The prevalence of childhood obesity in the Tyumen region: the current state of the problem

BACKGROUND: Over the past 40 years, the incidence of obesity in children aged 5 to 19 has increased tenfold. Due to the growth of childhood obesity as a socially significant chronic non-communicable disease, since 2014 the World Health Organization has announced the need to monitor the physical development of children and adolescents in order to develop actual methods to decrease the prevalence of childhood obesity and monitoring their implementation.

AIM: To determine the actual prevalence of childhood obesity in Tyumen region among children and adolescents from 3 to 18 years.

MATERIALS AND METHODS: A one-time continuous study of 5,130 students of preschool and school institutions of Tyumen region from 3 to 18 years old was conducted as part of preventive examinations of underage children. The study included measurement of height, body weight, determination of body mass index (BMI) and calculation of SDS (SDS — standard deviation score) BMI for a certain age and gender. Assessment of physical development was carried out according to WHO criteria (2005, 2007).

RESULTS: The prevalence of overweight and obesity in Tyumen region was 15.2% and 8.4%, accordingly, among boys over weight and obesity were diagnosed in 13.5% of cases, among girls — in 10.2%. While analyzing the periods of childhood it was found that obesity is 1.4 and 2.1 times more common among boys than among girls at preschool and primary school age, accordingly, p=0,027 and p<0,001. In the clinical structure of obesity, grade I obesity was significantly more often observed — 55.5%, p=0,027.

CONCLUSION: The actual prevalence of childhood obesity in the Tyumen region is 8.4%. In general, among girls, obesity was registered in 5.4% of cases, and among boys it was twice as much — 10.7%. SDS BMI more them +3,1 are more often diagnosed in preschool and primary school age.

1. Drapkina OM, Samorodskaya IV, Starinskaya MA, et al. Ozhireniye: otsenka i taktika vedeniya patsiyentov. Moscow: Silitseya-Poligraf; 2021. (In Russ).

2. Guerreiro VA, Carvalho D, Freitas P. Obesity, Adipose Tissue, and Inflammation Answered in Questions. J Obes. 2022;2022:2252516. doi: https://doi.org/10.1155/2022/2252516

3. Lam BCC, Lim AYL, Chan SL, Yum MPS, Koh NSY, Finkelstein E.A. The impact of obesity: a narrative review. Singapore Med J. 2023;64(3):163-171. doi: https://doi.org/10.4103/singaporemedj.SMJ-2022-232

4. Freedman DS, Khan LK, Serdula MK, Dietz WH, Srinivasan SR, Berenson GS. The relation of childhood BMI to adult adiposity: the Bogalusa Heart Study. Pediatrics. 2005;115(1):22-27. doi: https://doi.org/10.1542/peds.2004-0220

5. WHO European regional obesity report 2022 [Internet]. Available from: https://www.who.int/europe/publications/i/item/9789289057738

6. Peterkova VA, Vasyukova OV. K voprosu o novoy klassifikatsii ozhireniya u detey i podrostkov. Problemy endokrinologii. 2015;61(2):39-44. (In Russ.). doi: https://doi.org/10.14341/probl201561239-44

7. Vasyukova OV. Obesity in children and adolescents: diagnosis criteria. Obesity and metabolism. 2019;16(1):70-73. (In Russ). doi: https://doi.org/10.14341/omet10170

8. Dedov II, Peterkova VA, editors. Diagnostika i lechenie ozhireniya u detei i podrostkov. In: Federal’nye klinicheskie rekomendatsii (protokoly) po vedeniyu detei s endokrinnymi zabolevaniyami. Moscow: Praktika; 2014. p.163-183. (In Russ).

9. Peterkova AV, Bezlepkina OB, Vasyukova OV, et al. Obesity in children. Clinical guidlines. Moscow: Ministry of Health of the Russian Federation; 2021. (In Russ).

10. Kozlov AI, Vershubskaya GG. Izbytochnaya massa tela i ozhireniye u detey severnykh regionov rossiyskoy federatsii. Forcipe. 2020;3(2):53-58. (In Russ).

11. Larionova MA, Kovalenko TV. Epidemiologicheskiye osobennosti ozhireniya u detey i podrostkov v Udmurtskoy Respublike. Ozhireniye i metabolizm. 2019;16(1):47-54. (In Russ). doi: https://doi.org/10.14341/omet9612

12. Lir DN, Kozlov AI, Vershubskaya GG, et al. Izbytochnaya massa tela i ozhireniye u detey 7-17 let Severo Zapada RF i Priural’ya. Vestnik Moskovskogo universiteta. Seriya 23. Antropologiya. 2018;3:55-60. (In Russ).

13. Rodionova YS. Dinamika zabolevayemosti ozhireniyem v detskoy populyatsii patsiyentov, prozhivayushchikh v Saratove i Saratovskoy oblasti. Byulleten’ meditsinskikh internet-konferentsiy. — Obshchestvo s ogranichennoy otvetstvennost’yu «Nauka i innovatsii». 2015;5(5):377. (In Russ).

14. Rychkova LV, Astahova TA, Klimkina JuN, et al. Dinamika antropometricheskikh kharakteristik podrostkov buryatskoy natsional’nosti v sel’skoy mestnosti Vostochnoy Sibiri v period s 2003 po 2018 god. Ekologiya cheloveka. 2021;4:47-54. (In Russ).

15. Report of the commission on ending childhood obesity [Internet]. Available from: https://iris.who.int/bitstream/handle/10665/204176/9789241510066_eng.pdf?sequence=1

16. Childhood Obesity Surveillance Initiative (COSI) Factsheet. Highlights 2015-17 (2018) [Internet]. Available from: https://www.euro.who.int/__data/assets/pdf_file/0006/372426/WH14_COSI_factsheets_v2.pdf

17. Skvortsova OV, Migacheva NB, Mikhaylova EG, et al. Assessment of the prevalence of overweight and obesity among school-age children in Samara. Medical Herald of the South of Russia. 2022;13(4):106-113. (In Russ). doi: https://doi.org/10.21886/2219-8075-2022-13-4-106-113

18. Dong YH, Chen L, Liu JY, et al. Epidemiology and prediction of overweight and obesity among children and adolescents aged 7–18 years in China from 1985 to 2019. Zhonghua Yu Fang Yi Xue Za Zhi. 2023;57:11–9. doi: https://doi.org/10.3760/cma.j.cn112150-20220906-00881

19. Hales CM, Carroll MD, Fryar CD, Ogden .L. Prevalence of Obesity Among Adults and Youth: United States, 2015-2016. NCHS Data Brief. 2017;(288):1-8 20. Woolford SJ, Sidell M, Li X, et al. Changes in Body Mass Index Among Children and Adolescents During the COVID-19 Pandemic. JAMA. 2021;326(14):1434-1436. doi:10.1001/jama.2021.15036