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[Relation between dietary and physical activity patterns and obesity in seven year old children--current
Radka Braunerová1, Marie Kunesová, Bohuslav Procházka
1Endokrinologický ustav, Centrum pro diagnostiku a Ié6bu obezity, Národní 8, 116 94 Praha 1. rbraunerova@endo.cz
Insights
Childhood obesity surveillance in the Czech Republic found that low-fat milk intake correlated with higher BMI, while full-fat milk intake correlated with lower BMI in seven-year-olds. School health programs positively influenced children's weight.
Area of Science:
- Pediatrics
- Public Health
- Nutritional Science
Context:
- Childhood obesity is a significant global health concern requiring standardized monitoring.
- The World Health Organization (WHO)/Europe's Childhood Obesity Surveillance Initiative (COSI) aims to track obesity trends across European nations.
- This study focuses on the Czech Republic's participation in COSI, examining diet and physical activity patterns in children.
Purpose:
- To provide an overview of childhood obesity in the Czech Republic within the COSI framework.
- To investigate the association between dietary habits, physical activity, and Body Mass Index (BMI) in seven-year-old children.
- To evaluate the impact of school-based health promotion programs on children's weight status.
Summary:
- A cohort of 1704 seven-year-olds underwent anthropometric measurements and completed questionnaires on lifestyle factors.
- Statistical analysis revealed a positive correlation between low-fat milk consumption and BMI, and a negative correlation between full-fat milk consumption and BMI.
- Increased participation in school preventive health programs was associated with lower BMI in children.
Impact:
- Findings challenge conventional dietary recommendations regarding low-fat milk consumption in children.
- Highlights the potential effectiveness of school-based interventions in managing childhood obesity.
- Provides valuable data for public health strategies and policy-making in the Czech Republic and potentially other European countries.
Background:
Childhood obesity is a global health problem. For monitoring of trends in obesity prevalence and comparison between countries standardized methods are necessary. WHO/Europe launched the "Childhood Obesity Surveillance Initiative" project in 2006 aiming to monitor childhood obesity and associated factors in European countries. This paper provides an overview of the situation in the Czech Republic with focus on diet and physical activity.
Methods And Results:
The cohort included 1704 seven-year olds who were examined by paediatricians in 2008 (essential anthropometric measurements). Questionnaires on children's eating habits, physical activity, family, and school environment were filled in. Statistical methods employed. Multivariate regression with reduction of dimensionality (bi-directional orthogonal projection to the latent structure), one-way ANOVA. Low-fat milk intake frequency was positively correlated with BMI (p = 0.0001), while full-fat milk intake was negatively correlated (p = 0.005). These results probably reflect the change in the diet due to increasing BMI. Number of preventive school programmes aimed on health promotion was negatively associated with BMI (p = 0.026).
Conclusions:
Surprisingly, low-fat milk consumption was associated with higher BMI in seven years old children, while full-fat milk consumption was associated with lower BMI. School preventive programmes positively affect children's weight.
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