1 / 30

Dietary Habits in Czech Children

PhDr.František David Krch PhD. Psychiatric clinic, GTH, Prague 2 krch.frantisek@vfn.cz. Dietary Habits in Czech Children. Health Behaviour in School-Aged Children Study (HBSC) ‏. WHO coordination

howell
Download Presentation

Dietary Habits in Czech Children

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. PhDr.František David Krch PhD. Psychiatric clinic, GTH, Prague 2 krch.frantisek@vfn.cz Dietary Habits in Czech Children

  2. Health Behaviour in School-Aged Children Study (HBSC)‏ WHO coordination Every four years since 1983/1984 (England, Finland, Norway, Austria, Denmark)‏ CR participates since 1994 2001/2002 - 35 countries participated 2005/6 - 180 000 children from 41 countries participated in the survey

  3. HBSC CR Csémy L., PCP (coordinator)‏ 4th survey – 2005/6 Collaborators: Krch F.D.; Sovinová H.; Provazníková H., Rážová J. 87 schools from CR – 251 classes – 5 711 children

  4. Sample 2006 5th grade Boys 923 Girls 894 Total 1 817 Aver. age 11,50 7th grade 979 973 1 952 13,48 9th grade 980 962 1 942 15,39 Total 2 882 2 829 5 711

  5. Dietary Habits 2006 (1)‏ Boys Girls 11y. 13y. 15y. 11y. 13y. 15y. Lunch at school 72,6 % 70,4 66,6 75,6 73,1 63,3 Snack at school 91,5 89,7 83,3 94,4 83,8 82,0 Skipping breakfast 21,2 25,5 31,9 27,9 37,0 35,1%

  6. Dietary Habits 2006 (2)‏ Boys Girls 11y. 13y. 15y. 11y. 13y. 15y. Light products 38,8 % 33,8 26,6 44,1 44,9 45,3 Soft drinks daily 35,0 35,3 34,8 26,5 22,0 25,6 Does not drink soft drinks 3,8 2,9 1,3 4,8 3,2 4,9 Sweets daily 31,4 29,0 31,4 26,0 34,0 22,3 No sweets 1,6 1,2 0,7 0,8 1,1 1,4 No meet 1,8 1,0 0,5 1,9 2,6 2,3%

  7. Body weight *(results %)‏ Boys Girls Overweight Obesity Overweight Obesity 11y.1998 2002 2006 11,1 9,4 17,5 3,0 1,2 3,8 6,8 5,7 16,9 0,9 0,5 2,4 13y.1998 2002 2006 11,0 10,1 14,5 1,3 1,4 2,3 4,1 5,8 10,7 1,3 0,7 1,8 15y.1998 2002 2006 8,5 11,9 12, 8 0,5 1,5 3,4 4,1 4,9 8,6 0,5 0,5 2,0

  8. Summary (HBSC) - overweight About 16% children in CR are at risk of overweight; Number of overweight children has doubled since 1998, number of children on diet has increased; Most overweight children among 11year olds; Between 11 and 15 years, number of overweight children sign. decreasing (esp. in girls); Risk factors are lower education of parents and living in the country.

  9. Overweight – socioeconomic factors Significant relation found between overweight and parents education (13% mothers with university education x 19% mothers with elementary education had the overweight child)‏ living in the village (19 x 15,5 x 14% - village x small town x city)‏

  10. Body perception - 2002, 2006 (%)‏ 11y. boys 11y. girls 13y. boys 13y. girls 15y. boys 15y. girls Thin/2002 2006 19,5 20,6 16,7 17,0 16,2 21,6 17,4 16,5 22,7 26,4 11,3 14,7 Normal 59,3 57,8 63,2 46,2 60,9 49,6 Fat/2002 2006 21,2 24,1 25,5 34,9 20,6 23,8 36,3 34,5 16,3 17,2 33,7 37,9

  11. Overweight, reduction efforts (%)‏ Boys Girls Normal weight Over-weight Normal weight Over-weight On reduction diet 7,1 25,4 18,4 49,1 No diet but should be on diet 11,3 48,5 34,0 44,5 Exercising 24,9 35,8 28,1 40,8

  12. Dieting in 1994, 1998, 2002, 2006 (%)‏ BoysGirls 19941998 2002 2006199419982002 2006 No diet 75,4 74,0 71,3 70,755,2 44,8 44,0 42,0 Should be on26,4 34,3 18,918,731,2 43,1 34,5 35,1 diet On diet 7,5 4,4 9,810,613,6 12,1 21,522,9

  13. Body weight control 2006 girls 11y. 13y. 15y. Vomits at least 1x/week 0,3 0,5 0,5 Vomits 2x/month 4,3 3, 4 5,2 Reduction pills 1x/week 0,2 0,5 0,7 Reduction pills 2x/month 2,0 4,0 6,3 Exercising 28,0 27,0 33,2 Exercising 2x/month 43,3 50,2 50,3

  14. Summary – dieting trends Dieting increases between 11 and 15 years, esp. in girls; Adolescents identify with „gender models“ with increasing age – overweight boys exercise more, overweight girls tend more to dieting; Dieting trends result in changes in eating habits; Dissatisfaction with body shape and dieting occur already in 11year olds and increase with age; From 11 years on, the number of risk modes of energy intake and weight control increases (6% of 15year old girls accept vomiting as a way of weight control).

  15. Factors related to dieting are considered significant for development and maintenance of eating disorders(Fairburn et al. 1997)‏

  16. Active effort to keep a low body weight • Anorexia nervosa • Reduction diet?

  17. What is common for eating disorder and reduction diet Fear of overweight Dissatisfaction with body Increased concern about eating and bodily proportions Satisfaction from self-control and weight reduction Inadequate ambitions

  18. Where is the border between adequate and inadequate weight reduction? Reduction diet is temporarily efficient, but usually not sustainable in a longterm perspective: - feelings of guilt, panic, depression; - fragile self-confidence, sense of loss of self- control; - distorted body image; - risk of increase of body weight.

  19. Being on reduction diet is a social and cultural phenomenon which strengthens other risk attitudes and factors which may trigger and maintain eating disorder.

  20. What is appropriate?

  21. What is appropriate?

  22. Appropriate?

  23. Appropriate?

  24. In this complex context It is difficult to: define the norm define clearly pathology get support and treatment formulate adequate therapeutic goals

  25. It is necessary to consider age a social specificities while working with ED.

  26. Prevalence of Eating Disorders in Children and Adolescents ED in 5% of girls and young women, male/female – 1:10 Most common onset at 14-15 and 17-18 years 5% of patients – children under 12 years Higher proportion of boys in younger children 20-30% - chronic form, 10% dies

  27. Characteristics of anorexia nervosa in childhood Inadequate perception and focus on weight and body Weight loss (eating restrictions, exercise, vomiting)‏ BMI related to age (17.5 in 18 y.= 13.5 in 10 y.= 14.2 in 12 y.= 15.6 in 14 y.)‏ Precipitating factors – puberty, changing school, loss Psychosexual development delayed Frequent comorbidity with depressive and obsessive compulsive syndrome Child is dependent on parents

  28. Prevention of ED Early detection: - GPs, pediatricians (preventive examinations – percentile charts)‏ Education: - self-help manuals, books, leaflets - websites (www.anabell.cz, www.idealni.cz)‏

  29. Prevention of ED Anabell (NGO, www.anabell.cz) provide: Information on risks related to ED Information on healthy nutrition and eating habits, publications (library)‏ Individual counselling (nutritional, psychol.), telephone helpline (crisis)‏ Group (self-help) activities for clients and their parents or partners Contacts to professional help

  30. Treatment of ED(www.nice.org.uk) Comprehensive approach is necessary Interdisciplinary collaboration – Centres for treatment of ED (pediatrician, nutritionist, psychologist, child psychiatrist, psychotherapist)‏ Organic cause has to be excluded Nutrition rehabilitation, regimen Psychotherapy (CBT, psychodynamic th.)‏ Collaboration with parents (family therapy, self-help groups)

More Related