Association of number of siblings, birth order, and thinness in 3- to 12-year-old children: a population-based cross-sectional study in Shanghai, China

Abstract Background: Sibship size and structure have a significant association with overweight and obesity in children, but the relationship with thinness has not been fully studied and understood, especially in Asia. This study evaluated the associations among number of siblings, birth order, and childhood thinness and investigated the association of number of younger or older siblings with childhood thinness. Methods: In this study, we performed a population-based cross-sectional study among 84,075 3- to 12-year-old children in Shanghai using multistage stratified cluster random sampling. We defined grades 1, 2, and 3 thinness according to the body mass index cutoff points set by the International Obesity Task Force and used multinomial logistic regression models to estimate the odds ratio (OR) and 95% confidence interval (95% CI). Results: Compared with only children, for boys, children with two or more siblings were more likely to suffer from grade 2 (OR = 1.29, 95% CI 1.02, 1.64) and grade 3 thinness (OR = 1.60, 95% CI 1.07, 2.40); and the youngest child faced a higher risk of grade 2 (OR = 1.44, 95% CI 1.09, 1.90) and grade 3 thinness (OR = 1.53, 95% CI 1.01, 2.33). For girls, children with one sibling were more likely to suffer from grade 1 thinness (OR = 1.22, 95% CI 1.05, 1.42); the oldest child, middle child, and youngest child faced a higher risk of grade 1 (OR = 1.42, 95% CI 1.09, 1.84), grade 2 (OR = 1.26, 95% CI 1.03, 1.54), and grade 1 thinness (OR = 1.87, 95% CI 1.21, 2.88) respectively. There was no statistically significant relationship, however, between a larger number of younger or older siblings and childhood thinness. Conclusions: Regardless of sex, having either siblings or a higher birth order was positively associated with childhood thinness. The present study has suggested that future interventions to prevent childhood thinness should consider family background as an important factor, especially in multi-child-families. Keywords: Number of siblings, Birth order, Thinness, Children

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Association of number of siblings, birth order, and thinness in 3- to 12-year-old children: a population-based cross-sectional study in Shanghai, China

10.21203/rs.2.16330/v2 ◽

2020 ◽

Author(s):

Tingting Yu ◽

Chang Chen ◽

Zhijuan Jin ◽

You Yang ◽

Yanrui Jiang ◽

...

Keyword(s):

Birth Order ◽

Population Based ◽

Cross Sectional Study ◽

Overweight And Obesity ◽

The Body ◽

Sectional Study ◽

Cross Sectional ◽

Grade 3 ◽

Childhood Thinness ◽

Older Siblings

Abstract Background: Sibship size and structure have a significant association with overweight and obesity in children, but the relationship with thinness has not been fully studied and understood, especially in Asia. This study evaluated the associations among number of siblings, birth order, and childhood thinness and investigated the association of number of younger or older siblings with childhood thinness.Methods: In this study, we performed a population-based cross-sectional study among 84,075 3- to 12-year-old children in Shanghai using multistage stratified cluster random sampling. We defined grades 1, 2, and 3 thinness according to the body mass index cutoff points set by the International Obesity Task Force and used multinomial logistic regression models to estimate the odds ratio (OR) and 95% confidence interval (95% CI).Results: Compared with only children, for boys, children with two or more siblings were more likely to suffer from grade 2 (OR = 1.29, 95% CI 1.02, 1.64) and grade 3 thinness (OR = 1.60, 95% CI 1.07, 2.40); and the youngest child faced a higher risk of grade 2 (OR = 1.44, 95% CI 1.09, 1.90) and grade 3 thinness (OR = 1.53, 95% CI 1.01, 2.33). For girls, children with one sibling were more likely to suffer from grade 1 thinness (OR = 1.22, 95% CI 1.05, 1.42); the oldest child, middle child, and youngest child faced a higher risk of grade 1 (OR = 1.42, 95% CI 1.09, 1.84), grade 2 (OR = 1.26, 95% CI 1.03, 1.54), and grade 1 thinness (OR = 1.87, 95% CI 1.21, 2.88) respectively. There was no statistically significant relationship, however, between a larger number of younger or older siblings and childhood thinness.Conclusions: Regardless of sex, having either siblings or a higher birth order was positively associated with childhood thinness. The present study has suggested that future interventions to prevent childhood thinness should consider family background as an important factor, especially in multi-child-families.

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Association of number of siblings, birth order, and thinness in 3- to 12-year-old children: a population-based cross-sectional study in Shanghai, China

10.21203/rs.2.16330/v1 ◽

2019 ◽

Author(s):

Tingting Yu ◽

Chang Chen ◽

Zhijuan Jin ◽

You Yang ◽

Yanrui Jiang ◽

...

Keyword(s):

Birth Order ◽

Task Force ◽

Family Background ◽

Population Based ◽

Cross Sectional Study ◽

The Body ◽

Sectional Study ◽

Cross Sectional ◽

Childhood Thinness ◽

Older Siblings

Abstract Background: To evaluate the associations among number of siblings, birth order, and childhood thinness as well as the effect of number of younger or older siblings on childhood thinness. Methods: In this study, we performed a population-based cross-sectional study among 84075 3- to 12-year-old children in Shanghai using multistage stratified cluster random sampling. We defined grade 1, 2, and 3 thinness according to the body mass index cutoff points set by the International Obesity Task Force, and used multivariable logistic regression models to estimate the odds ratio (OR) and 95% confidence interval (95% CI). Results: Compared with only children, sibling children were more likely to be thin: one sibling (OR = 1.21, 95% CI 1.11, 1.31) and two or more siblings (OR = 1.10 95% CI 1.02, 1.19); Middle children (OR = 1.14, 95% CI 1.04, 1.26) and youngest children (OR = 1.38, 95% CI 1.23, 1.55) had significantly increased ORs for childhood thinness. There was no statistically significant relationship, however, between a larger number of younger or older siblings and childhood thinness. Conclusions: Having either siblings or a higher birth order was positively associated with childhood thinness. The present study suggests that future interventions to prevent childhood thinness should consider family background as an important factor, especially in multi-child families.

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Prevalence of overweight and obesity based on the body mass index; a cross-sectional study in Alkharj, Saudi Arabia

Lipids in Health and Disease ◽

10.1186/s12944-018-0778-5 ◽

2018 ◽

Vol 17 (1) ◽

Cited By ~ 18

Author(s):

Sameer Al-Ghamdi ◽

Mamdouh M. Shubair ◽

Abdulrahman Aldiab ◽

Jamaan M. Al-Zahrani ◽

Khaled K. Aldossari ◽

...

Keyword(s):

Body Mass Index ◽

Saudi Arabia ◽

Body Mass ◽

Cross Sectional Study ◽

Overweight And Obesity ◽

The Body ◽

Sectional Study ◽

Cross Sectional

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Prevalence of obesity, food choices and socio-economic status: a cross-sectional study in the north-west of Iran

Public Health Nutrition ◽

10.1017/phn2006982 ◽

2006 ◽

Vol 9 (8) ◽

pp. 996-1000 ◽

Cited By ~ 29

Author(s):

Saeed Dastgiri ◽

Reza Mahdavi ◽

Helda TuTunchi ◽

Elnaz Faramarzi

Keyword(s):

Dairy Products ◽

Population Based ◽

Cross Sectional Study ◽

Overweight And Obesity ◽

Sectional Study ◽

Cross Sectional ◽

Essential Information ◽

North West ◽

The North ◽

Prevalence Of Obesity

AbstractAimTo document the epidemiological features and influencing factors of obesity in the north-west of Iran, to provide baseline information for setting up a regional population-based centre to control and prevent obesity-related disorders in the area.MethodsIn this cross-sectional study, a total of 300 subjects were selected/studied in Tabriz, one of the major cities in Iran. Data on basic characteristics, anthropometric measurements, dietary assessment and physical activity were collected. Obesity was defined as body mass index ≥ 30 kg m− 2for both women and men.ResultsTotal prevalence of obesity in the area was 22.4% (95% confidence interval (CI): 18.0–27.6). The prevalence of obesity was 24% (95% CI: 18.5–31.4) for women and 18% (95% CI: 12.5–25.6) for men. For both women and men obesity prevalence showed a positive association with age (P < 0.001), while there was a negative correlation of obesity with education and income (P < 0.001). Fruit consumption decreased the risk of obesity in both women and men (odds ratio (OR) = 0.60, 95% CI: 0.49–0.71 vs. OR = 0.62, 95% CI: 0.51–0.74, respectively). The same significant pattern was observed for the consumption of green vegetables (OR = 0.71, 95% CI: 0.57–0.63 vs. OR = 0.86, 95% CI: 0.77–0.98 for women and men, respectively), legumes (OR = 0.70, 95% CI: 0.59–0.84 vs. OR = 0.78, 95% CI: 0.66–0.91 for women and men, respectively) and dairy products (OR = 0.73, 95% CI: 0.61–0.91 vs. OR = 0.77, 95% CI: 0.63–0.93 for women and men, respectively).ConclusionsOur study showed that educational attainment, higher income and consumption of certain food groups (i.e. vegetables, fruits, legumes and dairy products) may decrease the risk of obesity. Our findings also indicate the crucial necessity of establishing a population-based centre for obesity in the area. The essential information is now achieved to propose to local health authorities to act accordingly. However, more population-based investigations on dietary choices are needed to develop effective preventive strategies to control overweight and obesity disorders in different regions.

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The prevalence of obesity and overweight in Northeastern Iran

Asian Journal of Health Sciences ◽

10.15419/ajhs.v4i1.435 ◽

2018 ◽

Vol 4 (1) ◽

pp. 1-10 ◽

Cited By ~ 1

Author(s):

Hakimeh Saadatifar ◽

Hadi Ostadimoghaddam ◽

Fahimeh Khoshhal ◽

Frida Jabbari-Azad ◽

Saman Mohazzab-Torabi ◽

...

Keyword(s):

Cross Sectional Study ◽

Overweight And Obesity ◽

The Body ◽

Health Policies ◽

Sectional Study ◽

Cross Sectional ◽

Who Criteria ◽

Obesity And Overweight ◽

Prevalence Of Obesity ◽

The Mean

Objective: The aim of this study was to assess obesity and overweight by WHO criteria in Mashhad, Iran. Method: This cross-sectional study was performed on 4453 people from Mashhad in 2009. Comprehensive data of age, height, weight, education, and marriage was collected. Overweight and obesity were calculated according to the body mass index (BMI). Results: A total of 1828 participants entered study, of whom 70.4% were women. The mean age of the population was 39.8±13.5 years. The prevalence of overweight and obesity was 36.5% (95% CI 34.3-38.6) and 16.9% (95% CI 15.1-18.8), respectively. The prevalence of overweight was 39.0% in men and 35.4% in women which increased significantly by age (P<0.001 & OR=1.055). The prevalence of obesity in men and women was 12.3% and 18.9% respectively which showed women had a significantly higher risk (P<0.001). The risk of overweight and obesity was higher in married but lower in educated people. Conclusion: This study showed a rapid increase in obesity and overweight, especially in women, in Mashhad population as a sample of the Iranian society. Attention to preventive and education plans should be the priority of health policies.

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Parental obesity influence on body mass index of children: a cross sectional study

International Journal of Contemporary Pediatrics ◽

10.18203/2349-3291.ijcp20175574 ◽

2017 ◽

Vol 5 (1) ◽

pp. 134

Author(s):

Chaitanya R. Patil ◽

Sushama S. Thakre ◽

Subhash B. Thakre ◽

Prithvi B. Petkar

Keyword(s):

Body Mass Index ◽

Body Mass ◽

Odds Ratio ◽

Economic Status ◽

Cross Sectional Study ◽

Overweight And Obesity ◽

The Body ◽

Health Concern ◽

Sectional Study ◽

Cross Sectional

Background: Childhood obesity is a serious public health concern in both developed and developing countries. The children share food habits, physical activity habits etc. with their parents either in term of genetic or environmental influences, which affects the body mass index of the children. The objective of this study was to study the association of parental overweight/obesity with overweight/obesity in the children.Methods: A cross-sectional study was conducted in a government aided school in Nagpur during January 2016 to April 2016. Data was collected by a self-administered questionnaire which had information regarding the socio demographic characteristics like age, sex, socio economic status etc. Anthropometric measurements like height and weight of the children and their parents were measured. Necessary permissions were sought before the start of the study.Results: We found a significant association (p<0.01) between the obesity and overweight status of father and mother with the body mass index of their children with an odds ratio of 2.49 (1.69 to 3.66) and 2.90 (1.98 to 4.25) respectively. If both the parents are overweight/obese then the odds of their being overweight/obese is 3.00 (1.93-4.68). If either of parents is overweight/ obese, then the odds ratio is 3.10 (2.12-4.54).Conclusions: Stronger and significant associations were found between the overweight and obesity of the parents and their children. A significantly positive correlation was found between the body mass index of parents and body mass index of their children.

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A Cross-sectional Study of the Prevalence of Dental Caries among 12- to 15-year-old Overweight Schoolchildren

The Journal of Contemporary Dental Practice ◽

10.5005/jp-journals-10024-1924 ◽

2016 ◽

Vol 17 (9) ◽

pp. 750-754 ◽

Cited By ~ 5

Author(s):

Zeeshan H Ahmad ◽

Sukumaran Anil ◽

Sham S Bhat ◽

K Sundeep Hegde ◽

Faizal C Peedikayil ◽

...

Keyword(s):

Body Mass Index ◽

Dental Caries ◽

Body Mass ◽

Cross Sectional Study ◽

Normal Weight ◽

Overweight And Obesity ◽

The Body ◽

Overweight Children ◽

Sectional Study ◽

Cross Sectional

ABSTRACT Introduction Overweight and obesity are growing healthrelated problems worldwide, and it is currently the most prevalent nutritional disorder among children and adolescents. The objective of this study was to assess the association between overweight and dental caries among 12- to 15-year-old schoolchildren in Mangaluru district, Karnataka, India. Materials and methods Data were obtained from 2000 schoolgoing children aged 12 to 15 years. The children were categorized as overweight and normal-weight group by assessing the body mass index (BMI). Body mass index was categorized using the classification system given by the International Obesity Task Force (IOTF) and obtained in units of kg/m2. The dental caries was assessed by detection and was performed according to decayed, missing, and filled teeth (DMFT) index. Results Of the 2000 children examined, the mean BMI recorded was 26.87 ± 2.26 for the overweight children and 20.82 ± 1.48 for the normal-weight children. Even though the DMFT (3.90 ± 2.95) in the overweight children was slightly higher than the control group (3.36 ± 2.73), it was not statistically significant. Conclusion Within the confines of the present study, it can be concluded that there is no significant association between overweight and dental caries among the schoolchildren of Mangaluru district in Karnataka. Longitudinal studies are necessary to substantiate the possible relationships between dental caries and overweight in children. Knowledge of these relationships could lead to preventive health measures designed to reduce the prevalence of both obesity and dental caries. How to cite this article Kottayi S, Bhat SS, Hegde KS, Peedikayil FC, Chandru TP, Anil S. A Cross-sectional Study on the Prevalence of Dental Caries among 12- to 15-year-old Overweight Schoolchildren. J Contemp Dent Pract 2016;17(9): 750-754.

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Epidemiology and Comorbidities of Psoriasis among Israeli Adolescents: A Large Cross-Sectional Study

Dermatology ◽

10.1159/000501032 ◽

2019 ◽

Vol 235 (6) ◽

pp. 488-494 ◽

Cited By ~ 2

Author(s):

Rony Shreberk-Hassidim ◽

Eran Galili ◽

Ayal Hassidim ◽

Yuval Ramot ◽

Ilan Merdler ◽

...

Keyword(s):

Body Mass Index ◽

Military Service ◽

Opposite Effect ◽

Population Based ◽

Cross Sectional Study ◽

The Body ◽

Sectional Study ◽

Cross Sectional ◽

Juvenile Psoriasis ◽

Epidemiological Characteristics

Background and Aims: Although psoriasis can develop at any age, the data regarding its characteristics in adolescents are sparse. This study was designed to determine the psoriasis prevalence and its associations with the body mass index (BMI), lipid profile, and comorbidities in adolescents. Methods: This was a nationwide population-based cross-sectional retrospective study of adolescents (16–18 years old) evaluated for military service between January 1999 and January 2014. Results: Our database included 887,765 adolescents (57.1% males), of whom 3,112 (0.35%) were diagnosed with psoriasis. During the 15-year study period, the psoriasis prevalence increased by 1.4-fold, from 0.3 to 0.42% (1.25-fold for the males and 1.63-fold for the females). Certain comorbidities, such as contact dermatitis, hyperhidrosis, and arthritis, were significantly associated with psoriasis (odds ratios [ORs] of 2.26, 1.51, and 5.3, respectively). The adolescents with psoriasis had significantly elevated BMI and triglyceride values. We found increased ORs of 1.34 (95% confidence interval [CI] = 1.25–1.56) and 1.56 (95% CI = 1.32–1.83) for the overweight and obese adolescents, respectively, while a lower BMI (<20) had an opposite effect with psoriasis (OR = 0.8). Conclusions: Based on our results, the psoriasis prevalence in Israeli adolescents is rising. Dermatological comorbidities and an increased BMI were associated with psoriasis in these adolescents. A better understanding of the distinctive epidemiological characteristics of juvenile psoriasis may allow for the early detection of comorbidities and improve its management.

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