RESEARCH PAPER
Lifestyle as an important factor in control of overweight and obesity among schoolchildren from the rural environment
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1
Department of Health Education, University of Szczecin, Poland
2
III Chair of Paediatrics, department of Paediatric Endocrinology and Diabetology, Medical University, Lublin, Poland
3
Department of Health Promotion, Food and Nutrition, Institute of Rural Health, Lublin, Poland
4
Institute of Rural Health, Poland
5
Chair and Department of Epidemiology, Madical University, Lublin, Poland
Ann Agric Environ Med. 2012;19(3):557-561
The lifestyle of an individual is responsible for 60% for his/
her state of health [1]. Lifestyle may be health promoting or
anti-health. Many studies of this problem show that among
children and school adolescents, living in both the rural and
urban environments, anti-health behaviours unfortunately
dominate over those that are health promoting [2].
However, the lifestyle of the rural adolescents differs in some
aspects from the lifestyle of their urban contemporaries [3].
Overweight and obesity concern adolescents living both
in the rural and urban areas [4].
Overweight and obesity are a great epidemiological
problem among adolescents both in Poland and worldwide.
Both overweight and obesity are risk factors of many diseases,
such as: cardiovascular diseases, some types of cancer, type
2 diabetes, hyperlipidaemia or gastrointestinal diseases
[5]. Researchers warn that if the situation in this area does
not change, the average life span will become shorter [6].
Overweight and obesity at the age of adolescence increase
the risk of occurrence of obesity in adulthood [7]. British
studies confirmed that an increase in body weight during
the period of puberty enhances the risk of falling ill with
cardiovascular diseases and type 2 diabetes, while this risk
is smaller when body weight is maintained on the level of
BMI within 20-23.9 kg/m 2 [8]...
KEYWORDS
ABSTRACT
Introduction:
Lifestyle of an individual is responsible for sixty percent of his/her state of health. Many studies of this problem indicate that in the style of life of schoolchildren, anti-health behaviours dominate over health promoting behaviours.
Objective:
The objective of the presented study was recognition of the lifestyle of the rural adolescents with overweight and obesity.
Material and Methods:
The study covered adolescents aged 15-19, living in the rural environments of the West Pomeranian Region. Finally, the analysis covered 2,165 schoolchildren, and was performed with the use of a self-designed questionnaire form and the BMI was applied.
Results:
The study showed that overweight occurred more often in the group of examined girls than boys, while obesity was twice as frequent among boys than among girls. Overweight schoolchildren (35.1%) had an adequate diet, while those obese – inadequate (78.3%). In the group of schoolchildren with overweight, passive leisure prevailed over active forms of leisure, 83.8% and 16.2%, respectively. Passive leisure was also dominant among obese respondents. Among as many as 81.8% of schoolchildren with overweight, physical activity was mediocre, while only 8.1% of them were active. The highest percentage of respondents with obesity were totally inactive physically. Obese schoolchildren relatively often experienced stressful situations. It is an alarming fact that both overweight and obese schoolchildren relatively often used psychoactive substances.
Conclusions:
A considerable number of respondents with overweight and obesity applied an adequate diet, preferred passive forms of leisure, experienced stressful situations, were characterized by low physical activity, and systematically used psychoactive substances.
REFERENCES (33)
1.
Jodkowska M, Wiśniewska A. Styl życia dzieci. In: Szymborski J, Szamotulski K, Sito A. (Eds.). Zdrowie naszych dzieci. Zróżnicowanie szans. Instytut Matki i Dziecka, Warszawa 2000, p.47-56 (in Polish).
2.
Łuczak E. Zdrowotność oraz zachowania prozdrowotne młodzieży wiejskiej. In: Zagórski J, Cieśliński R, Skład M, Popławska H. (Eds.). Uwarunkowania rozwoju fizycznego dzieci i młodzieży wiejskiej. Rocz Nauk Instytutu Wychowania Fizycznego i Sportu. Biała Podlaska 1996; 6 (supl.1): 381-388 (in Polish).
3.
Januszewicz P, Sygit M. Otyłość u dzieci i młodzieży – epidemia XXI wieku. Przeg Med Uniw Rzeszowskiego 2003; 1: 421-425 (in Polish).
4.
Hulanicka B, Brajczewski C, Jedlińska W, Sławińska T, Waliszko A. City-town-village. Growth of children In Poland In 1988. Monografie Instytutu Antropologii PAN. Wrocław, 1990; p. 7.
5.
Gawęcki J, Roszkowski W. Żywienie człowieka a zdrowie publiczne. PWN, Warszawa 2009; 3: 90.
6.
Garrow JS, James WPT, Ralph A. Human nutrition and dietetics. Churchill Livingstones, London 2000.
7.
Gou SS, Huang C, Maynard LM, et al. Body mass index during childhood, adolescence and young adulthood in relation to adult overweight and adiposity. The Feels longitudinal Study. Int J Obes Relat Metab Disord. 2000; 24: 1628-35.
8.
Shaper AG, Wannamethee SG, Walker M. Body weight: implications for the prevention of coronary heart disease, stroke, and diabetes mellitus in a cohort study of middle aged men. BMJ 1997; 314: 131-7.
9.
Utter J, Scragg R, Mhurchu CN, Schaaf D. At-home breakfast consumption among New Zealand children: associations with body mass index and related nutrition behaviors. J Am Diet Assoc. 2007; 107: 570-6.
10.
Toschke AM, Kuchenhoff H, Koletzko B, von Kries R. Meal frequency and childhood obesity. Obes Res. 2005; 13: 1932-8.
11.
Yang RJ, Wang EK, Hsieh YS, Chen MY. Irregular breakfast eating and health status among adolescents in Taiwan. BMC Public Health. 2006; 6: 295.
12.
McConahy KL, Smiciklas-Wright H, Birch LL, et al. Food portions are positively related to energy intake and body weight in early childhood. J Pediatr. 2002; 140: 340-7.
13.
Goldfield GS, Mallory R, Parker T, et al. Effects of modifying physical activity and sedentary behavior on psychosocial adjustment in overweight/obese children. J Pediatr Psychol. 2000; 32: 783-93.
14.
Ekeland E, Heian F, Hagen KB. et al. Exercise to improve self-esteem in children and young people. Cochrane Database Syst Rev. 2004: CD003683.
15.
Kirkcaldy BD, Shephard RJ, Siefen RG. The relationship between physical activity and self-image and problem behaviour among adolescents. Soc Psychiatry Epidemiol. 2002; 37: 544-50.
16.
Kopczyńska-Sikorska J, Kurniewicz-Witczakowska R, Niedźwiedzka Z, Palczewska I, Szilagyi-Pągowska I. Test przesiewowy do wykrywania zaburzeń w rozwoju fizycznym (somatycznym). In: Jodkowska M, Woynarowska B. (Ed.). Testy przesiewowe u dzieci i młodzieży w wieku szkolnym. Instytut Matki i Dziecka, Warszawa 2002: 21.
17.
Word Heath Organization: Physical status: The use and interpretation of anthropometry. WHO Technical Report Series No 854.m WHO, Geneva 1995.
18.
Jakubek A, Susik P. Znaczenie aktywności fizycznej w utrzymaniu należnej masy ciała i wysokiej jakości życia. Lider 2006; 10: 3-6.
19.
Otto-Buczkowska E, Mazur U. Czy nadwaga jest zagrożeniem dla zdrowia dzieci i młodzieży. Lider 2006; 1: 5-8.
20.
Przewęda R, Dobosz J. Kondycja fizyczna polskiej młodzieży. Akademia Wychowania Fizycznego w Warszawie. Studia i monografie, Warszawa 2003.
21.
Janssen I. Physical activity guidelines for children and youth. Appl Physiol Nutr Me. 2007; 32: S109-S121.
22.
Janssen I, Leblanc AG. Systematic review of the health benefits of physical activity and fitness in school-aged children and young. Int J Behav Nutr Phys Act. 2010; 11: 7-40.
24.
Chabros E, Charzewska J. Poziom aktywności fizycznej i jej formy wśród współczesnej populacji dzieci i młodzieży. In: Jarosz M. (Ed.). Zasady prawidłowego żywienia dzieci i młodzieży oraz wskazówki dotyczące zdrowego stylu życia. Instytut Żywności i Żywienia, Warszawa 2008.
25.
Małkowska-Szkutnik A, Mazur J, Łata E. Aktywność fizyczna i zachowania żywieniowe młodzieży w świetle badań HBSC, psse.dnsalias.org/test/index_pliki/HBSC.ppt (access: 2012.06.20).
26.
Chrzanowska M. Biologiczne i społeczno-ekonomiczne determinanty rozwoju podskórnej tkanki tłuszczowej u dzieci młodzieży. Kraków: Wyd Monogr. AWF 1992, p.49.
27.
Szanecka E, Małecka-Tendera E. Zmiana nawyków żywieniowych a problem otyłości u dzieci. Endokrynol Otyłość. 2006; 2(3): 102-107 (in Polish).
28.
Wądołowska L. Żywieniowe podłoże zagrożeń zdrowia w Polsce, Wydawnictwo UWM, Olsztyn 2010, p.74 (in Polish).
29.
Chrzanowska M. Czy w Polsce ma miejsce epidemia nadwagi i otyłości wśród dzieci i młodzieży. Med Sport. 2006; 10(4); 461-470.
30.
Chan YL, Leong SS, Lam WW, Peng XH, Metereweli C. Body FAT estimation in children by magnetic resonance imaging bioelectrical impedancje, skinfold, and body mass index; a pilot study. J. Pediatr Child Health. 1998; 34(1): 22-28.
31.
Sygit K, Kołłątaj W, Wojtyła A, Sygit M, Bojar I, Owoc A. Engagement in risky behaviours by 15-19-year-olds from Polish urban and rural areas. Ann Agric Environ Med. 2011; 18: 404-409.
32.
Kołłątaj W, Sygit K, Sygit M, Karwat ID, Kołłątaj B. Eating habits of children and adolescents from rural regions depending on gender, education, and economic status of parents. Ann Agric Environ Med. 2011; 18: 393-397.
33.
POL-Health. Otyłość, żywienie, aktywność fizyczna, zdrowie Polaków (1960-2005). Warszawa, IŻŻ, 2006.