Spatial differences in childhood and adolescent obesity according to sex and migrant status in Vienna, Austria

  • Sylvia Kirchengast
  • Dominik Hagmann University of Vienna, Department of Evolutionary Anthropology
Keywords: childhood obesity, spatial differences, Vienna, social environment, the background of migration, gender differences

Abstract

Background The marked spatial differences in the prevalence of childhood overweight/obesity rates within cities are mainly due to environmental characteristics of individual intracity areas. This is the first analysis of spatial differences in the prevalence of overweight/obesity among children in the Austrian capital Vienna.

Subjects and methods In the medical-record-based study, the weight status of 1611 Viennese school children of lower socioeconomic backgrounds at the ages of six, ten, and 15 years from 46 randomly selected public secondary schools were included. Medical data have been obtained at schools by trained members of the Medical school authority. Besides effects of sex and background of migration, associations between weight status and the natural as well as social environments of the residential and school districts were analyzed. Since the 23 political districts of Vienna differ markedly in socioeconomic and environmental characteristics, a comparison between the districts was carried out.

Results Especially high overweight and obesity rates were found for the socially disadvantaged areas of the 10th, 12th, and 15th political district of Vienna. Children living and attending schools in better-off districts had lower rates of overweight and obesity, despite their low social status. The most important factors influencing overweight and obesity were parameters of the social environment and characteristics of the residential area of the children. Significant associations between the body mass index and unemployment rates, average monthly income, the educational level of the district population, the proportion of migrants in the district, and sociodemographic cluster areas could be observed. This was equally true for girls and boys, as well as children with or without a migrant background.

Conclusion In general, socially disadvantaged, inner-city areas showed extremely high prevalence rates of obesity.

References

Autengruber, P./Schwarz, U. (2013). Lexikon der Wiener Gemeindebauten – Namen, Denkmäler, Sehenswürdigkeiten. Pichler-Verlag, Wien.

Bachinger, E. (2003). Lebenserwartung und Mortalität in Wien und Österreich – Internationaler Vergleich. Gemeinde Wien. Wien, Reumüller & Reumüller.

Blüher, M. (2019). Obesity: global epidemiology and pathogenesis. Nature Reviews. Endocrinology 15, 288–298. https://doi.org/10.1038/s41574-019-0176-8

Bogin, B. (2021). Social-Economic-Political-Emotional (SEPE) factors regulate human growth. Human Biology and Public Health 1. https://doi.org/10.52905/hbph.v1.10

Booth, S.L./Sallis, J.F./Ritenbaugh, C./Hill, J.O./Birch, L.L./Frank, L.D./Glanz, K./Himmelgreen, D.A./Mudd, M./Popkin, B.M./Rickard, K.A./ St Jeor, S./Hays, N.P. (2001). Environmental and societal factors affect food choice and physical activity: rationale, influences, and leverage points. Nutrition Reviews 59, 21-39; discussion 57-65. https://doi.org/10.1111/j.1753-4887.2001.tb06983.x

Boztepe, K./Hammer, P./König, K. (2019). Migrantinnen und Migranten in Wien 2019. Stadt Wien – Integration und Diversität.

Brussaard, J.H./van Erp-Baart, M./Brants, H. a. M./Hulshof, K./Löwik, M.R.H. (2001). Nutrition and health among migrants in the Netherlands. Public Health Nutrition 4, 659–664. https://doi.org/10.1079/PHN2001149

Chiurazzi, M./Cozzolino, M./Orsini, R.C./Di Maro, M./Di Minno, M.N.D./Colantuoni, A. (2020). Impact of genetic variations and epigenetic mechanisms on the risk of obesity. International Journal of Molecular Sciences 21, E9035. https://doi.org/10.3390/ijms21239035

Chooi, Y.C./Ding, C./Magkos, F.(2019). The epidemiology of obesity. Metabolism 92, 6–10. https://doi.org/10.1016/j.metabol.2018.09.005

Clark, J.M./Brancati, F.L. (2000). The challenge of obesity-related chronic diseases. Journal of General Internal Medicine 15, 828–829. https://doi.org/10.1046/j.1525-1497.2000.00923.x

Congdon, P. (2019). Obesity and urban environments. International Journal of Environmental Research and Public Health 16, E464. https://doi.org/10.3390/ijerph16030464

Dahly, D.L./Gordon-Larsen, P./Emch, M./Borja, J./Adair, L.S. (2013). The spatial distribution of overweight and obesity among a birth cohort of young adult Filipinos (Cebu Philippines, 2005): an application of the Kulldorff spatial scan statistic. Nutrition & Diabetes 3, e80. https://doi.org/10.1038/nutd.2013.21

de Smith, M.J./Goodchild, M.F./Longley, P.A. (2021). Geospatial Analysis 6th Edition, 2021 update. Available online at https://www.spatialanalysisonline.com/HTML/index.html (accessed 11/02/2022).

De Spiegelaere, M./Dramaix, M./Hennart, P. (1998). Social class and obesity in 12-year-old children in Brussels: influence of gender and ethnic origin. European Journal of Pediatrics 157, 432–435. https://doi.org/10.1007/s004310050845

Ding, D./Sallis, J.F./Kerr, J./Lee, S./Rosenberg, D.E. (2011). Neighborhood environment and physical activity among youth a review. American Journal of Preventive Medicine 41, 442–455. https://doi.org/10.1016/j.amepre.2011.06.036

Dong, Y./Ma, Y./Dong, B./Zou, Z./Hu, P./Wang, Z./Yang, Y./Song, Y./Ma, J. (2019). Geographical variation and urban-rural disparity of overweight and obesity in Chinese school-aged children between 2010 and 2014: two successive national cross-sectional surveys. BMJ Open 9, e025559. https://doi.org/10.1136/bmjopen-2018-025559

Ebbeling, C.B./Pawlak, D.B./Ludwig, D.S. (2002). Childhood obesity: public-health crisis, common sense cure. Lancet 360, 473–482. https://doi.org/10.1016/S0140-6736(02)09678-2

Faskunger, J./Eriksson, U./Johansson, S.-E./Sundquist, K./Sundquist, J. (2009). Risk of obesity in immigrants compared with Swedes in two deprived neighbourhoods. BMC Public Health 9, 304. https://doi.org/10.1186/1471-2458-9-304

Felisbino-Mendes, M.S./Cousin, E./Malta, D.C./Machado, Í.E./Ribeiro, A.L.P./Duncan, B.B./Schmidt, M.I./Silva, D.A.S./Glenn, S./Afshin, A./Velasquez-Melendez, G. (2020). The burden of non-communicable diseases attributable to high BMI in Brazil, 1990-2017: findings from the global burden of disease study. Population Health Metrics 18, 18. https://doi.org/10.1186/s12963-020-00219-y

Fernandez-Twinn, D.S./Hjort, L./Novakovic, B./Ozanne, S.E./Saffery, R. (2019). Intrauterine programming of obesity and type 2 diabetes. Diabetologia 62(10), 1789-1801. https://doi.org/10.1007/s00125-019-4951-9.

Ford, E.S./Mokdad, A.H. (2008). Epidemiology of obesity in the Western Hemisphere. The Journal of Clinical Endocrinology and Metabolism 93, 1-8. https://doi.org/10.1210/jc.2008-1356

Gemeinde Wien (2013). Sozialraumatlas Wien. Available online at https://www.wien.gv.at/stadtentwicklung.

Gnavi, R./Spagnoli, T.D./Galotto, C./Pugliese/E., Carta, A./Cesari, L. (2000). Socioeconomic status, overweight and obesity in prepuberal children: a study in an area of Northern Italy. European Journal of Epidemiology 16, 797–803. https://doi.org/10.1023/a:1007645703292

Gose, M./Plachta-Danielzik, S./Willié, B./Johannsen, M./Landsberg, B./Müller, M.J. (2013). Longitudinal influences of neighbourhood built and social environment on children’s weight status. International Journal of Environmental Research and Public Health 10, 5083–5096. https://doi.org/10.3390/ijerph10105083

Haas, J.S./Lee, L.B./Kaplan, C.P./Sonneborn, D./Phillips, K.A./Liang, S.-Y. (2003). The association of race, socioeconomic status, and health insurance status with the prevalence of overweight among children and adolescents. American Journal of Public Health 93, 2105–2110. https://doi.org/10.2105/ajph.93.12.2105

Han, J.C./Lawlor, D.A./Kimm, S.Y.S. (2010). Childhood obesity. Lancet 375, 1737–1748. https://doi.org/10.1016/S0140-6736(10)60171-7

Hobbs, M./Radley, D. (2020). Obesogenic environments and obesity: a comment on “Are environmental area characteristics at birth associated with overweight and obesity in school-aged children? Findings from the SLOPE (Studying Lifecourse Obesity PrEdictors) population-based cohort in the south of England.” BMC Medicine 18, 59. https://doi.org/10.1186/s12916-020-01538-5

Hu, Y./Lin, W./Tan, X./Liu, Y./Wen, Y./Xing, Y./Ma, Y./Liu, H./Song, Y./Liang, J./Lam, K.B.H./Lin, S. (2020). Trends in urban/rural inequalities in physical growth among Chinese children over three decades of urbanization in Guangzhou: 1985-2015. BMC Public Health 20, 1190. https://doi.org/10.1186/s12889-020-09239-7

Jenks, G.F./Caspall, F.C. (1971). Error on choroplethic maps: definition, measurement, reduction. Annals of the Association of American Geographers 61, 217–244. https://doi.org/10.1111/j.1467-8306.1971.tb00779.x

Kaplan, M.S./Huguet, N./Newsom, J.T./McFarland, B.H. (2004). The association between length of residence and obesity among Hispanic immigrants. American Journal of Preventive Medicine 27, 323–326. https://doi.org/10.1016/j.amepre.2004.07.005

Khan, M.H./Krämer, A. (2014). Are rural-urban migrants living in urban slums more vulnerable in terms of housing, health knowledge, smoking, mental and general health? International Journal of Social Welfare 23 (4), 373-383. https://doi.org/10.1111/ijsw.12053

Kilaf, E./Kirchengast, S. (2011). Socio-economic Position and Obesity among Turkish Migrant Women in Vienna, Austria. Journal of Life Sciences 3, 107–116. https://doi.org/10.1080/09751270.2011.11885177

Kimm, S.Y.S./Obarzanek, E. (2002). Childhood obesity: a new pandemic of the new millennium. Pediatrics 110, 1003–1007. https://doi.org/10.1542/peds.110.5.1003

Kirchengast, S./Schober, E. (2009). Growth charts in the globalizing world: a new challenge for anthropologists and paediatricians? Acta medica Lituanica 16. https://doi.org/10.2478/v10140-009-0011-y

Kirchengast, S./Schober, E. (2006). To be an immigrant: a risk factor for developing overweight and obesity during childhood and adolescence? Journal of Biosocial Science 38, 695–705. https://doi.org/10.1017/S0021932005027094

Knai, C./Lobstein, T./Darmon, N./Rutter, H./McKee, M. (2012). Socioeconomic patterning of childhood overweight status in Europe. International Journal of Environmental Research and Public Health 9, 1472–1489. https://doi.org/10.3390/ijerph9041472

Kromeyer-Hauschild, K./Wabitsch, M./Kunze, D./Geller, F./Geiß, H.C./Hesse, V./von Hippel, A./Jaeger, U./Johnsen, D./Korte, W./Menner, K./Müller, G./Müller, J.M./Niemann-Pilatus, A./Remer, T./Schaefer, F./Wittchen, H.-U./Zabransky, S./Zellner, K./Ziegler, A./Hebebrand, J. (2001). Perzentile für den Body-mass-Index für das Kindes- und Jugendalter unter Heranziehung verschiedener deutscher Stichproben. Monatsschrift Kinderheilkunde 149, 807–818. https://doi.org/10.1007/s001120170107

Kurth, B.-M./Rosario, A.S. (2007). Die Verbreitung von Übergewicht und Adipositas bei Kindern und Jugendlichen in Deutschland. Ergebnisse des bundesweiten Kinder- und Jugendgesundheitssurveys (KiGGS). https://doi.org/10.25646/482

Lakes, T./Burkart, K. (2016). Childhood overweight in Berlin: intra-urban differences and underlying influencing factors. International Journal of Health Geographics 15, 12. https://doi.org/10.1186/s12942-016-0041-0

Lasserre, A.M./Chiolero, A./Paccaud, F./Bovet, P. (2007). Worldwide trends in childhood obesity. Swiss Medical Weekly 137, 157–158. https://doi.org/2007/09/smw-11707

Lieberman, L.S. (2006). Evolutionary and anthropological perspectives on optimal foraging in obesogenic environments. Appetite 47, 3–9. https://doi.org/10.1016/j.appet.2006.02.011

Lioret, S./Touvier, M./Dubuisson, C./Dufour, A./Calamassi-Tran, G./Lafay, L./Volatier, J.-L./Maire, B. (2009). Trends in child overweight rates and energy intake in France from 1999 to 2007: relationships with socioeconomic status. Obesity (Silver Spring) 17, 1092–1100. https://doi.org/10.1038/oby.2008.619

Lissner, L./Wijnhoven, T.M.A./Mehlig, K./Sjöberg, A./Kunesova, M./Yngve, A./Petrauskiene, A./Duleva, V./Rito, A.I./Breda, J. (2016). Socioeconomic inequalities in childhood overweight: heterogeneity across five countries in the WHO European Childhood Obesity Surveillance Initiative (COSI-2008). International Journal of Obesity 40, 796–802. https://doi.org/10.1038/ijo.2016.12

Lobstein, T./Baur, L./Uauy, R./IASO International Obesity TaskForce (2004). Obesity in children and young people: a crisis in public health. Obesity Reviews: An Official Journal of the International Association for the Study of Obesity 5 Suppl 1, 4–104. https://doi.org/10.1111/j.1467-789X.2004.00133.x

Mathieson, A./Koller, T. (2006). Addressing the socioeconomic determinants of healthy eating habits and physical activity levels among adolescents. World Health Organization. Regional Office for Europe.

McLaren, L. (2007). Socioeconomic status and obesity. Epidemiologic Reviews 29, 29–48. https://doi.org/10.1093/epirev/mxm001

Misra, A./Ganda, O.P. (2007). Migration and its impact on adiposity and type 2 diabetes. Nutrition 23, 696–708. https://doi.org/10.1016/j.nut.2007.06.008

Mou, J./Griffiths, S.M./Fong, H./Dawes, M.G. (2013). Health of China’s rural-urban migrants and their families: a review of literature from 2000 to 2012. British Medical Bulletin 106, 19–43. https://doi.org/10.1093/bmb/ldt016

Ogden, C.L./Fryar, C.D./Hales, C.M./Carroll, M.D./Aoki, Y./Freedman, D.S. (2018). Differences in Obesity Prevalence by Demographics and Urbanization in US Children and Adolescents, 2013-2016. JAMA 319, 2410–2418. https://doi.org/10.1001/jama.2018.5158

Ouédraogo, H.Z./Fournet, F./Martin-Prével, Y./Gary, J./Henry, M.C./Salem, G. (2008). Socio-spatial disparities of obesity among adults in the urban setting of Ouagadougou, Burkina Faso. Public Health Nutrition 11, 1280–1287. https://doi.org/10.1017/S1368980008002504

Paciorek, C.J./Stevens, G.A./Finucane, M.M./Ezzati, M./Nutrition Impact Model Study Group (Child Growth) (2013). Children’s height and weight in rural and urban populations in low-income and middle-income countries: a systematic analysis of population-representative data. Lancet Glob Health 1, e300-309. https://doi.org/10.1016/S2214-109X(13)70109-8

Peeters, A./Backholer, K. (2014). Prioritising and tackling socio-economic inequalities in obesity. BMC Obesity 1, 16. https://doi.org/10.1186/s40608-014-0016-2

Penney, T.L./Rainham, D.G.C./Dummer, T.J.B./Kirk, S.F.L. (2014). A spatial analysis of community level overweight and obesity. Journal of Human Nutrition and Dietetics 27 Suppl 2, 65–74. https://doi.org/10.1111/jhn.12055

Poulsen, P.H./Biering, K./Winding, T.N./Nohr, E.A., Andersen, J.H. (2018). How does childhood socioeconomic position affect overweight and obesity in adolescence and early adulthood: a longitudinal study. BMC obesity 5, 34. https://doi.org/10.1186/s40608-018-0210-8

Pugliese, G./Liccardi, A./Graziadio, C./Barrea, L./Muscogiuri, G./Colao, A. (2022). Obesity and infectious diseases: pathophysiology and epidemiology of a double pandemic condition. International Journal of Obesity. https://doi.org/10.1038/s41366-021-01035-6

Rami, B./Schober, E./Kirchengast, S./Waldhör, T./Sefranek, R. (2004). Prevalence of overweight and obesity in male adolescents in Austria between 1985 and 2000. A population based study. Journal of pediatric endocrinology & metabolism 17, 67–72. https://doi.org/10.1515/jpem.2004.17.1.67

Rosario, A.S./Kurth, B.-M./Stolzenberg, H./Ellert, U./Neuhauser, H. (2010). Body mass index percentiles for children and adolescents in Germany based on a nationally representative sample (KiGGS 2003-2006). European Journal of Clinical Nutrition 64, 341–349. https://doi.org/10.1038/ejcn.2010.8

Rust, P./Hasenegger, V./König, J. (2017). Österreichischer Ernährungsbericht. Ministerium für Frauen und Gesundheit, Wien. Available online at https://broschuerenservice.sozialministerium.at.

Sawadogo, W./Tsegaye, M./Gizaw, A./Adera, T. (2022). Overweight and obesity as risk factors for COVID-19-associated hospitalisations and death: systematic review and meta-analysi. BMJ Nutrition, Prevention & Health 5. https://doi.org/10.1136/bmjnph-2021-000375.

Sen, G.S. (2013). Grundauswertung der Einschulungsdaten in Berlin 2012. Available online at http://www.gsi-berlin.info.

Shen, C./Zhou, Z./Lai, S./Tao, X./Zhao, D./Dong, W./Li, D./Lan, X./Gao, J. (2019). Urban-rural-specific trend in prevalence of general and central obesity, and association with hypertension in Chinese adults, aged 18-65 years. BMC Public Health 19, 661. https://doi.org/10.1186/s12889-019-7018-4.

Singh, M./Kirchengast, S. (2011). Obesity prevalence and nutritional habits among Indian women: A comparison between Punjabi women living in India and Punjabi migrants in Vienna, Austria. Anthropologischer Anzeiger 68, 239–51. https://doi.org/10.1127/0003-5548/2011/0132.

Spinelli, A./Buoncristiano, M./Kovacs, V.A./Yngve, A./Spiroski, I./Obreja, G./Starc, G./Pérez, N./Rito, A.I./Kunešová, M./Sant’Angelo, V.F./Meisfjord, J./Bergh, I.H./Kelleher, C./Yardim, N./Pudule, I./Petrauskiene, A./Duleva, V./Sjöberg, A./Gualtieri, A./Hassapidou, M./Hyska, J./Burazeri, G./Petrescu, C.H./Heinen, M./Takacs, H./Zamrazilová, H./Bosi, T.B./Sacchini, E./Pagkalos, I./Cucu, A./Nardone, P./Gately, P./Williams, J./Breda, J. (2019). Prevalence of Severe Obesity among primary school children in 21 european countries. Obesity Facts 12, 244–258. https://doi.org/10.1159/000500436.

Stadt Wien (2021). Landesgrenze Wien: Politische Landesgrenze von Wien. Available online at https://www.spatialanalysisonline.com/HTML/index.html?classification_and_clustering.htm.

Stadt Wien (2020). Politische Landesgrenze und Bezirksgrenzen von Wien. Available online at https://www.data.gv.at/katalog/dataset/2ee6b8bf-6292-413c-bb8b-bd22dbb2ad4b.

Stadt Wien, Wirtschaft, Arbeit und Statistik 2020. Statistik Wien (2020). Available online at https://www.wien.gv.at/statistik/.

Stamatakis, E./Wardle, J./Cole, T.J. (2010). Childhood obesity and overweight prevalence trends in England: evidence for growing socioeconomic disparities. International Journal of Obesity 34, 41–47. https://doi.org/10.1038/ijo.2009.217.

Statistik Austria (2021). Demographic Yearbook. Bundesanstalt Statistik, Vienna. Verlag Österreich GmbH.

Sun, Y./Hu, X./Huang, Y./On Chan, T. (2020). Spatial patterns of childhood obesity prevalence in relation to socioeconomic factors across England. ISPRS International Journal of Geo-Information 9, 599. https://doi.org/10.3390/ijgi9100599

Swinburn, B./Egger, G./Raza, F. (1999). Dissecting obesogenic environments: the development and application of a framework for identifying and prioritizing environmental interventions for obesity. Preventive Medicine 29, 563–570. https://doi.org/10.1006/pmed.1999.0585

Thaker, V.V. (2017). Genetic and epigenetic causes of obesity. Adolescent Medicine: State of the Art Reviews 28, 379–405.

Timmermans, J./Dijkstra, C./Kamphuis, C./Huitink, M./van der Zee, E./Poelman, M. (2018). “Obesogenic” school food environments? An urban case study in The Netherlands. International Journal of Environmental Research and Public Health 15, E619. https://doi.org/10.3390/ijerph15040619

Wang, Y.C./McPherson, K./Marsh, T./Gortmaker, S.L./Brown, M. (2011). Health and economic burden of the projected obesity trends in the USA and the UK. Lancet 378, 815–825. https://doi.org/10.1016/S0140-6736(11)60814-3

Weghuber, D./Maruszczak, K./Schindler, K./Sulz, I./Purtscher, A.E./Pail, E. (2017). Childhood Obesity Surveillance Initiative (COSI) Bericht Österreich.

WHO (2021). Obesity and overweight. Available online at https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight (accessed 11/02/2022).

Withrow, D./Alter, D.A. (2011). The economic burden of obesity worldwide: a systematic review of the direct costs of obesity. Obesity Reviews 12, 131–141. https://doi.org/10.1111/j.1467-789X.2009.00712.x

Wolin, K.Y./Colangelo, L.A./Chiu, B.C.-H./Gapstur, S.M. (2009). Obesity and immigration among Latina women. Journal of Immigrant and Minority Health 11, 428–431. https://doi.org/10.1007/s10903-007-9115-1

Published
2022-09-14
How to Cite
Kirchengast, S., & Hagmann, D. (2022). Spatial differences in childhood and adolescent obesity according to sex and migrant status in Vienna, Austria. Human Biology and Public Health, 1. https://doi.org/10.52905/hbph2022.1.31
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