Changes in adiposity and fat tissue distribution among preschool children from Kraków, Poland, from 2008 to 2018.

In the light of changes in the living conditions of populations, excess adiposity is currently a serious public health problem worldwide. The aim of this study was to assess the changes in the body fat ratio among preschool children aged 3-7 years from Kraków, Poland, between 2008 and 2018. The study group consisted of children examined in two cross-sectional studies. Analysed characteristics included triceps, calf, subscapular, abdominal and suprailiac skinfold thicknesses, and adiposity calculated according to Slaughter's equations. The trunk adiposity index and limbs-to-trunk fat ratio were also calculated. Statistical significance was obtained using two-way ANOVA and Tukey's tests. Lower-limb adiposity was largest in the 2008 cohort and trunk adiposity was greater in the 2018 cohort. The mean values of the trunk adiposity index and limbs-to-trunk fat ratio were lower in the 2018 cohort than in the 2008 cohort. The 2018 cohort was also characterized by a lower overall adiposity. Regardless of the lower body adiposity percentage, in 2018 there was a tendency towards the central allocation of fat tissue. This is a negative phenomenon because, especially when co-existing with reduced lower-limb adiposity, it is associated with an increased risk of metabolic and cardiovascular diseases, even in young children.

Changes in the prevalence of overweight/obesity and adiposity among pre-school children in Kraków, Poland, from 2008 to 2018.

Socioeconomic changes occurring over time influence the lifestyle choices of a population, and these can significantly affect children's body weight and composition. The aim of this study was to assess the changes in prevalence of overweight, obesity and adiposity in pre-school children in Poland between 2008 and 2018. Body height, body weight and subscapular and triceps skinfolds were measured in 2167 children aged 3-7 years from Kraków. Body mass index and adiposity (percentage body fat, %BF) were calculated for the children, who were then categorized as underweight, normal weight, overweight or obese according to Cole's cut-off points. Adiposity was categorized according to the z-scores for %BF as low (<-1), normal (-1 to 1) or high (>1). Differences between cohorts were analysed using the chi-squared test. Only the decrease in the prevalence of obesity in 5-year-old girls was found to be statistically significant. However, some overall tendencies were noted. Decreases in the prevalence of underweight, overweight and obesity were observed for both sexes, as well as in the incidence of high adiposity in boys and low adiposity in girls. Increases in the prevalence of high adiposity in girls and low adiposity in boys were also noted. There was no significant change in the prevalence of overweight and obesity among pre-school children over the study decade, and the visible tendencies included decreases in the prevalence of excess body weight and adiposity as well as underweight and low body fat. Also, the visible trends in adiposity were mostly negative. Further studies should, however, also consider the levels of physical fitness and activity of children, as these have a crucial influence on the measured characteristics.

Intergenerational changes in limb circumferences in children and adolescents aged 3-18 from Kraków (Poland) from 1983 to 2010.

OBJECTIVES: Measurements of body circumferences are often used in anthropology. The research on this topic, however, rarely concerns limb girths or secular trends. The main aim of this study was to investigate the occurrence of secular trends in selected limb circumferences among children and adolescents. METHODS: The research was based on measurements from two cross-sectional studies carried out in 1983 and 2010 with children and adolescents aged 3-18 from Krakow, Poland. The circumferences of the arm, forearm, thigh and calf, as well as the sum of circumferences and selected indicators, were analyzed. The series were compared using the two-way anova test. RESULTS: In most age groups of both sexes, a positive secular trend was observed for the majority of studied traits. The exception was the thigh circumference, for which, among girls, measurements in both series were similar, and negative intergenerational changes were recorded in the youngest age groups of both sexes as well as among the oldest girls. Most observed discrepancies were statistically significant in pre-school children and adolescents. CONCLUSIONS: The presence of positive secular trends shows that limb circumferences were increasing in subsequent generations, especially in boys. Contemporary girls, particularly in the older age groups, were more determined to have a slim figure and practiced conscious weight control. Summarizing, observed tendencies resulted from the improvement of socio-economic conditions, but were also related to the low level of physical activity.

Overweight and obesity risk factors in children aged 3-7 years: a prospective study in the city of Kraków.

BACKGROUND: Early identified factors determining overweight and obesity in childhood may be important for preventive purposes. AIM: To evaluate the influence of the commonly accepted and hypothetical risk factors for overweight/obesity and their mutual relations, using the method of classification trees. SUBJECTS AND METHODS: The data were collected during anthropometric surveys carried out in 2010 in Kraków, Poland. The study involved 1042 pre-school children aged 3-7 years. BMI was calculated for all subjects classified as underweight, normal body weight and overweight, according to the IOTF cut-offs. In order to determine the correlation between genetic, environmental and lifestyle factors and the child's BMI, this study used information from a questionnaire filled in by the mothers. RESULTS: Relatively high birth weights, relatively long times of breastfeeding and father's obesity were conducive to the appearance of overweight and obesity in boys. Other overweight risk factors included alcohol consumption by the mother, her low education level and a relatively low mother's age at birth. Among girls, factors leading to overweight included high birth weight, high father's BMI and family situation reported as below very good by their mothers. It was found that a moderate duration of breastfeeding is conducive to a normal weight of children at pre-school age, although in boys this regularity is better documented. CONCLUSIONS: The biological, social and lifestyle factors related to the child's mother significantly determined the child's BMI.

Intergenerational changes in chest size and proportions in children and adolescents aged 3-18 from Kraków (Poland), within the last 70 years.

OBJECTIVES: The size and proportions of the human body change continuously in response to social change and economic development. As reported by papers on intergenerational changes in chest size, this part of the human body is also influenced by environmental factors. The aim of this study was to assess changes in the dimensions and proportions of the chest of children and adolescents over a span of 70 years. METHODS: In 2010 an anthropological study was conducted on 3878 children and adolescents aged 3-18 years living in Kraków (Poland). Data on chest dimensions (breadth, depth, circumference, chest index) were compared to data from 1938 (3719 children) and 1983 (6464 children). RESULTS: In boys, chests became increasingly deep; in boys 18 years of age, the chest index increased by 4.8 units, unlike girls, whose chests markedly flattened. The chest index in girls 18 years of age decreased by 4.2 units. In almost all age categories these differences were statistically significant. Also, in all age categories, children studied in 2010 had a significantly bigger chest circumference than boys and girls surveyed in 1983, respectively, by averages of 3.6 cm and 3 cm. CONCLUSIONS: The main reason for these changes may be the socio-economic transformation, which has been especially strong in recent decades. These results may have practical importance in many areas of knowledge, including medicine, nutritional science, and sports. They can also be important for informing preventive measures that should be taken in order to increase the physical activity of children and youth, especially boys.

Abdominal obesity screening tools in the aspects of secular trend.

SUMMARY: The growing number of children suffering from abdominal obesity has resulted in a search for a cheap and reliable method for their detection. The aim of the study was to identify whether the measurements and indicators used to assess this type of obesity are equally suitable for this purpose for each population, and additionally to investigate intergenerational changes in measurements and indicators used to determine the prevalence of abdominal obesity. Three cross-sectional anthropological studies were made in 1983, 2000 and 2010. The analysis included 14,819 children and adolescents aged 3-18 years living in Kraków (Poland). Data on selected characteristics (waist circumference, hip circumference) and indicators [waist-to-hip ratio (WHR), waist-to-height ratio (WHtR), conicity index (CI), body mass abdominal index (BMAI)] were collected and compared between the next series of study. Both waist and hip circumferences have systematically increased. WHR showed no clear upward trend, and the differences have usually been low. WHtR index increased slightly, especially in last decade. In case of CI and BMAI, most children tested in 2010 had the highest values of these indicators. In conclusion, not every indicator of the level of abdominal obesity can be used for each population. WHR or WHtR are not necessarily ideal tools for a population in which secular trends of increasing overall body size occur. In this case it seems that waist circumference is the best measure of abdominal obesity. It is important to examine if a population undergoes intergenerational changes and also what their direction is, so researchers may avoid overestimation or underestimation of the percentage of people affected by abdominal obesity.

Long-term changes in body proportions since 1983 to 2010 in children and adolescents from Kraków (Poland).

SUMMARY: The aim of the study was to assess changes in body proportions and the rate of growth in boys and girls from the population of Kraków (Poland) in the years 1983-2010. The children and adolescents analyzed in this study were included in three cross-sectional surveys conducted in Kraków in 1983, 2000 and 2010. The sample sizes were the following: 3,214 boys and 3,250 girls in 1983, 2,381 boys and 2,096 girls in 2000, 1,889 boys and 1,989 girls in 2010. The comparison of selected features and indices were made: subischial leg length, biacromial width, biiliac width, reciprocal ponderal index, skelic index, pelvi-acromial index, shoulder-height ratio, pelvis-height ratio. To analyze the rate of growth the modeling functions of Preece-Baines (PB1) were used. Over the analyzed period, the children and adolescents from Kraków showed a positive secular trend for all the analyzed traits, especially consistent in the width of the pelvis and shoulders. The acceleration of development was reflected in the earlier pubertal spurt in the studied lengths and widths. The changes in body proportions showed a tendency to more slender body proportions in children between 3 and 8 years of age in girls and after puberty, and the relative shortening of the lower limbs. In the group of boys, there was a distinct widening of hips and pelvis, more pronounced than in height. In girls, similar changes were noted only until the period of puberty, and throughout the entire duration of ontogeny for the shoulders-height ratio.

Physical fitness of overweight and underweight preschool children from southern Poland.

SUMMARY: The main aim of this study was to assess differences in the level of physical fitness between children of preschool age with different BMI, as overweight and obesity are an increasing problem even in this age group. The study group consisted of 3,945 children aged 4 to 6 years living in southern Poland. Analysis included the results of body height and weight measurements (from which BMI was calculated) and motor skills tests: sit-and-reach test, standing broad jump and handgrip strength. Children were grouped according to the Obesity Task Force categories. Significant differences in body height were visible (i) between overweight and normal children and (ii) between overweight and underweight children. In terms of body weight and BMI, significant differences existed between all groups. With regard to fitness tests, the greatest differences were observed for handgrip strength and standing broad jump. The sit-and-reach test did not reveal any differences between the groups. The results showed that overall physical fitness was negatively correlated with relative weight; general fitness in overweight children was lower than in normal or underweight children. As it is obvious that physical activity is indispensable even for preschool children, any increase in physical activity could at least partially alleviate the problem of excessive weight and improve the general fitness of children. In the future this would reduce the incidence of diseases related to obesity and a lack of exercise.

Sex differences in prevalence of overweight and obesity, and in extent of overweight index, in children and adolescents (3-18 years) from Kraków, Poland in 1983, 2000 and 2010.

OBJECTIVE: The increasing prevalence of overweight and obesity among children is now an important health problem. This fact, however, does not reflect the scale of the problem. The aim of the present study was to find how much the BMI threshold was exceeded in a population from Kraków. DESIGN: The study was based on three cross-sectional surveys conducted in 1983, 2000 and 2010. The prevalence of overweight and obesity was estimated based on the International Obesity Task Force cut-off points. In addition to these, an extent of overweight (EOW) index was calculated. SETTING: Poland. SUBJECTS: Children aged 3-18 years (n 14 534) from Kraków. RESULTS: Between the populations examined in 1983 and 2010, the EOW index in boys rose by almost 10 %, and the prevalence of overweight and obesity by 39 %. In girls, however, the EOW index decreased by 45 %, while the prevalence of overweight and obesity remained at similar levels. Analyses in separate age groups showed that the EOW index increased only among early adolescents (150 % for boys, 94 % for girls) and late adolescents (390 % and 64 %, respectively). CONCLUSIONS: The observed increased prevalence of overweight and obesity mainly concerned boys and was accompanied by an increase in the amount by which the BMI threshold values were exceeded.

Time trends in BMI, body fatness, and adiposity rebound among boys from Kraków (Poland) from 1983 to 2010.

OBJECTIVES: The prevalence of childhood obesity has been increasing during the last decades in many countries, but less is known about secular trends in growth curves covering the whole childhood span. The main purpose of this study was to explore changes in body weight, height, BMI, percent body fat (%BF), adiposity rebound (AR), and pubertal timing in boys from Kraków between 1983 and 2010. METHODS: Totally, 4,986 boys (3-18 years) were measured during cross-sectional studies. Using the results of height, weight, and skinfold measurements, BMI and %BF were calculated. The LMS method was used to construct BMI and %BF percentiles. Three cut-off points were distinguished in individual age groups of the subjects-below the 15th percentile, 50th percentile, and above the 85th percentile. The mean age at pubarche was calculated by the probit method. RESULTS: The boys from 2010 were taller and heavier than the boys from 1983. Before the time of AR, boys from 2010 had lower BMI, but after AR had higher BMI than boys from 1983. An earlier AR appeared in all BMI 2010 percentile curves as compared to 1983. The boys from 2010 also showed an acceleration of sexual maturation and earlier Tanner Stage II, equaling 11.80 years. CONCLUSIONS: In boys from 2010, AR occurs earlier than in boys from 1983. Changes in timing of AR cannot be explained only by changes in degree of body adiposity. Early AR could be a marker of the acceleration of development.

[Worrying behaviour in pre-school children aged three to seven years: a factor analysis of the results of a questionnaire]. / Niepokojace zachowania u dzieci przedszkolnych w wieku 3-7 lat--analiza czynnikowa wyników kwestionariusza.

AIM: The aims of the study were: 1) the assessment of the interaction between the factors specified for behavioural problems observed in pre-school children based on a factor analysis and 2) the assessment of the relationship the specified factors have with the age and gender of the study group. METHOD: A factor analysis based on a Principal Component Analysis of the main results of a Disturbing Behaviour Questionnaire (DBQ) completed by pre-school teachers, which includes categories of behaviour observed among pre-school age children that provoke the greatest concern among parents, guardians and educators. MATERIAL: Nine-hundred and sixty-one children aged from 2.7 to 7.9 years (mean: 5.4; SD 1.13) from randomly chosen pre-schools in all districts of Krak6w. RESULTS: Based on a screen plot, as well as on a substantive analysis of the results, a decision was taken to employ a four-factor analysis (Lagging behind, Excessive behaviour, Eating-avoidance and Overeating) explaining 68% of the common factor variance. A very high Cronbach's alpha value was returned for the reliability of the individual scales. The conducted analysis of the relationship of the scales with age and gender indicated a greater intensity of disturbing behaviour in boys for the Lagging behind factor, the Excessive behaviour factor and the overall scale for the Disturbing Behaviour Questionnaire (DBQ). These were the scales, along with the Eating-avoidance scale, that were found to be related to age. A greater intensity of disturbing behaviour was found to occur in the younger children. The relationship between the Overeating and Excessive behaviour scales that was found among girls but not among boys indicated that--even at such a young age--the characteristics associated with eating in the context of gender were already present. CONCLUSIONS: The authors consider that the coherence of the results obtained and their consistency with other studies ofpre-school age children provide a sound platform for further analyses using the questionnaire described above.

Long-term changes in body composition and prevalence of overweight and obesity in girls (aged 3-18 years) from Kraków (Poland) from 1983, 2000 and 2010.

BACKGROUND: Body mass disorders are an increasing problem, especially in industrialized countries. AIM: Determination of time- and age-related differences in the prevalence of overweight, obesity and in body composition in girls from 1983, 2000 and 2010. SUBJECT AND METHODS: In 2010 an anthropological study was conducted on 1970 girls aged 3-18 years living in Kraków (Poland). Data on selected skin-folds, BMI, muscle mass and bone mass were compared to two studies on analogous populations carried out in 1983 and 2000. RESULTS: Compared to 1983, the share of overweight girls in 2010 had decreased (from 12.4% to 11.2%), while the obesity rate had increased slightly from 2.3% to 3.2%. Girls from 2010 had lower overall body fat content than their peers studied in 1983. However, in 2010 suprailiac adiposity prevalence was higher, while triceps, subscapular and abdominal adiposity rates were lower. They also had higher muscle mass and lower bone mass. CONCLUSION: The prevalence of overweight and obesity has not changed significantly over the last 30 years. However, significant changes have occurred in body composition. Girls measured in 2010 had lower total adipose tissue, although they also showed a tendency towards increased central adiposity.

Long-term changes in BMI and adiposity rebound among girls from Kraków (Poland) over the last 30 years (from 1983 to 2010).

BACKGROUND: Early adiposity rebound (AR, below 5 years) is an important predictor of adult obesity. OBJECTIVES: The main purpose of this study was to explore changes in body weight and height, BMI, body fat, and AR timing in girls from Krakow within the last 3 decades. METHODS: 1,970 girls were measured in 2010. Using the results of body height, weight and skin folds measurements, the BMI and %BF was calculated. The LMS method was used to constructed BMI and %BF centiles. Three fractions were distinguished in individual age groups of the subjects-below the 15th percentile (underweight girls), 50th percentile and above 85th percentile (overweight girls). These data were compared with the results from previous survey series (1983 and 2000). The mean age of the menarche onset were calculated by means of the probit method. RESULTS: The girls from last series are taller and heavier than girls measured in 1983. Before the time of AR, girls from last series have lowest BMI and %BF than girls from the first series. In spite of this, all girls measured in 2010 have the time of AR earlier than girls measured in 1983. The girls from the last series of measurements showed also acceleration of sexual maturation and the average menarche age was the earliest in them and equalled 12.68 years. CONCLUSIONS: AR cannot be explained only by changes in body adiposity. Early AR could be a marker of acceleration of development already in an early postnatal ontogenesis.

Secular trends in body composition and frequency of overweight and obesity in boys aged 3-18 from Krakow, Poland, within the last 30 years (from 1983 to 2010).

The aim of this study was to examine the changes in body composition (fatness and muscle and bone mass) and BMI in three cohorts of boys living in Krakow, Poland, over the last 30 years, and to assess how overweight and obesity frequencies have developed over the period. The anthropological survey was conducted in 2010, and comprised 1863 boys from Krakow aged 3-18 years. The analysis compared the latest measurements of selected skinfold thicknesses, BMI, total body muscle mass and bone mass with the results of surveys from 1983 (N=1934) and 2000 (N=2323). The frequency of overweight and obesity was assessed for the last survey series, and their trends determined for the years 1983-2000 and 2000-2010. The analysis of fat tissue distribution showed that the boys from the 2010 cohort, as compared with those examined in 2000, had a higher trunk adiposity, as manifested by greater thickness of subscapular and suprailiac skinfold thicknesses, and boasted a larger muscle mass and lower bone mass. The survey results also showed that, from 1983 to 2000, the percentage of overweight boys increased slightly (from 11.69% to 12.48%), whereas the frequency of obesity did not change. Over the last decade, the percentage of overweight people has increased to 15.94%, and the frequency of obesity has doubled, equalling 4.94% in 2010. The last decade has seen a minor trend in boys towards increased trunk adiposity, muscle mass, BMI and prevalence of overweight and obesity, and a slight decrease in bone mass.

Physical development of girls from Krakow in the aspect of socioeconomical changes in Poland (1938-2010).

OBJECTIVES: This survey aimed at analyzing secular changes in the development of girls from Krakow, in the first decade of the 21st century, against the background of transformations observed in the previous century. METHODS: The data collected during a survey conducted in Krakow in 2010, in which the measurements of a total of 1,974 girls aged 3.5-18.5 years were taken, made a basis for this study. The results from the contemporary series were compared with previous surveys conducted in 1938, 1971, 1983, and 2000. The analysis of the survey made use of the results of body height and weight measurements, BMI, and the menarche, thelarche, and pubarche onsets determining the level of pubertal development. The development of secondary sex characters was assessed utilizing the criteria 5-stage scale established by Tanner. The mean age of the menarche onset and ages at beginning breast (B2) and pubic hair (PH2) development were calculated by means of the probit method. RESULTS: In the physical development of girls a positive trend in body height changes in prepubescence and adolescence was still observed. The acceleration of body weight development in peripubescence is expressed by increased BMI. It is spectacular that body build gets slimmer at the age of 17 and 18, which is probably connected with conscious control of body weight, and pubertal acceleration is also maintained. CONCLUSIONS: Still observed trends in morphological factors and pubertal acceleration require further monitoring out of concern for the health and proper development of children and adolescents.

Secular changes in height, body weight, body mass index and pubertal development in male children and adolescents in Krakow, Poland.

This study examined the secular changes in height, body weight, body mass index and pubertal development in male children and adolescents in Krakow (Poland) over the past 80 years, with an emphasis on the last decade (2000-2010). The survey of the population of Krakow is a continuation of observations conducted in that area for many years. The analysis aims to determine whether in the last decade Krakow still witnessed the secular trend, and what form the trend took. The body height and weight, and body mass index (BMI), of 1862 boys aged 3.5-18.5 years were analysed, against the background of a survey series from the years 1938 (N = 1801), 1971 (N = 2045), 1983 (N = 3124) and 2000 (N = 2328). The mean body height, in almost all age categories, was greater than in the past; however the final height over the last decade remained the same. The mean values of body weight and BMI increased, especially in the last decade. Also, an acceleration of puberty in boys was observed. The last 10 years saw an over 3-month decrease in the age of initial appearance of pubic hair in boys. In conclusion, the last decade saw cessation of the growing taller trend: maximum body height stabilized at approximately 179 cm, but weight and BMI increased. Also, a distinct acceleration of puberty was noticed. Lack of height increase, at the same time as weight gain and puberty acceleration, indicate a progressing developmental disharmony.