2006, vol. 50, no. 4, pp. 330–338. DOI: 10.1159/000094296
  14. Tutelyan V.A., Baturin A.K., Kon I.Ya., Martinchik A.N., Uglitskih A.K., Korosteleva M.M., Toboleva M.A., Aleshina I.V. Prevalence of overweight and obesity in child population of Russia: multicenter study. Pediatriya. Zhurnal im. G.N. Speranskogo, 2014, vol. 93, no. 5, pp. 28–31 (in Russian).
  15. Kon' I.Ya., Volkova L.Yu., Korosteleva M.M., Shilina N.M., Alyoshina I.V., Toboleva M.A. Incidence of obesity in children of preschool and school age in the Russian Federation. Voprosy detskoi dietologii, 2011, vol. 9, no. 4, pp. 5–8. DOI: 10.20953/1727-5784-2011-4-5-8 (in Russian).
  16. Larionova M.A., Kovalenko T.V. Epidemiological features of obesity in children and adolescents in the Udmurt Republic. Ozhirenie i metabolizm, 2019, vol. 16, no. 1, pp. 47–54. DOI: 10.14341/omet9612 (in Russian).
  17. Dedov I.I., Mel'nichenko G.A., Butrova S.A., Savel'eva L.V., Bodaveli O.V., Buydina T.A., Vikhareva M.V., Vorob'eva V.A. [et al.]. Ozhirenie u podrostkov v Rossii [Obesity in adolescents in Russia]. Ozhirenie i metabolizm, 2006, vol. 3, no. 4, pp. 30–34. DOI: 10.14341/2071-8713-5141 (in Russian).
  18. Inchley J., Currie D., Jewell J., Breda J., Barnekow V., Bucksch J., Elgar F.J., Hamrik Z. [et al.]. Adolescent obesity and related behaviours: trends and inequalities in the WHO European Region, 2002–2014: Observations from the Health Behaviour in School-aged Children (HBSC) WHO collaborative cross-national study. Copenhagen, WHO Regional Office for Europe, 2017, 87 p.
  19. Das J.K., Salam R.A., Thornburg K.L., Prentice A.M., Campisi S., Lassi Z.S., Koletzko B., Bhutta Z.A. Nutrition in adolescents: physiology, metabolism, and nutritional needs. Ann. N Y Acad. Sci., 2017, vol. 1393, no. 1, pp. 21–33. DOI: 10.1111/nyas.13330
  20. Peterkova V.A., Remizov O.V. Ozhirenie v detskom vozraste [Childhood obesity]. Ozhirenie i metabolizm, 2004, vol. 1, no. 1, pp. 17–23. DOI: 10.14341/2071-8713-5174 (in Russian).
  21. Yuditskaya T.A. The comparative characteristic of eating behaviour at children of preschool age with various body weight who live in the city and district. Meditsina i obrazovanie v Sibiri, 2014, no. 5, pp. 6 (in Russian).
  22. NCD Risk Factor Collaboration (NCD-RisC). Rising rural body-mass index is the main driver of the global obesity epidemic in adults. Nature, 2019, vol. 569, no. 7755, pp. 260–264. DOI: 10.1038/s41586-019-1171-x
  23. Popkin B.M. Global nutrition dynamics: the world is shifting rapidly toward a diet linked with noncommunicable diseases. Am. J. Clin. Nutr., 2006, vol. 84, no. 2, pp. 289–298. DOI: 10.1093/ajcn/84.1.289
  24. Ng S.W., Norton E.C., Popkin B.M. Why have physical activity levels declined among Chinese adults? Findings from the 1991–2006 China health and nutrition surveys. Soc. Sci. Med., 2009, vol. 68, no. 7, pp. 1305–1314. DOI: 10.1016/j.socscimed.2009.01.035
  25. Jaacks L.M., Slining M.M., Popkin B.M. Recent underweight and overweight trends by rural–urban residence among women in low- and middle-income countries. J. Nutr., 2015, vol. 145, no. 2, pp. 352–357. DOI: 10.3945/jn.114.203562
  26. Popkin B.M. Nutrition, agriculture and the global food system in low and middle income countries. Food Policy, 2014, vol. 47, pp. 91–96. DOI: 10.1016/j.foodpol.2014.05.001
  27. Senese L.C., Almeida N.D., Fath A.K., Smith B.T., Loucks E.B. Associations between childhood socioeconomic position and adulthood obesity. Epidemiol. Rev., 2009, vol. 31, no. 1, pp. 21–51. DOI: 10.1093/epirev/mxp006
  28. Bann D., Johnson W., Li L., Kuh D., Hardy R. Socioeconomic Inequalities in Body Mass Index across Adulthood: Coordinated Analyses of Individual Participant Data from Three British Birth Cohort Studies Initiated in 1946, 1958 and 1970. PLoS Med., 2017, vol. 14, no. 1, pp. e1002214. DOI: 10.1371/journal.pmed.1002214
  29. Barriuso L., Miqueleiz E., Albaladejo R., Villanueva R., Santos J.M., Regidor E. Socioeconomic position and childhood-adolescent weight status in rich countries: a systematic review, 1990–2013. BMC Pediatr., 2015, vol. 15, pp. 129. DOI: 10.1186/s12887-015-0443-3
  30. Ruyatkina L.A., Ruyatkin D.S., Iskhakova I.S. Opportunities and options for surrogate assessment of insulin resistance. Ozhirenie i metabolizm, 2019, vol. 16, no. 1, pp. 27–33. DOI: 10.14341/omet10082 (in Russian).
  31. Salazar J., Bermúdez V., Olivar L.C., Torres W., Palmar J., Añez R., Ordoñez M.G., Rivas J.R. [et al.]. Insulin resistance indices and coronary risk in adults from Maracaibo city, Venezuela: A cross sectional study. F1000Res, 2018, vol. 7, pp. 44. DOI: 10.12688/f1000research.13610.2
Received: 
29.08.2023
Approved: 
19.10.2023
Accepted for publication: 
20.12.2023

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