title: [Are children from resort spa healthy? The overweight and obesity in children from Kudowa-Zdrój].
abstract: Overweight and obesity are becoming a more and more common problem among children and teenagers.
  
  
  OBJECTIVE
  . The aim of this study is to evaluate the development of children and teenagers from Kudowa-Zdroj and to assess the prevalence of overweight and obesity in this population.
  
  
  METHODS
  . The study included 545 children, aged 5-16 years from Kudowa-Zdroj. The following anthropometric parameters were assessed: body weight and height, BMI, Quetelet index, Rohrer's index, waist circumference, hip circumference and waist to height ratio (WHtR).
  
  
  RESULTS
  . Overweight or obesity diagnosed by BMI SDS were observed in 26.7% of children from grades 0-3, 22.02% of children from grades 4-6 and 22.52% of Junior High School students. Students in grades 0-3 (mean 0.95 ± 2.17) achieved higher BMI SDS compared to students in grades 4-6 (mean 0.37 ± 1.71) and secondary school (mean 0.65 ± 1.61) (p= 0.023).Overweight or obesity diagnosed by Rohrer index SDS and Quetelet index SDS were observed in 22,84% and 17,13% children. Elevated value of the hip circumference SDS was found in 19.48% of children and waist circumference SDS was increased in 17.5% of children. In the group of children with overweight and obesity 59.4% had elevated waist circumference SDS and 53.4% waist circumference SDS. WHtR was elevated in 8.3% of children, more often in boys (p <0.001), 3.1% of girls and 13.07% of boys.
  
  
  CONCLUSIONS
  . The BMI is the best index for diagnosis of overweight and obesity. Overweight and obesity are common disorders among children from Kudowa-Zdroj. It is recommended to educate children, adolescence and their family about healthy lifestyle in order to reduce the prevalence of overweight and obesity.
authors.affiliation: SKN Endokrynologii, Hematologii i Onkologii, Uniwersytet Medyczny im. Piastów Śląskich we Wrocławiu.
authors.forename: Joanna
authors.initials: J
authors.lastname: Połubok
authors.affiliation: SKN Endokrynologii, Hematologii i Onkologii, Uniwersytet Medyczny im. Piastów Śląskich we Wrocławiu.
authors.forename: Aleksandra
authors.initials: A
authors.lastname: Gonera
authors.affiliation: SKN Endokrynologii, Hematologii i Onkologii, Uniwersytet Medyczny im. Piastów Śląskich we Wrocławiu.
authors.forename: Jakub
authors.initials: J
authors.lastname: Ubysz
authors.affiliation: SKN Endokrynologii, Hematologii i Onkologii, Uniwersytet Medyczny im. Piastów Śląskich we Wrocławiu.
authors.forename: Maria
authors.initials: M
authors.lastname: Wójcik
authors.affiliation: SKN Endokrynologii, Hematologii i Onkologii, Uniwersytet Medyczny im. Piastów Śląskich we Wrocławiu.
authors.forename: Marta
authors.initials: M
authors.lastname: Kozicka
authors.affiliation: Zakład Podstaw Nauk Medycznych, Uniwersytet Medyczny im. Piastów Śląskich we Wrocławiu.
authors.forename: Ewa
authors.initials: E
authors.lastname: Barg
mesh_terms: D000293:Adolescent; D015992:Body Mass Index; D002648:Child; D002675:Child, Preschool; D005260:Female; D006304:Health Status; D006801:Humans; D008297:Male; D009765:Obesity / Q000175:diagnosis* / Q000628:therapy*; D050177:Overweight / Q000175:diagnosis* / Q000628:therapy*; D011044:Poland