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Ethnic and Social Differences in Childhood Obesity, Comparison of Roma and non-Roma Groups in Slovakia. Rimárová K. et all. Institute of Hygiene and Public Health, Faculty of Medicine, Kosice, Slovak Republic. "This project is funded under the framework of Public Health Programme
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Ethnic and Social Differences in Childhood Obesity, Comparison of Roma and non-Roma Groups in Slovakia Rimárová K. et all. Institute of Hygiene and Public Health, Faculty of Medicine, Kosice, Slovak Republic "This project is funded under the framework of Public Health Programme 2003-2008 of the European Commission (contract number 2005122)"
Overview: • Roma communities around Europe create estimated amount of 8 – 10 millions Roma people living prevalently in Eastern and Central Europe. • Identifying Roma as an ethnic group brings the problem due the national policy in former CEE countries where nationality is voluntary in the census and the person can conceive a nationality as a personal feeling. Roma belong to Caucasians creating sub-ehtnic group. • Roma people themselves do not like to be called Roma or Gypsies, most of identification is coming from external observers featuring main visible signs.
Geographic distribution of Roma population in Slovakia (official statistics census by nationality 2001) Source: Infostat Slovakia
Estimated amount of Roma in CCE (%) Percentage in population
Obesity Obesity is associated with significant morbidity and mortality and poses one of the major cardiovascular risk. Prevalence of overweight and obesity has globally worldwide increasing trend among children and youths. Roma children from previous research are shorter with lower body height and weight. Adult Gypsies have high tendency for abdominal and total obesity so aim of the study was to evaluate overweight trends among children.
Material and methods I. cross-sectional anthropometrical survey, including basic body parameters subjects were Roma preschool and schoolchildren aged 3-12 years, 710 Roma (332 boys, 378 girls), semi-segregated group, compared to National Anthropometric Survey Results from 2001 (no SES)
Material and methods II. 710 Roma semi-segregated group, compared to 752 non-Roma children living in the vicinity of Roma population no SES in Slovak Anthropometric survey as SES data collected: parents education, parents employment, single parent family, smoking in the family, parents questionnaires, Roma as regulated interview at the school meeting
Statistical analysis • for national survey comparison arithmetic means t/test have been used • for BMI changes and SES factors impact multiple regression model has been used
Ethnic differences in height (boys) *p<0.05 ; ** p<0.01 ; *** p<0.001
Ethnic differences in height (girls) *p<0.05 ; ** p<0.01 ; *** p<0.001
Multiple regression model of SES status attainment on BMI in children (Non-Roma Roma vs. cross/sect., adjusted for sex )
Conclusions I. Outputs from comparison of Roma data with national anthropometric survey claim: lower basic anthropometric parameters in the Roma children population, BUT the values of BMI index and WHR index showing tendency for android shaping of the body higher BMI particularly in age 6 – 9 years in the both sexes tendency for obesity
Conclusions II. • statistical difference between Roma and non-Roma children in BMI • for increased BMI as a risk factors from SES ethnicity, mother education and single family status
Limitations • cross-sectional study • representativness • small amount of children for anthropometric measure • no randomisation • questionnaires from parents or Roma children have very low validity "Disclaimer: The study has received funding from the European Commission under the Public Health Programme 2003-2008. However, the sole responsibility for the study lies with the author and the European Commission is not responsible for any use that may be made of the information contained therein."