ArticleBMJ open2021
Trends in socioeconomic inequalities in underweight and obesity in 5-year-old children, 2011-2018: a population-based, repeated cross-sectional study.
Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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6 citing papers in PubMed, 14 citations in OpenAlex.
- Acceptability and satisfaction of a mindfulness-based healthy eating and stress management program targeting economically marginalized families in a pilot trial.Journal of pediatric psychology · 2025Article
- Socio-Ecologic Influences on Weight Trajectories Among Children with Obesity Living in Rural and Urban Settings.Childhood obesity (Print) · 2024Article
- Rising socioeconomic disparities in childhood overweight and obesity in Belgium.Archives of public health = Archives belges de sante publique · 2024Article
- Trends in underweight and severe underweight disparities in Korean adults and older adults: a nationwide, repeated cross-sectional study.The journal of nutrition, health & aging · 2024Article
- Associations between social determinants of health and weight status in preschool children: a population-based study.Health promotion and chronic disease prevention in Canada : research, policy and practice · 2023Article
- Results from Scotland's 2021 report card on physical activity and health for children and youth: Grades, secular trends, and socio-economic inequalities.Journal of exercise science and fitness · 2022Article
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7 authors at 2 institutions in 1 country.
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Abstract
objectiveTo explore trends in prevalence and socioeconomic inequalities in underweight and obesity in 5-year-old schoolchildren in Scotland between 2011/2012 and 2017/2018.
designA population-based, repeated cross-sectional study.
settingLocal authority primary schools in Scotland.
participants373 189 5-year-old schoolchildren in Scotland between 2011/2012 and 2017/2018. METHODOLOGY: Trends in prevalence and inequalities in underweight and obesity were examined across seven school years (2011/2012-2017/2018) for 373 189 5-year-old schoolchildren in Scotland. Body mass index SD scores were calculated, and epidemiological cut-offs relative to the UK 1990 references categorised underweight and obesity. Slope/relative indices of inequality (SII/RII) were calculated for underweight and obesity by school year using the area-based Scottish Index of Multiple Deprivation.
resultsThe prevalence of obesity rose slightly overall during the study period (9.8% in 2011/2012; 10.1% in 2017/2018). However, this masked a widening of inequalities, with children from the most deprived areas experiencing a greater risk of obesity in 2017/2018 than in 2011/2012 (risk ratio=1.14, 95% CI 1.04 to 1.25) compared with an unchanged risk in children from the least deprived areas (risk ratio=0.95, 95% CI 0.82 to 1.11). SII and RII indicate widening inequalities for obesity, with RII rising from 1.95 (95% CI 1.71 to 2.22) in 2011/2012 to 2.22 (95% CI 1.93 to 2.56) in 2017/2018. The prevalence of underweight was consistently low (compared with the UK 1990 references) and remained unchanged over the study period (1.2% in 2011/2012; 1.1% in 2017/2018), with no consistent evidence of social patterning over time.
conclusionsInequalities in obesity in schoolchildren in Scotland are large and have widened from 2011, despite only a slight rise in overall prevalence. In contrast there has been little change in underweight prevalence or inequalities during the study period. Extra resources for policy implementation and measures which do not widen inequalities and focus on reaching the most deprived children are required to tackle the high prevalence and growing inequalities in childhood obesity in Scotland.
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