The influence of a healthy lifestyle on body mass index in a sample of 12-14 year old individuals in Murcia (Spain)

Authors

  • M.I. Jiménez Candel Servicio de Pediatría. Hospital Virgen del Castillo. Yecla. Murcia. España.
  • P.J. Carpena Lucas Servicio de Pediatría. Hospital Virgen del Castillo. Yecla. Murcia. España.
  • J. Mondéjar Jiménez Facultad de Ciencias Sociales. Universidad de Castilla-La Mancha. Cuenca. España.
  • R. García Pérez Servicio de Pediatría. Hospital Virgen del Castillo. Yecla. Murcia. España.
  • A.J. Gómez Navarro Servicio de Pediatría. Hospital Virgen del Castillo. Yecla. Murcia. España.

DOI:

https://doi.org/10.23938/ASSN.0883

Keywords:

Obesidad infantil, Sobrepeso, Hábitos saludables, Actividad física, Tecnología de la información

Abstract

Background. Excess weight and obesity in childhood is directly related to comorbidities that can have serious consequences for health. This study set out to identify the main modifiable lifestyles that influence the development of excess weight and obesity in childhood.

Methods. A cross-sectional study was carried out at seven secondary schools in Area V, Murcia, Spain. Questionnaires completed by parents were used to gather information about healthy habits in adolescents (ENHASA), The surveys consisted of four dimensions made up of modifiable lifestyle factors: nutrition, physical activity, new technologies and schoolmates. The adolescents’ somatometric data was measured and classified according to the WHO categories for body mass index (BMI). ANOVA was used to compare the score differences among the BMI groups.

Results. The questionnaire was completed by the parents of 421 adolescents with an average age of 12 years. 21.1% presented excess weight and 19.7% obesity. The score obtained by adolescents in the physical activity dimension decreased in the increased BMI group (score in normal weight 6.36 vs. 4.45 in obesity; p<0.001). The other three dimensions showed insignificant differences in scores between normal weight and obesity groups.

Conclusion. Excess weight was present in 40.8% of the sample. Physical activity was the modifiable lifestyle to be most markedly linked to BMI. This outcome may help in planning specific strategies for sedentary lifestyles to reduce this dietary epidemic.

Downloads

Download data is not yet available.

Author Biography

M.I. Jiménez Candel , Servicio de Pediatría. Hospital Virgen del Castillo. Yecla. Murcia. España.

Facultativo Especialista en Pediatria

References

Agencia Española, Seguridad Alimentaria y Nutrición. Ministerio de Sanidad Servicios Sociales e Igualdad. Estudio ALADINO 2015: Estudio de vigilancia del crecimiento, alimentación, actividad física, desarrollo infantil y obesidad en España 2015. Madrid : Agencia Española de Consumo, Seguridad Alimentaria y Nutrición, 2016. https://www.aesan.gob.es/AECOSAN/docs/documentos/nutricion/observatorio/Estudio_ALADINO_2015.pdf

World Health Organization. Technical Report Series 894. Obesity:preventing and managing the global epidemic. Geneva: WHO, 2000; 16-60. https://www.who.int/nutrition/publications/obesity/WHO_TRS_894/en/

VARO JJ, MARTINEZ-GONZALEZ MA, MARTINEZ JA. Prevalencia de obesidad en Europa. An Sist Sanit Navar 2002; 25 (Suppl 1): 103-108. https://doi.org/ 10.23938/ASSN.0818

ESPIN RIOSA MI, PEREZ FLORES D, SANCHEZ RUIZ JF, SALMERON MARTINEZ D. Prevalencia de obesidad infantil en la Región de Murcia, valorando distintas referencias para el indice de masa corporal. An Pediatr 2013; 78: 374-381. https://doi.org/10.1016/j.anpedi.2012.09.007

GARCIA-CONTINENTE X, ALLUE N, PEREZ-GIMENEZ A, ARIZA C, SANCHEZ-MARTINEZ F, LOPEZ MJ et al. Hábitos alimentarios, conductas sedentarias y sobrepeso y obesidad en adolescentes de Barcelona. An Pediatr 2015; 83: 3-10. https://doi.org/10.1016/j.anpedi.2014.07.006

PEREZ-RODRIGO C, GIL Á, GONZALEZ-GROSS M, ORTEGA RM, SERRA-MAJEM L, VARELA-MOREIRAS G et al. Clustering of dietary patterns, lifestyles, and overweight among Spanish children and adolescents in the ANIBES study. Nutrients 2015; 8: 1-17. https://doi.org/10.3390/nu8010011

MORENO LA, GRACIA-MARCO L. Prevención de la obesidad desde la actividad física: del discurso teórico a la práctica. An Pediatr 2012; 77: 136.e1-136.e6. https://doi.org/10.1016/j.anpedi.2012.04.011

MAGGE SN, GOODMAN E, ARMSTRONG SC, DANIELS S, CORKINS M, DE FERRANTI S et al. The metabolic syndrome in children and adolescents: shifting the focus to cardiometabolic risk factor clustering. Pediatrics 2017; 140. https://doi.org/10.1542/peds.2017-1603

SIMMONDS M, LLEWELLYN A, OWEN CG, WOOLACOTT N. Predicting adult obesity from childhood obesity: a systematic review and meta-analysis. Obes Rev 2016; 17: 95-107. https://doi.org/10.1111/obr.12334

United Nations Children's Fund, World Health Organization, World Bank Group. Joint child malnutrition estimates - levels and trends in child malnutrition. Key findings of the 2019 edition. https://www.who.int/nutrition/publications/jointchildmalnutrition-2019-estimates/en/

World Health Organization. Global strategy on diet, physical activity and health. Geneva: WHO, 2004. https://www.who.int/dietphysicalactivity/strategy/eb11344/strategy_english_web.pdf

REDINGER RN. The prevalence and etiology of nongenetic obesity and associated disorders. South Med J 2008; 101: 395-399. https://doi.org/10.1097/01.smj.0000308879.67271.09

MARTINEZ-LEMOS RI, AYAN-PEREZ C, SANCHEZ-LASTRA A, CANCELA-CARRAL JM, VALCARCE-SANCHEZ R. Cuestionarios de actividad física para niños y adolescentes españoles: una revisión sistemática. An Sis San Navarra 2016; 39: 417-428. https://doi.org/10.23938/ASSN.0232

BALLESTEROS ARRIBAS JM, DAL-RE SAAVEDRA M, PEREZ-FARINOS N, VILLAR VILLALBA C. La estrategia para la nutrición, actividad física y prevención de la obesidad (Estrategia NAOS). Rev Esp Salud Pública 2007; 81: 443-449. https://doi.org/10.1590/s1135-57272007000500002

JIMÉNEZ CANDEL MI, CARPENA LUCAS PJ, CEBALLOS-SANTAMARíA G, MONDÉJAR JIMÉNEZ J. Diseño y validación de un cuestionario para estudiar hábitos saludables en adolescentes de 12-14 años. Arch Argent Pediatr 2021; 119 [In press].

WHO Multicentre Growth Reference Study Group. WHO Child Growth Standards based on length/height, weight and age. Acta Paediatr Suppl 2006; 450: 76-85. https://doi.org/10.1111/j.1651-2227.2006.tb02378.x

Organización Mundial de la Salud. Comunicados de prensa. La OMS publica una nueva edición del informe sobre el seguimiento de los progresos en relación con las enfermedades no transmisibles Geneva: WHO, 2017. https://www.who.int/es/news/item/18-09-2017-who-launches-new-ncds-progress-monitor

GARCES C, LOPEZ CUBERO L, BENAVENTE M, RUBIO R, DEL BARRIO JL, DE OYA M et al. Factores metabólicos en la población escolar asociados a mortalidad cardiovascular en los adultos. Estudio Cuatro Provincias. Med Clin (Barc) 2002; 118: 767-770. https://doi.org/10.1016/s0025-7753(02)72525-6

SANCHEZ-MARTINEZ F, TORRES CAPCHA P, SERRAL CANO G, VALMAYOR SAFONT S, CASTELL ABAT C, ARIZA CARDENAL C y Grupo de Evaluación del Proyecto POIBA. Factores asociados al sobrepeso y la obesidad en escolares de 8 a 9 años de Barcelona. Rev Esp Salud Pública 2016; 90: 1-11.

Organización Mundial de la Salud. Recomendaciones mundiales sobre actividad física para la salud. Geneva: WHO, 2010 https://apps.who.int/iris/bitstream/handle/10665/44441/9789243599977_spa.pdf?ua=1

DIEZ-GAÑAN L, GALAN LABACA I LD, CM ZTB. Encuesta de Nutrición Infantil de la Comunidad de Madrid. Madrid: Consejería de Sanidad de la Comunidad de Madrid, 2008.

ZURRIAGA O, QUILES IZQUIERDO J, GIL COSTA M, ANES Y, QUIONES C, MARGOLLES M et al. Factors associated with childhood obesity in Spain. The OBICE study: a case-control study based on sentinel networks. Public Health Nutr 2010; 14: 1105-1113. https://doi.org/10.1017/s1368980010003770

MESAS AE, GUALLAR-CASTILLON P, LEON-MUÑOZ LM, GRACIANI A, LOPEZ-GARCIA E, GUTIERREZ-FISAC JL et al. Obesity-related eating behaviors are associated with low physical activity and poor diet quality in Spain. J Nutr 2012; 142: 1321-1328. https://doi.org/10.3945/jn.112.158154

KUMAR S, KELLY AS. Review of childhood obesity: from epidemiology, etiology, and comorbidities to clinical assessment and treatment. Mayo Clin Proc 2017; 92: 251-265. https://doi.org/10.1016/j.mayocp.2016.09.017

CHUECA M, AZCONA C, OYARZABAL M. Obesidad infantil. An Sis San Navarra 2002; 25: 127-141. https://doi.org/10.23938/ASSN.0821

NINATANTA-ORTIZ JA, NUÑEZ-ZAMBRANO LA, GARCIA-FLORES SA, ROMANI-ROMANI FRANCO. Factores asociados a sobrepeso y obesidad en estudiantes de educación secundaria. Rev Pediatr Aten Primaria 2017; 19: 209-221.

LAJUNEN HR, KESKI-RAHKONEN A, PULKKINEN L, ROSE RJ, RISSANEN A, KAPRIO J. Are computer and cell phone use associated with body mass index and overweight? A population study among twin adolescents. BMC Public Health 2007; 27: 7-24. https://doi.org/10.1186/1471-2458-7-24

WIJNHOVEN TMA, VAN RAAIJ JMA, SPINELLI A, RITO AI, HOVENGEN R, KUNESOV M et al. WHO European childhood obesity surveillance initiative 2008: weight, height and body mass index in 6-9-year-old children. Pediatr Obes 2013; 8: 79-97. https://doi.org/10.1111/j.2047-6310.2012.00090.x

GRIFFITHS LJ, PARSONS TJ, HILL AJ. Self-esteem and quality of life in obese children and adolescents: a systematic review. Int J Pediatr Obes 2010; 5: 282-304. https://doi.org/10.3109/17477160903473697

HERRANZ BARBERO A, LOPEZ DE MESA MR, AZCONA SAN JULIAN C. Influencia del exceso de peso en la calidad de vida relacionada con la salud de los adolescentes. An Pediatr 2015; 82: 131-138. https://doi.org/10.1016/j.anpedi.2014.06.019

Published

2021-04-28

How to Cite

Jiménez Candel, M., Carpena Lucas, P., Mondéjar Jiménez, J., García Pérez, R., & Gómez Navarro, A. (2021). The influence of a healthy lifestyle on body mass index in a sample of 12-14 year old individuals in Murcia (Spain). Anales Del Sistema Sanitario De Navarra, 44(1), 33–40. https://doi.org/10.23938/ASSN.0883

Issue

Section

Research articles