Updated Prevalence Rates of Overweight and Obesity in 11- to 17-year-old Adolescents in Germany. Results from the Telephone-based KiGGS Wave 1 After Correction for Bias in Self-reports

Overview

Journal BMC Public Health

Publisher Biomed Central

Specialty Public Health

Date 2015 Nov 7

PMID 26541820

Citations 16

Authors

Anna-Kristin Brettschneider

Anna-Kristin Brettschneidera

Angelika Schaffrath Rosario

Ronny Kuhnert

Steffen Schmidt

Susanna Wiegand

Ute Ellert

Barbel-Maria Kurth

Affiliations

Soon will be listed here.

Abstract

Background: The nationwide "German Health Interview and Examination Survey for Children and Adolescents" (KiGGS), conducted in 2003-2006, showed an increase in the prevalence rates of overweight and obesity compared to the early 1990s, indicating the need for regularly monitoring. Recently, a follow-up-KiGGS Wave 1 (2009-2012)-was carried out as a telephone-based survey, providing self-reported height and weight. Since self-reports lead to a bias in prevalence rates of weight status, a correction is needed. The aim of the present study is to obtain updated prevalence rates for overweight and obesity for 11- to 17-year olds living in Germany after correction for bias in self-reports.

Methods: In KiGGS Wave 1, self-reported height and weight were collected from 4948 adolescents during a telephone interview. Participants were also asked about their body perception. From a subsample of KiGGS Wave 1 participants, measurements for height and weight were collected in a physical examination. In order to correct prevalence rates derived from self-reports, weight status categories based on self-reported and measured height and weight were used to estimate a correction formula according to an established procedure under consideration of body perception. The correction procedure was applied and corrected rates were estimated.

Results: The corrected prevalence of overweight, including obesity, derived from KiGGS Wave 1, showed that the rate has not further increased compared to the KiGGS baseline survey (18.9 % vs. 18.8 % based on the German reference).

Conclusion: The rates of overweight still remain at a high level. The results of KiGGS Wave 1 emphasise the significance of this health issue and the need for prevention of overweight and obesity in children and adolescents.

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