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  • 1.
    Bammann, K.
    et al.
    Univ Bremen, Fac Human & Hlth Sci, Inst Publ Hlth & Nursing Res, D-28359 Bremen, Germany.;BIPS Inst Epidemiol & Prevent Res, Bremen, Germany.
    Gwozdz, W.
    Copenhagen Business Sch, Dept Intercultural Commun & Management, Frederiksberg, Denmark.
    Lanfer, A.
    BIPS Inst Epidemiol & Prevent Res, Bremen, Germany.
    Barba, G.
    CNR, Inst Food Sci, Avellino, Italy.
    De Henauw, S.
    Univ Ghent, Dept Publ Hlth, B-9000 Ghent, Belgium.
    Eiben, Gabriele
    Univ Gothenburg, Dept Publ Hlth & Community Med, Gothenburg, Sweden.
    Fernandez-Alvira, J. M.
    Univ Zaragoza, Growth Exercise Nutr & Dev GENUD Res Grp, Zaragoza, Spain.
    Kovacs, E.
    Univ Pecs, Dept Pediat, Pecs, Hungary.
    Lissner, L.
    Univ Gothenburg, Dept Publ Hlth & Community Med, Gothenburg, Sweden.
    Moreno, L. A.
    Univ Zaragoza, Growth Exercise Nutr & Dev GENUD Res Grp, Zaragoza, Spain.
    Tornaritis, M.
    Res & Educ Inst Child Hlth, Strovolos, Cyprus.
    Veidebaum, T.
    Natl Inst Hlth Dev, Dept Chron Dis, Tallinn, Estonia.
    Pigeot, I.
    BIPS Inst Epidemiol & Prevent Res, Bremen, Germany.
    Socioeconomic factors and childhood overweight in Europe: results from the multi-centre IDEFICS study2013In: Pediatric Obesity, ISSN 2047-6302, E-ISSN 2047-6310, Vol. 8, no 1, p. 1-12Article in journal (Refereed)
    Abstract [en]

    What is already known about this subject Overweight and obesity can be linked to different parental socioeconomic factors already in very young children. In Western developed countries, the association of childhood overweight and obesity and parental socioeconomic status shows a negative gradient. Ambiguous results have been obtained regarding the association between socioeconomic factors and childhood overweight and obesity in different countries and over time. What this study adds European regions show heterogeneous associations between socioeconomic factors and overweight and obesity in a multi-centre study with highly standardized study protoco. The strength of association between SES and overweight and obesity varies across European regions. In our study, the SES gradient is correlated with the regional mean income and the country-specific Human development index indicating a strong influence not only of the family but also of region and country on the overweight and obesity prevalence. Objective To assess the association between different macro- and micro-level socioeconomic factors and childhood overweight. Methods Data from the IDEFICS baseline survey is used to investigate the cross-sectional association between socioeconomic factors, like socioeconomic status (SES), and the prevalence of childhood overweight. Differences and similarities regarding this relationship in eight European regions (located in Belgium, Cyprus, Estonia, Germany, Hungary, Italy, Spain and Sweden) are explored. 11?994 children (50.9% boys, 49.1% girls) and their parents were included in the analyses. Results In five of the eight investigated regions (in Belgium, Estonia, Germany, Spain and Sweden), the prevalence of childhood overweight followed an inverse SES gradient. In the other three regions (in Cyprus, Hungary and Italy), no association between SES and childhood overweight was found. The SES-overweight association in a region was best explained by the country-specific human development index and the centre-specific mean income. For the investigated association between other socioeconomic factors and overweight, no clear pattern could be found in the different regions. Conclusion The association between socioeconomic factors and childhood overweight was shown to be heterogeneous across different European regions. Further research on nationwide European data is needed to confirm the results and to identify target groups for prevention.

  • 2.
    Regber, S.
    et al.
    Nord Sch Publ Hlth NHV, SE-40242 Gothenburg, Sweden.
    Novak, M.
    Univ Gothenburg, Dept Emergency & Cardiovasc Med, Sahlgrenska Acad, Gothenburg, Sweden.
    Eiben, Gabriele
    Univ Gothenburg, Dept Publ Hlth & Community Med, Sahlgrenska Acad, Publ Hlth Epidemiol Unit, Gothenburg, Sweden.
    Bammann, K.
    Univ Bremen, Inst Publ Hlth & Nursing Res, D-28359 Bremen, Germany.;BIPS Inst Epidemiol & Prevent Res, Bremen, Germany.
    De Henauw, S.
    Univ Ghent, Dept Movement & Sport Sci, B-9000 Ghent, Belgium.
    Fernandez-Alvira, J. M.
    Univ Zaragoza, GENUD Growth Exercise Nutr & Dev Res Grp, Univ Sch Hlth Sci EUCS, Zaragoza, Spain.
    Gwozdz, W.
    Copenhagen Business Sch, Dept Intercultural Commun & Management, Frederiksberg, Denmark.
    Kourides, Y.
    Res & Educ Inst Child Hlth Strovolos, Strovolos, Cyprus.
    Moreno, L. A.
    Univ Zaragoza, GENUD Growth Exercise Nutr & Dev Res Grp, Univ Sch Hlth Sci EUCS, Zaragoza, Spain.
    Molnar, D.
    Univ Pecs, Dept Pediat, Pecs, Hungary.
    Pigeot, I.
    Univ Bremen, Dept Biometry & Data Management, BIPS Inst Epidemiol & Prevent Res, Fac Math & Comp Sci 03, D-28359 Bremen, Germany.
    Reisch, L.
    Copenhagen Business Sch, Dept Intercultural Commun & Management, Frederiksberg, Denmark.
    Russo, P.
    CNR, Inst Food Sci, Avellino, Italy.
    Veidebaum, T.
    Natl Inst Hlth Dev, Tallinn, Estonia.
    Borup, I.
    Nord Sch Publ Hlth NHV, SE-40242 Gothenburg, Sweden.
    Marild, S.
    Univ Gothenburg, Sahlgrenska Acad, Inst Clin Sci, Dept Paediat, Gothenburg, Sweden.
    Parental perceptions of and concerns about child's body weight in eight European countries - the IDEFICS study2013In: Pediatric Obesity, ISSN 2047-6302, E-ISSN 2047-6310, Vol. 8, no 2, p. 118-129Article in journal (Refereed)
    Abstract [en]

    Objectives To evaluate parental perceptions of and concern about child's body weight and general health in children in a European cohort. Design Cross-sectional multi-centre study in eight European countries. Participants 16220 children, ages 29 years. Methods Parents completed a questionnaire regarding children's health and weight and concern about overweight and underweight. Objective children's weight categories from the International Obesity Task Force were used. Logistic regression models were utilized to identify predictors of accurate weight perception. Results Parental weight perception corresponded overall to children's mean body mass index (BMI) z-scores, with important exceptions. About one-third of the total indicated concern about underweight, paradoxically most often parents of children in the overweight or obesity categories. In 63%, parents of children in the overweight category marked proper weight'. The strongest predictor for accurate parental weight perception for children with overweight and obesity was BMI z-score (odds ratio [OR]=7.2, 95% confidence interval [CI] 6.18.7). Compared to Southern Europe, ORs for accurate parental weight perception were 4.4 (95% CI 3.36.0) in Northern Europe and 3.4 (95% CI 2.74.2) in Central Europe. Conclusion Parents of children categorized as being overweight or obese systematically underestimated weight. Parents differed regionally regarding accurate weight perception and concern about overweight and underweight.

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