Cent Eur J Public Health 2011, 19(2):102-107 | DOI: 10.21101/cejph.a3642

Nutritional Status and Growth Parameters of School-Age Roma Children in the Republic of Macedonia

Igor Spiroski1,2, Zlatanka Dimitrovska1, Dragan Gjorgjev1,2, Vladimir Mikik1, Vesna Efremova-Stefanoska1, Daniela Naunova-Spiroska3, Vladimir Kendrovski1,2
1 Institute of Public Health of the Republic of Macedonia, Skopje, Republic of Macedonia
2 Faculty of Medicine, Ss. Cyril and Methodius University, Skopje, Republic of Macedonia
3 Avicena Diagnostica, Skopje, Republic of Macedonia

Main objective of the study was to assess the nutritional status of school age Roma children in Macedonia in order to detect precursors of possible health risks at an early age. The study was designed as a comparative case control study. Study group consisted of 229 Roma school children from the 1st and 272 from the 5th grade residing in different towns in Macedonia. The control group was recruited from other than Roma ethnic background and consisted of 283 children attending 1st and 356 children attending 5th grade. Every participant was measured for his/hers body height and weight. The t-test and Chi square (χ2) were applied to test statistical significance of variables. The WHO's AnthroPlus software was applied to assess growth parameters and population at risk. There were significant differences in values of the body weight (p=0.001) and height (p=0.001) between Roma and non-Roma children attending the 1st grade of primary school. Weight-for-age, height-for-age and BMI-for-age indexes of the 1st grade children significantly differred in in the same intervals of SD (≥-2SD and <-1SD; ≥-1SD and median; >+1SD and ≤+2SD; >+2SD and ≤+3SD). Except for limited intervals of the SD at BMI-for-age index, there were no significant differences in anthropometric parameters between Roma and non-Roma 5th graders. Anthropometric parameters of nutritional status of Roma children in Macedonia are significantly different than those of their non-Roma peers. Their health risks are predominantly related to underweight. The parameters related to health risks of overweight or obesity are lower in Roma than in non-Roma children.

Klíčová slova: nutritional status, Roma, children, health risk, Macedonia

Vloženo: 17. září 2010; Revidováno: 2. březen 2011; Přijato: 2. březen 2011; Zveřejněno: 1. červen 2011  Zobrazit citaci

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Spiroski I, Dimitrovska Z, Gjorgjev D, Mikik V, Efremova-Stefanoska V, Naunova-Spiroska D, Kendrovski V. Nutritional Status and Growth Parameters of School-Age Roma Children in the Republic of Macedonia. Cent Eur J Public Health. 2011;19(2):102-107. doi: 10.21101/cejph.a3642. PubMed PMID: 21739902.
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    Reference

    1. World Health Organization. The challenges of obesity in the WHO European Region. Copenhagen: WHO Regional Office for Europe; 2005.
    2. World Health Organization. World Health Report 2008: primary health care (no more than ever). Geneva: WHO; 2008.
    3. Ministry of Health of the Republic of Macedonia. Health strategy of the Republic of Macedonia 2020: secure, efficient and just health care system. Skopje: Ministry of Health of the Republic of Macedonia; 2007.
    4. Gjorgjev D, Bacanovic A, Cicevalieva S, Sulevski Z, Grosse-Tebbe S. The Former Yugoslav Republic of Macedonia: health system review. Health Systems in Transition. 2006;8(2):1-98.
    5. American Heart Association. Risk factors and coronary heart disease [Internet]. Dallas:American HeartAssociation; 2011 [updated 2011; cited 2011 March 4].Available from: http://www.americanheart.org/presenter.jhtml?identifier=4726.
    6. Kristensen PL, Wedderkopp N, Møller NC, Andersen LB, Bai CN, Froberg K. Tracking and prevalence of cardiovascular disease risk factors across socio-economic classes: a longitudinal substudy of the European Youth Heart Study. BMC Public Health. 2006 Jan 27;6:20. Přejít k původnímu zdroji... Přejít na PubMed...
    7. Tulchinsky TH, Varavikova EA. The new public health. 2nd ed. Amsterdam: Elsevier Academic Press; 2009.
    8. Hawkins SS, Law C.Areview of risk factors for overweight in preschool children: a policy perspective. Int J Pediatr Obes. 2006;1(4):195-209. Přejít k původnímu zdroji...
    9. Novotny R, Coleman P, Tenorio L, Davison N, Camacho T, Ramirez V, et al. Breastfeeding is associated with lower body mass index among children of the Commonwealth of the Northern Mariana Islands. J Am Diet Assoc. 2007 Oct;107(10):1743-6. Přejít k původnímu zdroji... Přejít na PubMed...
    10. Division of Nutrition and PhysicalActivity. Does breastfeeding reduce the risk of pediatric overweight? Research to Practice Series No. 4. Atlanta: Centers for Disease Control and Prevention; 2007.
    11. Dimitrovska Z, Spiroski I, Gudeva-Nikovska D, Kendrovski V,Aleksoski B. Prevalence of overweight and obesity in children and adolescents in Macedonia. Proceedings of th 2nd Balkan Congress on Obesity; 2006 May 19-21; Albena, Bulgaria; 2006.
    12. de Onis M. Growth curves for school age children and adolescents. Indian Pediatr. 2009 Jun;46(6):463-5. Přejít na PubMed...
    13. de Onis M, Onyango AW, Borghi E, Siyam A, Nishida C, Siekmann J. Development of a WHO growth reference for school-aged children and adolescents. Bull World Health Organ. 2007 Sep;85(9):660-7. Přejít k původnímu zdroji... Přejít na PubMed...
    14. Republic Institute for Health Protection. Situation of nutrition at Roma population and recommendations for overcoming of the detected problems. Skopje: Republic Institute for Health Protection; 2007.
    15. State Statistical Office of the Republic of Macedonia. Census of population, households and dwellings in the Republic of Macedonia, 2002. Skopje: State Statistical Office of the Republic of Macedonia; 2005.
    16. Durmis D, Memedov A, Demir Lj. Assessment of the needs of Roma educational fund, Macedonia. Skopje: The World Bank Country Office; 2004.
    17. Pavlovski B. Health, health protection and influences on health of Roma in Macedonia. Skopje:Association for emancipation, solidarity and equality of women in the Republic of Macedonia; 2008. (In Macedonian.)
    18. United Nations Development Programme. Faces of poverty, faces of hope: vulnerability profiles for Decade of Roma Inclusion countries. Bratislava: UNDP; 2004.
    19. Tozija F. Social inclusion of Roma population in health: situation, challenges and opportunities. J Soc Policy. 2008;1:58-67.
    20. Decade Watch. Roma activists assess the progress of the Decade of Roma Inclusion, 2005-2006. Budapest: Createch Ltd; 2007.
    21. Decade Watch. Roma activists assess the progress of the Decade of Roma Inclusion. 2007 Update. Budapest: Createch Ltd; 2008.
    22. United Nations Children's Fund. Breaking the cycle of exclusion: Roma children in Southeast Europe. Belgrade: UNICEF; 2007.
    23. Open Society Institute. Facing the hidden disease: tuberculosis in Roma communities. New York: Open Society Institute; 2007.
    24. Lambert J, Agostoni C, Elmadfa I, Hulshof K, Krause E, Livingstone B, et al. Dietary intake and nutritional status of children and adolescents in Europe. Br J Nutr. 2004 Oct;92 Suppl 2:S147-211. Přejít k původnímu zdroji...
    25. Hajioff S, McKee M. The health of the Roma people: a review of the published literature. J Epidemiol Community Health. 2000 Nov;54(11):864-9. Přejít k původnímu zdroji...
    26. United Nations Children's Fund. Multiple Indicator Cluster Survey Macedonia. Skopje: UNICEF; 2001.
    27. Lakinska-Popovska D. Vulnerability of Roma children in the municipality of Shuto Orizari. Skopje: UNICEF; 2000.
    28. Pollozhani A, Dimitrovska Z, Kendrovski V, Spiroski I. Nutritional anthropometry: measurements, indicators, indexes, nutritional status. Skopje: Institute of Public Health of the Republic of Macedonia; 2009. (In Macedonian.)
    29. James WP, Nelson M, Ralph A, Leather S. Socioeconomic determinants of health. The contribution of nutrition to inequalities in health. BMJ. 1997 May 24;314(7093):1545-9. Přejít k původnímu zdroji...
    30. Jotangia D, Moody A, Stamatakis E. Wardle H. Obesity among children under 11. London: Department of Health; 2005.
    31. Hirschler V, Buzzano K, Erviti A, Ismael N, Silva S, Dalamon R. Overweight and lifestyle behaviors of low socioeconomic elementary school children in Buenos Aires. BMC Pediatr. 2009 Feb 24;9:17. Přejít k původnímu zdroji... Přejít na PubMed...
    32. RevingaA, Ringold D, Tracy WM. Poverty and ethnicity: a cross country study of Roma poverty in Central Europe. Washington: The World Bank; 2002. Přejít k původnímu zdroji...
    33. WangY, Ge K, Popkin BM. Tracking of body mass index from childhood to adolescence: a 6-y follow-up study in China. Am J Clin Nutr. 2000 Oct;72(4):1018-24. Přejít k původnímu zdroji... Přejít na PubMed...
    34. Freedman DS, Khan LK, Serdula MK, Dietz WH, Srinivasan SR, Berenson GS. Racial differences in the tracking of childhood BMI to adulthood. Obes Res. 2005 May;13(5):928-35. Přejít k původnímu zdroji... Přejít na PubMed...
    35. Benson L, Baer HJ, Kaelber DC. Trends in the diagnosis of overweight and obesity in children and adolescents: 1999-2007. Pediatrics. 2009 Jan;123(1):e153-8. Přejít k původnímu zdroji... Přejít na PubMed...

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