Decreased prevalence of hypercholesterolaemia and stabilisation of obesity trends in 5-year-old children: possible effects of changed public health policies
| Autor: | Primož Kotnik, Tadej Battelino, Katarina Sedej, Magdalena Avbelj Stefanija, Lara Lusa, Andreja Sirca Campa, Urh Groselj, Natasa Bratina |
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| Rok vydání: | 2014 |
| Předmět: |
Male
Pediatrics medicine.medical_specialty Cross-sectional study Endocrinology Diabetes and Metabolism Hypercholesterolemia Slovenia Population Overweight Body Mass Index Endocrinology Internal medicine Odds Ratio Prevalence Humans Mass Screening Medicine Obesity education Mass screening education.field_of_study business.industry Health Policy Public health General Medicine Odds ratio medicine.disease Cross-Sectional Studies Child Preschool Female medicine.symptom business Body mass index Demography |
| Zdroj: | European Journal of Endocrinology. 170:293-300 |
| ISSN: | 1479-683X 0804-4643 |
| DOI: | 10.1530/eje-13-0566 |
| Popis: | BackgroundOverweight/obesity in children is a worldwide public health problem. Together with hypercholesterolaemia they are associated with early atherosclerotic complications.ObjectivesIn this study, we aimed to investigate the anthropometric characteristics and total cholesterol (TC) levels in a population of 5-year-old children, to determine trends in the prevalence of overweight/obesity and hypercholesterolaemia in 5-year-old children over a period of 8 years (2001–2009) and to assess the impact of modified national nutritional guidelines for kindergartens implemented in 2005.DesignCross-sectional studies of overweight/obesity prevalence in the years 2001, 2003–2005 and 2009, and hypercholesterolaemia in years 2001 and 2009, in 5-year-old children.SubjectsAltogether, 12 832 (6308 girls/6524 boys) children were included.MethodsOverweight/obesity was defined by IOTF criteria. Hypercholesterolaemia was defined by TC level >5 mmol/l. Multivariable logistic regression models were used.ResultsNo correlation between BMI values and TC levels was found. Overweight and obesity prevalence were stabilised from 2001 to 2009 (odds ratio (OR) (95% CI): 1.13 (0.99–1.3) and 1.13 (0.89–1.42) respectively). Girls were more frequently overweight/obese than boys (OR (95% CI): 0.71 (0.65–0.79) and 0.75 (0.64–0.89) respectively). Prevalence of hypercholesterolaemia significantly decreased from 2001 to 2009 (OR (95% CI): 0.47 (0.41–0.55)). It was less frequent in boys than in girls (OR (95% CI): O.7 (0.61–0.8)).ConclusionsThis is the first study to describe a negative trend in the prevalence of hypercholesterolaemia in pre-pubertal children. In addition, the prevalence of overweight/obesity in these children has been stabilised. Nationwide changes in public health policies could have influenced these observations. |
| Databáze: | OpenAIRE |
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