In the beginning of 2011, according to WHO more than 40 million children under 5 years are overweight, and over 30 million of them live in developing countries. In Bulgaria Iotova et. al. (2009) reported an increased incidence of obesity in 9-year old girls from 4.3% to 10.4% over a period of 5 years (2002-2007).
Aim: To determine the incidence of overweight and general and abdominal obesity in preschool children, and also some risk behaviors and their trend over 2009.
Participants and methods: height, weight and WC were measured of a total of 117 children aged 4,53±0.29 years that were attending kindergartens in Varna. BMI (kg/m2) was calculated and compared with the IOTF references for the corresponding age and sex. The comparison was made with a group of 189 children from Varna, of the same age (mean age 4,58±0,31 years), measured by the same methods in 2009. Res ults : When comparing the two groups there was a significant reduction in WC (p=0.022). In 2009 OW/ obese were 12.7% of the children and significantly increased to 19.7% in 2013 (p=0.01). There is a decrease in the proportion of obese children (from 4.2% to 0.9%) and an increase in those who were overweight (from 8.5% to 18.8%).
Conclusion: Reducing the percentage of obese children in this young age most likely reflects a positive trend in the attitude towards obesity. Increasing percentage of overweight children who are potential pool of increasing obesity with age, requires serious attention in the prevention of obesity.
Cole T, et. al. Establishing a standard definition
for child overweight and obesity worldwide:
international survey. BMJ 2000; 320 doi: http://
dx.doi.org/10.1136/bmj.320.7244.1240
De Craemer M, et. al. (ToyBox-study group).
Correlates of energy balance-related behaviours
in preschool children: a systematic review.
Obes Rev. 2012 Mar;13 Suppl 1:13-28. doi:
1111/j.1467-789X.2011.00941.x.
de Onis M, Blossner M, Borghi E: Global
prevalence and trends of overweight and obesity
among preschool children. Am J Clin Nutr 2010,
(5):1257-1264.
Heinonen I, et. al. Sedentary behaviours and
obesity in adults: the Cardiovascular Risk in
Young Finns Study. BMJ Open 2013; 3:e002901
doi:10.1136/bmjopen-2013-002901
Iotova V, S. Galcheva, K. Petrova. Obesity is
increasing fast among Varna school children in the
last 5 years (2002-2007). Scripta Scientifica Medica,
, 41(1): 31-34
Kashihara H, Lee J, Kawakubo K, Tamura M,
Akabayashi A: Criteria of Waist Circumference
According to Computed Tomography-
Measured Visceral Fat Area and the Clustering
of Cardiovascular Risk Factors. Circ J 2009,
:1881-1886.
M Lateva, N Usheva, S Galcheva, V Iotova. Waist
circumference and BMI among preschool children
from the city of Varna and their association
with some behavioural determinants of obesity.
Pediatrya 2011, 2.
Manios Y, et. al. Obesity and television watching in
preschoolers in Greece: the GENESIS study. Obesity
(Silver Spring) 2009, 17(11):2047-2053.
McCarthy HD. Body fat measurements in children
as predictors for the metabolic syndrome: focus on
waist circumference. Proceedings of the Nutrition
Society 2006 65 385-392
Morrison JA, Friedman LA, Gray-McGuire C.
Metabolic syndrome in childhood predicts adult
cardiovascular disease 25 years later: the Princeton
lipid research clinics follow-up study. Pediatrics.
;120(2):340-345
WHO. Childhood overweight and obesity. Fact
sheet No 311, March 2011. http://www.who.int/mediacentre/
factsheets/fs311/en/index.html 1