Prevalence of childhood obesity and related parental factors across socioeconomic strata in Ankara, Turkey Prévalence de l’obésité de l’enfant et facteurs parentaux associés à travers les strates socio-économiques à Ankara (Turquie)

YARDIM M. S., Hilal Özcebe L., Araz O. M., ÜNER S., Li S., Unlu H. K., ...Daha Fazla

Eastern Mediterranean Health Journal, cilt.25, sa.6, ss.374-384, 2019 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 25 Sayı: 6
  • Basım Tarihi: 2019
  • Doi Numarası: 10.26719/emhj.18.052
  • Dergi Adı: Eastern Mediterranean Health Journal
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus
  • Sayfa Sayıları: ss.374-384
  • Anahtar Kelimeler: Turkey, childhood obesity, socioeconomic status, parent, school, METABOLIC SYNDROME, MATERNAL EMPLOYMENT, ADOLESCENT OBESITY, RISK-FACTORS, OVERWEIGHT, CHILDREN, INEQUALITIES, COUNTRIES, BMI
  • Lokman Hekim Üniversitesi Adresli: Hayır

Özet

© World Health Organization (WHO) 2019. Some rights reserved.Background: Among low-and middle-income nations, the highest prevalence of child overweight and associated metabolic disorders has been found in Middle Eastern and Eastern European countries. Obesity has been on the rise in Turkey and past research has shown regional variations among adults. However, the prevalence of childhood obesity in different socioeconomic groups in the largest metropolitan areas in the country has not been reported. Aims: This study aimed to investigate the prevalence of child obesity with a population-representative, SES-stratified random sample with objective measures of body mass index (BMI) in the capital city of Turkey. Methods: Weight status was measured by the WHO growth curve and analyzed by socioeconomic status (SES), sex, and parental factors in a population-representative sample of 2066 parent-child dyads. Chi-square and logistic regression were conducted. Results: Rates of overweight and obesity were 21.2% and 14.6% (35.8% combined) but significantly higher in high (24.5% and 18.9%) vs. low SES (20.1% and 13.8%) (P = 0.02). Boys were at higher risk for obesity than girls, especially in high vs. low SES (Odds Ratio [OR] = 3.0 [95% CI: 1.4–6.5] vs. 1.7 [95% CI: 1.2–2.5]). Having both parents being overweight or obese increased the risk for obesity, particularly in medium and high SES (OR = 5.8 [95% CI: 2.3–14.1]) and 6.3 (95% CI: 1.5–26.2). Conclusions: Higher maternal education was a risk factor in low-to-medium but not high SES. In Ankara, child overweight and obesity appears to be 1.5 times more prevalent than national estimates. Higher SES may signify greater exposure to an obesogenic environment and greater obesity risk.