Skip to main content
Erschienen in: European Journal of Pediatrics 12/2006

01.12.2006 | Original Paper

Fitness levels of Greek primary schoolchildren in relationship to overweight and obesity

verfasst von: Savvas P. Tokmakidis, Athanasios Kasambalis, Antonios D. Christodoulos

Erschienen in: European Journal of Pediatrics | Ausgabe 12/2006

Einloggen, um Zugang zu erhalten

Abstract

Objectives

The aim of the present cross-sectional study was to provide estimates for overweight and obesity in a sample of Greek schoolchildren and to determine their possible relation with selected motor and health-related fitness parameters.

Materials and methods

The study sample consisted of 709 healthy children (328 girls, 381 boys, mean age = 8.9±1.6 years), living in the towns of Agios Stefanos (∼12 000 citizens) and Alexandroupolis (∼60 000 citizens), Greece. All pupils underwent anthropometric, motor and cardiovascular fitness assessments (Eurofit test battery). The body mass index (BMI) cut-off points adopted by the International Obesity Task Force were utilized for the assessment of overweight and obesity.

Results

59.4% of the participants had a normal BMI, 25.8% were overweight and 14.8% were obese, without significant differences between genders.

Discussions

In general, the higher BMI categories were strongly associated with inferior performances in all fitness tests, except flexibility. This graded relationship was consistent for both boys and girls, although the statistical relationship between BMI categories and fitness performance varied by gender.

Conclusions

In conclusion, the findings of the current study offer some support to the reported high prevalence of childhood obesity in Greece and suggest that overweight and obesity are limiting factors for fitness performance in primary schoolchildren. The present data suggest that interventions promoting children’s health should, ideally, begin early in life and involve measures that simultaneously improve fitness and lower fatness.
Literatur
1.
Zurück zum Zitat American College of Sports Medicine Position Stand (1998) The recommended quantity and quality of exercise for developing and maintaining cardiorespiratory and muscular fitness, and flexibility in healthy adults. Med Sci Sports Exerc 30:975–991 American College of Sports Medicine Position Stand (1998) The recommended quantity and quality of exercise for developing and maintaining cardiorespiratory and muscular fitness, and flexibility in healthy adults. Med Sci Sports Exerc 30:975–991
2.
Zurück zum Zitat Astrup A (1999) Macronutrient balances and obesity: the role of diet and physical activity. Public Health Nutr 2:341–347PubMed Astrup A (1999) Macronutrient balances and obesity: the role of diet and physical activity. Public Health Nutr 2:341–347PubMed
3.
Zurück zum Zitat Bailey DA (1973) Exercise, fitness and physical education for the growing child: a concern. Can J Public Health 64:421–430PubMed Bailey DA (1973) Exercise, fitness and physical education for the growing child: a concern. Can J Public Health 64:421–430PubMed
4.
Zurück zum Zitat Bellizzi MC, Dietz WH (1999) Workshop on childhood obesity: summary of the discussion. Am J Clin Nutr 70:173–175 Bellizzi MC, Dietz WH (1999) Workshop on childhood obesity: summary of the discussion. Am J Clin Nutr 70:173–175
5.
Zurück zum Zitat Bouchard C (1990) Discussion: Heredity, fitness and health. In: Bouchard C, Shepard RJ, Stephens T, Sutton JR, McPherson BD (eds) Exercise, fitness and health. Human Kinetics, Champaign, IL, pp 147–153 Bouchard C (1990) Discussion: Heredity, fitness and health. In: Bouchard C, Shepard RJ, Stephens T, Sutton JR, McPherson BD (eds) Exercise, fitness and health. Human Kinetics, Champaign, IL, pp 147–153
6.
Zurück zum Zitat Bouchard C, Dionne FT, Simoneau JA, Boulay MR (1992) Genetics of aerobic and anaerobic performances. In: Holloszy JO (ed) Exercise and sport sciences reviews. Williams and Wilkins, Baltimore, pp 27–58 Bouchard C, Dionne FT, Simoneau JA, Boulay MR (1992) Genetics of aerobic and anaerobic performances. In: Holloszy JO (ed) Exercise and sport sciences reviews. Williams and Wilkins, Baltimore, pp 27–58
7.
Zurück zum Zitat Bouchard C, Perusse L, Leblanc C, Tremblay A, Theriault G (1988) Inheritance of the amount and distribution of human body fat. Int J Obes 12:205–215PubMed Bouchard C, Perusse L, Leblanc C, Tremblay A, Theriault G (1988) Inheritance of the amount and distribution of human body fat. Int J Obes 12:205–215PubMed
8.
Zurück zum Zitat Bouziotas C, Koutedakis Y (2003) A three year study of coronary heart disease risk factors in Greek adolescents. Ped Exerc Sci 15:9–18 Bouziotas C, Koutedakis Y (2003) A three year study of coronary heart disease risk factors in Greek adolescents. Ped Exerc Sci 15:9–18
9.
Zurück zum Zitat Brewer J, Ramsbottom R, Williams C (1988) Multistage fitness test. A progressive shuttle run test for the prediction of maximum oxygen uptake. National Coaching Foundation, Leeds, UK Brewer J, Ramsbottom R, Williams C (1988) Multistage fitness test. A progressive shuttle run test for the prediction of maximum oxygen uptake. National Coaching Foundation, Leeds, UK
10.
Zurück zum Zitat Cole TJ, Bellizzi C, Flegal KM, Dietz WH (2000) Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ 320(7244):1240–1253PubMedCrossRef Cole TJ, Bellizzi C, Flegal KM, Dietz WH (2000) Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ 320(7244):1240–1253PubMedCrossRef
11.
Zurück zum Zitat Committee of Experts on Sports Research (1988) European test of physical fitness (EUROFIT). Edigraf Editoriale Grafica, Rome Committee of Experts on Sports Research (1988) European test of physical fitness (EUROFIT). Edigraf Editoriale Grafica, Rome
12.
Zurück zum Zitat Crawford PB, Story M, Wang MC, Ritchie LD, Sabry ZI (2001) Ethnic issues in the epidemiology of childhood obesity. Pediatr Clin North Am 48(4):855–878PubMedCrossRef Crawford PB, Story M, Wang MC, Ritchie LD, Sabry ZI (2001) Ethnic issues in the epidemiology of childhood obesity. Pediatr Clin North Am 48(4):855–878PubMedCrossRef
13.
Zurück zum Zitat De Vito E, La Torre G, Langianno E, Berardi D, Ricciardi G (1999) Overweight and obesity among secondary school children in Central Italy. Eur J Epidemiol 15(7):649–54PubMedCrossRef De Vito E, La Torre G, Langianno E, Berardi D, Ricciardi G (1999) Overweight and obesity among secondary school children in Central Italy. Eur J Epidemiol 15(7):649–54PubMedCrossRef
14.
Zurück zum Zitat Deforche B, Lefevre J, De Bourdeaudhuij I, Hills AP, Duquet W, Bouckaert J (2003) Physical fitness and physical activity in obese and nonobese Flemish youth. Obes Res 11(3):434–441PubMedCrossRef Deforche B, Lefevre J, De Bourdeaudhuij I, Hills AP, Duquet W, Bouckaert J (2003) Physical fitness and physical activity in obese and nonobese Flemish youth. Obes Res 11(3):434–441PubMedCrossRef
15.
Zurück zum Zitat Ekelund U, Poortvliet E, Nilsson A, Yngve A, Holmberg A, Sjostrom M (2001) Physical activity in relation to aerobic fitness and body fat in 14- to 15-year-old boys and girls. Eur J Appl Physiol 85(3–4):195–201PubMedCrossRef Ekelund U, Poortvliet E, Nilsson A, Yngve A, Holmberg A, Sjostrom M (2001) Physical activity in relation to aerobic fitness and body fat in 14- to 15-year-old boys and girls. Eur J Appl Physiol 85(3–4):195–201PubMedCrossRef
16.
Zurück zum Zitat Faude O, Nowacki PE, Urhausen A (2004) Vergleich ausgewaehlter (unblutiger) Testverfahren zur Bestimmung der kardiopulmonalen Ausdauer bei Schulkindern (Comparison of non-invasive tests to assess cardio-respiratory fitness in school children). Dtsch Z Sportmed 55(9):232–236 Faude O, Nowacki PE, Urhausen A (2004) Vergleich ausgewaehlter (unblutiger) Testverfahren zur Bestimmung der kardiopulmonalen Ausdauer bei Schulkindern (Comparison of non-invasive tests to assess cardio-respiratory fitness in school children). Dtsch Z Sportmed 55(9):232–236
17.
Zurück zum Zitat Frontini MG, Bao W, Elkasabany A, Srinivasan SR, Berenson G (2001) Comparison of weight-for-height indices as a measure of adiposity and cardiovascular risk from childhood to young adulthood: the Bogalusa heart study. J Clin Epidemiol 54:817–822PubMedCrossRef Frontini MG, Bao W, Elkasabany A, Srinivasan SR, Berenson G (2001) Comparison of weight-for-height indices as a measure of adiposity and cardiovascular risk from childhood to young adulthood: the Bogalusa heart study. J Clin Epidemiol 54:817–822PubMedCrossRef
19.
Zurück zum Zitat Grund A, Dilba B, Forberger K, Krause H, Siewers M, Rieckert H, Müller MJ (2000) Relationships between physical activity, physical fitness, muscle strength and nutritional state in 5- to 11-year-old children. Eur J Appl Physiol 82(5–6):425–438PubMedCrossRef Grund A, Dilba B, Forberger K, Krause H, Siewers M, Rieckert H, Müller MJ (2000) Relationships between physical activity, physical fitness, muscle strength and nutritional state in 5- to 11-year-old children. Eur J Appl Physiol 82(5–6):425–438PubMedCrossRef
20.
Zurück zum Zitat Huang YC, Malina RM (2002) Physical activity and health-related physical fitness in Taiwanese adolescents. J Physiol Anthropol Appl Human Sci 21(1):11–19PubMedCrossRef Huang YC, Malina RM (2002) Physical activity and health-related physical fitness in Taiwanese adolescents. J Physiol Anthropol Appl Human Sci 21(1):11–19PubMedCrossRef
21.
Zurück zum Zitat International Life Sciences Institute Europe - Overweight and Obesity in Children Task Force (2000) Report on overweight and obesity in European children and adolescents: causes and consequences - prevention and treatment. ILSI Press, Brussels International Life Sciences Institute Europe - Overweight and Obesity in Children Task Force (2000) Report on overweight and obesity in European children and adolescents: causes and consequences - prevention and treatment. ILSI Press, Brussels
22.
Zurück zum Zitat Johnson MS, Figueroa-Colon R, Herd SL, Fields DA, Sun M, Hunter GR, Goran MI (2000) Aerobic fitness, not energy expenditure, influences subsequent increase in adiposity in black and white children. Pediatrics 106(4):E50. http://www.pediatrics.org. Cited 23 May 2005 Johnson MS, Figueroa-Colon R, Herd SL, Fields DA, Sun M, Hunter GR, Goran MI (2000) Aerobic fitness, not energy expenditure, influences subsequent increase in adiposity in black and white children. Pediatrics 106(4):E50. http://​www.​pediatrics.​org. Cited 23 May 2005
23.
Zurück zum Zitat Karayiannis D, Yannakoulia M, Terzidou M, Sidossis LS, Kokkevi A (2003) Prevalence of overweight and obesity in Greek school-aged children and adolescents. Eur J Clin Nutr 57(9):1189–1192PubMedCrossRef Karayiannis D, Yannakoulia M, Terzidou M, Sidossis LS, Kokkevi A (2003) Prevalence of overweight and obesity in Greek school-aged children and adolescents. Eur J Clin Nutr 57(9):1189–1192PubMedCrossRef
24.
Zurück zum Zitat Katzmarzyk PT, Gagnon J, Leon AS, Skinner JS, Wilmore JH, Rao DC, Bouchard C (2001) Fitness, fatness, and estimated coronary heart disease risk: the HERITAGE family study. Med Sci Sports Exerc 33:585–590PubMedCrossRef Katzmarzyk PT, Gagnon J, Leon AS, Skinner JS, Wilmore JH, Rao DC, Bouchard C (2001) Fitness, fatness, and estimated coronary heart disease risk: the HERITAGE family study. Med Sci Sports Exerc 33:585–590PubMedCrossRef
25.
Zurück zum Zitat Katzmarzyk PT, Tremblay A, Perusse L, Despres JP, Bouchard C (2003) The utility of the international child and adolescent overweight guidelines for predicting coronary heart disease risk factors. J Clin Epidemiol 56(5):456–462PubMedCrossRef Katzmarzyk PT, Tremblay A, Perusse L, Despres JP, Bouchard C (2003) The utility of the international child and adolescent overweight guidelines for predicting coronary heart disease risk factors. J Clin Epidemiol 56(5):456–462PubMedCrossRef
26.
Zurück zum Zitat Klein M, Emrich E, Schwarz M, Papathanassiou V, Pitsch W, Kindermann W, Urhausen A (2004) Sportmotorische Leistungsfähigkeit von Kindern und Jugendlichen im Saarland - Ausgewählte Ergebnisse der IDEFIKS-Studie (Teil 2) [Sport-motoric performance capacity of children and adolescents in the Saarland - Selected results of the IDEFIKS-Study (Part 2)]. Dtsch Z Sportmed 55(9):211–220 Klein M, Emrich E, Schwarz M, Papathanassiou V, Pitsch W, Kindermann W, Urhausen A (2004) Sportmotorische Leistungsfähigkeit von Kindern und Jugendlichen im Saarland - Ausgewählte Ergebnisse der IDEFIKS-Studie (Teil 2) [Sport-motoric performance capacity of children and adolescents in the Saarland - Selected results of the IDEFIKS-Study (Part 2)]. Dtsch Z Sportmed 55(9):211–220
27.
Zurück zum Zitat Koutedakis Y, Bouziotas C, Flouris AD, Nelson PN (2005) Longitudinal modeling of adiposity in periadolescent Greek schoolchildren. Med Sci Sports Exerc 37(12):2070–2074PubMedCrossRef Koutedakis Y, Bouziotas C, Flouris AD, Nelson PN (2005) Longitudinal modeling of adiposity in periadolescent Greek schoolchildren. Med Sci Sports Exerc 37(12):2070–2074PubMedCrossRef
28.
Zurück zum Zitat Krassas GE, Tzotzas T, Tsametis C, Konstantinidis T (2001) Prevalence and trends in overweight and obesity among children and adolescents in Thessaloniki, Greece. J Pediatr Endocrinol Metab 14(Suppl 5):1319–1326PubMed Krassas GE, Tzotzas T, Tsametis C, Konstantinidis T (2001) Prevalence and trends in overweight and obesity among children and adolescents in Thessaloniki, Greece. J Pediatr Endocrinol Metab 14(Suppl 5):1319–1326PubMed
29.
Zurück zum Zitat Leger LA, Mercier D, Gaboury C, Lambert J (1988) The multistage 20-m shuttle run test for aerobic fitness. J Sports Sci 6(2):93–101PubMed Leger LA, Mercier D, Gaboury C, Lambert J (1988) The multistage 20-m shuttle run test for aerobic fitness. J Sports Sci 6(2):93–101PubMed
30.
Zurück zum Zitat Leung AK, Robson WL (1990) Childhood obesity. Postgrad Med 87:123–130PubMed Leung AK, Robson WL (1990) Childhood obesity. Postgrad Med 87:123–130PubMed
31.
Zurück zum Zitat Lindsay RS, Hanson RL, Roumain J, Ravussin E, Knowler WC, Tataranni PA (2001) Body mass index as a measure of adiposity in children and adolescents: relationship to adiposity by dual energy x-ray absorptiometry and to cardiovascular risk factors. J Clin Endocrinol Metab 86(9):4061–4067PubMedCrossRef Lindsay RS, Hanson RL, Roumain J, Ravussin E, Knowler WC, Tataranni PA (2001) Body mass index as a measure of adiposity in children and adolescents: relationship to adiposity by dual energy x-ray absorptiometry and to cardiovascular risk factors. J Clin Endocrinol Metab 86(9):4061–4067PubMedCrossRef
32.
Zurück zum Zitat Lissau I, Overpeck MD, Ruan WJ, Due P, Holstein BE, Hediger ML (2004) Body mass index and overweight in adolescents in 13 European countries, Israel, and the United States. Arch Pediatr Adolesc Med 158(1):27–33PubMedCrossRef Lissau I, Overpeck MD, Ruan WJ, Due P, Holstein BE, Hediger ML (2004) Body mass index and overweight in adolescents in 13 European countries, Israel, and the United States. Arch Pediatr Adolesc Med 158(1):27–33PubMedCrossRef
33.
Zurück zum Zitat Magkos F, Manios Y, Christakis G, Kafatos AG (2005) Secular trends in cardiovascular risk factors among school-aged boys from Crete, Greece, 1982–2002. Eur J Clin Nutr 59:1–7PubMedCrossRef Magkos F, Manios Y, Christakis G, Kafatos AG (2005) Secular trends in cardiovascular risk factors among school-aged boys from Crete, Greece, 1982–2002. Eur J Clin Nutr 59:1–7PubMedCrossRef
34.
Zurück zum Zitat Malina RM, Beunen GP, Classens AL, Lefevre J, Vanden Eynde BV, Renson R, Vanreusel B, Simons J (1995) Fatness and physical fitness of girls 7 to 17 years. Obes Res 3(3):221–231PubMed Malina RM, Beunen GP, Classens AL, Lefevre J, Vanden Eynde BV, Renson R, Vanreusel B, Simons J (1995) Fatness and physical fitness of girls 7 to 17 years. Obes Res 3(3):221–231PubMed
35.
Zurück zum Zitat Mamalakis G, Kafatos A, Manios Y, Anagnostopoulou T, Apostolaki I (2000) Obesity indices in a cohort of primary school children in Crete: a six year prospective study. Int J Obes Relat Metab Disord 24(6):765–771PubMedCrossRef Mamalakis G, Kafatos A, Manios Y, Anagnostopoulou T, Apostolaki I (2000) Obesity indices in a cohort of primary school children in Crete: a six year prospective study. Int J Obes Relat Metab Disord 24(6):765–771PubMedCrossRef
36.
Zurück zum Zitat Manios Y, Yiannakouris N, Papoutsakis C, Moschonis G, Magkos F, Skenderi K, Zampelas A (2004) Behavioral and physiological indices related to BMI in a cohort of primary schoolchildren in Greece. Am J Hum Biol 16(6):639–647PubMedCrossRef Manios Y, Yiannakouris N, Papoutsakis C, Moschonis G, Magkos F, Skenderi K, Zampelas A (2004) Behavioral and physiological indices related to BMI in a cohort of primary schoolchildren in Greece. Am J Hum Biol 16(6):639–647PubMedCrossRef
37.
Zurück zum Zitat McKenzie TL, Sallis JF, Broyles SL, Zive MM, Nader PR, Berry CC, Brennan JJ (2002) Childhood movement skills: predictors of physical activity in Anglo-American and Mexican American adolescents? Res Q Exerc Sport 73(3):238–244PubMed McKenzie TL, Sallis JF, Broyles SL, Zive MM, Nader PR, Berry CC, Brennan JJ (2002) Childhood movement skills: predictors of physical activity in Anglo-American and Mexican American adolescents? Res Q Exerc Sport 73(3):238–244PubMed
38.
Zurück zum Zitat Padez C, Fernandes T, Mourao I, Moreira P, Rosado V (2004) Prevalence of overweight and obesity in 7-9-year-old Portuguese children: trends in body mass index from 1970–2002. Am J Hum Biol 16(6):670–678PubMedCrossRef Padez C, Fernandes T, Mourao I, Moreira P, Rosado V (2004) Prevalence of overweight and obesity in 7-9-year-old Portuguese children: trends in body mass index from 1970–2002. Am J Hum Biol 16(6):670–678PubMedCrossRef
39.
Zurück zum Zitat Pongprapai S, Mosuwan L, Leelasamran W (1994) Physical fitness of obese school children in Hat Yai, southern Thailand. Southeast Asian J Trop Med Public Health 25(2):354–360PubMed Pongprapai S, Mosuwan L, Leelasamran W (1994) Physical fitness of obese school children in Hat Yai, southern Thailand. Southeast Asian J Trop Med Public Health 25(2):354–360PubMed
40.
Zurück zum Zitat Reeves L, Broeder CE, Kennedy-Honeycutt L, East C, Matney L (1999) Relationship of fitness and gross motor skills for five- to six-yr.-old children. Percept Mot Skills 89:739–747PubMed Reeves L, Broeder CE, Kennedy-Honeycutt L, East C, Matney L (1999) Relationship of fitness and gross motor skills for five- to six-yr.-old children. Percept Mot Skills 89:739–747PubMed
41.
Zurück zum Zitat Rocandio AM, Ansotegui L, Arroyo M (2001) Comparison of dietary intake among overweight and non-overweight schoolchildren. Int J Obes Relat Metab Disord 25:1651–1655PubMedCrossRef Rocandio AM, Ansotegui L, Arroyo M (2001) Comparison of dietary intake among overweight and non-overweight schoolchildren. Int J Obes Relat Metab Disord 25:1651–1655PubMedCrossRef
42.
Zurück zum Zitat Salbe AD, Weyer C, Harper I, Lindsay RS, Ravussin E, Tataranni PA (2002) Assessing risk factors for obesity between childhood and adolescence: II. Energy metabolism and physical activity. Pediatrics 110(2):307–314PubMedCrossRef Salbe AD, Weyer C, Harper I, Lindsay RS, Ravussin E, Tataranni PA (2002) Assessing risk factors for obesity between childhood and adolescence: II. Energy metabolism and physical activity. Pediatrics 110(2):307–314PubMedCrossRef
43.
Zurück zum Zitat Stubbs CO, Lee AJ (2004) The obesity epidemic: both energy intake and physical activity contribute. MJA 181(9):489–491PubMed Stubbs CO, Lee AJ (2004) The obesity epidemic: both energy intake and physical activity contribute. MJA 181(9):489–491PubMed
44.
Zurück zum Zitat Stunkard AJ, Berkowitz RI, Schoeller D, Maislin G, StallinIgs VA (2004) Predictors of body size in the first 2 y of life: a high-risk study of human obesity. Int J Obes Relat Metab Disord 28(4):503–513PubMedCrossRef Stunkard AJ, Berkowitz RI, Schoeller D, Maislin G, StallinIgs VA (2004) Predictors of body size in the first 2 y of life: a high-risk study of human obesity. Int J Obes Relat Metab Disord 28(4):503–513PubMedCrossRef
45.
Zurück zum Zitat Sur H, Kolotourou M, Dimitriou M, Kocaoglu B, Keskin Y, Hayran O, Manios Y (2005) Biochemical and behavioral indices related to BMI in schoolchildren in urban Turkey. Prev Med 41(2):614–621PubMedCrossRef Sur H, Kolotourou M, Dimitriou M, Kocaoglu B, Keskin Y, Hayran O, Manios Y (2005) Biochemical and behavioral indices related to BMI in schoolchildren in urban Turkey. Prev Med 41(2):614–621PubMedCrossRef
46.
Zurück zum Zitat Togashi K, Masuda H, Rankinen T, Tanaka S, Bouchard C, Kamiya H (2002) A 12-year follow-up study of treated obese children in Japan. Int J Obes Relat Metab Disord 26(6):770–777PubMedCrossRef Togashi K, Masuda H, Rankinen T, Tanaka S, Bouchard C, Kamiya H (2002) A 12-year follow-up study of treated obese children in Japan. Int J Obes Relat Metab Disord 26(6):770–777PubMedCrossRef
47.
Zurück zum Zitat Valerio G, Scalfi L, De Martino C, Franzese A, Tenore A, Contaldo F (2003) Comparison between different methods to assess the prevalence of obesity in a sample of Italian children. J Pediatr Endocrinol Metab 16(2):211–216PubMed Valerio G, Scalfi L, De Martino C, Franzese A, Tenore A, Contaldo F (2003) Comparison between different methods to assess the prevalence of obesity in a sample of Italian children. J Pediatr Endocrinol Metab 16(2):211–216PubMed
48.
Zurück zum Zitat Wabitsch M (2000) Overweight and obesity in European children: definition and diagnostic procedures, risk factors and consequences for later health outcome. Eur J Pediatr 159:8–13CrossRef Wabitsch M (2000) Overweight and obesity in European children: definition and diagnostic procedures, risk factors and consequences for later health outcome. Eur J Pediatr 159:8–13CrossRef
49.
Zurück zum Zitat Wang Y, Lobstein T (2006) Worldwide trends in childhood overweight and obesity. Int J Pediatr Obes 1:11–25PubMed Wang Y, Lobstein T (2006) Worldwide trends in childhood overweight and obesity. Int J Pediatr Obes 1:11–25PubMed
50.
Zurück zum Zitat Zellner K, Jaeger U, Kromeyer-Hauschild K (2004) Height, weight and BMI of schoolchildren in Jena, Germany-are the secular changes leveling off? Econ Hum Biol 2:281–294PubMedCrossRef Zellner K, Jaeger U, Kromeyer-Hauschild K (2004) Height, weight and BMI of schoolchildren in Jena, Germany-are the secular changes leveling off? Econ Hum Biol 2:281–294PubMedCrossRef
Metadaten
Titel
Fitness levels of Greek primary schoolchildren in relationship to overweight and obesity
verfasst von
Savvas P. Tokmakidis
Athanasios Kasambalis
Antonios D. Christodoulos
Publikationsdatum
01.12.2006
Verlag
Springer-Verlag
Erschienen in
European Journal of Pediatrics / Ausgabe 12/2006
Print ISSN: 0340-6199
Elektronische ISSN: 1432-1076
DOI
https://doi.org/10.1007/s00431-006-0176-2

Weitere Artikel der Ausgabe 12/2006

European Journal of Pediatrics 12/2006 Zur Ausgabe

Update Pädiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.