Cent Eur J Public Health 2014, 22(1):12-16 | DOI: 10.21101/cejph.a3813

Obesity and Diet Awareness among Polish Children and Adolescents in Small Towns and Villages

Marta Stankiewicz1, Magdalena Pieszko1, Aleksandra Śliwińska1, Sylwia Małgorzewicz1, Łukasz Wierucki2, Tomasz Zdrojewski2, Bogdan Wyrzykowski2, Wiesława Łysiak-Szydłowska1
1 Department of Clinical Nutrition, Medical University of Gdańsk, Gdańsk, Poland
2 Department of Hypertension and Diabetology, Medical University of Gdańsk, Gdańsk, Poland

Background: In addition to genetic predispositions and environmental factors, healthy lifestyle education is very important for children and adolescents. The purpose of this research was to estimate the number of overweight and obese children and adolescents from small towns and villages and to find out an association between health awareness in children and the risk of becoming overweight or obese.

Methods: The research was conducted in 1,515 healthy children aged 6-18 years from small towns and villages in Poland. Overweight was diagnosed when BMI for age and sex was over the 90th percentile; obesity - when it was over the 95th percentile. The study consisted of a lifestyle interview and anthropometrical measurements. The lifestyle interview was conducted with the use of an anonymous questionnaire form and included questions about food frequency, diet habits and physical activity. The research was analysed using the SAS System for Windows, release 8.02.

Results: Overweight status was diagnosed in 9.0% and obesity in 5.1% of respondents. Excess body mass was statistically more frequently diagnosed in girls than in boys aged 14-18 years. Girls of this age group significantly more frequently chose wholemeal bread, smoked sausages, meat and poultry as products that are believed to keep them fit. Older children substantially more often indicated that stress, smoking cigarettes, consuming fatty meat, sweets, being obese, and a lack of physical activity are factors that damage health. Boys spent more time in front of a computer or TV than girls; in the older group of children, the phenomenon even intensified.

Conclusion: Awareness of healthy lifestyle behaviour is not sufficient to maintain optimal body mass. Knowledge about proper eating habits is better among girls than among boys, especially in the older age groups. However, in older groups, there was less physical activity due to spending more time in front of TV or the computer. High percentage of obese/overweight children and insufficient knowledge of nutrition may consequently result in increased risk of cardio-vascular diseases in adult population.

Keywords: nutrition, obesity, life style, children and adolescents

Received: July 5, 2012; Revised: December 3, 2013; Accepted: December 3, 2013; Published: March 1, 2014  Show citation

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Stankiewicz M, Pieszko M, Śliwińska A, Małgorzewicz S, Wierucki Ł, Zdrojewski T, et al.. Obesity and Diet Awareness among Polish Children and Adolescents in Small Towns and Villages. Cent Eur J Public Health. 2014;22(1):12-16. doi: 10.21101/cejph.a3813. PubMed PMID: 24844099.
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    References

    1. Flegal KM, Carroll MD, Ogden CL, Johnson CL. Prevalence and trends in obesity among US adults, 1999-2000. JAMA. 2002 Oct 9;288(14):1723-7. Go to original source... Go to PubMed...
    2. Krakuska M, Stanisławek A, Tarasińska B. Creating a healthy lifestyle among young people through targeted education about proper nutrition. Ann Univ Mariae Curie-Skłodowska Sect D Med. 2003;58 Suppl 13:12734. (In Polish.)
    3. Zdrojewski T, Wyrzykowski B, Wierucki L, Grodzicki T, JanuszewiczA, Narkiewicz K, et al. Attempt to eliminate health inequalities in Poland arising at the time of political and economic transformation: Polish 400 Cities Project. Eur J Cardiovasc Prev Rehabil. 2006 Oct;13(5):832-8. Go to original source... Go to PubMed...
    4. Pastucha D, Malinčíková J, Hyjánek J, Horáková D, Čížek L, Janoutová G, et al. Obesity and insulin resistance in childhood. Cent Eur J Public Health. 2007 Sep;15(3):103-5. Go to original source...
    5. Zarzeczna-Baran M, Wojdak-Haasa E, Szczęch R, Zdrojewski T. Polish 400 Cities Project as a functional mode which forming health behaviour. Ann Univ Mariae Curie-Skłodowska Sect D Med. 2005;60(6 Suppl 16):400-3. (In Polish.)
    6. Zdrojewski T, Rutkowski M, Zarzeczna-Baran M, Grodzicki T, JanuszewiczA, Narkiewicz K, et al. National, multicenter cardiovascular diseases prevention program - Polish 400 Cities Project. Basic assumptions, objectives, execution. Pol Przegl Kardiol. 2004;6(4):423-30. (In Polish.)
    7. Wierucki Ł, Zdrojewski T, Mogilnaya I, Zarzeczna-Baran M, Wizner B, Mędraś M, et al. The Polish 400 Cities Project - results of the pilot survey. Nadciśnienie Tętnicze. 2004;8(5): 307-17. (In Polish.)
    8. Wądołowska L. Validation of food intake frequency questionnaire - FFQ estimate of the repeatability. Bromat Chem Toksykol. 2005;38(1):27-33. (In Polish.)
    9. Kopczyńska-Sikorska J, Kurniewicz-Witczakowa R, Niedźwiedzka Z, Palczewska I, Szilàgyi-Pągowska I. Screening test for the detection of disturbances in the physical development (somatic). In: Jodkowska M, Woynarowska B, editors. Screening tests in children and adolescents of school age. WARSZAW: Instytut Matki i Dziecka; 2002. p. 17-21. (In Polish.)
    10. International Obesity Taskforce [Internet]. London: IOTF [cited 2012 Jul 1]. Available from: http://www.iaso.org/iotf/.
    11. Swinburn B, Sacks G, Lobstein T, Rigby N, Baur LA, Brownell KD, et al.; International ObesityTaskforceWorking Group on Marketing to Children. The 'Sydney Principles'for reducing the commercial promotion of foods and beverages to children. Public Health Nutr. 2008 Sep;11(9):881-6. Go to original source... Go to PubMed...
    12. MazurA, Rogozińska E, Mróz K, Ragan M, Mazur D, Małecka-Tendera E. Prevalence of overweight and obesity in preschool children from Rzeszow region. Endokrynologia, Otyłość i Zaburzenia Przemiany Materii. 2008;4(4):159-62. (In Polish.)
    13. Pieszko-Klejnowska M, Stankiewicz M, Niedoszytko M, Kozanecka I, Łysiak-Szydłowska W. Comparison of eating habbits between village and city pomeranian teenagers. Pediatr Wspolcz. 2007;9(1):59-62. (In Polish.)
    14. Kosti RI, Panagiotakos DB. The epidemic of obesity in children and adolescents in the world. Cent Eur J Public Health. 2006 Dec;14(4):151-9. Go to original source...
    15. Mazur J, Woynarowska B, KowalewskaA. Selected indicators of tobacco smoking in 15-year-old students in Poland in relation to international statistics. Przegl Lek. 2008;65(10):541-5. (In Polish.) Go to PubMed...
    16. Piwoński J, PytlakA. The health behaviour and the level of knowledge on selected problems of heart diseases prophylaxis among Warsaw schoolaged children. Pol Przegl Kardiol. 2003;5(3):301-8. (In Polish.)
    17. Triches RM, Giugliani ER. Obesity, eating habits and nutritional knowledge among school children. Rev Saude Publica. 2005Aug;39(4):541-7. (In Portuguese.) Go to original source... Go to PubMed...
    18. Stark CM, Graham-Kiefer ML, Devine CM, Dollahite JS, Olson CM. Online course increases nutrition professionals' knowledge, skills, and self-efficacy in using an ecological approach to prevent childhood obesity. J Nutr Educ Behav. 2011 Sep-Oct;43(5):316-22. Go to original source... Go to PubMed...
    19. Harnack L, Stang J, Story M. Soft drink consumption among US children and adolescents: nutritional consequences. J Am Diet Assoc. 1999 Apr;99(4):436-41. Go to original source... Go to PubMed...
    20. Woynarowska B, Małkowska-Szkutnik A, Mazur J, Kowalewska A, Komosińska K. School meals and policy on promoting healthy eating in schools in Poland. Med Wieku Rozwoj. 2011 Jul-Sep;15(3):232-9. Go to original source... Go to PubMed...
    21. Nicklas TA, Baranowski T, Cullen KW, Berenson G. Eating patterns, dietary quality and obesity. J Am Coll Nutr. 2001 Dec;20(6):599-608. Go to original source... Go to PubMed...
    22. Nicklas TA, Morales M, Linares A, Yang SJ, Baranowski T, De Moor C, et al. Children's meal patterns have changed over a 21-year period: the Bogalusa Heart Study. J Am Diet Assoc. 2004 May;104(5):753-61. Go to original source... Go to PubMed...
    23. Woynarowska B, Małkowska-Szkutnik A, Mazur J. Subjective health of adolescents aged 11-15 years in Poland and other countries of the European Union. Med Wieku Rozwoj. 2008 Apr-Jun;12(2 Pt 1):559-67. (In Polish.) Go to PubMed...
    24. Vitáriušová E, Babinská K, Košt'álová L, Rosinský J, Hlavatá A, Pribilincová Z, et al. Food intake, leisure time activities and the prevalence of obesity in schoolchildren in Slovakia. Cent Eur J Public Health. 2010 Dec;18(4):192-7. Go to original source...
    25. Boynton-Jarrett R, Thomas TN, Peterson KE, Wiecha J, Sobol AM, Gortmaker SL. Impact of television viewing patterns on fruit and vegetable consumption among adolescents. Pediatrics. 2003 Dec;112(6 Pt 1):1321-6. Go to original source... Go to PubMed...
    26. Köksal E, Tekçiçek M,Yalçin SS, Tuğrul B,Yalçin S, Pekcan G.Association between anthropometric measurements and dental caries in Turkish school children. Cent Eur J Public Health. 2011 Sep;19(3):147-51. Go to original source...
    27. Nishida C, Uauy R, Kumanyika S, Shetty P. The joint WHO/FAO expert consultation on diet, nutrition and the prevention of chronic diseases: process, product and policy implications. Public Health Nutr. 2004 Feb;7(1A):245-50. Go to original source... Go to PubMed...

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