Differences in the prevalence of overweight, obesity and underweight among children from primary schools in rural and urban areas
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Department of Nutrition and Dietetic with Clinic of Metabolic Diseases and Gastroenterology, National Food and Nutrition Institute, Warsaw, Poland
Division of School Nutrition, National Food and Nutrition Institute, Warsaw, Poland
Corresponding author
Katarzyna Wolnicka   

Department of Nutrition and Dietetic with Clinic of Metabolic Diseases and Gastroenterology, National Food and Nutrition Institute, Warsaw, Poland
Ann Agric Environ Med. 2016;23(2):341-344
Overweight adversely affects not only the health and development of children and adolescents but also their health in adulthood, increasing the risk of chronic non-communicable diseases and disabilities. The frequency of nutritional disorders among children and adolescents is increasing in many countries worldwide, including Poland.

To demonstrate differences in the nutritional well-being of school-age children depending on the school location: rural and urban areas.

Material and Methods:
The study conducted in 2010 covered a total of 1,255 pupils, 627 girls and 628 boys, aged nine, from the area of five provinces of Poland: Pomorskie, Opolskie, Wielkopolskie, Podkarpackie and Masovian, representing the northern, southern, western, eastern and central regions of the country. Based on the height and weight measurements of children, the body mass index was calculated. The nutritional status was assessed according to the criteria of Cole et al.

The prevalence of overweight and obesity in girls and boys in separate regions of the country (villages, cities with less than 100,000 residents and cities with more than 100,000 residents) did not differ significantly.

The prevalence of overweight and obesity among children from rural and urban areas of Poland is similar. Analysis of regional differences in the prevalence of obesity, overweight and underweight among children and adolescents may indicate the direction of national and local activities aiming to reduce the inequalities resulting from nutritional well-being.

Due P, Damsgaard MT, Rasmussen M, et al. Socioeconomic position, macroeconomic environment and overweight among adolescents in 35 countries. Int J Obes. 2009; 33(10): 1084–1093.
Wang Y, Lobstein T. Worldwide trends in childhood overweight and obesity. Int J Pediatr Obes. 2006; 1: 11–25.
Lobstein T, Frelut ML. Prevalence of overweight among children in Europe. Obes Rev 2003; 4(4): 195–200.
Monteiro CA, Conde WL, Lu B, et al. Obesity and inequities in health in the developing world. Int J Obes. 2004; 28:1181- 1186.
Cole TJ, Bellizzi M, Flegal KM, et al. Establishing a standard definition for child overweight and obesity worldwide: international survey. Br Med J. 2000; 320: 1240–1243.
Cole TJ, Flegal KM, Nicholls D, et al. Body mass index cut offs to define thinness in children and adolescents: international survey. BMJ. 2007; 335: 194–202.
Hawkins SS, Griths LJ, Cole TJ. Regional differences in overweight: an effect of people or place? Arch Dis Child. 2008; 93: 407–413.
Population. Size and structure by territorial division 2008. Central Statistical Office 2009:
Kułaga Z, Litwin M, Tkaczyk M, et al. Polish 2010 growth references for school-aged children and adolescents. Eur J Pediatr. 2011; 170: 599–609.
Gurzkowska B, Grajda A, Kułaga Z, Napieralska E, Litwin M. Distribution of body mass index categories among Polish children and adolescents from rural and urban areas. Med Wieku Rozwoj. 2011 Jul-Sep;15 (3): 250–7.
Mazur J, Małkowska-Szkutnik A (red.) Wyniki badań HBSC 2010. Raport techniczny. IMiD, Warszawa 2011.
Oblacinska A, Kołoło H, Mazur J. Socio-economic determinants of physical development disorders among 15-year-olds in Poland. Med Wieku Rozwoj. 2008, XII, 2, 549–557.
Szponar L, Ołtarzewski M. Epidemiology of undernutrition in population of children and adolescents in Poland. Pediatria Współczesna. 2004, 6, 1, 13–17.
Grajda A, Kułaga Z, Gurzkowska B, et al. Regional differences in the prevalence of overweight, obesity and underweight among polish children and adolescents. Med Wieku Rozw. 2011; 15(3): 258–265.
Drewnowski A, Specter SE. Poverty and obesity: the role of energy density and energy costs. Am J Clin Nutr. 2004; (79): 6–16.
Fraser LK, Edwards KL, The association between the geography of fast food outlets and childhood obesity rates in Leeds, UK. Health Place. 2010; 16(6):1124–1128.
Potestio ML, Patel AB, Powell CD, McNeil DA, et al. Is there an association between satial access to parks/green space and childhood overweight/obesity in Calgary, Canada? Int J Behav Nutr Phys Act. 2009; 20(6): 77.
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