Journal of Public Health

, Volume 15, Issue 3, pp 163–170

Obesity of Czech children and adolescents: relation to parental obesity and socioeconomic factors

  • M. Kunesova
  • J. Vignerova
  • A. Steflová
  • J. Parízkova
  • J. Lajka
  • V. Hainer
  • P. Blaha
  • P. Hlavaty
  • P. Kalouskova
  • K. Hlavata
  • M. Wagenknecht
Original Article


The purpose of this study was to estimate the change in overweight and obesity prevalence and the influence of socioeconomic status and parental obesity on overweight and obesity of children and adolescents in the Czech Republic. The roles of family history of obesity, dietary factors and physical activity were evaluated. The quota sample of 1,417 children and adolescents aged 6.00–17.99 years was examined in November 2005 as a part of the survey Lifestyle and Obesity. The quota sample was nationally representative, and subjects were selected according to the gender, age, region, size of residential location and education of parents. In the subjects weight, height and waist circumferences were measured and BMI was calculated. Food intake and physical activity were estimated by food frequency and physical activity questionnaires. The results were compared with the data from the 6th National Anthropological Survey of Children and Adolescents 2001, the Czech Republic. The data was evaluated by Pearson’s chi-square test and by linear regression analysis with backward factor reduction. Enhancing prevalence of obesity was found in younger age categories in comparison with the year 2001. Parental overweight and obesity significantly increased the risk of overweight and obesity. BMI in children (6–12.99 years) was associated with the intake of sweetened carbonated drinks and potatoes including fried ones (positive association) and low-sugar carbonated drinks and physical activity (negative association). In adolescents (13–17.99 years) BMI was associated with parental obesity, fat meat intake, time spent on the computer (positive association) and fish intake and physical activity (negative association). The results show an increase in obesity prevalence in younger children in the Czech Republic. Parental obesity significantly enhanced the risk ratio of obesity predominantly in adolescents.


Obesity Overweight BMI Children Adolescents Parental 



body mass index


Food Frequency Questionnaire


International Obesity Task Force


study Lifestyle and obesity


National Anthropological Survey of Chidren and Adolescents


odds ratio


Physical Activity Questionnaire for Adolescents


Physical Activity Questionnaire for Children


  1. Baecke JA, Burema J, Frijters JE (1982) A short questionnaire for the measurement of habitual physical activity in epidemiological studies. Am J Clin Nutr 36:936–942PubMedGoogle Scholar
  2. Blaha P, Vignerova J (eds) (2002) Investigation of the growth of Czech children and adolescents. Normal weight, underweight, overweight. National Institute of Public Health, PrahaGoogle Scholar
  3. Boney CM, Verma A, Tucker R, Vohr BR (2005) Metabolic syndrome in childhood: association with birth weight, maternal obesity, and gestational diabetes mellitus. Pediatrics 115:e290–e296PubMedCrossRefGoogle Scholar
  4. Brazdova Z, Hrstkova H, Fiala J, Prokopova A (1999) Method of a quick and simple evaluation of nutrition in children. Det Lek 54:200–205 (In Czech)Google Scholar
  5. Cecil JE, Watt P, Murrie IS, Wrieden W, Wallis DJ, Hetherington MM, Bolton-Smith C, Palmer CN (2005) Childhood obesity and socioeconomic status: a novel role for height growth limitation. Int J Obes 29:1199–1203CrossRefGoogle Scholar
  6. Chinn S (2006) Definitions of childhood obesity: current practice. Eur J Clin Nutr 60:1189–1194PubMedCrossRefGoogle Scholar
  7. Cole TJ, Belizzi MC, Flegal KM, Dietz W (2000) Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ 320:1240–1243PubMedCrossRefGoogle Scholar
  8. Crocker PR, Bailey DA, Faulkner RA, Kowalski KC, McGrath R (1997) Measuring general levels of physical activity: preliminary evidence for the Physical Activity Questionnaire for Older Children. Med Sci Sports Exerc 29:1344–1349PubMedGoogle Scholar
  9. Doak CM, Visscher TLS, Rendes CM, Seidell JC (2006) The prevention of overweight and obesity in children and adolescents: a review of interventions and programmes. Obesity Rev 7:111–136CrossRefGoogle Scholar
  10. Flegal KM, Ogden CL, Wei R, Kuczmarski RL, Johnson CL (2001) Prevalence of overweight in US children: comparison of US growth charts from the Centers for Disease Control and Prevention with other reference values for body mass index. Am J Clin Nutr 73:1086–1093PubMedGoogle Scholar
  11. Flodmark CE, Markus C, Britton M (2006) Interventions to prevent obesity in children and adolescents: a systematic literature review. Int J Obes 30:579–589CrossRefGoogle Scholar
  12. Freedman DS (2002) Clustering of coronary heart disease risk factors among obese children. J Pediatr Endocrinol Metab 15:1099–1108PubMedGoogle Scholar
  13. Fu WP, Lee HC, Ng CJ, Tay YK, Kau CY, Seow CJ, Siak JK, Hong CY (2003) Screening for childhood obesity: international vs population-specific definitions. Which is more appropriate? Int J Obes 27:1121–1126CrossRefGoogle Scholar
  14. Fuentes RM, Notkola IL, Shemeikka S, Tuomilehto J, Nissinen A (2003) Tracking of body mass index during childhood: a 15-year prospective population-based family study in eastern Finland. Int J Obes Relat Metab Disord 27:716–721PubMedCrossRefGoogle Scholar
  15. James J, Thomas P, Cavan D, Kerr D (2004) Preventing childhood obesity by reducing consumption of carbonated drinks: cluster randomised controlled trial. BMJ 328(7450):1237PubMedCrossRefGoogle Scholar
  16. Janssen I, Katzmarzyk PT, Boyce WF, Vereecken C, Mulvihill C, Roberts C, Currie C, Pickett W (2005) Comparison of overweight and obesity prevalence in school-aged youth from 34 countries and their relationships with physical activity and dietary patterns. Obes Rev 6:123–132PubMedCrossRefGoogle Scholar
  17. Kain J, Uauz R, Vio F, Albala C (2002) Trends in overweight and obesity prevalence in Chilean children: comparison of three definitions. Eur J Clin Nutr 56:200–204PubMedCrossRefGoogle Scholar
  18. Kautiainen S, Rimpela A, Vikat A, Virtanen SM (2002) Secular trends in overweight and obesity among Finnish adolescents in 1977–1999. Int J Obes 26:544–552CrossRefGoogle Scholar
  19. Kobzova J, Vignerova J, Blaha P, Krejcovsky L, Riedlova J (2004) The 6th nationwide anthropological survey of children and adolescents in the Czech Republic in 2001. Cent Eur J Public Health 12:126–130PubMedGoogle Scholar
  20. Kowalski KC, Crocker PRE, Kowalski NP (1997) Convergent validity of the physical activity questionnaire for adolescents. Pediatr Exerc Sci 9:342–352Google Scholar
  21. Lajka J, Kunesova M (2002) Lifestyle and obesity. Report on the project for Ministry of Health, PragueGoogle Scholar
  22. Lamerz A, Kuepper-Nybelen J, Wehle C, Bruning N, Trost-Brinkhues G, Brenner H, Hebebrand J, Herpertz-Dahlmann B (2005) Social class, parental education, and obesity prevalence in a study of 6-year-old children in Germany. Int J Obes 29:373–380CrossRefGoogle Scholar
  23. Lobstein T, Frelut ML (2003) Prevalence of overweight among children in Europe. Obes Rev 4:195–200PubMedCrossRefGoogle Scholar
  24. Malecka-Tendera E, Klimek K, Matusik P, Olszanecka-Glinianowicz M, Lehingue Y (2005) Obesity and overweight prevalence in Polish 7- to 9-year-old children. Obes Res 13:964–968PubMedGoogle Scholar
  25. Malik VS, Schulze MB, Hu FB (2006) Intake of sugar-sweetened beverages and weight gain: a systematic review. Am J Clin Nutr 84:274–288PubMedGoogle Scholar
  26. Mamun AA, Lawlor DA, O´Callaghan MJ, Williams GM, Najman JM (2005) Family and early life factors associated with changes in overweight status between ages 5 and 14 years: findings from the Mater University Study of Pregnancy and its outcomes. Int J Obes 29:475–482Google Scholar
  27. Moreno LA, Messana MI, Fleta J, Ruiz JR, Gonzales-Gross M, Sarria A, Narcis A, Bueno M, AVENA Study Group (2005) Overweight, obesity and body fat composition in Spanish adolescents. The AVENA Study. Ann Nutr Metab 49(2):71–76PubMedCrossRefGoogle Scholar
  28. Padez C, Fernandes T, Mourao I, Moreira P, Rosado V (2004) Prevalence of overweight and obesity in 7-9-year-old Portuguese children: trends in body mass index from 1970–2002. Am J Hum Biol 16:670–678PubMedCrossRefGoogle Scholar
  29. Padez C, Mourao I, Moreira P, Rosado V (2005) Prevalence and risk factors for overweight and obesity in Portuguese children. Acta Paediatr 94:1550–1557PubMedCrossRefGoogle Scholar
  30. Rajeshwari R, Yang SJ, Nicklas TA, Berenson OS (2005) Secular trends in children’s sweetened-beverage consumption (1973 to 1994): the Bogalusa Heart Study. J Am Diet Assoc 105:208–214PubMedCrossRefGoogle Scholar
  31. Rolland-Cachera MF, Castetbon K, Arnaut N, Bellisle F, Romano MC, Lehingue Z, Frelut ML, Hercberg S (2002) Body mass index in 7-9-year-old French children: frequency of obesity, overweight and thinness. Int J Obes Relat Metab Disord 26:1610–1616PubMedCrossRefGoogle Scholar
  32. Savva SC, Tomaritis M, Chadjigorgiou C, Koundes YA, Savva ME, Panagi A, Christodoulou E, Kafatos A (2005) Prevalence and socio-demographic associations of undernutrition and obesity among preschool children in Cyprus. Eur J Clin Nutr 59:1259–1265PubMedCrossRefGoogle Scholar
  33. Sinha R, Fisch G, Teague RN et al (2002) Prevalence of impaired glucose tolerance among children and adolescents with marked obesity. NEJM 346(11):802–810PubMedCrossRefGoogle Scholar
  34. Utter J, Scragg R, Schaaf D, Fitzgerald E (2006) Nutrition and physical activity behaviours among Maori, Pacific and NZ European children: identifying opportunities for population-based interventions. Aust N Z J Public Health 30:50–56PubMedGoogle Scholar
  35. Vignerova J, Blaha P, Ošancova K, Roth Z (2004) Social inequality and obesity in Czech school children. Econ Hum Biol 2:107–118PubMedCrossRefGoogle Scholar
  36. Vignerova J, Riedlova J, Blaha P, Kobzova J, Krejcovsky L, Brabec M, Hruškova M (2006) 6. 6th Nationwide Anthropological Survey of Children and Adolescents 2001, Czech Republic. Summary of the results. PøF UK v Praze a SZÚ, Praha, 2006, 238 p (In Czech)Google Scholar
  37. Wang Y (2001) Cross-national comparison of childhood obesity: the epidemic and the relationship between obesity and socioeconomic status. Int J Epidemiol 30:1129–1136PubMedCrossRefGoogle Scholar
  38. Ware JE, Sherbourne CD (1992) The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care 30:473–483PubMedCrossRefGoogle Scholar
  39. Whitaker RC, Deeks CM, Baughcum AE, Speaker BL (2000) The relationship of childhood adiposity to parent body mass index and eating behavior. Obes Res 8:234–240PubMedCrossRefGoogle Scholar
  40. World Health Organization (2000) Obesity: preventing and managing the global epidemics. WHO Obesity Technical Report Series 894. Geneva, Switzerland, WHOGoogle Scholar
  41. Zimmermann MB, Gubeli C, Puntener C, Molinari L (2004) Detection of overweight and obesity in a national sample of 6-12-year-old Swiss children: accuracy and validity of reference values for body mass index from the US Centers for Disease Control and Prevention and the International Obesity Task Force. Am J Clin Nutr 79:838–843PubMedGoogle Scholar

Copyright information

© Springer-Verlag 2007

Authors and Affiliations

  • M. Kunesova
    • 1
  • J. Vignerova
    • 2
  • A. Steflová
    • 3
  • J. Parízkova
    • 1
  • J. Lajka
    • 4
  • V. Hainer
    • 1
  • P. Blaha
    • 5
  • P. Hlavaty
    • 1
  • P. Kalouskova
    • 1
  • K. Hlavata
    • 1
  • M. Wagenknecht
    • 1
  1. 1.Obesity Management CentreInstitute of EndocrinologyPrague 1Czech Republic
  2. 2.National Institute of Public HealthPraha 10Czech Republic
  3. 3.WHOPraha 5Czech Republic
  4. 4.STEMMARKPraha 8Czech Republic
  5. 5.Faculty of SciencesDepartment of Anthropology and Human GeneticsPraha 2Czech Republic

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