child, obesity, blood glucose, diagnosis, non-communicable diseases


Introduction. Obesity is a chronic multifactorial disease that has a significant impact on children's health and quality of life.

Objective. The study aimed to determine the incidence of overweight and obesity in primary school-age children in Krupa na Uni, Bosnia and Herzegovina, as well as dyslipidemia and diabetes in obese participants.

Methods. An epidemiological cross-sectional study was performed, including 40 (47.1%) girls and 45 (52.9%) boys. The subjects had a medical history, reviewed medical documentation, and performed a set of laboratory tests that included fasting blood glucose, total cholesterol, and triglycerides.

Results. Normal nutrition was found in 54 (63.5%), malnutrition in 12 (14.1%), overweight in 5 (5.9%), and obesity in 14 (16.5%) school-age children. The age (p=0.477) and gender (p=0.435) did not statistically significantly affect the weight status. A significant number of school-age children had elevated blood glucose values ​​(prediabetes 28.2%, diabetes 2.4%). Most (96.4%) of the participants had normal blood cholesterol levels. Obesity was a significant predictor for elevated blood triglyceride (p=0.002), but not for glucose (p=0.726) and cholesterol values (p=0.749). Overweight and obesity were found in more than a fifth of school-age children. Elevated triglyceride levels were predominantly present in obese school-age children. Obesity did not significantly affect blood glucose and cholesterol values. Diabetes was established in obese children with a positive family history.

Conclusion. Obesity as a risk factor for the onset of chronic non-communicable diseases is unjustifiably neglected in school-aged children.


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