PREVALENCE OF CHILDHOOD OBESITY: RISK FACTORS AND PREVENTION WAYS

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Abstract

Today, one of the pressing issues for modern society is the fight against risk factors for the development of non-communicable diseases, including obesity. This article provides current data on the epidemiology of obesity in children and adolescents in the world. Obesity is recognized as a global problem as there is an increase in obesity worldwide. Some researchers estimate that by 2030, nearly a third of the world's population could be overweight or obese. This problem occurs not only in developed countries, but also in low- and middle-income countries. According to the WHO, between 1975 and 2016, worldwide, the proportion of children and adolescents aged 5–19 years who are overweight or obese more than quadrupled, from 4% to 18% (WHO, 2020). In 2019, approximately 38 million children under 5 years of age were overweight or obese (WHO, 2020). Childhood obesity has a 70-80% likelihood of leading to adolescent and adult obesity. Today, obesity is considered the most important risk factor for cardiovascular diseases (CVD) and metabolic disorders (according to WHO, it determines the development of up to 44-57% of type 2 diabetes mellitus, 30% of cholelithiasis, 17-23% of cases of coronary heart disease, 17% - arterial hypertension, 14% - osteoarthritis) and reproductive dysfunction and an increased risk of developing cancer.

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Klingberg E., Bilberg A., Bjцrkman S. et al. Weight loss improves disease activity in patients with psoriatic arthritis and obesity: an interventional study // Arthritis Res Ther. 2019, 21 (1), 17.

Khashayar P., Kasaeian A., Heshmat R. et al. Childhood Overweight and Obesity and Associated Factors in Iranian Children and Adolescents: A Multilevel Analysis; the CASPIAN-IV Study // Front Pediatr. 2018, 6, 39.

Qiu S., Cai X., Yang B. et al. Association Between Cardiorespiratory Fitness and Risk of Type 2 Diabetes: A Meta-Analysis. Obesity (Silver Spring). 2019, 27 (2), 315–324.

Baltieri L., Cazzo E., de Souza A. L. et al. Influence of weight loss on pulmonary function and levels of adipokines among asthmatic individuals with obesity: One-year follow-up // Respir Med. 2018, 145, 48–56.

Goit R. K., Pant B. N., Shrewastwa M. K. Moderate intensity exercise improves heart rate variability in obese adults with type 2 diabetes // Indian Heart J. 2018, 70 (4), 486–491.

Valerio G., Maffeis C., Saggese G. et al. Diagnosis, treatment and prevention of pediatric obesity: consensus position statement of the Italian Society for Pediatric Endocrinology and Diabetology and the Italian Society of Pediatrics // Ital J Pediatr. 2018, 44 (1), 88.

Astrup A., Raben A., Geiker N. The role of higher protein diets in weight control and obesity-related comorbidities // Int J Obes. 2015, 39, 721–726.

Hollands G. J., Shemilt I., Marteau T. M. et al. Portion, package or tableware size for changing selection and consumption of food, alcohol and tobacco // Cochrane Database Syst Rev. 2015, 9. CD011045.

Barlow S. E. Expert Committee. Expert committee recommendations regarding the prevention, assessment, and treatment of child and adolescent overweight and obesity: summary report // Pediatrics. 2007, 120 (Suppl 4), 164–192.

Burke L. E., Wang J., Sevick A. M. Self-monitoring in weight loss: a systematic review of the literature // J Am Diet Assoc. 2011; 111: 92–102.

Jддskelдinen A., Schwab U., Kolehmainen M. et al. Associations of meal frequency and breakfast with obesity and metabolic syndrome traits in adolescents of northern Finland birth cohort 1986 // Nutr Metab Cardiovasc Dis. 2013, 23, 1002–1009.

Schlundt D. G., Hill J. O., Sbrocco T. et al. The role of breakfast in the treatment of obesity: a randomized clinical trial // Am J Clin Nutr. 1992, 55, 645–651.

Spear B. A., Barlow S. E., Ervin C. et al. Recommendations for treatment of child and adolescent overweight and obesity // Pediatrics. 2007, 120 (Suppl 4), 254–288.

Taveras E. M., Gortmaker S. L., Hohman K. H. et al. Randomized controlled trial to improve primary care to prevent and manage childhood obesity: the high five for kids study // Arch Pediatr Adolesc Med. 2011, 165, 714–722.

Maximova K., Ambler K. A., Rudko J. N. et al. Ready, set, go! Motivation and lifestyle habits in parents of children referred for obesity management // Pediatr Obes. 2015, 10, 353–360.

Birch L. L., Savage J. S., Fischer J. O. Right sizing prevention. Food portion size effects on children’s eating and weight // Appetite. 2015, 88, 11–16.

Societа Italiana di Nutrizione Umana. Livelli di assunzione di riferimento di nutrienti ed energia per la popolazione Italiana (LARN). IV Revisione. Milano. SICsS Editore. 2014.

Sothern M., Udall J. N., Suskind R. M. et al. Weight loss and growth velocity in obese children after very low calorie diet, exercise, and behavior modification // Acta Paediatr. 2000, 89, 1036–1043.

Epstein L. H., Squires S. The stoplight diet for children: an eight week program for parents and children. Boston. Little Brown & Co. 1988.

Epstein L. H., Paluch R. A., Beecher M. D. et al. Increasing healthy eating vs. reducing high energy-dense foods to treat pediatric obesity // Obesity (Silver Spring). 2008, 16, 318–326.

Stoner L., Rowlands D., Morrison A. et al. Efficacy of exercise intervention for weight loss in overweight and obese adolescents: meta-analysis and implications // Sports Med. 2016, 46, 1737–1735.

Ho M., Garnett S. P., Baur L. A. et al. Impact of dietary and exercise interventions on weight change and metabolic outcomes in obese children and adolescents: a systematic review and meta-analysis of randomized trials // JAMA Pediatr. 2013, 167, 759–768.

Garcнa-Hermoso A., Sбnchez-Lуpez M., Martнnez-Vizcaнno V. Effects of aerobic plus resistance exercise on body composition related variables in pediatric obesity: a systematic review and meta-analysis of randomized controlled trials // Pediatr Exerc Sci. 2015, 27, 431–440.

Strong W. B., Malina R. M., Blimkie C. J. et al. Evidence based physical activity for school-age youth // J Pediatr. 2005, 146,732–737.

McNarry M. A., Mackintosh K. A. Investigating the relative exercise intensity of exergames in prepubertal children // Games Health J. 2016, 5, 135–140.

Gao Z., Chen S. Are field-based exergames useful in preventing childhood obesity? A systematic review // Obes Rev. 2014, 15, 676–691.

Altman M., Wilfley D. E. Evidence update on the treatment of overweight and obesity in children and adolescents // J Clin Child Adolesc Psychol. 2015, 44, 521–537.

Wilfley D. E., Stein R. I., Saelens B. E. et al. Efficacy of maintenance treatment approaches for childhood overweight: a randomized controlled trial // JAMA. 2007, 298, 1661–1673.

Boutelle K. N., Cafri G., Crow S. J. Parent-only treatment for childhood obesity: a randomized controlled trial // Obesity. 2011, 19, 574–580.

Mamun A. A., Mannan M., Doi S. A. Gestational weight gain in relation to offspring obesity over the life course: a systematic review and bias-adjusted meta-analysis // Obes Rev. 2014, 15, 338–347.

Williams C. B., Mackenzie K. S., Gahagan S. The effect of maternal obesity on the offspring // Clin Obstet Gynecol. 2014, 57, 508–515.

Starling A. P., Brinton J. T., Glueck D. H. et al. Associations of maternal BMI and gestational weight gain with neonatal adiposity in the healthy start study // Am J Clin Nutr. 2015, 101, 302–309.

Institute of Medicine. Weight gain during pregnancy: reexamining the guidelines. Washington: National Academies Press, 2009.

Mund M., Louwen F., Klingelhoefer D. et al. Smoking and pregnancy a review on the first major environmental risk factor of the unborn // Int J Environ Res Public Health. 2013, 10, 6485–6499.

Mшller S. E., Ajslev T. A., Andersen C. S. et al. Risk of childhood overweight after exposure to tobacco smoking in prenatal and early postnatal life // PLoS One. 2014, 9, e109184.

Baidal W. J. A., Locks L. M., Cheng E. R. et al. Risk factors for childhood obesity in the first 1,000 days: a systematic review // Am J Prev Med. 2016, 50, 761–779.

Victora C. G., Bahl R., Barros A. J. D. et al. Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect // Lancet. 2016, 387, 475–490.

Vail B., Prentice P., Dunger D. B. et al. Age at weaning and infant growth: primary analysis and systematic review // рediatr. 2015, 167, 317–324.

Fewtrell M., Bronsky J., Campoy C. et al. Complementary feeding: a position paper by the European Society for Paediatric Gastroenterology, hepatology, and nutrition (ESPGHAN) committee on nutrition // J Pediatr Gastroenterol Nutr. 2017, 64, 119–132.

Patro-Golab B., Zalewski B. M., Kouwenhoven S. M. P. et al. Protein concentration in milk formula, growth, and later risk of obesity: a systematic review // J Nutr. 2016, 146, 551–564.

Voortman T., Braun K. V., Kiefte-de Jong J. C. et al. Protein intake in early childhood and body composition at age of 6 years: the generation R study // Int J Obes (London). 2016, 40, 1018–1025.

Pan L., Li R., Park S. et al. A longitudinal analysis of sugar-sweetened beverage intake in infancy and obesity at 6 years // Pediatrics. 2014, 134 (Suppl 1), 29–35.

Casas R., Sacanella E., Urpн-Sardа M. et al. Long-term immunomodulatory effects of a Mediterranean diet in adults at high risk of cardiovascular disease in the PREvenciуn con DIeta MEDiterrбnea (PREDIMED) randomized controlled trial // J Nutr. 2016, 146, 1684–1693.

D’Alessandro A., De Pergola G. Mediterranean diet pyramid: a proposal for Italian people // Nutrients. 2014, 6, 4302–4316.

Cobb L. K., Appel L. J., Franco M. et al. The relationship of the local food environment with obesity: a systematic review of methods, study quality, and results // Obesity (Silver Spring). 2015, 23, 1331–1344.

Hu F. B. Resolved: there is sufficient scientific evidence that decreasing sugarsweetened beverage consumption will reduce the prevalence of obesity and obesity-related diseases // Obes Rev. 2013, 14, 606–619.

Bucher Della Torre S., Keller A., Laure Depeyre J. Sugarsweetened beverages and obesity risk in children and adolescents: a systematic analysis on how methodological quality may influence conclusions // J Acad Nutr Diet. 2016, 116, 638–659.

De Bock F., Genser B., Raat H. et al. A participatory physical activity intervention in preschools // Am J Prev Med. 2013, 45, 64–74.

Koren D., Dumin M., Gozal D. Role of sleep quality in the metabolic syndrome // Diabetes Metab Syndr Obes. 2016, 9, 281–310.

Fatima Y., Doi S. A., Mamun A. A. Longitudinal impact of sleep on overweight and obesity in children and adolescents: a systematic review and bias adjusted meta-analysis // Obes Rev. 2015, 16, 137–149.

Paruthi S., Brooks L. J., D’Ambrosio C. et al. Recommended amount of sleep for pediatric populations: a consensus statement of the American Academy of sleep medicine // J Clin Sleep Med. 2016, 12, 785–786.

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