Risk Factors for Childhood Overweight and Obesity in Ukraine and Germany

Vira Yakovenko1, Laura Henn2, Markus Bettendorf1

  • 1Ruprecht-Karls-University Heidelberg, University Children’s Hospital, Department of General Pediatrics, Heidelberg, Germany

Insights

Childhood obesity risk factors show similarities between Ukraine and Germany, but specific prevalence differs. Tailored prevention and treatment strategies are essential for each population.

Area of Science:

  • Pediatrics
  • Public Health
  • Epidemiology

Background:

  • Childhood and adolescent obesity rates are rising globally.
  • Obesity is influenced by a complex interplay of genetic, familial, environmental, socioeconomic, and cultural factors.

Purpose of the Study:

  • To compare risk factors for childhood obesity in Ukraine and Germany.
  • To utilize comparable investigative tools for accurate cross-national analysis.

Main Methods:

  • Study included 93 children from Germany (DE) and 95 from Ukraine (UA), aged 8-18 years.
  • Participants were categorized into overweight and obese groups.
  • Data collected included anthropometric measurements and detailed medical histories.

Main Results:

  • Pregnancy risk factors (prematurity, excessive maternal weight gain) were similar in both groups.
  • A positive correlation between children's and mothers' body mass index (BMI)-standard deviation score (SDS) was observed.
  • Obesity onset was earlier and duration longer in German children compared to Ukrainian children, with lower mean BMI-SDS in the Ukrainian obese group.
  • Both groups exhibited a waist circumference to height ratio >0.5, indicating cardiometabolic risk, and approximately half had elevated blood pressure.

Conclusions:

  • While overall risk factors for childhood obesity were similar between Ukraine and Germany, significant differences in the prevalence of specific factors were identified.
  • Understanding population-specific risk factor distributions is crucial for developing effective prevention and treatment strategies for childhood obesity.
Abstract

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