Socio-economic status as an environmental factor – incidence of underweight, overweight and obesity in adolescents from less-urbanized regions of Poland
Introduction Under-nutrition, over-nutrition and obesity incidence in relation to environmental diversity and socio- economic influences in adolescents from less urbanized regions of Poland has not been widely studied. Objective. To determine the correlation between socio-economic status and inci...
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| Format: | Article |
| Language: | English |
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Institute of Rural Health
2015-09-01
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| Series: | Annals of Agricultural and Environmental Medicine |
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| Online Access: | http://www.journalssystem.com/aaem/Socio-economic-status-as-an-environmental-factor-incidence-of-underweight-overweight-and-obesity-in-adolescents-from-less-urbanized-regions-of-Poland,72322,0,2.html |
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| author | Anna Długosz Ewa Niedźwiedzka Tomasz Długosz Lidia Wądołowska |
| author_facet | Anna Długosz Ewa Niedźwiedzka Tomasz Długosz Lidia Wądołowska |
| author_sort | Anna Długosz |
| collection | DOAJ |
| description | Introduction
Under-nutrition, over-nutrition and obesity incidence in relation to environmental diversity and socio-
economic influences in adolescents from less urbanized regions of Poland has not been widely studied.
Objective. To determine the correlation between socio-economic status and incidence of underweight, overweight and
obesity in adolescents located in less-urbanized regions of Poland.
Material and Methods
The study involved 553 adolescents aged 13–18 living in 2 less-urbanized regions of Poland
(small towns and villages in the central and north-eastern regions). The sample was randomly chosen. The distinguishing
determinants of socio-economic status (SES) included 6 features. The SES index (SESI) was calculated. Low, average and
high SESI adolescents were distinguished. Using logistic regression, the odds ratio (OR) of underweight (BMI<18.5kg/m<sup>2</sup> ),
overweight (BMI≥25kg/m<sup>2</sup> ) and obesity (BMI≥30kg/m<sup>2</sup> ) incidence was calculated after BMI conversion using the international
cut-off by Cole et al. (2000, 2007). The reference group were adolescents with low SESI (OR=1.00).
Results
11% of the adolescents were underweight, 14% were overweight and 3% were obese. The odds ratio of underweight
incidence for the average SESI adolescent was 0.33 (95%CI: 0.15, 0.73; p<0.01) and in high SESI adolescents – 1.05 (95%CI: 0.78,
1.42; p>0.05). The odds ratio of overweight incidence in the average SESI adolescent was 1.73 (95%CI: 0.93, 3.19; p>0.05) and
in high SESI adolescents – 1.14 (95%CI: 0.83, 1.57; p>0.05). The odds ratio of obesity incidence in the average SESI adolescent
was 0.70 (95%CI: 0.21, 2.34; p>0.05) and in high SESI adolescents – 0.76 (95%CI: 0.40, 1.44; p>0.05). Adjustments for gender,
age or region of residence did not significantly change the ORs values or their interpretation.
Conclusions
Underweight incidence in adolescents from less urbanized regions of Poland depended on socio-economic
status. An adolescent with average socio-economic status was 3 times less likely to be underweight than an adolescent with
low socio-economic status. The correlation between socio-economic status and overweight and obesity was not significant. |
| first_indexed | 2024-12-22T03:51:32Z |
| format | Article |
| id | doaj.art-09ade560767f4139968bf08a151aee8b |
| institution | Directory Open Access Journal |
| issn | 1232-1966 1898-2263 |
| language | English |
| last_indexed | 2024-12-22T03:51:32Z |
| publishDate | 2015-09-01 |
| publisher | Institute of Rural Health |
| record_format | Article |
| series | Annals of Agricultural and Environmental Medicine |
| spelling | doaj.art-09ade560767f4139968bf08a151aee8b2022-12-21T18:39:59ZengInstitute of Rural HealthAnnals of Agricultural and Environmental Medicine1232-19661898-22632015-09-0122351852310.5604/12321966.116772672322Socio-economic status as an environmental factor – incidence of underweight, overweight and obesity in adolescents from less-urbanized regions of PolandAnna Długosz0Ewa Niedźwiedzka1Tomasz Długosz2Lidia Wądołowska3Chair and Department of Nutrition and Dietetics, Nicolaus Copernicus University, Collegium Medicum, Bydgoszcz, PolandDepartment of Human Nutrition, University of Warmia and Mazury, Olsztyn, Poland“Dream” Pharmacy, Bydgoszcz, PolandDepartment of Human Nutrition, University of Warmia and Mazury, Olsztyn, PolandIntroduction Under-nutrition, over-nutrition and obesity incidence in relation to environmental diversity and socio- economic influences in adolescents from less urbanized regions of Poland has not been widely studied. Objective. To determine the correlation between socio-economic status and incidence of underweight, overweight and obesity in adolescents located in less-urbanized regions of Poland. Material and Methods The study involved 553 adolescents aged 13–18 living in 2 less-urbanized regions of Poland (small towns and villages in the central and north-eastern regions). The sample was randomly chosen. The distinguishing determinants of socio-economic status (SES) included 6 features. The SES index (SESI) was calculated. Low, average and high SESI adolescents were distinguished. Using logistic regression, the odds ratio (OR) of underweight (BMI<18.5kg/m<sup>2</sup> ), overweight (BMI≥25kg/m<sup>2</sup> ) and obesity (BMI≥30kg/m<sup>2</sup> ) incidence was calculated after BMI conversion using the international cut-off by Cole et al. (2000, 2007). The reference group were adolescents with low SESI (OR=1.00). Results 11% of the adolescents were underweight, 14% were overweight and 3% were obese. The odds ratio of underweight incidence for the average SESI adolescent was 0.33 (95%CI: 0.15, 0.73; p<0.01) and in high SESI adolescents – 1.05 (95%CI: 0.78, 1.42; p>0.05). The odds ratio of overweight incidence in the average SESI adolescent was 1.73 (95%CI: 0.93, 3.19; p>0.05) and in high SESI adolescents – 1.14 (95%CI: 0.83, 1.57; p>0.05). The odds ratio of obesity incidence in the average SESI adolescent was 0.70 (95%CI: 0.21, 2.34; p>0.05) and in high SESI adolescents – 0.76 (95%CI: 0.40, 1.44; p>0.05). Adjustments for gender, age or region of residence did not significantly change the ORs values or their interpretation. Conclusions Underweight incidence in adolescents from less urbanized regions of Poland depended on socio-economic status. An adolescent with average socio-economic status was 3 times less likely to be underweight than an adolescent with low socio-economic status. The correlation between socio-economic status and overweight and obesity was not significant.http://www.journalssystem.com/aaem/Socio-economic-status-as-an-environmental-factor-incidence-of-underweight-overweight-and-obesity-in-adolescents-from-less-urbanized-regions-of-Poland,72322,0,2.htmlsocio-economic statusoverweightunderweightobesityadolescentsBMI |
| spellingShingle | Anna Długosz Ewa Niedźwiedzka Tomasz Długosz Lidia Wądołowska Socio-economic status as an environmental factor – incidence of underweight, overweight and obesity in adolescents from less-urbanized regions of Poland Annals of Agricultural and Environmental Medicine socio-economic status overweight underweight obesity adolescents BMI |
| title | Socio-economic status as an environmental factor – incidence of underweight, overweight and obesity in adolescents from less-urbanized regions of Poland |
| title_full | Socio-economic status as an environmental factor – incidence of underweight, overweight and obesity in adolescents from less-urbanized regions of Poland |
| title_fullStr | Socio-economic status as an environmental factor – incidence of underweight, overweight and obesity in adolescents from less-urbanized regions of Poland |
| title_full_unstemmed | Socio-economic status as an environmental factor – incidence of underweight, overweight and obesity in adolescents from less-urbanized regions of Poland |
| title_short | Socio-economic status as an environmental factor – incidence of underweight, overweight and obesity in adolescents from less-urbanized regions of Poland |
| title_sort | socio economic status as an environmental factor incidence of underweight overweight and obesity in adolescents from less urbanized regions of poland |
| topic | socio-economic status overweight underweight obesity adolescents BMI |
| url | http://www.journalssystem.com/aaem/Socio-economic-status-as-an-environmental-factor-incidence-of-underweight-overweight-and-obesity-in-adolescents-from-less-urbanized-regions-of-Poland,72322,0,2.html |
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