Science for Education Today, 2022, vol. 12, no. 3, pp. 132–148
UDC: 
613.955+613.22

Assessment of risk factors for overweight and obesity in schoolchildren for the development of effective prevention programs

Novikova I. I. 1 (Novosibirsk, Russian Federation), Romanenko S. P. 1 (Novosibirsk, Russian Federation), Lobkis M. A. 1 (Novosibirsk, Russian Federation), Gavrish S. M. 1 (Novosibirsk, Russian Federation), Semenikhina M. V. 1 (Novоsibirsk, Russian Federation), Sorokina A. V. 1 (Novosibirsk, Russian Federation), Shevkun I. G. 2 (Moscow, Russian Federation)
1 Novosibirsk Research Institute of Hygiene of the Federal Service for Supervision of Human Welfare, Novosibirsk
2 Federal Service for Surveillance on Consumer Rights Protection and Human Wellbeing
Abstract: 

Introduction. This article presents the results of a large-scale research on monitoring the nutrition of students in educational institutions. Nutrition is one of the leading factors determining the health and harmony in the processes of growth and development of the child population. One of the most common consequences of unhealthy eating behavior is overweight and obesity. The study and early detection of risk factors is necessary for the prevention of overweight and obesity, which are an acute problem of modern science and education. The purpose of the study is to assess risk factors for overweight and obesity in schoolchildren in order to develop effective programs for the prevention of childhood obesity and nutritional diseases.
Materials and Methods. The research data were collected and processed via the following methods: a questionnaire, analytical and statistical methods using parametric and non-parametric methods of statistics and t-test (in the case of normal distribution of data) and Fisher (U). Differences were considered statistically significant at p<0.05. The STATISTICA-10.0 package and Microsoft Excel were used.
Results. As part of the global monitoring of schoolchildren’s nutrition (the survey covered 43.9 thousand schoolchildren from 49 regions of the Russian Federation), the following key risk factors for nutrition-related health disorders in schoolchildren were identified: a violation of the structure of nutrition, unhealthy eating behavior and eating habits, violations in the organization of nutrition in educational institutions and at home. Statistically significant correlation coefficients were found between indicators of normal body weight and family income, between overweight and unhealthy eating habits, and eating behavior, the prevalence of diseases of the digestive system. Forecast indicators of a decrease in the prevalence of obesity with a decrease in the proportion of children with unhealthy eating habits have been established.
Conclusions. The results of the study characterize the key risk factors for the development of overweight and obesity in children associated with nutrition. In the future, the results obtained can be used to predict the effectiveness of implemented preventive measures at the level of individual educational institutions and territories of the Russian Federation.

Keywords: 

Excess body weight; Obesity; Endogenous and exogenous risk factors; Prevention of diseases caused by the nutritional factor; Healthy eating; Eating behavior; Nutrition monitoring.

For citation:
Novikova I. I., Romanenko S. P., Lobkis M. A., Gavrish S. M., Semenikhina M. V., Sorokina A. V., Shevkun I. G. Assessment of risk factors for overweight and obesity in schoolchildren for the development of effective prevention programs. Science for Education Today, 2022, vol. 12, no. 3, pp. 132–148. DOI: http://dx.doi.org/10.15293/2658-6762.2203.07
References: 
  1. Tutelyan V. L., Baturin A. K., Kon I. Ya., Martinchik A. N., Uglitskikh A. K., Korosteleva M. M., Toboleva M. A., Alyoshina I. V. Prevalence of obesity and overweight among children in the Russian Federation: A multicenter study. Pediatrics. G. N. Speransky Journal, 2014, vol. 93 (5), pp. 28–31. (In Russian) URL: https://elibrary.ru/item.asp?id=22017834 
  2. Chubarov T. V., Bessonova A. V., Zhdanova O. A., Artyushchenko A. I., Sharshova O. G. Risk factors for obesity development in different periods of childhood. Obesity and Metabolism, 2021, vol. 18 (2), pp. 163–168. (In Russian) DOI: https://doi.org/10.14341/omet12756 URL: https://elibrary.ru/item.asp?id=22017834 
  3. Lomovtsev A. E., Omariev Z. M., Denisova O. I. Experience in promoting parental control of school meals in the Tula Region. Public Health and Life Environment – PH&LE, 2022, vol. 30 (2), pp. 63–67. (In Russian) DOI: https://doi.org/10.35627/2219-5238/2022-30-2-63-67 URL: https://elibrary.ru/item.asp?id=48218103
  4. Lobstein T., Jackson-Leach R., Moodie M. L., Hall K. D., Gortmaker S. L., Swinburn B. A., James W. P. T., Wang Y., McPherson K. Child and adolescent obesity: Part of a bigger picture. The Lancet, 2015, vol. 385 (9986), pp. 2510–2520. DOI: https://doi.org/10.1016/S0140-6736(14)61746-3  
  5. Namazova-Baranova L. S., Kovtun O. P., Anufrieva E. V., Naboychenko E. S. The value of behavioral determinants in the formation of overweight and obesity in adolescents. Preventive Medicine, 2019, vol. 22 (4–2), pp. 43–48. (In Russian) DOI: https://doi.org/10.17116/profmed20192204243 URL: https://elibrary.ru/item.asp?id=39538082
  6. Dzhumagaziev A. A., Bezrukova D. A., Bogdanyants M. V., Orlov F. V., Raisky D. V., Akmayeva L. M., Usacheva O. V., Jamaev L. S. Obesity in children in the modern world: Realities and possible solutions. Problems of Modern Pediatrics, 2016, vol. 15 (3), pp. 250–256. (In Russian) DOI: https://doi.org/10.15690/vsp.v15i3.1561 URL: https://elibrary.ru/item.asp?id=26471733
  7. Kiess W., Penke М., Sergeyev E., Neef M., Adler M., Gausche R., Körner A. Childhood obesity at the crossroads. Journal of Pediatric Endocrinology and Metabolism, 2015, vol. 28 (5–6), pp. 481–484. DOI: https://doi.org/10.1515/jpem-2015-0168 
  8. Baskin B., Choufani S., Chen Y. A., Shuman C., Parkinson N., Lemyre E., Innes A. M., Stavropoulos D. J., Ray P. N., Weksberg R. High frequency of copy number variations (CNVs) in the chromosome 11p15 region in patients with Beckwith–Wiedemann syndrome. Human Genetics, 2014, vol. 133, pp. 321–330. DOI: https://doi.org/10.1007/s00439-013-1379-z 
  9. Selvanayagam T., Walker S., Gazzellone M. J., Kellam B., Cytrynbaum C., Stavropoulos D. J., Li P., Birken C. S., Hamilton J., Weksberg R., Scherer S. W. Genome-wide copy number variation analysis identifies novel candidate loci associated with pediatric obesity. European Journal of Human Genetics, 2018, vol. 26, pp. 1588–1596. DOI: https://doi.org/10.1038/s41431-018-0189-0 
  10. von Hippel P. T., Workman J. From kindergarten through second grade, U.S. children's obesity prevalence grows only during summer vacations. Obesity (Silver Spring), 2016, vol. 24 (11), pp. 2296–2300. DOI: https://doi.org/10.1002/oby.21613 
  11. Zhang Y., Zhao J., Chu Z., Zhou J. Increasing prevalence of childhood overweight and obesity in a coastal province in China. Pediatric Obesity, 2015, vol. 11 (6), pp. e22–e26. DOI: https://doi.org/10.1111/ijpo.12070 
  12. Boyland E. J., Kavanagh-Safran M., Halford J. C. G. Exposure to ‘healthy’ fast food meal bundles in television promotes liking for fast food but not healthier choices in children. British Journal of Nutrition, 2015, vol. 113 (6), pp. 1012–1018. DOI: https://doi.org/10.1017/S0007114515000082 
  13. Cameron A. J., Spence A. C., Laws R., Hesketh K. D., Lioret S., Campbell K. J. A review of the relationship between socioeconomic position and the early-life predictors of obesity. Current Obesity Reports, 2015, vol. 4 (3), pp. 350–362. DOI: https://doi.org/10.1007/s13679-015-0168-5 
  14. Fisher J. O., Birch L. L. Restricting access to palatable foods affects children's behavioral response, food selection, and intake // The American Journal of Clinical Nutrition, 1999, vol. 69 (6), pp. 1264–1272. DOI: https://doi.org/10.1093/ajcn/69.6.1264 
  15. Bulatova E. M., Netrebenko O. K., Bogdanova N. M., Volkova I. S., Nechesa M. V., Shabalov A. M., Shilov A. I., Dubrovskaya M. I. Effect of application of probiotic products during pregnancy and lactation on the development of the intestinal microbiota of the child. Pediatrics. G. N. Speransky Journal, 2015, vol. 94 (3), pp. 121–128. (In Russian) URL: https://www.elibrary.ru/item.asp?id=24226692
  16. Kokhno N. I. Pregnancy: to eat or not to eat? Disturbed eating behavior: What is the risk of a pregnant woman and what are the consequences for the child? StatusPraesens. Gynecology. Obstetrics. Barren Marriage, 2015, no. 3, pp. 96–105. (In Russian) URL: https://www.elibrary.ru/item.asp?id=29254503
  17. Yengo L., Sidorenko J., Kemper K. E., Zheng Z., Wood A. R., Weedon M. N., Frayling T. M., Hirschhorn J., Yang J., Visscher P. M. Meta-analysis of genome-wide association studies for height and body mass index in ~700,000 individuals of European ancestry. Human Molecular Genetics, 2018, vol. 27 (20), pp. 3641–3649. DOI: https://doi.org/10.1093/hmg/ddy271 
  18. Simanenkov V. I., Tikhonov S. V., Ilyashevich I. G., Ledovaya A. V., Makiyenko V. V., Fedorova N. V. Epidemiology, social aspects and pathogenesis of obesity. Bulletin of the I.I. Mechnikov North-Western State Medical University, 2017, vol. 9 (1), pp. 21–27. (In Russian) URL: https://www.elibrary.ru/item.asp?id=29024968
  19. Khodzhieva M. V., Skvortsova V. A., Borovik T. E., Namazova-Baranova L. S., Margieva T. V., Netrebenko O. K., Bushueva T. V., Zvonkova N. G., Nekrasova S. V. Contemporary views on development of excess body weight and obesity in children. Part I. Pediatric Pharmacology, 2015, vol. 12 (5), pp. 573–578. (In Russian) DOI: https://doi.org/10.15690/pf.v12i5.1460 URL: https://elibrary.ru/item.asp?id=24842633
  20. Dadaeva V. A., Alexandrov A. A., Orlova A. S., Drapkina O. M. The role of breastfeeding in the prevention of overweight and obesity in children and adolescents. Preventive Medicine, 2019, vol. 22 (5), pp. 125–130. (In Russian) DOI: https://doi.org/10.17116/profmed201922051125 URL: https://elibrary.ru/item.asp?id=41567365 
  21. Haschke F., Binder C., Huber-Dangl M., Haiden N. Early-Life Nutrition, Growth Trajectories, and Long-Term Outcome. In: Nestle Donovan S. M., German J. B., Lönnerdal B., Lucas A. (eds): Human Milk: Composition, Clinical Benefits and Future Opportunities., 2019, vol. 90, pp. 107–120. DOI: https://doi.org/10.1159/000490299 
  22. Greer R. Dong L., X., Moraes A. C. F., Zielke R. A., Fernandes G. R., Peremyslova E., Vasquez-Perez S., Schoenborn A. A., Gomes E. P., Pereira A. C., Ferreira S. R. G., Yao M., Fuss I. J., Strober W., Sikora A. E., Taylor G. A., Gulati A. S., Morgun A., Shulzhenko N. Akkermansia muciniphila mediates negative effects of IFN-gamma on glucose metabolism. Nature Communications, 2016, vol. 7, pp. 13329. DOI: https://doi.org/10.1038/NCOMMS13329 
  23. Briana D. D., Malamitsi Puchner A. Developmental origins of adult health and disease: The metabolic role of BDNF from early life to adulthood. Metabolism, 2018, vol. 81, pp. 45–51. DOI: https://doi.org/10.1016/j.metabol. 2017.11.019 
  24. Mueller N. T., Mao G., Bennet W. L., Hourigan S. K., Dominguez-Bello M. G., Appel L. J., Wang X. Does vaginal delivery mitigate or strengthen the intergenerational association of overweight and obesity? Findings from the Boston Birth Cohort. International Journal of Obesity, 2017, vol. 41 (4), pp. 497–501. DOI: https://doi.org/10.1038/ijo.2016.219 
  25. Minyailova N. N., Rovda Yu. I., Chernykh N. S. Chronic eating disorders in young children - obesity (paratrophia): Pathogenetic mechanisms, risk factors, prevention and nutrition correction (lecture). Mother and Child in Kuzbass, 2021, no. 2, pp. 52–63. (In Russian) DOI: https://doi.org/10.24411/2686-7338-2021-10022 URL: https://elibrary.ru/item.asp?id=45827001
  26. He B., Long W., Li X., Yang W., Chen Y., Zhu Y. Sugar-sweetened beverages consumption positively associated with the risks of obesity and hypertriglyceridemia among children aged 7-18 years in south China. Journal of Atherosclerosis and Thrombosis, 2018, vol. 25 (1), pp. 81–89. DOI: https://doi.org/10.5551/jat.38570 
  27. Livingstone K. M. FTO genotype and weight loss: systematic review and meta-analysis of 9563 individual participant data from eight randomized controlled trials. BMJ, 2016, vol. 354, pp. 14707. DOI: https://doi.org/10.1136/bmj.i4707 
  28. Belykh N. A., Bolokhova E. E., Frolov A. I., Rogova P. A. Psychological peculiarities of personality in children with an excessive body mass and obesity. Personality in a Changing World: Health, Adaptation, Development, 2019, vol. 7 (3), pp. 491–499. DOI: https://doi.org/10.23888/humJ20193491-500 URL: https://elibrary.ru/item.asp?id=40380828
  29. Ostojic S. M., Stojanovic M.D., Stojanovic V., Maric J., Njaradi N. Correlation between fitness and fatness in 6-14-year old Serbian school children. Journal of Health, Population and Nutrition, 2011, vol. 29 (1), pp. 53–60. DOI: https://doi.org/10.3329/jhpn.v29i1.7566
  30. Danielsen Y. S., Pallesen S., Sivertsen B., Stormark K. M., Hysing M. Weekday time in bed and obesity risk in adolescence. Obesity Science & Practice, 2020, vol. 7 (1), pp. 45–52. DOI: https://doi.org/10.1002/osp4.455 
  31. Reuter C. P., de Mello E. D, da Silva P. T. Overweight and obesity in schoolchildren: Hierarchical analysis of associated demographic, behavioral, and biological factors. Journal of Obesity, 2018, vol. 2018, pp. 6128034. DOI: https://doi.org/10.1155/2018/6128034 
  32. Ward Z. J., Long M. W., Resch S. C., Giles C. M., Cradock A. L., Gortmaker S. L. Simulation of growth trajectories of childhood obesity into adulthood. The New England Journal of Medicine, 2017, vol. 377 (22), pp. 2145–2153. DOI: https://doi.org/10.1056/NEJMoa1703860  
  33. Martinchik A. N. Daily consumption of energy and macronutrients by children of primary school age depending on the level of family income. Food Issues, 2018, vol. 87 (S5), pp. 141–142. (In Russian) DOI: https://doi.org/10.24411/0042-8833-2018-10241 URL: https://elibrary.ru/item.asp?id=36507936
  34. Verbovoy A. F., Sharonova L. A. Obesity: Epidemiological, social and economic aspects, prevention. Endocrinology: News. Opinions. Education, 2019, vol. 8 (3), pp. 87–97. (In Russian) DOI: https://doi.org/10.24411/2304-9529-2019-13009 URL: https://elibrary.ru/item.asp?id=41412005
  35. Chirkina T. M., Aslanov B. I., Dushenkova T. A., Rishchuk S. V. Child and adolescent obesity prevalence in St. Petersburg. Preventive and Clinical Medicine, 2016, no. 4, pp. 11–17. (In Russian) URL: https://www.elibrary.ru/item.asp?id=27510089
  36. Gorelova Zh. Yu., Bakanov M. G., Mazanova N. N., Solovieva Yu. V. Specialized products in school meals. Efficiency of use. Health of the Population and Environment, 2016, no. 8, pp. 47–49. (In Russian) URL: https://www.elibrary.ru/item.asp?id=26534189
Date of the publication 30.06.2022