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Pediatr Endocrinol Diabetes Metab. 2015 Dec 15;21(1):15-22. doi: 10.18544/PEDM-21.01.0020.

[Are children from resort spa healthy? The overweight and obesity in children from Kudowa-Zdrój].

[Article in Polish; Abstract available in Polish from the publisher]

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SKN Endokrynologii, Hematologii i Onkologii, Uniwersytet Medyczny im. Piastów Śląskich we Wrocławiu.
Zakład Podstaw Nauk Medycznych, Uniwersytet Medyczny im. Piastów Śląskich we Wrocławiu.


in English, Polish


Overweight and obesity are becoming a more and more common problem among children and teenagers.


. The aim of this study is to evaluate the development of children and teenagers from Kudowa-Zdroj and to assess the prevalence of overweight and obesity in this population.


. The study included 545 children, aged 5-16 years from Kudowa-Zdroj. The following anthropometric parameters were assessed: body weight and height, BMI, Quetelet index, Rohrer's index, waist circumference, hip circumference and waist to height ratio (WHtR).


. Overweight or obesity diagnosed by BMI SDS were observed in 26.7% of children from grades 0-3, 22.02% of children from grades 4-6 and 22.52% of Junior High School students. Students in grades 0-3 (mean 0.95 ± 2.17) achieved higher BMI SDS compared to students in grades 4-6 (mean 0.37 ± 1.71) and secondary school (mean 0.65 ± 1.61) (p= 0.023).Overweight or obesity diagnosed by Rohrer index SDS and Quetelet index SDS were observed in 22,84% and 17,13% children. Elevated value of the hip circumference SDS was found in 19.48% of children and waist circumference SDS was increased in 17.5% of children. In the group of children with overweight and obesity 59.4% had elevated waist circumference SDS and 53.4% waist circumference SDS. WHtR was elevated in 8.3% of children, more often in boys (p <0.001), 3.1% of girls and 13.07% of boys.


. The BMI is the best index for diagnosis of overweight and obesity. Overweight and obesity are common disorders among children from Kudowa-Zdroj. It is recommended to educate children, adolescence and their family about healthy lifestyle in order to reduce the prevalence of overweight and obesity.

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