Nourishment status and its altering factors in children at the age of 7 and 9

V. Pericic, V. Bilić-Kirin, S. Barjaktarović-Labović, I. Banjari
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Abstract

Both, under and overnutrition in childhood have long-lasting consequences, but for the first time in history, the number of obese children surpassed the number of malnourished. We aimed to compare nourishment status of children at the age of 7 and 9 years, by using two criteria, and to analyse the role of parental, family and nutrition. 207 children from Eastern Croatia were recruited. Anthropometrics were measured at the age of 7 and 9 years, and the remaining data (birth, parental and family characteristics, and basic nutrition information) were obtained from children’s medical records. Nourishment status was assessed by using Croatia’s national and International Obesity Task Force criteria. The share of overweight and obese children increased over time, regardless of the criteria used. However, according to the national criteria, the number of underweight children increased, while according to the International Obesity Task Force criteria dropped over time. Higher Body Mass Index was found in children of parents with lower education. Obese children had more meals during a day and lower meat consumption during a week in comparison to other children. Significant correlation was found between children’s Ponderal Index, Cardiometabolic Risk and Body Mass Index. National criteria provides better assessment of nourishment status, but for the purpose of cross-country or cross-regional comparisons, International Obesity Task Force criteria is more appropriate. Parental education and some nutritional characteristic influence child’s risk of overweight/obesity
7、9岁儿童营养状况及其改变因素
儿童时期的营养不足和营养过剩都会产生长期影响,但肥胖儿童的数量有史以来第一次超过了营养不良儿童的数量。我们的目的是比较7岁和9岁儿童的营养状况,通过使用两个标准,并分析父母,家庭和营养的作用。从克罗地亚东部招募了207名儿童。在7岁和9岁时进行人体测量,其余数据(出生、父母和家庭特征、基本营养信息)从儿童病历中获取。根据克罗地亚国家和国际肥胖工作组的标准评估营养状况。无论使用何种标准,超重和肥胖儿童的比例都随着时间的推移而增加。然而,根据国家标准,体重不足的儿童数量增加了,而根据国际肥胖工作组的标准,体重不足的儿童数量随着时间的推移而下降。父母受教育程度越低,孩子的身体质量指数越高。与其他儿童相比,肥胖儿童每天的膳食量更多,一周的肉类消费量更少。儿童的Ponderal指数、心脏代谢风险与体重指数之间存在显著相关。国家标准提供了更好的营养状况评估,但为了跨国家或跨地区比较,国际肥胖工作组的标准更合适。父母教育和某些营养特征影响儿童超重/肥胖的风险
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