PMID- 34050976 OWN - NLM STAT- MEDLINE DCOM- 20211214 LR - 20211214 IS - 1651-2227 (Electronic) IS - 0803-5253 (Linking) VI - 110 IP - 12 DP - 2021 Dec TI - Association of lifestyle factors with a high prevalence of overweight and obesity in Greek children aged 10-16 years. PG - 3356-3364 LID - 10.1111/apa.15960 [doi] AB - AIM: To investigate the prevalence of overweight, obesity and central obesity in students of primary and secondary education, and the association with lifestyle parameters. METHODS: A total of 3504 students, aged 10-16 years old, from Western Greece participated in this cross-sectional epidemiological study (participation rate: 90%). Demographic, socioeconomic, dietary, physical activity and screen time data were obtained using a questionnaire. Anthropometric measurements were also obtained. Overweight and obesity were estimated using the Centers for Disease Control and Prevention (CDC) and International Obesity Task Force (IOTF) criteria and central obesity using the WHtR >/=0.5 and IDF criteria. RESULTS: The prevalence of overweight and obesity was 19.2% and 12.1% with CDC criteria, respectively, and 20.9% and 7.2%, with IOTF criteria respectively. Central obesity was 31.1 and 32.8% using the Waist-to-Height ratio (WHtR) >/=0.5 and International Diabetes Federation (IDF) criteria respectively. Male gender, small number of meals, breakfast skipping, frequent consumption of school food and sweets and the presence of a computer in children's rooms, were identified as the strongest lifestyle factors affecting weight. CONCLUSION: Overweight, obesity and central obesity rates remain high among children and adolescents in Greece. The identification of risk factors associated with the manifestation of obesity and central obesity, may contribute to the implementation of targeted prevention and treatment interventions. CI - (c)2021 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd. FAU - Kostopoulou, Eirini AU - Kostopoulou E AUID- ORCID: 0000-0002-7051-7537 AD - Department of Pediatrics, University General Hospital of Patras, Patras, Greece. FAU - Tsekoura, Efstathia AU - Tsekoura E AD - Department of Pediatrics, University General Hospital of Patras, Patras, Greece. FAU - Fouzas, Sotirios AU - Fouzas S AD - Department of Pediatrics, University General Hospital of Patras, Patras, Greece. FAU - Gkentzi, Despoina AU - Gkentzi D AD - Department of Pediatrics, University General Hospital of Patras, Patras, Greece. FAU - Jelastopulu, Eleni AU - Jelastopulu E AD - Department of Public Health, School of Medicine, University of Patras, Patras, Greece. FAU - Varvarigou, Anastasia AU - Varvarigou A AD - Department of Pediatrics, University General Hospital of Patras, Patras, Greece. LA - eng PT - Journal Article DEP - 20210611 PL - Norway TA - Acta Paediatr JT - Acta paediatrica (Oslo, Norway : 1992) JID - 9205968 SB - IM MH - Adolescent MH - Body Mass Index MH - Breakfast MH - Child MH - Cross-Sectional Studies MH - Feeding Behavior MH - Greece/epidemiology MH - Humans MH - Life Style MH - Male MH - Obesity/epidemiology MH - *Overweight/epidemiology MH - *Pediatric Obesity/epidemiology MH - Prevalence OTO - NOTNLM OT - children OT - dietary habits OT - obesity OT - physical activity OT - screen time EDAT- 2021/05/30 06:00 MHDA- 2021/12/15 06:00 CRDT- 2021/05/29 12:17 PHST- 2021/05/22 00:00 [revised] PHST- 2021/02/17 00:00 [received] PHST- 2021/05/25 00:00 [accepted] PHST- 2021/05/30 06:00 [pubmed] PHST- 2021/12/15 06:00 [medline] PHST- 2021/05/29 12:17 [entrez] AID - 10.1111/apa.15960 [doi] PST - ppublish SO - Acta Paediatr. 2021 Dec;110(12):3356-3364. doi: 10.1111/apa.15960. Epub 2021 Jun 11.