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Childhood obesity and socioeconomic status: a novel role for height growth limitation

Abstract

OBJECTIVE:

To assess prevalence and socioeconomic context of overweight and obesity in a cohort of Scottish children.

DESIGN:

Cross-sectional study.

SETTING:

Primary schools in Dundee, Angus, and Fife, Eastern Scotland, UK.

PARTICIPANTS:

A total of 1240 boys and 1214 girls aged between 4–10 y.

MAIN OUTCOME MEASURE:

Weight, height and body mass index (weight/height2).

RESULTS:

Overall overweight or obesity prevalence was 24.6%, while prevalence of obesity alone was 6.1%. Individuals from schools with a high level of low-income families were 65% more likely to be overweight as judged by BMI. However, these children weighed the same as more affluent children of the same age, but were 1.26 cm shorter.

CONCLUSION:

These data confirm the continued increase in childhood obesity in the UK and reveal a role for height-growth limitation in the absence of overall growth restriction, among children from low-income groups. This observation raises important questions regarding socioeconomic environmental factors in promoting the currently increasing levels of obesity.

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References

  1. Lobstein T, Baur L, Uauy R, IASO International Obesity TaskForce. Obesity in children and young people: a crisis in public health. Obes Rev 2004; 1: 4–104.

    Article  Google Scholar 

  2. Chinn S, Rona RJ . Prevalence and trends in overweight and obesity in three cross sectional studies of British Children, 1974–94. BMJ 2001; 322: 24–26.

    Article  CAS  Google Scholar 

  3. Urrutia-Rojas X, Menchaca J, Wadley W, Ahmad N, Lacko A, Bae S, Spellman C, Kudchodkar B, Kudolo G, McConathy W . Cardiovascular risk factors in Mexican-American children at risk for type 2 diabetes mellitus (T2DM). J Adolesc Health 2004; 34: 290–299.

    Article  Google Scholar 

  4. Deckelbaum RJ, Williams CL . Childhood obesity: The Health Issue. Obes Res 2001; 9: 239–243.

    Article  Google Scholar 

  5. Freedman DS . Clustering of coronary heart disease risk factors among obese children. J Pediatr Endocrinol Metab 2002; 15: 1099–1108.

    Article  Google Scholar 

  6. Cole TJ, Bellizzi MC, Flegal KM, Dietz WH . Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ 2000; 320: 1240–1243.

    Article  CAS  Google Scholar 

  7. Freeman JV, Cole TJ, Chinn S, Jones PR, White EM, Preece MA . Cross sectional stature and weight reference curves for the UK, 1990. Arch Dis Child 1995; 73: 17–24.

    Article  CAS  Google Scholar 

  8. Cole TJ, Freeman JV, Preece MA . Body mass index reference curves for the UK, 1990. Arch Dis Child 1995; 73: 25–29.

    Article  CAS  Google Scholar 

  9. Armstrong J, Dorosty AR, Reilly JJ, Emmett PM, Child Health Information Team. Coexistence of social inequalities in undernutrition and obesity in preschool children: population based cross sectional study. Arch Dis Child 2003; 88: 671–675.

    Article  CAS  Google Scholar 

  10. Freedman DS, Khan LK, Serdula MK, Dietz WH, Srinivasan SR, Berenson GS . Inter-relationships among childhood BMI, childhood height, and adult obesity: the Bogalusa Heart Study. Int J Obes Relat Metab Disord 2004; 28: 10–16.

    Article  CAS  Google Scholar 

  11. Freedman DS, Thornton JC, Mei Z, Wang J, Dietz WH, Pierson Jr RN, Horlick M . Height and adiposity among children. Obes Res 2004; 12: 846–853.

    Article  Google Scholar 

  12. Bueno MB, Marchioni DM, Fisberg RM . Changes in the nutritional status of children in public day care facilities in the municipality of Sao Paulo, Brazil. Rev Panam Salud Publica 2003; 14: 165–170.

    Article  Google Scholar 

  13. von Kries R, Toschke AM, Koletzko B, Slikker W . Maternal Smoking during Pregnancy and Childhood Obesity. Am J Epidemiol 2002; 156: 954–961.

    Article  Google Scholar 

  14. Reilly JJ, Jackson DM, Montgomery C, Kelly LA, Slater C, Grant S, Paton JY . Total energy expenditure and physical activity in young Scottish children: mixed longitudinal study. Lancet 2004; 363: 211–212.

    Article  CAS  Google Scholar 

  15. Agras WS, Hammer LD, McNicholas F, Kraemer HC . Risk factors for childhood overweight: A prospective study from birth to 9.5 years. J Pediatr 2004; 145: 20–25.

    Article  Google Scholar 

  16. Sekine M, Yamagami T, Handa K, Saito T, Nanri S, Kawaminami K, Tokui N, Yoshida K, Kagamimori S . A dose–response relationship between short sleeping hours and childhood obesity: results of the Toyama Birth Cohort Study. Child Care Health Dev 2002; 28: 163–170.

    Article  Google Scholar 

  17. Kraemer WJ, Ratamess NA . Hormonal responses and adaptations to resistance exercise and training. Sports Med 2005; 35: 339–361.

    Article  Google Scholar 

Download references

Acknowledgements

This work was funded by a grant from the Biotechnology and Biological Sciences Research Council (Award Number D13460). CP is supported by the Scottish Executive Genetic Health Initiative.

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Correspondence to C N A Palmer.

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Cecil, J., Watt, P., Murrie, I. et al. Childhood obesity and socioeconomic status: a novel role for height growth limitation. Int J Obes 29, 1199–1203 (2005). https://doi.org/10.1038/sj.ijo.0803055

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  • DOI: https://doi.org/10.1038/sj.ijo.0803055

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