Prevalence and lifestyle determinants of central obesity in children

Dimitris A. Grigorakis, Michael Georgoulis, Glykeria Psarra, Konstantinos D. Tambalis, Demosthenes B. Panagiotakos, Labros S. Sidossis

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Purpose: Central obesity is a strong risk factor for metabolic disorders and cardiometabolic diseases in children and adolescents. The aim of the present study was to evaluate the prevalence of central obesity and to determine its cross-sectional association with lifestyle habits in a sample of school-aged children in Greece. Methods: The study sample consisted of 124,113 children (9.9 ± 1.1 years old, 51 % boys) attending the third and fifth grade of primary school. Anthropometric measurements were performed by trained physical education teachers, and central obesity was defined as waist-to-height ratio ≥0.5. Children’s lifestyle habits were assessed through 7-day recall questionnaires. Results: Of the participating children, 33.4 % were classified as centrally obese. Central obesity was significantly more prevalent in boys than in girls (36.0 vs. 30.7 %, P < 0.001) and was present in 95 % of obese children, as well as in a significant percentage of overweight (69.5 %) and normal-weight ones (12.0 %). Children with central obesity, compared to their non-centrally obese counterparts, reported poorer dietary habits and were less physically active. According to multiple logistic regression analysis, frequent breakfast (OR 0.72, 95 % CI 0.69–0.75) and snack consumption (OR 0.70, 95 % CI 0.67–0.74), as well as frequent participation in sedentary activities (OR 1.10, 95 % CI 1.07–1.14), were the strongest lifestyle determinants of central obesity. Conclusion: Strategies for the prevention of central obesity and associated comorbidities are urgently needed, for both obese and non-obese children. Our results suggest the need for a shift towards a healthier environment for our children, with emphasis on specific lifestyle habits, such as regular meal consumption and low sedentariness.

Original languageEnglish (US)
JournalEuropean Journal of Nutrition
DOIs
StateAccepted/In press - Aug 2 2015

Fingerprint

Abdominal Obesity
Life Style
Habits
Snacks
Physical Education and Training
Breakfast
Greece
Feeding Behavior
Meals
Comorbidity
Logistic Models
Regression Analysis
Weights and Measures

Keywords

  • Abdominal adiposity
  • Childhood central obesity
  • Dietary habits
  • Lifestyle
  • Physical activity
  • Sedentary activities

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Nutrition and Dietetics

Cite this

Grigorakis, D. A., Georgoulis, M., Psarra, G., Tambalis, K. D., Panagiotakos, D. B., & Sidossis, L. S. (Accepted/In press). Prevalence and lifestyle determinants of central obesity in children. European Journal of Nutrition. https://doi.org/10.1007/s00394-015-1008-9

Prevalence and lifestyle determinants of central obesity in children. / Grigorakis, Dimitris A.; Georgoulis, Michael; Psarra, Glykeria; Tambalis, Konstantinos D.; Panagiotakos, Demosthenes B.; Sidossis, Labros S.

In: European Journal of Nutrition, 02.08.2015.

Research output: Contribution to journalArticle

Grigorakis, DA, Georgoulis, M, Psarra, G, Tambalis, KD, Panagiotakos, DB & Sidossis, LS 2015, 'Prevalence and lifestyle determinants of central obesity in children', European Journal of Nutrition. https://doi.org/10.1007/s00394-015-1008-9
Grigorakis DA, Georgoulis M, Psarra G, Tambalis KD, Panagiotakos DB, Sidossis LS. Prevalence and lifestyle determinants of central obesity in children. European Journal of Nutrition. 2015 Aug 2. https://doi.org/10.1007/s00394-015-1008-9
Grigorakis, Dimitris A. ; Georgoulis, Michael ; Psarra, Glykeria ; Tambalis, Konstantinos D. ; Panagiotakos, Demosthenes B. ; Sidossis, Labros S. / Prevalence and lifestyle determinants of central obesity in children. In: European Journal of Nutrition. 2015.
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