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.
Objective:
The prevalence of overweight and obesity in childhood and adolescence are rapidly increasing and influenced by genetic, familial, environmental, socioeconomic and cultural factors. The aim of the study was to compare risk factors for childhood obesity in Ukraine (UA) and Germany (DE) using comparable investigative tools.
Methods:
Two groups of children, aged 8 to 18 years, from DE (93 children) and UA (95 children) were divided into overweight and obese groups. Anthropometric data and detailed medical history were collected.
Results:
Risk factors in pregnancy (prematurity, weight gain >20 kg, early contractions) were equally frequent in both groups. Positive correlations of body mass index (BMI)-standard deviation score (SDS) between children and mothers were noted. The proportion of family members with diabetes mellitus was lower in the UA group. Obesity was more frequent at one year of age in DE children. The DE group also became overweight at an earlier age and remained overweight over a longer period of time compared to UA. The mean BMI-SDS of obese children was lower in the UA group. In both groups waist circumference to height ratio was >0.5, indicating presence of a cardiometabolic risk factor. About half of the patients in both groups had blood pressure values exceeding the 95th percentile.
Conclusion:
Similar risk factors for obesity were observed among two groups of children in UA and DE. Differences were observed regarding the prevalence of specific risk factors for childhood obesity. Population-specific distribution of risk factors needs to be considered in order to optimize prevention and treatment strategies.
More Related Videos
Related Concept Videos
Factors Affecting the Risk of Infection
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
Obesity
Relative Risk
Erikson's Theory on Socioemotional Development during Childhood
The first four of Erikson's eight...
Drug Dosing: Obese Patients
Transcription Factors


