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Erol Vrevic1

1Faculty for Sport and Physical Education, University of Montenegro, Niksic, 81400, Montenegro

Differences in obesity status among adolescents living in urban and rural areas of the municipality of Pljevlja

J. Anthr. Sport Phys. Educ. 2023, 7(3), 9-12 | DOI: 10.26773/jaspe.230702


Overweight and obesity are one of the biggest challenges today, and they can vary by the type of settlement in which adolescents live. The aim of this study is to assess the general state and differences in obesity status among adolescents by type of settlement. This research included 139 respondents of both genders from urban and rural areas of the municipality of Pljevlja, with an average age of 15.6±0.6. Body Mass Index (BMI), Waist to Height Ratio (WHtR), and body fat (BF) were used to assess obesity status. To assess the difference by type of settlement, the Chisquare test was used with a statistical significance of p≤0.05, and data processing was performed in the statistical program SPSS version 23. According to BMI values, 23.3% of male adolescents were overweight, and 12.3% were obese, while 7.6% of female adolescents were overweight and 3% are obese. By WHtR values, 24.7% of male and 9.1% of female adolescents belonged to the obese group. According to the BF values, female adolescents from rural areas were significantly more overweight than their peers from urban areas (p=0.025), while no differences were found in other variables. When it comes to male adolescents, no differences were found in any variables. The problem of overweight and obesity should be considered in future research, especially in male adolescents.


adolescents, obesity, urban, rural, Pljevlja

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Aberle, N., Blekić, M., Ivanis, A., & Pavlović, I. (2009). The comparison of anthropometrical parameters of the four-year-old children in the urban and rural Slavonia, Croatia, 1985 and 2005. Collegium antropologicum, 33(2), 347–351.

Ashwell, M., Gunn, P., & Gibson, S. (2012). Waist-to-height ratio is a better screening tool than waist circumference and BMI for adult cardiometabolic risk factors: systematic review and meta-analysis. Obesity Reviews, 13, 275–286.

Bacovic, D. (2020). Analysis of obesity and differences in nutritional status of school children in central and southern region of montenegro. Journal of Anthropology of Sport and Physical Education, 4(1), 47-50. https://doi.org/10.26773/jaspe.200108

Berkman, L.F., Kawachi, I., & Glymoru, M.M., 2000. Social Epidemiology. New York: Oxford University Press

Biehl, A., Hovengen, R., Grøholt, E. K., Hjelmesæth, J., Strand, B. H., & Meyer, H. E. (2013). Adiposity among children in Norway by urbanity and maternal education: a nationally representative study. BMC public health, 13, 842. https://doi.org/10.1186/1471-2458-13-842

Davis, A. M., Bennett, K. J., Befort, C., & Nollen, N. (2011). Obesity and related health behaviors among urban and rural children in the United States: data from the National Health And Nutrition Examination Survey 2003-2004 and 2005-2006. Journal of pediatric psychology, 36(6), 669–676. https://doi.org/10.1093/jpepsy/jsq117

Etchison, W. C., Bloodgood, E. A., Minton, C. P., Thompson, N. J., Collins, M. A., Hunter, S. C., & Dai, H. (2011). Body mass index and percentage of body fat as indicators for obesity in an adolescent athletic population. Sports health, 3(3), 249–252. https://doi.org/10.1177/1941738111404655

Health at a Glance: Europe 2020. (2020). In Health at a Glance: Europe. OECD. https://doi.org/10.1787/82129230-en

Jain, S., Pant, B., Chopra, H., & Tiwari, R. (2010). Obesity among adolescents of affluent public schools in Meerut. Indian journal of public health, 54(3), 158–160. https://doi.org/10.4103/0019-557X.75740

Joens-Matre, R. R., Welk, G. J., Calabro, M. A., Russell, D. W., Nicklay, E., & Hensley, L. D. (2008). Rural-urban differences in physical activity, physical fitness, and overweight prevalence of children. The Journal of rural health: official journal of the American Rural Health Association and the National Rural Health Care Association, 24(1), 49–54. https://doi.org/10.1111/j.1748-0361.2008.00136.x

Larsen, P.G., Wang, H., Popkin, B.M. (2014). Overweight dynamics in Chinese children and adults. Obesity, 15(1), 37-48. https://doi.org/10.1111/obr.12121

Malovic, P. (2019). Anthropometric indices as indicators of obesity of children from elementary school in montenegro. Journal of Anthropology of Sport and Physical Education, 3(2), 43-47. https://doi.org/10.26773/jaspe.190408

Marfell-Jones, M., Olds, T., Stew, A.D., & Carter, J.E.L. (2006). International standards for anthropometric assessment. Potchefstroom: International Society for the Advancement of Kinanthropometry.

Matsushita, Y., Yoshiike, N., Kaneda, F., Yoshita, K., & Takimoto, H. (2004). Trends in Childhood Obesity in Japan over the Last 25 Years from the National Nutrition Survey. Obesity, 12(2), 205-214

McCarthy, H.D., Cole, T.J., Fry, T., Jebb, S.A., & Prentice, A.M. (2006). Body fat reference curves for children. International Journal of Obesity, 30, 598–602. https://doi.org/10.1038/sj.ijo.0803232;

Milasinovic, R., Bojanic, D., Cvorovic, A., & Kukic, F. (2019). Age and gender differences in nutritional status of school children according to who, cdc and iotf references: a statewide study from montenegro. Sport Mont, 17(1), 15-21. https://doi.org/10.26773/smj.190203

Mohan, B., Verma, A., Singh, K., Singh, K., Sharma, S., Bansal, R., Tandon, R., Goyal, A., Singh, B., Chhabra, S. T., Aslam, N., Wander, G. S., Roy, A., & Prabhakaran, D. (2019). Prevalence of sustained hypertension and obesity among urban and rural adolescents: a school-based, cross-sectional study in North India. BMJ open, 9(9), e027134. https://doi.org/10.1136/bmjopen-2018-027134

Monstat (2011). Stanovništvo Crne Gore prema polu, tipu naselja, nacionalnoj, odnosno etničkoj pripadnosti, vjeroispovijesti i maternjem jeziku po opštinama u Crnoj Gori. Podgorica: Zavod za statistiku.

Ng, M., Fleming, T., Robinson, M., Thomson, B., Graetz, N., Margono, C., Mullany, E. C., Biryukov, S., Abbafati, C., Abera, S. F., Abraham, J. P., Abu-Rmeileh, N. M., Achoki, T., AlBuhairan, F. S., Alemu, Z. A., Alfonso, R., Ali, M. K., Ali, R., Guzman, N. A., Ammar, W., … Gakidou, E. (2014). Global, regional, and national prevalence of overweight and obesity in children and adults during 1980-2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet (London, England), 384(9945), 766–781. https://doi.org/10.1016/S0140-6736(14)60460-8

Radojičić, B. (2015). Crna Gora geografski enciklopedijski leksikon. Nikšić: Filozofski Fakultet.

Skelton, J. A., Cook, S. R., Auinger, P., Klein, J. D., & Barlow, S. E. (2009). Prevalence and Trends of Severe Obesity Among US Children and Adolescents. Academic Pediatrics, 9(5), 322–329. https://doi.org/10.1016/j.acap.2009.04.005

Slaughter, M. H., Lohman, T. G., Boileau, R. A., Horswill, C. A., Stillman, R. J., Van Loan, M. D., & Bemben, D. A. (1988). Skinfold equations for estimation of body fatness in children and youth. Human biology, 60(5), 709–723.

Sun, Y., Xing, Y., Liu, J., Zhang, X., Liu, J., Wang, Z., Bi, J., Ping, X., Shen, Q., Zhao, Z., & Xu, J. (2020). Five-year change in body mass index category of childhood and the establishment of an obesity prediction model. Scientific reports, 10(1), 10309. https://doi.org/10.1038/s41598-020-67366-y

Vrevic, E., Malovic, P., Bacovic, D., Bojanic, D., & Bajramovic, I. (2021). Nutritional Status of Second-Grade and Third-Grade Students of Elementary Schools in Herceg Novi. Homo Sporticus, 23(2).

Wafa, S. W., & Ghazalli, R. (2020). Association between the school environment and children's body mass index in Terengganu: A cross sectional study. PloS one, 15(4), e0232000. https://doi.org/10.1371/journal.pone.0232000).

World Health Organization (1995). Physical status: the use and interpretation of anthropometry. Report of a WHO Expert Committee. World Health Organ Tech Rep Ser. Geneva.

World Health Organization. (2017). Global Accelerated Action for the Health of Adolescents (AA-HA!): guidance to support country implementation. Geneva: World Health Organization.