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1447 Weighting the Factors Associated with Children Obesity: An International Perspective Toward an Unified Model
  1. D Gregori,
  2. I Baldi OBEY-AD Study Group
  1. Cardiologic, Thoracic and Vascular Sciences, University of Padova, Padova, Italy

Abstract

Beside genetic predisposition, several factors have been proposed to promote overweight and eventually obesity in children, from the socio- and built- environment down to behavioural attitudes (Bouchard, 2007). How this model is shared by different cultural settings is however unclear and less investigated.

Using a unified protocol for data collection, a cross-sectional study has been performed on 960 children in India, Italy, Germany, France, UK, Argentina, Mexico and Brazil. Children CDC z-scores for BMI have been evaluated in association with several known factors influencing overweight and obesity (maternal and neonatal aspects, socio-economic familiar status, BMI of parents, physical activity, nutrition habits, screen activities). Based on a random-effect mixed effect model and the Kullback-Leibler Entropy Measure, the capability to explain variability in BMI of such factors has been computed. Percentages of explained variation are given as follows: India 41.4%, Italy 46.6%, Germany 65.6%, France 52.3%, UK 70.1%, Argentina 62.3%, Brazil 59.7%, Mexico 58.2%. Capability of proposed factors to capture variability in BMI is significantly higher in UK (p=0.03) than in other countries, being significantly lower in an emerging country like India (p=0.042). These results may suggest that more intense research should be specifically targeted to capture risk factors which are specific for that given cultural setting in addition to the general ones.

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