Hostname: page-component-8448b6f56d-dnltx Total loading time: 0 Render date: 2024-04-23T11:17:57.027Z Has data issue: false hasContentIssue false

THE BIOLOGICAL STATUS OF CHILDREN LIVING IN DISADVANTAGED REGIONS OF HUNGARY

Published online by Cambridge University Press:  22 May 2015

Eva B. Bodzsar
Affiliation:
Department of Biological Anthropology, Eotvos Lorand University, Budapest, Hungary
Annamaria Zsakai*
Affiliation:
Department of Biological Anthropology, Eotvos Lorand University, Budapest, Hungary
Katinka Utczas
Affiliation:
Department of Biological Anthropology, Eotvos Lorand University, Budapest, Hungary
C. G. Nicholas Mascie-Taylor
Affiliation:
Department of Biological Anthropology, University of Cambridge, Cambridge, UK
*
1Corresponding author. Email: zsakaia@elte.hu

Summary

The aim of this study was to find out whether differences exist in the physical development, nutritional status and psychosomatic status of children living in deprived regions of Hungary compared with the Hungarian national reference values. The Hungarian government’s decree No. 24/2003 created a complex indicator of social and economic conditions by which the country’s regions were graded into deprived and non-deprived regions. This study examined 3128 children (aged 3–18 years) living in the deprived regions and their biological status was compared with the national reference values (2nd Hungarian National Growth Study). Children’s body development was assessed via some absolute body dimensions. Nutritional status was estimated by BMI with children being divided into ‘underweight’, ‘normal’, ‘overweight’ and ‘obese’ categories. For children aged 7–18 years a standard symptoms list was used to characterize psychosomatic status. The subjects were asked to rate their health status as excellent, good, fair or poor. The body development of children living in these deprived regions was significantly retarded compared with the national references in the age groups 7–9 years and 14–17 years for boys and in the age groups 4–6 and 14–17 for girls. The prevalence of underweight was significantly higher in children and adolescents living in deprived regions (boys: 4.8%; girls: 5.9%) than the national references (boys: 2.9%; girls: 4.0%), while the prevalence of overweight and obese children did not differ between deprived regions (boys: 20.2%; girls: 19.8%) and the national references (boys: 21.5%; girls: 19.1%). Children and adolescents living in the deprived regions rated their health status worse, and experienced more psychosomatic complaints (abdominal discomfort and fear), than the national references. Although the majority of body dimensions of children in deprived regions were close to the 50th centile of the Hungarian national references, a sizeable minority (31%) were 0.20SD or more away from the median value, which has implications as to how social, medical and public welfare policy can be shaped.

Type
Research Article
Copyright
Copyright © Cambridge University Press, 2015 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Aszmann, A. (ed.) (1997) Health Behaviour in School-Aged Children 1986–1993 [in Hungarian]. Anonymous Press, Budapest.Google Scholar
Bielicki, T., Szklarska, A., Koziel, S. & Ulijaszek, S. J. (2005) Changing patterns of social variation in stature in Poland: effects of transition from a command economy to the free-market system? Journal of Biosocial Science 37(4), 427434.CrossRefGoogle Scholar
Bodzsar, E. B. (2006) Secular change in growth and sexual maturation of Hungarian children. International Journal of Anthropology 21(1), 2532.Google Scholar
Bodzsar, E. B. & Susanne, C. (eds) (1998) Secular Growth Changes in Europe. Eotvos University Press, Budapest.Google Scholar
Bodzsar, E. B. & Zsakai, A. (2012) Body Developmental Status of Hungarian Children and Adolescents. Hungarian National Growth Study 2003–2006. Plantin Press, Budapest, pp. 240.Google Scholar
Bodzsar, E. B. & Zsakai, A. (2014) Recent trends in childhood obesity and overweight recently in the transition countries of Eastern and Central Europe. Annals of Human Biology 41(3), 263270.Google Scholar
Cole, T. J., Bellizzi, M. C. & Flegal, K. M. (2000) Establishing a standard definition for child overweight and obesity worldwide. British Medical Journal 320(6), 16.Google Scholar
Cole, T. J., Flegal, K. M., Nicholls, D. & Jackson, A. A. (2007) Body mass index cut offs to define thinness in children and adolescents. British Medical Journal 335, 194197.CrossRefGoogle ScholarPubMed
Cummins, S. & Macintyre, S. (2006) Food environments and obesity – neighbourhood or nation? International Journal of Epidemiology 35, 100104.Google Scholar
Currie, C., Roberts, C., Morgan, A., Smith, R., Settertobulte, W., Samdal, O. & Barnekow Rasmussen, V. (2004, Eds) Young People’s Health in Context. Health Behaviour in School-aged Children Study: International Report from the 2001/2002. WHO, Geneva.Google Scholar
Due, P., Damsgaard, M. T., Rasmussen, M., Holstein, B. E., Wardle, J., Merlo, J. et al. (2009) Socioeconomic position, macroeconomic environment and overweight among adolescents in 35 countries. International Journal of Obesity 33, 10841093.Google Scholar
Evans, J. M. M., Newton, R. W., Ruta, D. A., MacDonald, T. M. & Morris, A. D. (2000) Socio-economic status, obesity and prevalence of Type 1 and Type 2 diabetes mellitus. Diabetic Medicine 17(6), 478480.Google Scholar
Eveleth, P. B. & Tanner, J. M. (1990) Worldwide Variation in Human Growth. Cambridge University Press, London.Google Scholar
Hungarian Government (2001) Government Decree No 91/2001 (VI.15.) on the List of Beneficiary Micro-Regions of Regional Development [in Hungarian]. URL: http://nih.gov.hu/download.php?docID=23793 Google Scholar
Koziel, S. & Lipowicz, A. (2009) Concurrent effect of social factors and maturity status on height and BMI of adolescent girls. Journal of Life Sciences 1(2), 133137.Google Scholar
Liptak, K. (2012) Analyzing the labour market situation by the Central-Eastern European countries – improvement or decline? Theory, Methodology, Practise 8(1), 3340.Google Scholar
Martin, R. & Saller, K. (1957) Lehrbuch der Anthropologie I–IV. Fischer Verlag, Stuttgart.Google Scholar
Mascie-Taylor, C. G. N. & Lasker, G. W. (2005) Biosocial correlates of stature in a British national cohort. Journal of Biosocial Science 37(2), 245251.Google Scholar
Philipov, D. & Dorbritz, J. (2003) Demographic Consequences of Economic Transition in Countries of Central and Eastern Europe. Population Studies No. 39. Council of Europe Publishing, Strasburg.Google Scholar
Quetelet, L. A. J. (1835) Sur l’homme et le développement de ses facultés. Essai sur physique sociale. Bachelier, Paris.Google Scholar
Su, D., Esqueda, O. A., Li, L. & Pagan, J. A. (2012) Income inequality and obesity prevalence among OECD countries. Journal of Biosocial Science 44, 417432.Google Scholar
Suliga, E. (2009) Socio-economic differentiation of the growth and the dietary intake of Polish boys aged 7–16 years. Annals of Human Biology 36(2), 199210.Google Scholar
Tanner, J. M. (1962) Growth and Adolescence. Oxford: Blackwell Science.Google Scholar
Tanner, J. M. (1990) Growth as a mirror of conditions in society. In Lindgren, G. (Ed.) Growth as a Mirror of Conditions in Society. Stockholm Institute of Education Press, Stockholm. pp. 948.Google Scholar
Taylor, W. C., Poston, W. S. C., Jones, L. & Kraft, M. K. (2006) Environmental justice: obesity, physical activity, and healthy eating. Journal of Physical Activity and Health 3(1), S30S54.CrossRefGoogle ScholarPubMed
Tokes, R. (1996) Political transition and social transformation in Hungary. Afers Internationals 34–35, 79101.Google Scholar
Villerme, L. R. (1828) Mémoire sur la mortalité en France dans la classe aisée et dans la classe indigente. Memoires de l’Academie Royale de Medecine 1, 5198.Google Scholar
Wang, Y., Monteiro, C. & Popkin, B. M. (2002) Trends of obesity and underweight in older children and adolescents in the United States, Brazil, China, and Russia. American Journal of Clinical Nutrition 75(6), 971977.CrossRefGoogle ScholarPubMed
Weiner, J. S. & Lourie, J. A. (eds) (1969) Human Biology. A Guide to Field Methods. IBP Handbook, Oxford, Edinburgh. Blackwell Science.Google Scholar
Wronka, I. (2013) Socioeconomic status, body mass index and prevalence of underweight and overweight among polish girls aged 7–18: a longitudinal study. Journal of Biosocial Science 46(4), 463475.Google Scholar
Zsakai, A. & Bodzsar, E. B. (2012) The 2nd Hungarian National Growth Study (2003–2006). Annals of Human Biology 39(6), 516525.CrossRefGoogle ScholarPubMed