Browsing by Author "Akhmedova, Dilorom"
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- Impact of the COVID-19 pandemic on the eating habits, physical activity and sedentary behaviours of school-aged children in 13 countries within the WHO European Region: “COSI COVID” Study, 2020-2022Publication . Rito, Ana; Buoncristiano, Marta; Mendes, Sofia; Figueira, Ines; Abdrakhmanova, Shynar; Akhmedova, Dilorom; Ciardullo, Silvia; Fijałkowska, Anna; Gualtieri, Andrea; Huidumac‐Petrescu, Constanta; Kakutia, Natia; Kujundžić, Enisa; Musić-Milanović, Sanja; Seyidov, Nabil; Tabona, Lorraine; Tichá, Ľubica; Heinen, Mirjam M.; Whiting, Steve; Williams, Julianne; Rakovac, Ivo; Wickramasinghe, KremlinIntroduction: In 2020, the world population was hit by a global pandemic caused by a new coronavirus (SARS-Cov2), with rapid human-to-human transmission. To limit the spread of the virus and minimize its impact, governments around the world implemented containment measures, leading to many changes in the lifestyle of millions of people. Although children and adolescents were, generally, at low risk of infection and less affected by mortality1, this unprecedented situation led to significant impacts in their daily routines/habits and had a profound effect on their health and well-being2-3. We aimed to understand the impact of the COVID-19 pandemic on the daily routine and behaviours of school aged children, within the WHO/COSI European study. Methods: 13 COSI countries participated in the study: Azerbaijan, Croatia, Georgia, Italy, Kazakhstan, Malta, Montenegro, Poland, Portugal, Romania, San Marino, Slovakia and Uzbekistan. Countries could decide to implement the study together with the 6th round of COSI/WHO Europe in the 2021/2021 school year. A common methodological protocol was designed for this study. Information on children’s behaviors regarding eating habits and physical activity/inactivity before and during the COVID-19 confinement periods, was collected through the “Family COSI-COVID Form” with 12 questions. This form was completed on a voluntary basis by the parents/care givers of participating children. Results: This study included 42 731 children (6-10 years old). Preliminary results suggested that sweets and savory snacks increased during the pandemic in comparison to pre-pandemic period (15.7% and 13,2%, respectively). As for children’s sedentary behaviours, 36.7% of the children increased their time spent watching TV, playing video/computer games, or using social media for non-educational purposes on weekdays and 34.4% on weekends, during the pandemic period. In addition, the time spent learning at home also increased (35.5%). Regarding physical activity, the opposite was reported, showing a decrease in the time children spent being active outside school hours, both on weekdays (26.6%) and weekends (22.0%). Conclusion: These preliminary results are important to better understand the impact of COVID-19 on children’s lifestyles behaviours. These findings may be useful for future public health interventions as countries recover from the pandemic and take measures to address childhood obesity.
- Methodology and implementation of the WHO European Childhood Obesity Surveillance Initiative (COSI)Publication . Breda, João; McColl, Karen; Buoncristiano, Marta; Williams, Julianne; Abdrakhmanova, Shynar; Abdurrahmonova, Zulfiya; Ahrens, Wolfgang; Akhmedova, Dilorom; Bakacs, Márta; Boer, Jolanda M.A.; Boymatova, Khadichamo; Brinduse, Lacramioara Aurelia; Cucu, Alexandra; Duleva, Vesselka; Endevelt, Ronit; Sant'Angelo, Victoria Farrugia; Fijałkowska, Anna; Hadžiomeragić, Aida Filipović; García‐Solano, Marta; Grøholt, Else Karin; Gualtieri, Andrea; Hassapidou, Maria; Hejgaard, Tatjana; Hyska, Jolanda; Kelleher, Cecily C.; Kujundžić, Enisa; Mäki, Päivi; Markidou Ioannidou, Eliza; Melkumova, Marina; Moyersoen, Isabelle; Milanović, Sanja Musić; Nurk, Eha; Ostojic, Sergej M.; Peterkova, Valentina; Petrauskienė, Aušra; Pudule, Iveta; Rito, Ana Isabel; Russell Jonsson, Kenisha; Rutter, Harry; Salanave, Benoît; Seyidov, Nabil; Shengelia, Lela; Silitrari, Natalia; Spinelli, Angela; Spiroski, Igor; Starc, Gregor; Stojisavljević, Dragana; Tanrygulyyeva, Maya; Tichá, Ľubica; Usupova, Zhamilya; Weghuber, Daniel; Yardim, Nazan; Zamrazilová, Hana; Zbanatskyi, Vladyslav; Branca, Francesco; Weber, Martin; Rakovac, IvoEstablishment of the WHO European Childhood Obesity Surveillance Initiative (COSI)has resulted in a surveillance system which provides regular, reliable, timely, andaccurate data on children's weight status—through standardized measurement ofbodyweight and height—in the WHO European Region. Additional data on dietaryintake, physical activity, sedentary behavior, family background, and schoolenvironments are collected in several countries. In total, 45 countries in the EuropeanRegion have participated in COSI. The first five data collection rounds, between 2007and 2021, yielded measured anthropometric data on over 1.3 million children. In COSI,data are collected according to a common protocol, using standardized instrumentsand procedures. The systematic collection and analysis of these data enables inter-country comparisons and reveals differences in the prevalence of childhood thinness,overweight, normal weight, and obesity between and within populations. Furthermore,it facilitates investigation of the relationship between overweight, obesity, and poten-tial risk or protective factors and improves the understanding of the development ofoverweight and obesity in European primary-school children in order to supportappropriate and effective policy responses.
- Parental Perceptions of Children’s Weight Status in 22 Countries: The WHO European Childhood Obesity Surveillance Initiative: COSI 2015/2017Publication . Ramos Salas, Ximena; Buoncristiano, Marta; Williams, Julianne; Kebbe, Maryam; Spinelli, Angela; Nardone, Paola; Rito, Ana; Duleva, Vesselka; Musić Milanović, Sanja; Kunesova, Marie; Braunerová, Radka Taxová; Hejgaard, Tatjana; Rasmussen, Mette; Shengelia, Lela; Abdrakhmanova, Shynar; Abildina, Akbota; Usuopva, Zhamyila; Hyska, Jolanda; Burazeri, Genc; Petrauskiene, Aušra; Pudule, Iveta; Sant’Angelo, Victoria Farrugia; Kujundzic, Enisa; Fijałkowska, Anna; Cucu, Alexandra; Brinduse, Lacramioara Aurelia; Peterkova, Valentina; Bogova, Elena; Gualtieri, Andrea; Solano, Marta García; Gutiérrez-González, Enrique; Rakhmatullaeva, Sanavbar; Tanrygulyyeva, Maya; Yardim, Nazan; Weghuber, Daniel; Mäki, Päivi; Russell Jonsson, Kenisha; Starc, Gregor; Juliusson, Petur Benedikt; Heinen, Mirjam M.; Kelleher, Cecily; Ostojic, Sergej; Popovic, Stevo; Kovacs, Viktoria Anna; Akhmedova, Dilorom; Farpour-Lambert, Nathalie J.; Rutter, Harry; Li, Bai; Boymatova, Khadichamo; Rakovac, Ivo; Wickramasinghe, Kremlin; Breda, JoãoIntroduction: Parents can act as important agents of change and support for healthy childhood growth and development. Studies have found that parents may not be able to accurately perceive their child’s weight status. The purpose of this study was to measure parental perceptions of their child’s weight status and to identify predictors of potential parental misperceptions. Methods: We used data from the World Health Organization (WHO) European Childhood Obesity Surveillance Initiative and 22 countries. Parents were asked to identify their perceptions of their children’s weight status as “underweight,” “normal weight,” “a little overweight,” or “extremely overweight.” We categorized children’s (6–9 years; n = 124,296) body mass index (BMI) as BMI-for-age Z-scores based on the 2007 WHO-recommended growth references. For each country included in the analysis and pooled estimates (country level), we calculated the distribution of children according to the WHO weight status classification, distribution by parental perception of child’s weight status, percentages of accurate, overestimating, or underestimating perceptions, misclassification levels, and predictors of parental misperceptions using a multilevel logistic regression analysis that included only children with overweight (including obesity). Statistical analyses were performed using Stata version 15 1. Results: Overall, 64.1% of parents categorized their child’s weight status accurately relative to the WHO growth charts. However, parents were more likely to underestimate their child’s weight if the child had overweight (82.3%) or obesity (93.8%). Parents were more likely to underestimate their child’s weight if the child was male (adjusted OR [adjOR]: 1.41; 95% confidence intervals [CI]: 1.28–1.55); the parent had a lower educational level (adjOR: 1.41; 95% CI: 1.26–1.57); the father was asked rather than the mother (adjOR: 1.14; 95% CI: 0.98–1.33); and the family lived in a rural area (adjOR: 1.10; 95% CI: 0.99–1.24). Overall, parents’ BMI was not strongly associated with the underestimation of children’s weight status, but there was a stronger association in some countries. Discussion/Conclusion: Our study supplements the current literature on factors that influence parental perceptions of their child’s weight status. Public health interventions aimed at promoting healthy childhood growth and development should consider parents’ knowledge and perceptions, as well as the sociocultural contexts in which children and families live.