Predictors of overweight and obesity in five to seven-year-old children in Germany: results from cross-sectional studies

Apfelbacher, Christian J.; Loerbroks, Adrian; Cairns, John; Behrendt, Heidrun; Ring, Johannes; Krämer, Ursula
January 2008
BMC Public Health;2008, Vol. 8 Issue 1, p171
Academic Journal
Background: Childhood obesity is a serious public health problem and epidemiological studies are important to identify predictive factors. It is the aim of this study to analyse factors associated with overweight/obesity in samples of German children. Methods: 35,434 five to seven year-old children (50.9% boys) participated in cross-sectional studies between 1991 and 2000 in several rural and urban areas in East and West Germany. Weight and height were measured and body mass index was calculated. International cut-off points, recommended by the International Obesity Task Force, were used to classify childhood overweight and obesity. Predictive modelling was employed to analyse independently associated factors, using logistic regression to adjust for confounding. Results: 15.5% were overweight, and 4.3% were obese. Female sex, other than German nationality, smoking in the living place and increasing birth weight were found to increase the odds of overweight and obesity, while increasing educational level, living space > 75 m² and breastfeeding for more than three months were inversely associated. Conclusion: The findings add to the evidence informing public health action, both through health promotion strategies (promoting breastfeeding, tackling smoking) and wider societal change management (addressing children from migrant families and families with low educational level).


Related Articles

  • Plasma leptin and adiponectin concentrations in healthy, non-obese children. Papaioannou, Helena I.; Stakos, Dimitrios A.; Tziakas, Dimitrios N.; Chalikias, George; Tsigalou, Christina; Kartali, Sophia; Mantadakis, Elpis; Chatzimichael, Athanasios // Journal of Pediatric Endocrinology & Metabolism;Jun2011, Vol. 24 Issue 5/6, p313 

    Background: Alterations in plasma leptin and adiponectin concentrations are associated with an adverse metabolic profile in obese children. Objective: To simultaneously assess multiple factors with possible effects on plasma leptin and adiponectin concentrations in healthy, non-obese children....

  • CORRECTIONS.  // Ethnicity & Disease;Autumn2011, Vol. 21 Issue 4, p521 

    A correction to the article "Maternal immigrant status and high birth weight: implications for childhood obesity," by Abdulrahman M. El-Sayed and Sandro Galea that was published in the 2011 issue is presented.

  • Syndrome X in 8-y-old Australian children: stronger associations with current body fatness than with infant size or growth. Dwyer, T.; Blizzard, L.; Venn, A.; Stankovich, J.M.; Ponsonby, A.L.; Morley, R. // International Journal of Obesity & Related Metabolic Disorders;Oct2002, Vol. 26 Issue 10, p1301 

    OBJECTIVE: Syndrome X (clustering of insulin resistance, dyslipidaemia and hypertension) in adults with central obesity has been suggested to be a consequence of poor foetal development. We investigated clustering of syndrome X factors in a sample of 8-y-old Australian children, and whether the...

  • PROFILAXIA OBEZITÄ‚Å¢II LA COPIL ÅžI ADOLESCENT ÃŽN MEDICINA DE FAMILIE. Cosmescu, Adriana; Felea, Doina; Barbacariu, Liliana; Petroaie, Antoneta; Manole, Mihaela // Romanian Medical Journal;2011, Vol. 58 Issue 4, p290 

    Obesity is a major public health issue, with an increasing prevalence among children and teenagers. A crucial role in preventing this disease belongs to the primary care physician, who can interact with all family members, promoting a healthy lifestyle. The family physician may also select the...

  • Excess weight in preschoolers: prevalence and associated factors. Schuch, Ilaine; de Castro, Teresa G.; de Vasconcelos, Francisco de A. G.; Dutra, Carmem L. C.; Goldani, Marcelo Z. // Jornal de Pediatria;Mar/Apr2013, Vol. 89 Issue 2, p179 

    Objective: To study the prevalence and factors associated with excess weight in children enrolled in public schools in the states of Rio Grande do Sul (RS) and Santa Catarina (SC). Methods: This was a cross-sectional study, carried out with children aged 4 to 6 years. The studied outcome was...

  • Is low birth weight in the causal pathway of the association between maternal smoking in pregnancy and higher BMI in the offspring? Beyerlein, Andreas; R�ckinger, Simon; Toschke, Andr�; Schaffrath Rosario, Angelika; Kries, R�diger // European Journal of Epidemiology;May2011, Vol. 26 Issue 5, p413 

    number of cross-sectional and prospective studies suggested a priming effect of maternal smoking in pregnancy on offspring's obesity. It has been hypothesized that this association might be explained by low birth weight and subsequent catch-up growth in the causal pathway. We therefore examined...

  • Prevalence of obesity in British children born in 1946 and 1958. Peckham, C.S.; Stark, O.; Simonite, V.; Wolff, O.H. // British Medical Journal (Clinical Research Edition);4/16/1983, Vol. 286 Issue 6373, p1237 

    Compares the prevalence of obesity in children born in 1946 and 1958 in Great Britain. Risk of being obese later in childhood; Definition of overweight; Correlation between birth weight and relative weight on both sexes.

  • Cigarette Smoking, Low Birth Weight, and Preterm Births in Low-Income African American Women. Moore, Mary Lou; Zaccaro, Daniel J // Journal of Perinatology;Apr2000, Vol. 20 Issue 3, p176 

    OBJECTIVE: To examine effects of light and heavy cigarette smoking on the incidence of low birth weight (LBW) and preterm births in African American women. DESIGN: A total of 1146 low-income African American women participated in a randomized trial to test the effectiveness of nursing...

  • Smoking in pregnancy and development into early adulthood. Fogelman, K.R.; Manor, O. // BMJ: British Medical Journal (International Edition);11/12/88, Vol. 297 Issue 6658, p1233 

    Examines the effect of smoking on the health of pregnant women. Impact of smoking on birth weight; Reaction between smoking during pregnancy and the survival of the baby; Increase of prenatal mortality caused by smoking.


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics