Abstract:
BACKGROUND:Childhood obesity and its consequences are a growing threat to national economies and health services. The aim of this study was to determine associations between waist-to-height ratio (WHtR) as a measure of central obesity, and health-related quality of life (HRQoL) and absenteeism of primary school children in the state of Baden-Württemberg, Germany. METHODS:Cross-sectional data from 1888 first and second grade children (7.1±0.6 years) participating in the baseline measurements of the Baden-Württemberg Study were analyzed. Parents completed questionnaires including a rating of their children's HRQoL using KINDLR and EQ5D-Y VAS. Days of absence because of illness, and number of visits to a physician during the last year of school/kindergarten were asked, as well as the number of days parents took off work to care for their sick child. Anthropometric measurements were taken by trained staff. The Mann-Whitney-U test was used for statistical analysis of differences between WHtR groups. Logistic regression models were used to identify factors associated with sick days. RESULTS:A total of 158 (8.4%) children were centrally obese (WHtR ≥0.5). These children had significantly more sick days (9.05 vs. 6.84, p < 0.001) and visits to a physician (3.58 vs. 2.91, p < 0.05), but not days of parental absence than other children. According to regression analysis, sick days were also associated with age, migration status, physical activity pattern, maternal health awareness and family education level. Parent-rated HRQoL was significantly lower in centrally obese children for the EQ5D-Y VAS (88.1 vs. 91.6, p < 0.001), and the KINDLR subscales 'school' (79.9 vs. 82.5, p < 0.05) and 'friends' (75.4 vs. 78.3, p < 0.05), but not for the total score. CONCLUSIONS:Cross-sectional results show higher rates of absence, more visits to a physician and lower HRQoL in children with central obesity. Each missed day at school implies a hazard to academic achievement and each additional visit to a physician is related to higher health care costs. Thus, the negative impact of central obesity is already measurable in primary school children, which emphasizes the urgent need for early delivery of health promotion and targeted prevention.
journal_name
BMC Public Healthjournal_title
BMC public healthauthors
Kesztyüs D,Wirt T,Kobel S,Schreiber A,Kettner S,Dreyhaupt J,Kilian R,Steinacker JM,“Komm mit in das gesunde Boot - Grundschule” - Research Group.doi
10.1186/1471-2458-13-260subject
Has Abstractpub_date
2013-03-22 00:00:00pages
260issn
1471-2458pii
1471-2458-13-260journal_volume
13pub_type
杂志文章abstract:BACKGROUND:No study has ever explored the prevalence and correlates of video game playing among children in the Islamic Republic of Iran. This study describes patterns and correlates of excessive video game use in a random sample of middle-school students in Iran. Specifically, we examine the relationship between video...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-10-286
更新日期:2010-05-27 00:00:00
abstract:BACKGROUND:Religion plays an important role in youth behaviours, making it a significant factor in the discourse on youth sexuality in sub-Saharan Africa. Several studies have found that religion and religiosity play an important role in the sexual behaviours of young people. However, little research in Nigeria has exa...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-019-6732-2
更新日期:2019-04-18 00:00:00
abstract:BACKGROUND:Postcode lotteries in health refer to differences in health care between different geographic areas. These have been previously associated with clinical services. However there has been little documentation of postcode lotteries relating to preventative health care services. This paper describes a postcode l...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-11-738
更新日期:2011-09-28 00:00:00
abstract:BACKGROUND:An inequitable distribution of parks and other 'green spaces' could exacerbate health inequalities if people on lower incomes, who are already at greater risk of preventable diseases, have poorer access. METHODS:The availability of green space within 1 kilometre of a Statistical Area 1 (SA1) was linked to d...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-14-292
更新日期:2014-03-31 00:00:00
abstract:BACKGROUND:Cardio-metabolic risk factors are becoming more prevalent in children and adolescents. A lack of moderate-to-vigorous intensity physical activity (MVPA) is an established determinant of cardio-metabolic risk factors in children and adolescents. Less is known about the relationship between sedentary behavior ...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-11-274
更新日期:2011-05-04 00:00:00
abstract:BACKGROUND:A number of companies publish corporate social responsibility (CSR) reporting in booklets and other publicly available formats. The purpose of this paper is to clarify the nine-year (2004-2012) trend of occupational safety and health (OSH) activities as described in CSR reporting (by industry sector and comp...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-017-4356-y
更新日期:2017-05-02 00:00:00
abstract:BACKGROUND:Estimates of the risk of developing Crohn's disease (CD) can be made using DNA testing for mutations in the NOD2 (CARD15) gene, family history, and smoking status. Smoking doubles the risk of CD, a risk that is reduced by stopping. CD therefore serves as a timely and novel paradigm within which to assess the...
journal_title:BMC public health
pub_type: 杂志文章,随机对照试验
doi:10.1186/1471-2458-11-44
更新日期:2011-01-19 00:00:00
abstract:BACKGROUND:The association between mental distress and divorce is well established in the literature. Explanations are commonly classified within two different frameworks; social selection (mentally distressed people are selected out of marriage) and social causation (divorce causes mental distress). Despite a relative...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-015-1662-0
更新日期:2015-04-01 00:00:00
abstract:BACKGROUND:Viral hepatitis is a serious public health problem affecting billions of people globally. Limited information is available on this issue in Morocco. This cross-sectional study was undertaken with the aim of determining the seroprevalence and risk factors of hepatitis B virus (HBV) and hepatitis C virus (HCV)...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-13-50
更新日期:2013-01-18 00:00:00
abstract:BACKGROUND:The NHS Health Check (NHSHC) is a national programme for the prevention of non-communicable diseases. Patients aged 40-74 without an existing cardiovascular-related condition should be invited quinquennially. Uptake is lower than anticipated. We assessed the impact on uptake of two new behaviourally-enhanced...
journal_title:BMC public health
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12889-019-7754-5
更新日期:2019-11-14 00:00:00
abstract:BACKGROUND:Nearly all California casinos currently allow smoking, which leads to potentially high patron exposure to secondhand tobacco smoke pollutants. Some argue that smoking restrictions or bans would result in a business drop, assuming > 50% of patrons smoke. Evidence in Nevada and responses from the 2008 Californ...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-12-819
更新日期:2012-09-22 00:00:00
abstract:BACKGROUND:In low tuberculosis (TB) incidence countries TB affects mostly immigrants in the productive age group. Little empirical information is available about direct and indirect TB-related costs that patients face in these high-income countries. We assessed the direct and indirect costs of immigrants with TB in the...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-9-283
更新日期:2009-08-05 00:00:00
abstract:BACKGROUND:Acceptability is a critical requisite in establishing feasibility when planning a larger effectiveness trial. This study assessed the acceptability of conducting a feasibility randomized clinical trial of a 20-week microenterprise intervention for economically-vulnerable African-American young adults, aged 1...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-020-09904-x
更新日期:2020-12-02 00:00:00
abstract:BACKGROUND:The objetive in this study is to determine the relationship between dietary patterns, BMI, type 2 diabetes mellitus family history (T2DMFH) and some lifestyle variables such as smoking and skipping breakfast in a Mexican adolescent population. METHODS:Cross-sectional, observational, analytical study.Subjetc...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-016-3527-6
更新日期:2016-08-22 00:00:00
abstract:BACKGROUND:Age disparities in sexual relationships have been proposed as a key risk factor for HIV transmission in Sub-Saharan Africa, but evidence remains inconclusive. The SIHR study, a cluster randomised trial of a cash transfer programme in Malawi, found that young women in the intervention groups were less likely ...
journal_title:BMC public health
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12889-018-5327-7
更新日期:2018-03-27 00:00:00
abstract:BACKGROUND:Diet is an essential determinant of health. Among the health determinants, we find access problems that are summarized as food insecurity. While such food insecurity has been studied in other countries and correlated to several health problems, it has been scarcely assessed in Belgium. The purpose of this wo...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-019-7860-4
更新日期:2019-12-05 00:00:00
abstract:BACKGROUND:Existing studies reporting on the levels of physical fitness among college students used relatively few fitness tests as a reflection of physical fitness, which could not comprehensively evaluate the levels of physical fitness. Thus, the current study aimed to investigate the cross-sectional relationship bet...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-020-08517-8
更新日期:2020-04-05 00:00:00
abstract:BACKGROUND:Research evidence is essential to inform policies, interventions and programs, and yet research activities in mental and neurological (MN) health have been largely neglected, particularly in low- and middle-income countries. Many challenges have been identified in the production and utilization of research e...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-9-334
更新日期:2009-09-11 00:00:00
abstract:BACKGROUND:Studies in heterosexual HIV serodiscordant couples have provided critical evidence on the role of HIV treatments and undetectable viral load in reducing the risk of HIV transmission. There is very limited data on the risk of transmission from anal sex in homosexual male serodiscordant couples. METHODS/DESIG...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-14-917
更新日期:2014-09-04 00:00:00
abstract:BACKGROUND:Occupational heavy lifting is known to impose a high cardiovascular strain, but the risk of ischemic heart disease (IHD) from occupational heavy lifting is unknown. The objective was to investigate the association between occupational heavy lifting and risk of IHD and all-cause mortality, and the influence o...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-12-1070
更新日期:2012-12-11 00:00:00
abstract:BACKGROUND:Cardiovascular disease (CVD) is the leading cause of death in the world. With effective intervention and control of cardiovascular risk factors, mortality rates may be reduced. The aim of this study was to investigate the prevalence of modifiable risk factors across five municipalities in Yazd city. METHODS...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-020-8217-8
更新日期:2020-01-30 00:00:00
abstract:BACKGROUND:Status of premarital sex, unintended pregnancy and associated factors among Chinese graduate students remain unclear. And unmarried graduate students' needs of family planning services seem to be ignored. In the present study, we ascertained the prevalence rate of premarital sex and unintended pregnancy, as ...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-13-198
更新日期:2013-03-06 00:00:00
abstract:BACKGROUND:In Australia, sport is saturated by the promotion of junk food, alcohol and gambling products. This is particularly evident on player jerseys. The effect of this advertising on children, who are exposed to these messages while watching sport, has not been thoroughly investigated. The aim of this research stu...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-015-2348-3
更新日期:2015-10-05 00:00:00
abstract:BACKGROUND:To examine the association between health literacy, level of disease knowledge, and adherence behavior among patients with type 2 diabetes. METHODS:A cross-sectional survey study of 1059 Mandarin- and Taiwanese-speaking patients aged 20 years or older with type 2 diabetes was conducted. The demographic prof...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-018-5972-x
更新日期:2018-08-24 00:00:00
abstract:BACKGROUND:Diabetes prevalence is increasing globally, and Sub-Saharan Africa is no exception. With diverse health challenges, health authorities in Sub-Saharan Africa and international donors need robust data on the epidemiology and impact of diabetes in order to plan and prioritise their health programmes. This paper...
journal_title:BMC public health
pub_type: 杂志文章,评审
doi:10.1186/1471-2458-11-564
更新日期:2011-07-14 00:00:00
abstract:BACKGROUND:Prior studies on the association between prenatal exposure to polychlorinated biphenyls (PCBs) and dichlorodiphenyldichloroethylene (DDE) and child motor development have found contradicting results. Using data collected in the INUENDO cohort in Kharkiv (Ukraine), Warsaw (Poland) and Greenland (N = 1,103) be...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-015-1465-3
更新日期:2015-02-14 00:00:00
abstract:BACKGROUND:The medical tourism industry, which assists patients with accessing non-emergency medical care abroad, has grown rapidly in recent years. A lack of reliable data about medical tourism makes it difficult to create policy, health system, and public health responses to address the associated risks and shortcomi...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-11-416
更新日期:2011-05-31 00:00:00
abstract:BACKGROUND:There has been an increase in screen-based communication, leading to concerns about the negative health effects of screen-based activities in children and adolescents. The present study aimed to (1) analyze changes in screen time activity in Norwegian children from 2001 to 2008, and (2) to analyze associatio...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-13-80
更新日期:2013-01-29 00:00:00
abstract:BACKGROUND:This study explored community perceptions of cultural beliefs and practices that may increase sexual risk behaviour of adolescents, to understand more about meaning they hold within the culture and how they expose adolescent orphans and non-orphans to higher risks in a high HIV and teenage pregnancy prevalen...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-14-84
更新日期:2014-01-27 00:00:00
abstract:BACKGROUND:Several observational studies have shown that exercise reduces the risk of cognitive decline; however, evidences from long-term, well-conducted, randomized controlled trials are scanty. The principal aim of this study is to verify whether a long-term program of multimodal supervised exercise improves the cog...
journal_title:BMC public health
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12889-019-7027-3
更新日期:2019-05-29 00:00:00