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Behavioral, socio-environmental, educational and demographic correlates of excess body weight in Italian adolescents and young adults

Excess body weight (EBW) is the most prevalent nutritional disorder among adolescents worldwide. Identifying determinants of EBW may help find new intervention strategies. Behavioral, socio-economic, educational and demographic correlates of EBW were examined in a population of Italian adolescents,...

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Published in:Nutrition, metabolism, and cardiovascular diseases metabolism, and cardiovascular diseases, 2019-03, Vol.29 (3), p.279-289
Main Authors: Pelusi, C., Altieri, P., Gambineri, A., Repaci, A., Cavazza, C., Fanelli, F., Morselli-Labate, A.M., Pagotto, U., Pasquali, R.
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creator Pelusi, C.
Altieri, P.
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Pagotto, U.
Pasquali, R.
description Excess body weight (EBW) is the most prevalent nutritional disorder among adolescents worldwide. Identifying determinants of EBW may help find new intervention strategies. Behavioral, socio-economic, educational and demographic correlates of EBW were examined in a population of Italian adolescents, separately for males and females. As many as 1039 male and 2052 female students (aged 16–19 ys) attending the last three years of different types of high-school of the Emilia-Romagna region in Italy were offered participation, with 552 males and 841 females being finally evaluated. The prevalence of EBW was 21.0% in males and 14.1% in females. Step-wise multivariate logistic regression analyses were performed showing that EBW was negatively related to energy intake in males (odds ratio for 100 kcal/day (OR) = 0.94, 95% confidence interval (CI): 0.89 to 0.98; P = 0.008), and to father's educational attainment (OR = 0.70, 95% CI: 0.52 to 0.95; P = 0.020), but positively related to parental obesity (OR = 2.80, 95% CI: 1.65 to 4.76; P 
doi_str_mv 10.1016/j.numecd.2018.11.009
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Identifying determinants of EBW may help find new intervention strategies. Behavioral, socio-economic, educational and demographic correlates of EBW were examined in a population of Italian adolescents, separately for males and females. As many as 1039 male and 2052 female students (aged 16–19 ys) attending the last three years of different types of high-school of the Emilia-Romagna region in Italy were offered participation, with 552 males and 841 females being finally evaluated. The prevalence of EBW was 21.0% in males and 14.1% in females. Step-wise multivariate logistic regression analyses were performed showing that EBW was negatively related to energy intake in males (odds ratio for 100 kcal/day (OR) = 0.94, 95% confidence interval (CI): 0.89 to 0.98; P = 0.008), and to father's educational attainment (OR = 0.70, 95% CI: 0.52 to 0.95; P = 0.020), but positively related to parental obesity (OR = 2.80, 95% CI: 1.65 to 4.76; P &lt; 0.001). In females, EBW was positively related to parental obesity (OR = 1.94, 95% CI: 1.15 to 3.29; P = 0.013), but negatively to mother's educational attainment (OR = 0.66, 95% CI: 0.45 to 0.97; P = 0.034) and type of attended school (OR = 0.66, 95% CI: 0.49 to 0.89; P = 0.007). Mother's occupation was also an independent determinant of EBW status in females (OR = 0.39, 95% CI: 0.18 to 0.85; P = 0.018 for being unemployed vs blue-collar). Parental obesity is associated with EBW in male and female adolescents. 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Identifying determinants of EBW may help find new intervention strategies. Behavioral, socio-economic, educational and demographic correlates of EBW were examined in a population of Italian adolescents, separately for males and females. As many as 1039 male and 2052 female students (aged 16–19 ys) attending the last three years of different types of high-school of the Emilia-Romagna region in Italy were offered participation, with 552 males and 841 females being finally evaluated. The prevalence of EBW was 21.0% in males and 14.1% in females. Step-wise multivariate logistic regression analyses were performed showing that EBW was negatively related to energy intake in males (odds ratio for 100 kcal/day (OR) = 0.94, 95% confidence interval (CI): 0.89 to 0.98; P = 0.008), and to father's educational attainment (OR = 0.70, 95% CI: 0.52 to 0.95; P = 0.020), but positively related to parental obesity (OR = 2.80, 95% CI: 1.65 to 4.76; P &lt; 0.001). In females, EBW was positively related to parental obesity (OR = 1.94, 95% CI: 1.15 to 3.29; P = 0.013), but negatively to mother's educational attainment (OR = 0.66, 95% CI: 0.45 to 0.97; P = 0.034) and type of attended school (OR = 0.66, 95% CI: 0.49 to 0.89; P = 0.007). Mother's occupation was also an independent determinant of EBW status in females (OR = 0.39, 95% CI: 0.18 to 0.85; P = 0.018 for being unemployed vs blue-collar). Parental obesity is associated with EBW in male and female adolescents. Importantly, we found sex differences in socio-economic and educational factors impacting on EBW, supporting possible distinct area of investigation. •Parental obesity is associated to excess body weight in female and male adolescents.•Socio-economic and educational factors influence excess body weight in adolescents.•Socio-environmental and educational domain are essential in the evaluation of the subjects with excess body weight.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>30718143</pmid><doi>10.1016/j.numecd.2018.11.009</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0002-6390-2146</orcidid></addata></record>
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ispartof Nutrition, metabolism, and cardiovascular diseases, 2019-03, Vol.29 (3), p.279-289
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1590-3729
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subjects Adolescent
Adolescent Behavior
Adolescents
Age Factors
BMI
Educational Status
Female
Health Behavior
Health Knowledge, Attitudes, Practice
Health Surveys
Humans
Italy - epidemiology
Life Style
Lifestyle
Male
Obesity
Parents - psychology
Pediatric Obesity - diagnosis
Pediatric Obesity - epidemiology
Pediatric Obesity - physiopathology
Pediatric Obesity - psychology
Prevalence
Risk Assessment
Risk Factors
Sex Factors
Social Determinants of Health
Social Environment
Weight Gain
Young Adult
title Behavioral, socio-environmental, educational and demographic correlates of excess body weight in Italian adolescents and young adults
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