Drăgănescu Anca Cristina, Dinulescu Alexandru, Păcurar Daniela, Jinga Viorel, Pleșca Doina Anca
Faculty of Medicine, Department of Pediatrics and Department of Urology, "Carol Davila" University of Medicine and Pharmacy, 050474 Bucharest, Romania.
"Matei Bals" National Institute of Infectious Diseases, 021105 Bucharest, Romania.
J Clin Med. 2025 May 10;14(10):3331. doi: 10.3390/jcm14103331.
: Overweight and obesity in children is a worldwide health concern, with a high prevalence and an increasing trend in recent years. The prevalence of pediatric overweight and obesity in Romania is unclear; some studies estimate the rate of overweight at 15-20% and the obesity rate at 8.7-10.7%. The objective of this study is to measure the prevalence of overweight and obesity in children in Romania and to highlight their risks and protective factors. : A repeated cross-sectional study that included children between 5 and 17 years old was performed across 2 years. Anamnestic data regarding demographics, family, and child's lifestyle was collected from the child's parent, and some medical and anthropometric parameters of the child were measured. The BMI and z-scores were calculated using the WHO charts. Logistic regression models were verified for goodness-of-fit and used for estimating the prediction value of fast-food consumption, parents' education, and the presence of parents with obesity in the case of increased weight in the child. : A total of 1231 children were included in the study, 25.1% of whom exhibited an excess of weight. The prevalences of overweight and obesity were 17.5% and 7.6%, respectively. In the multivariate model, the following variables significantly predicted the weight of children: days of fast-food consumption, parents' education, parents with excess weight, and hours of physical activity ( < 0.005) : The prevalence of pediatric overweight and obesity in Romania is in accordance with the global prevalence. Considering fast-food consumption and the presence of parents with obesity as risk factors for children's overweight or obesity and physical activity and a higher level of education of the parent as protector factors, we strongly emphasize the importance of public health initiatives directed towards these factors.
儿童超重和肥胖是一个全球性的健康问题，近年来患病率居高不下且呈上升趋势。罗马尼亚儿童超重和肥胖的患病率尚不清楚；一些研究估计超重率为15%-20%，肥胖率为8.7%-10.7%。本研究的目的是测量罗马尼亚儿童超重和肥胖的患病率，并突出其风险和保护因素。
一项为期两年的重复横断面研究，纳入了5至17岁的儿童。从孩子的父母那里收集了有关人口统计学、家庭和孩子生活方式的回忆性数据，并测量了孩子的一些医学和人体测量参数。使用世界卫生组织的图表计算BMI和z评分。对逻辑回归模型进行了拟合优度验证，并用于估计在孩子体重增加的情况下快餐消费、父母教育程度以及父母肥胖情况的预测值。
共有1231名儿童纳入研究，其中25.1%的儿童体重超标。超重和肥胖的患病率分别为17.5%和7.6%。在多变量模型中，以下变量显著预测了儿童的体重：快餐消费天数、父母教育程度、超重的父母以及体育活动时间（<0.005）。
罗马尼亚儿童超重和肥胖的患病率与全球患病率一致。将快餐消费和父母肥胖视为儿童超重或肥胖的风险因素，将体育活动和父母的较高教育水平视为保护因素，我们强烈强调针对这些因素的公共卫生举措的重要性。
