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Trends in overweight and obesity and changes in the distribution of body mass index in schoolchildren of Jena, East Germany

European Journal of Clinical Nutrition volume 61, pages 404–411 (2007)Cite this article

A Corrigendum to this article was published on 02 May 2007

Abstract

Objective:

Data of Jena children (Germany) show increases in the prevalence estimates of overweight and obesity between 1975 and 2001. Our objective was to determine if these increases contribute to changes in the distribution of body mass index (BMI) in the entire population of children. The decade 1985–1995, which includes the time of German reunification, is of particular interest because of the significant socio-economic changes in East Germany, in which Jena is located.

Design and subjects:

The analyses were based on data from four cross-sectional growth studies in 7- to 14-year-old children performed in Jena, Germany, in 1975 (n=2013), 1985 (n=1534), 1995 (n=1906) and 2001 (n=1918). Overweight and obesity were estimated by German reference data and the reference of Cole et al. Mean difference plots were used to investigate the changes in the BMI distributions within sexes between the studies.

Results:

Between 1985 and 1995, the prevalence of overweight and obesity increased significantly in both sexes, whereas nonsignificant changes were found between 1975 and 1985. Although there is a tendency towards increased overweight between 1995 and 2001, the differences were nonsignificant. Comparing data from 1975 and 1985, the mean difference plots showed virtually no changes in the BMI distribution. In the plots comparing the BMI distribution for 1985 data and 1995 data, the whole distribution tended to shift upwards with a greater shift in the upper BMI range. The entire population of children in Jena gained weight during this period of time. This increase may be linked to a transition towards a more Western lifestyle, that is, usually by lower energy expenditure and nutritional transitions, caused by the process of reunification of Germany in 1989.

Conclusions:

Weight gain appears to be a characteristic feature of the entire population studied and does not seem to be a separate problem of the obese children. This suggests that reported changes in the prevalence may be underestimating the looming public health crisis.

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References

  • Bedogni G, Iughetti L, Ferrari M, Malavolti M, Poli M, Bernasconi S et al. (2003). Sensitivity and specificity of body mass index and skinfold thicknesses in detecting excess adiposity in children aged 8–12 years. Ann Hum Biol 30, 132–139.

    Article  CAS  Google Scholar 

  • Bundred P, Kitchiner D, Buchan I (2001). Prevalence of overweight and obese children between 1989 and 1998: population based series of cross sectional studies. BMJ 322, 326–328.

    Article  CAS  Google Scholar 

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

    Article  CAS  Google Scholar 

  • Cole TJ, Green PJ (1992). Smoothing reference centile curves: the LMS method and penalized likelihood. Stat Med 11, 1305–1319.

    Article  CAS  Google Scholar 

  • Daniels SR, Khoury PR, Morrison JA (1997). The utility of body mass index as a measure of body fatness in children and adolescents: differences by race and gender. Pediatrics 99, 804–807.

    Article  CAS  Google Scholar 

  • De Spiegelaere M, Dramaix M, Hennart P (1998). The influence of socioeconomic status on the incidence and evolution of obesity during early adolescence. Int J Obes Relat Metab Disord 22, 268–274.

    Article  CAS  Google Scholar 

  • Dietz WH (2004). Overweight in childhood and adolescence. N Engl J Med 350, 855–857.

    Article  CAS  Google Scholar 

  • Dietz WH, Robinson TN (1998). Use of the body mass index (BMI) as a measure of overweight in children and adolescents. J Pediatr 132, 191–193.

    Article  CAS  Google Scholar 

  • Ellis KJ, Abrams SA, Wong WW (1999). Monitoring childhood obesity: assessment of the weight/height index. Am J Epidemiol 150, 939–946.

    Article  CAS  Google Scholar 

  • Flegal KM, Troiano RP (2000). Changes in the distribution of body mass index of adults and children in the US population. Int J Obes Relat Metab Disord 24, 807–818.

    Article  CAS  Google Scholar 

  • Freedman DS, Wang J, Maynard LM, Thornton JC, Mei Z, Pierson RN et al. (2005). Relation of BMI to fat and fat-free mass among children and adolescents. Int J Obes Relat Metab Disord 29, 1–8.

    Article  CAS  Google Scholar 

  • Friedman JM (2003). A war on obesity, not the obese. Science 299, 856–858.

    Article  CAS  Google Scholar 

  • Goran MI (2001). Metabolic precursors and effects of obesity in children: a decade of progress, 1990–1999. Am J Clin Nutr 73, 158–171.

    Article  CAS  Google Scholar 

  • Gunnell DJ, Frankel SJ, Nanchahal K, Peters TJ, Davey SG (1998). Childhood obesity and adult cardiovascular mortality: a 57-y follow-up study based on the Boyd Orr cohort. Am J Clin Nutr 67, 1111–1118.

    Article  CAS  Google Scholar 

  • Herpertz-Dahlmann B, Geller F, Bohle C, Khalil C, Trost-Brinkhues G, Ziegler A et al. (2003). Secular trends in body mass index measurements in preschool children from the City of Aachen, Germany. Eur J Pediatr 162, 104–109.

    PubMed  Google Scholar 

  • Hulens M, Beunen G, Claessens AL, Lefevre J, Thomis M, Philippaerts R et al. (2001). Trends in BMI among Belgian children, adolescents and adults from 1969 to 1996. Int J Obes Relat Metab Disord 25, 395–399.

    Article  CAS  Google Scholar 

  • Kain J, Uauy R, Vio F, Albala C (2002). Trends in overweight and obesity prevalence in Chilean children: comparison of three definitions. Eur J Clin Nutr 56, 200–204.

    Article  CAS  Google Scholar 

  • Kromeyer-Hauschild K (2004). Aktuelle Aspekte der Gewichtsentwicklung bei Kindern und Jugendlichen. Pädiat Prax 64, 371–378.

    Google Scholar 

  • Kromeyer-Hauschild K, Wabitsch M, Kunze D, Geller F, Geiß HC, Hesse V et al. (2001). Perzentile für den Body-mass-Index für das Kindes- und Jugendalter unter Heranziehung verschiedener deutscher Stichproben. Monatsschr Kinderheilkd 149, 807–818.

    Article  Google Scholar 

  • Kromeyer-Hauschild K, Zellner K, Jaeger U, Hoyer H (1999). Prevalence of overweight and obesity among school children in Jena (Germany). Int J Obes Relat Metab Disord 23, 1143–1150.

    Article  CAS  Google Scholar 

  • Langnaese K, Mast M, Muller MJ (2002). Social class differences in overweight of prepubertal children in northwest Germany. Int J Obes Relat Metab Disord 26, 566–572.

    Article  Google Scholar 

  • Livingstone B (2000). Epidemiology of childhood obesity in Europe. Eur J Pediatr 159 (Suppl 3), S14–S34.

    Article  Google Scholar 

  • Magarey AM, Daniels LA, Boulton TJ (2001). Prevalence of overweight and obesity in Australian children and adolescents: reassessment of 1985 and 1995 data against new standard international definitions. Med J Aust 174, 561–564.

    CAS  PubMed  Google Scholar 

  • Martin R, Saller K (1957). Lehrbuch der Anthropologie. Bd. 1. Stuttgart: Gustav Fischer.

    Google Scholar 

  • Maynard LM, Wisemandle W, Roche AF, Chumlea WC, Guo SS, Siervogel RM (2001). Childhood body composition in relation to body mass index. Pediatrics 107, 344–350.

    Article  CAS  Google Scholar 

  • Poskitt EM (1995). Defining childhood obesity: the relative body mass index (BMI). European Childhood Obesity group. Acta Paediatr 84, 961–963.

    Article  CAS  Google Scholar 

  • Sakamoto N, Wansorn S, Tontisirin K, Marui E (2001). A social epidemiologic study of obesity among preschool children in Thailand. Int J Obes Relat Metab Disord 25, 389–394.

    Article  CAS  Google Scholar 

  • Sardinha LB, Going SB, Teixeira PJ, Lohman TG (1999). Receiver operating characteristic analysis of body mass index, triceps skinfold thickness, and arm girth for obesity screening in children and adolescents. Am J Clin Nutr 70, 1090–1095.

    Article  CAS  Google Scholar 

  • Troiano RP, Flegal KM (1998). Overweight children and adolescents: description, epidemiology, and demographics. Pediatrics 101, 497–504.

    CAS  PubMed  Google Scholar 

  • Wabitsch M, Kunze D, Keller E, Kiess W, Kromeyer-Hauschild K (2002). Adipositas bei Kindern und Jugendlichen in Deutschland. Deutliche und anhaltende Zunahme der Prävalenz – Aufruf zum Handeln. Fortschr Med Orig 120, 99–106.

    CAS  PubMed  Google Scholar 

  • Weinsier RL, Hunter GR, Heini AF, Goran MI, Sell SM (1998). The etiology of obesity: relative contribution of metabolic factors, diet, and physical activity. Am J Med 105, 145–150.

    Article  CAS  Google Scholar 

  • Zellner K, Jaeger U, Kromeyer-Hauschild K (2004). Height, weight and BMI of schoolchildren in Jena, Germany – are the secular changes levelling off? Econ Hum Biol 2, 281–294.

    Article  Google Scholar 

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Authors and Affiliations

  1. Institute of Human Genetics and Anthropology, Friedrich-Schiller-University Jena, Jena, Germany

    K Kromeyer-Hauschild & K Zellner

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  1. K Kromeyer-Hauschild
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  2. K Zellner
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Correspondence to K Kromeyer-Hauschild.

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Guarantor: K Kromeyer-Hauschild.

Contributors: KK-H contributed to the study design, data collection, data analysis and writing of the paper, and KZ contributed to the study design, data collection and assisted in writing the paper.

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Kromeyer-Hauschild, K., Zellner, K. Trends in overweight and obesity and changes in the distribution of body mass index in schoolchildren of Jena, East Germany. Eur J Clin Nutr 61, 404–411 (2007). https://doi.org/10.1038/sj.ejcn.1602533

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