Muratova O. V.

PATHOMORPHOLOGY

Scentific article

The prevalence of overweight and obesity among children is a global medical and economic problem, as this condition is associated with the development of adverse effects in both early childhood and later adulthood. Therefore, the indicator 2.2.b “prevalence of overweight among children aged 2 to 4 years” is included in the list of indicators that the UN monitors in all countries to determine their progress in achieving the goals of sustainable development. The aim. To establish the main epidemiological trends in the prevalence of overweight among children aged 2 to 4 years in Ukraine and compare it with the proportion of infants born with overweight in the Poltava region, based on BMI analysis. Object and methods. To determine the existing epidemiological trends (2008-2018) and forecast trends (2020- 2015), the prevalence of overweight among children of this age used a global database (English name). The average values of the body mass index in 3612 full-term newborns (gestational age 39 ± 1.12 weeks, weight 3387 ± 452 g) born in obstetric hospitals in Poltava during 2018 were analyzed. We calculated the average value of BMI in infants of different sexes and places of residence of parents (city, village), compared it with the value of the WHO standard. Research results. It is established that in Ukraine during 2008-2018 the prevalence of overweight in children aged 2 to 4 years increased significantly by 11.98% (from 14.7% to 16.7%) with an annual increase of 1.74%. The forecast value of this indicator in 2025 will be 18.2% (increase of 8.95%, year-on-year 1.28%), which coincides with the epidemiological trends of this indicator in other countries. The mean BMI among full-term full-term infants was – 13.3 ± 1.3, and among males – 13.4 ± 1.4, which is significantly lower than WHO standards. The share of infants with BMI more than among girls was – 4.8%, and among men – 4.72%. Differences in the share of such children depending on the place of residence of their parents were not observed. Infants with birth weight> Me + 2σ were born in isolated cases (0.17% among girls and 0.16% among boys). Conclusion. The existing differences between the proportion of overweight children and the prevalence of this condition among children aged 2 to 4 years require the development and implementation, starting from the first months of life, adequate preventive measures to optimize nutrition, exercise and increase parents knowledge about healthy eating.

overweight, obesity, body mass index.

1. Fraser A, Tilling K, Macdonald-Wallis C. Association of maternal weight gain in pregnancy with offspring obesity and metabolic and vascular traits in childhood. Circulation [Internet]. 2010 Jun;121(23):2557-64. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/ PMC3505019/ DOI: 10.1161/CIRCULATIONAHA.109.906081
2. Gaillard R, Steegers EA, Duijts L. Childhood cardiometabolic outcomes of maternal obesity during pregnancy: the Generation R Study. Hypertension [Internet]. 2014 Apr;63(4):683-91. Available from: https://pubmed.ncbi.nlm.nih.gov/24379180/ DOI: 10.1161/ HYPERTENSIONAHA.113.02671
3. Oostvogels AJ, Stronks K, Roseboom TJ, van der Post JA, van Eijsden M, Vrijkotte TG. Maternal prepregnancy BMI, offspring’s early postnatal growth, and metabolic profile at age 5-6 years: the ABCD Study. J Clin Endocrinol Metab. [Internet]. 2014 Oct;99(10):3845-54. Available from: https://pubmed.ncbi.nlm.nih.gov/24955609/ DOI: 10.1210/jc.2014-1561
4. Sliusarieva AV. Kharacterystyka lipidnoho spektru v piznikh nedonoshenyh ta donoshenyh nemovlyat, yaki narodulusya zavelykymy do hestacyinoho viku, vid materiv z ozhurinnyam. Aktualʹni problemy suchasnoyi medytsyny: Visnyk Ukrayinsʹkoyi medychnoyi stomatolohichnoyi akademiyi. 2020;20(2):90-5. [in Ukrainian].
5. United Nations Economic and Social Council. Report of the inter-agency and expert group on sustainable development goal indicators. New York: United Nations; [Internet] 2016. [cited 2018 Dec 23]. Available from: http://ggim.un.org/knowledgebase/KnowledgebaseArticle51479. aspx
6. Ministerstvo okhorony zdorovya Ukrayiny [Internet]. 2019 Dec. Dostupno: https://moz.gov.ua/article/for-medical-staff/zatverdzhenonacionalni-klasifikatori-hvorob-ta-intervencij [in Ukrainian].
7. World Health Organization. Childhood Overweight Policy Brie [Internet]. 2014. Available from: fhttps://www.who.int/nutrition/publications/ globaltargets2025_policybrief_overweight/en/
8. Health-Related SDG [Internet] 2018 Nov. Available from: https://vizhub.healthdata.org/sdg/
9. Matthiessen J, Velsing Groth M, Fagt S. Prevalence and trends in overweight and obesity among children and adolescents in Denmark. Scandinavian Journal of Public Health [Internet]. 2008 Mar;36(2):153-60. Available from: https://europepmc.org/article/med/18519279 DOI: 10.1177/1403494807085185
10. Due P, Heitmann BL, Sørensen TI. Prevalence of obesity in Denmark. Obes Rev [Internet]. 2007;8(3):187-9. Available from: https:// pubmed.ncbi.nlm.nih.gov/17444960/ DOI: 10.1111/j.1467-789X.2006.00291.x187-189
11. Pearson S, Olsen LW, Hansen B, Sørensen TI. Stigning i overvaegt og fedme blandt københavnske skolebørn i perioden 1947-2003 [Increase in overweight and obesity amongst Copenhagen schoolchildren, 1947-2003]. Ugeskr Laeger [Internet]. 2005 Jan;167(2):158-62. Available from: https://pubmed.ncbi.nlm.nih.gov/15697126/
12. Rokholm B, Baker JL, Sørensen TI. The levelling off of the obesity epidemic since the year 1999 – a review of evidence and perspectives. Obes Rev [Internet]. 2010 Dec;11(12):835-46. Available from: https://pubmed.ncbi.nlm.nih.gov/20973911/ DOI: 10.1111/j.1467- 789X.2010.00810.x
13. Olds T, Maher C, Zumin S. Evidence that the prevalence of childhood overweight is plateauing: data from nine countries. Int J Pediatr Obes [Internet]. 2011 Oct;6(5-6):342-60. Available from: https://pubmed.ncbi.nlm.nih.gov/21838570/ DOI: 10.3109/17477166.2011.605895
14. Moss A, Klenk J, Simon K, Thaiss H, Reinehr T, Wabitsch M. Declining prevalence rates for overweight and obesity in German children starting school. Eur J Pediatr [Internet] 2012 Feb;171(2):289-99. Available from: https://pubmed.ncbi.nlm.nih.gov/21750902/ DOI: 10.1007/ s00431-011-1531-5
15. Nichols MS, Silva-Sanigorski Ad, Cleary JE, Goldfeld SR, Colahan A, Swinburn BA. Decreasing trends in overweight and obesity among an Australian population of preschool children. Int J Obes (Lond). [Internet] 2011 Jul;35(7):916-24. Available from: https://pubmed.ncbi.nlm. nih.gov/21427698/ DOI: 10.1038/ijo.2011.64
16. Andersen LG, Baker JL, Sørensen TI. Contributions of incidence and persistence to the prevalence of childhood obesity during the emerging epidemic in Denmark. PLoS One. [Internet] 2012 Aug;7(8):e42521. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/ PMC3416857/ DOI: 10.1371/journal.pone.0042521
17. Zhou X, Ji L, Ran X. Prevalence of Obesity and Its Influence on Achievement of Cardiometabolic Therapeutic Goals in Chinese Type 2 Diabetes Patients: An Analysis of the Nationwide, Cross-Sectional 3B Study. PLoS One [Internet]. 2016;11(1):e0144179. Published 2016 Jan 4. Available from: https://pubmed.ncbi.nlm.nih.gov/26726883/ DOI: 10.1371/journal.pone.0144179

«Bulletin of problems biology and medicine» Issue 3 (157), 2020 year, 283-287 pages, index UDK 616-056.52(477.53)

10.29254/2077-4214-2020-3-157-283-287