The Relationship Of Under-Five Obesity Level With Maternal Education, Employment Status And Breastfeeding Rates In Turkey

Ismail OZSAN

Abstract


Aim: In this longitudinal study, it was aimed to examine the relationship between childhood obesity level and maternal education, employment status and breastfeeding rates inTurkey.

Materials and Methods: According to the World Health Organization (WHO) and World Bank (WB) Country Reports,Turkey's childhood obesity rate (COR), Women's Working Rate with Basic Education (WWRBE), Secondary Education Women's Working Rate (SEWWR), Women's Working Rate (WWR) and Six-Month Breastfeeding Rates (SMBR) parameters were used. The most recent values from the WHO and WB datasets, WWR and SMBR parameters between 1993 and 2020; For WWRBE and SEWWR parameters, values between 2006 and 2020 were used.

Results: The UFOR value forTurkey ranged from 3.80% to 11.10% between 1993 and 2020, with a mean value of 7.55±2.82 percent. Between the same years, its value forTurkey ranged from 23.07% to 34.31% with a mean value of 28.57±3.35 percent. There was a statistically significant and positive relationship between the obesity rate under the age of five and breastfeeding rates for six months (0.844; p<0.01); There was a statistically significant and negative relationship (r=-0.695; p<0.01) with birth rates. In the year-controlled correlation analysis, there was a statistically significant and negative correlation between childhood obesity and birth rates (r=-0.605; p<0.05). According to the results of the Generalized Linear Model (Logit Model) analysis, the effect of six-month breastfeeding rate on obesity rates under the age of five is statistically significant (B=0.11; p<0.01).

Conclusion: Mother's education or employment status in Turkey is not effective on obesity under the age of five. In fact, further studies are needed on these parameters, which may be the most effective in combating obesity under the age of five.

Keywords


Obesity, maternal employment, female employment, breastfeeding

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Gupta N, Heiden M, Aadahl M, Korshøj M, Jørgensen MB, Holtermann A. What Is the Effect on Obesity Indicators from Replacing Prolonged Sedentary Time with Brief Sedentary Bouts, Standing and Different Types of Physical Activity during Working Days? A Cross-Sectional Accelerometer-Based Study among Blue-Collar Workers. PLoS One. 2016;11(5):e0154935. Published 2016 May 17. doi:10.1371/journal.pone.0154935

Gába A, Pedišić Ž, Štefelová N, et al. Sedentary behavior patterns and adiposity in children: a study based on compositional data analysis. BMC Pediatr. 2020;20(1):147. Published 2020 Apr 2. doi:10.1186/s12887-020-02036-6

Moon JY, Wang T, Sofer T, et al. Objectively Measured Physical Activity, Sedentary Behavior, and Genetic Predisposition to Obesity in U.S. Hispanics/Latinos: Results From the Hispanic Community Health Study/Study of Latinos (HCHS/SOL). Diabetes. 2017;66(12):3001-3012. doi:10.2337/db17-0573

Hall JE, do Carmo JM, da Silva AA, Wang Z, Hall ME. Obesity, kidney dysfunction and hypertension: mechanistic links. Nat Rev Nephrol. 2019;15(6):367-385. doi:10.1038/s41581-019-0145-4

Tomic D, Shaw JE, Magliano DJ. The burden and risks of emerging complications of diabetes mellitus. Nat Rev Endocrinol. 2022;18(9):525-539. doi:10.1038/s41574-022-00690-7

Ren J, Wu NN, Wang S, Sowers JR, Zhang Y. Obesity cardiomyopathy: evidence, mechanisms, and therapeutic implications. Physiol Rev. 2021;101(4):1745-1807. doi:10.1152/physrev.00030.2020

Çataltape A, Baş S. Pregnancy-Related Sacral Stress Fractures: A Single Center Experience of 23 Cases. Indian J Orthop. 2022;57(2):269-276. Published 2022 Dec 17. doi:10.1007/s43465-022-00800-7

World Health Organization. Nutrition, overweight and obesity. Factsheet - Sustainable Development Goals: health targets. https://apps.who.int/iris/bitstream/handle/10665/341982/WHO-EURO-2021-2574-42330-58595-eng.pdf

Boone-Heinonen J, Messer LC, Fortmann SP, Wallack L, Thornburg KL. From fatalism to mitigation: A conceptual framework for mitigating fetal programming of chronic disease by maternal obesity. Prev Med. 2015;81:451-459. doi:10.1016/j.ypmed.2015.10.012

Jung P, Warne DK. Integration of the preventive medicine specialty in the rural and Tribal public health workforce. Prev Med. 2020;139:106187. doi:10.1016/j.ypmed.2020.106187

Nawaz H, Petraro PV, Via C, et al. Lifestyle medicine curriculum for a preventive medicine residency program: implementation and outcomes. Med Educ Online. 2016;21:29339. Published 2016 Aug 8. doi:10.3402/meo.v21.29339

Sánchez C, Franco L, Regal P, Lamas A, Cepeda A, Fente C. Breast Milk: A Source of Functional Compounds with Potential Application in Nutrition and Therapy. Nutrients. 2021;13(3):1026. Published 2021 Mar 22. doi:10.3390/nu13031026

Hampel D, Dror DK, Allen LH. Micronutrients in Human Milk: Analytical Methods. Adv Nutr. 2018;9(suppl_1):313S-331S. doi:10.1093/advances/nmy017

Lyons KE, Ryan CA, Dempsey EM, Ross RP, Stanton C. Breast Milk, a Source of Beneficial Microbes and Associated Benefits for Infant Health. Nutrients. 2020;12(4):1039. Published 2020 Apr 9. doi:10.3390/nu12041039

Bagnall AM, Radley D, Jones R, et al. Whole systems approaches to obesity and other complex public health challenges: a systematic review. BMC Public Health. 2019;19(1):8. Published 2019 Jan 3. doi:10.1186/s12889-018-6274-z

Jaacks LM, Vandevijvere S, Pan A, et al. The obesity transition: stages of the global epidemic. Lancet Diabetes Endocrinol. 2019;7(3):231-240. doi:10.1016/S2213-8587(19)30026-9

Scott-Sheldon LAJ, Hedges LV, Cyr C, et al. Childhood Obesity Evidence Base Project: A Systematic Review and Meta-Analysis of a New Taxonomy of Intervention Components to Improve Weight Status in Children 2-5 Years of Age, 2005-2019. Child Obes. 2020;16(S2):S221-S248. doi:10.1089/chi.2020.0139

Bray GA, Heisel WE, Afshin A, et al. The Science of Obesity Management: An Endocrine Society Scientific Statement. Endocr Rev. 2018;39(2):79-132. doi:10.1210/er.2017-00253

Du W, Wang H, Su C, Jia X, Zhang B. Thirty-Year Urbanization Trajectories and Obesity in Modernizing China. Int J Environ Res Public Health. 2022;19(4):1943. Published 2022 Feb 9. doi:10.3390/ijerph19041943

Mehata S, Shrestha N, Ghimire S, Atkins E, Karki DK, Mishra SR. Association of altitude and urbanization with hypertension and obesity: analysis of the Nepal Demographic and Health Survey 2016. Int Health. 2021;13(2):151-160. doi:10.1093/inthealth/ihaa034

Hales CM, Fryar CD, Carroll MD, Freedman DS, Aoki Y, Ogden CL. Differences in Obesity Prevalence by Demographic Characteristics and Urbanization Level Among Adults in the United States, 2013-2016. JAMA. 2018;319(23):2419-2429. doi:10.1001/jama.2018.7270

Lokossou GAG, Kouakanou L, Schumacher A, Zenclussen AC. Human Breast Milk: From Food to Active Immune Response With Disease Protection in Infants and Mothers. Front Immunol. 2022;13:849012. Published 2022 Apr 5. doi:10.3389/fimmu.2022.849012

Alexandre-Gouabau MC, Moyon T, David-Sochard A, et al. Comprehensive Preterm Breast Milk Metabotype Associated with Optimal Infant Early Growth Pattern [published correction appears in Nutrients. 2020 Jan 07;12(1):]. Nutrients. 2019;11(3):528. Published 2019 Feb 28. doi:10.3390/nu11030528

Duale A, Singh P, Al Khodor S. Breast Milk: A Meal Worth Having. Front Nutr. 2022;8:800927. Published 2022 Jan 26. doi:10.3389/fnut.2021.800927

Dror DK, Allen LH. Overview of Nutrients in Human Milk. Adv Nutr. 2018;9(suppl_1):278S-294S. doi:10.1093/advances/nmy022

Kristo AS, Sikalidis AK, Uzun A. Traditional Societal Practices Can Avert Poor Dietary Habits and Reduce Obesity Risk in Preschool Children of Mothers with Low Socioeconomic Status and Unemployment. Behav Sci (Basel). 2021;11(4):42. Published 2021 Mar 24. doi:10.3390/bs11040042

Jeon H, Salinas D, Baker DP. Non-linear education gradient across the nutrition transition: mothers' overweight and the population education transition. Public Health Nutr. 2015;18(17):3172-3182. doi:10.1017/S1368980015001640

Augustine JM, Negraia DV. Can Increased Educational Attainment Among Lower-Educated Mothers Reduce Inequalities in Children's Skill Development?. Demography. 2018;55(1):59-82. doi:10.1007/s13524-017-0637-4




DOI: http://dx.doi.org/10.52155/ijpsat.v37.2.5139

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