000095791 001__ 95791
000095791 005__ 20230914083253.0
000095791 0247_ $$2doi$$a10.3389/fpubh.2020.00423
000095791 0248_ $$2sideral$$a120226
000095791 037__ $$aART-2020-120226
000095791 041__ $$aeng
000095791 100__ $$0(orcid)0000-0001-8914-0752$$aAyala-Marín, A.M.
000095791 245__ $$aConsideration of Social Disadvantages for Understanding and Preventing Obesity in Children
000095791 260__ $$c2020
000095791 5060_ $$aAccess copy available to the general public$$fUnrestricted
000095791 5203_ $$aAddressing social disadvantages that lead to obesity should be a public health priority. Obesity prevalence among children and adolescents has reached a plateau in countries with high income but it continues rising in low-income and middle-income countries. In high-income countries, an elevated prevalence of obesity is found among racial and ethnic minority groups and individuals from disadvantaged socioeconomic backgrounds. In addition to classic socioeconomic status (SES) factors, like income, parental education, and occupation, recent publications have linked parental social disadvantages, such as minimal social network, non-traditional family structure, migrant status and unemployment, with obesogenic behaviors and obesity among children. Socio-ecological models of obesity in children can explain the influence of classic SES factors, social disadvantages, culture, and genes on behaviors that could lead to obesity, contributing to the elevated prevalence of obesity. Obesity is a multifactorial disease in which multilevel interventions seem to be the most effective approach to prevent obesity in children, but previous meta-analyses have found that multilevel interventions had poor or inconsistent results. Despite these results, some multilevel interventions addressing specific disadvantaged social groups have shown beneficial effects on children's weight and energy balance-related behaviors, while other interventions have benefited children from both disadvantaged and non-disadvantaged backgrounds. Considering obesity as a worldwide problem, the World Health Organization, the European Commission, and the National Institutes of Health recommend the implementation of obesity prevention programs, but the implementation of such programs without taking into consideration social disadvantages may be an unsuccessful approach. Therefore, the present publication consists of a review of the pertinent literature related to social disadvantage and its consequences for behaviors that could lead to childhood obesity. In addition, we will discuss the relationship between social disadvantages and the socio-ecological model of obesity in children. Finally, we will summarize the relevant aspects of multilevel intervention programs aiming to prevent obesity in children and provide recommendations for future research and intervention approaches to improve weight status in children with social disadvantages.
000095791 536__ $$9info:eu-repo/grantAgreement/ES/MCIU-ISCIII/IFI18-00016
000095791 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/
000095791 590__ $$a3.709$$b2020
000095791 591__ $$aPUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH$$b35 / 175 = 0.2$$c2020$$dQ1$$eT1
000095791 591__ $$aPUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH$$b62 / 202 = 0.307$$c2020$$dQ2$$eT1
000095791 592__ $$a0.908$$b2020
000095791 593__ $$aPublic Health, Environmental and Occupational Health$$c2020$$dQ2
000095791 655_4 $$ainfo:eu-repo/semantics/review$$vinfo:eu-repo/semantics/publishedVersion
000095791 700__ $$0(orcid)0000-0003-4242-5464$$aIguacel, I.$$uUniversidad de Zaragoza
000095791 700__ $$0(orcid)0000-0001-6173-5850$$aMiguel-Etayo, P.D.
000095791 700__ $$0(orcid)0000-0003-0454-653X$$aMoreno, L.A.$$uUniversidad de Zaragoza
000095791 7102_ $$11006$$2255$$aUniversidad de Zaragoza$$bDpto. Fisiatría y Enfermería$$cÁrea Enfermería
000095791 773__ $$g8, 423  (2020), [10 pp]$$pFront. public health.$$tFrontiers in public health$$x2296-2565
000095791 8564_ $$s144834$$uhttps://zaguan.unizar.es/record/95791/files/texto_completo.pdf$$yVersión publicada
000095791 8564_ $$s29450$$uhttps://zaguan.unizar.es/record/95791/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
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000095791 951__ $$a2023-09-13-10:51:18
000095791 980__ $$aARTICLE