Browsing by Author "Hassapidou, Maria"
Now showing 1 - 8 of 8
Results Per Page
Sort Options
- Childhood overweight and obesity in Europe: Changes from 2007 to 2017Publication . Buoncristiano, Marta; Spinelli, Angela; Williams, Julianne; Nardone, Paola; Rito, Ana Isabel; García‐Solano, Marta; Grøholt, Else Karin; Gutiérrez‐González, Enrique; Klepp, Knut Inge; Starc, Gregor; Petrauskienė, Aušra; Kunešová, Marie; Hassapidou, Maria; Pérez‐Farinós, Napoleón; Pudule, Iveta; Kelleher, Cecily C.; Duleva, Vesselka; Rakovac, Ivo; Chatterjee, Saion; Breda, JoãoThe Childhood Obesity Surveillance Initiative (COSI) routinely measures height andweight of primary school children aged 6–9 years and calculates overweight andobesity prevalence within the World Health Organization (WHO) European Regionusing a standard methodology. This study examines the trends in the prevalence ofoverweight and obesity from the first round of COSI carried out in 2007/2008 to thelatest of 2015/2017 in 11 European countries in which data were collected for atleast three rounds. In total 303,155 children were measured. In general, the preva-lence of overweight and obesity among boys and girls decreased in countries withhigh prevalence (Southern Europe) and remained stable or slightly increased in North-ern European and Eastern European countries included in the analysis. Among boys, the highest decrease in overweight (including obesity) was observed in Portugal (from40.5% in 2007/2008 to 28.4 in 2015/2017) and in Greece for obesity (from 30.5% in2009/2010 to 21.7% in 2015/2017). Lithuania recorded the strongest increase in theproportion of boys with overweight (from 24.8% to 28.5%) and obesity (from 9.4% to12.2%). The trends were similar for boys and girls in most countries. Several countriesin Europe have successfully implemented policies and interventions to counteract theincrease of overweight and obesity, but there is still much to be done.
- EASO and EFAD Position Statement on Medical Nutrition Therapy for the Management of Overweight and Obesity in Children and AdolescentsPublication . Hassapidou, Maria; Duncanson, Kerith; Shrewsbury, Vanessa; Ells, Louisa; Mulrooney, Hilda; Androutsos, Odysseas; Vlassopoulos, Antonis; Rito, Ana; Farpourt, Nathalie; Brown, Tamara; Douglas, Pauline; Ramos Sallas, Ximena; Woodward, Euan; Collins, ClareIntroduction: This position statement on medical nutrition therapy in the management of overweight or obesity in children and adolescents was prepared by an expert committee convened by the European Association for the Study of Obesity (EASO) and developed in collaboration with the European Federation of the Associations of Dietitians (EFAD). Methods: It is based on the best evidence available from systematic reviews of randomized controlled trials on child and adolescent overweight and obesity treatment and other relevant peer-reviewed literature. Results: Multicomponent behavioural interventions are generally considered to be the gold standard treatment for children and adolescents living with obesity. The evidence presented in this position statement confirms that dietary interventions can effectively improve adiposity-related outcomes. Dietary strategies should focus on the reduction of total energy intake through promotion of food-based guidelines that target modification of usual eating patterns and behaviours. These should target increasing intakes of nutrient-rich foods with a lower energy density, specifically vegetables and fruits, and a reduction in intakes of energy-dense nutrient-poor foods and beverages. In addition, higher intensity, longer duration treatments, delivered by interventionists with specialized dietetic-related skills and co-designed with families, are associated with greater treatment effects. Discussion: Such interventions should be resourced adequately so that they can be implemented in a range of settings and in different formats, including digital or online delivery, to enhance accessibilit
- 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.
- Physical Activity, Screen Time, and Sleep Duration of Children Aged 6-9 Years in 25 Countries: An Analysis within the WHO European Childhood Obesity Surveillance Initiative (COSI) 2015–2017Publication . Whiting, Stephen; Buoncristiano, Marta; Gelius, Peter; Abu-Omar, Karim; Pattison, Mary; Hyska, Jolanda; Duleva, Vesselka; Musić Milanović, Sanja; Zamrazilová, Hana; Hejgaard, Tatjana; Rasmussen, Mette; Nurk, Eha; Shengelia, Lela; Kelleher, Cecily C.; Heinen, Mirjam M.; Spinelli, Angela; Nardone, Paola; Abildina, Akbota; Abdrakhmanova, Shynar; Aitmurzaeva, Gulmira; Usuopva, Zhamyila; Pudule, Iveta; Petrauskiene, Aušra; Sant’Angelo, Victoria Farrugia; Kujundzic, Enisa; Popovic, Stevo; Fismen, Anne-Siri; Bergh, Ingunn Holden; Fijalkowska, Anna; Rito, Ana Isabel; Cucu, Alexandra; Brinduse, Lacramioara Aurelia; Peterkova, Valentina; Gualtieri, Andrea; García-Solano, Marta; Gutiérrez-González, Enrique; Abdurrahmonova, Zulfinissio; Boymatova, Khadichamo; Yardim, Nazan; Tanrygulyyeva, Maya; Weghuber, Daniel; Schindler, Karin; Stojisavljević, Dragana; Filipović Hadžiomeragić, Aida; Markidou Ionnaidu, Eliza; Ahrens, Wolfgang; Hassapidou, Maria; Kovacs, Viktoria Anna; Ostojic, Sergej M.; Ticha, Lubica; Starc, Gregor; Russell Jonsson, Kenisha; Spiroski, Igor; Rutter, Harry; Mendes, Romeu; Williams, Julianne; Rakovac, Ivo; Breda, JoãoBackground: Children are becoming less physically active as opportunities for safe active play, recreational activities, and active transport decrease. At the same time, sedentary screen-based activities both during school and leisure time are increasing. Objectives: This study aimed to evaluate physical activity (PA), screen time, and sleep duration of girls and boys aged 6-9 years in Europe using data from the WHO European Childhood Obesity Surveillance Initiative (COSI). Method: The fourth COSI data collection round was conducted in 2015-2017, using a standardized protocol that included a family form completed by parents with specific questions about their children's PA, screen time, and sleep duration. Results: Nationally representative data from 25 countries was included and information on the PA behaviour, screen time, and sleep duration of 150,651 children was analysed. Pooled analysis showed that: 79.4% were actively playing for >1 h each day, 53.9% were not members of a sport or dancing club, 50.0% walked or cycled to school each day, 60.2% engaged in screen time for <2 h/day, and 84.9% slept for 9-11 h/night. Country-specific analyses of these behaviours showed pronounced differences, with national prevalences in the range of 61.7-98.3% actively playing for >1 h/day, 8.2-85.6% were not members of a sport or dancing club, 17.7-94.0% walked or cycled to school each day, 32.3-80.0% engaged in screen time for <2 h/day, and 50.0-95.8% slept for 9-11 h/night. Conclusions: The prevalence of engagement in PA and the achievement of healthy screen time and sleep duration are heterogenous across the region. Policymakers and other stakeholders, including school administrators and parents, should increase opportunities for young people to participate in daily PA as well as explore solutions to address excessive screen time and short sleep duration to improve the overall physical and mental health and well-being of children.
- Prevalence of Childhood Obesity and Overweight in Portugal and Greece COSI 2010Publication . Rito, Ana; Hassapidou, MariaIntroduction: WHO/Europe Childhood Obesity Surveillance Initiative (COSI) is an ongoing, systematic process of collection, analysis, interpretation and dissemination of descriptive information for monitoring excess body weight in the WHO European Region. The system aims to measure trends in overweight and obesity in children aged 6-8 year-olds, every two years. Here we are presenting and comparing the results of the second COSI round (2010), for schoolchildren age 7 years for two countries of Southern Europe: Portugal and Greece. Methods:4020 children(910 age 7 years) from 172 schools participated in the study in Portugal and 5701(1293 age 7 years) from 150 schools in Greece(national representative samples). Height and weight were directly measured by trained fieldworkers. Overweight (including obesity) and obesity prevalence were calculated using the international body mass index cut-offs according to WHO criteria. Dietary and exercise patterns were assessed through school and family questionnaires. Results: Prevalence of overweight (including obesity) in children age 7 years was 31,5% in boys and 36,2% in girls( according to WHO definition) in Portugal and 48,9% in boys and 44,8% in girls in Greece. In both countries dietary and exercise patterns were found very similar with children presenting poor food habits, low level of physical activity and high level of sedentary habits. Conclusion: Portugal and Greece are two of the countries with higher prevalence of overweight and obesity across Europe. This has been consistently higher in Southern European countries which also share several similarities on dietary patterns and physical activity levels among primary school children, suggesting that active implementation of policies or interventions to counteract overweight and obesity are needed.
- Prevalence of Severe Obesity among Primary School Children in 21 European CountriesPublication . Spinelli, Angela; Buoncristiano, Marta; Kovacs, Viktoria Anna; Yngve, Agneta; Spiroski, Igor; Obreja, Galina; Starc, Gregor; Pérez, Napoleón; Rito, Ana Isabel; Kunešová, Marie; Sant'Angelo, Victoria Farrugia; Meisfjord, Jørgen; Bergh, Ingunn Holden; Kelleher, Cecily; Yardim, Nazan; Pudule, Iveta; Petrauskiene, Ausra; Duleva, Vesselka; Sjöberg, Agneta; Gualtieri, Andrea; Hassapidou, Maria; Hyska, Jolanda; Burazeri, Genc; Petrescu, Constanta Huidumac; Heinen, Mirjam; Takacs, Hajnalka; Zamrazilová, Hana; Bosi, Tulay Bagci; Sacchini, Elena; Pagkalos, Ioannis; Cucu, Alexandra; Nardone, Paola; Gately, Paul; Williams, Julianne; Breda, JoãoThe World Health Organization (WHO) European Childhood Obesity Surveillance Initiative (COSI) was established more than 10 years ago to estimate prevalence and monitor changes in overweight and obesity in children aged 6-9 years. Since then, there have been five rounds of data collection in more than 40 countries involving more than half a million children. To date, no comparative studies with data on severe childhood obesity from European countries have been published.
- Thinness, overweight, and obesity in 6‐ to 9‐year‐old children from 36 countries: The World Health Organization European Childhood Obesity Surveillance Initiative - COSI 2015-2017Publication . Spinelli, Angela; Buoncristiano, Marta; Nardone, Paola; Starc, Gregor; Hejgaard, Tatjana; Júlíusson, Petur Benedikt; Fismen, Anne‐Siri; Weghuber, Daniel; Musić Milanović, Sanja; García‐Solano, Marta; Rutter, Harry; Rakovac, Ivo; Cucu, Alexandra; Brinduse, Lacramioara Aurelia; Rito, Ana Isabel; Kovacs, Viktoria Anna; Heinen, Mirjam M.; Nurk, Eha; Mäki, Päivi; Abdrakhmanova, Shynar; Rakhmatulleoeva, Sanavbar; Duleva, Vesselka; Farrugia Sant'Angelo, Victoria; Fijałkowska, Anna; Gualtieri, Andrea; Sacchini, Elena; Hassapidou, Maria; Hyska, Jolanda; Kelleher, Cecily C.; Kujundžić, Enisa; Kunešová, Marie; Markidou Ioannidou, Eliza; Ostojic, Sergej M.; Peterkova, Valentina; Petrauskienė, Aušra; Popović, Stevo; Pudule, Iveta; Russell Jonsson, Kenisha; Dal‐Re Saavedra, Maria Ángeles; Salanave, Benoît; Shengelia, Lela; Spiroski, Igor; Tanrygulyyeva, Maya; Tichá, Ľubica; Usupova, Zhamilya; Ozcebe, Lütfiye Hilal; Abildina, Akbota; Schindler, Karin; Weber, Martin W.; Filipović Hadžiomeragić, Aida; Melkumova, Marina; Stojisavljević, Dragana; Boymatova, Khadichamo; Williams, Julianne; Breda, JoãoIn 2015-2017, the fourth round of the World Health Organization (WHO) European Childhood Obesity Surveillance Initiative (COSI) was conducted in 36 countries. National representative samples of children aged 6–9 (203,323) were measured by trained staff, with similar equipment and using a standardized protocol. This paper assesses the children's body weight status and compares the burden of childhood overweight, obesity, and thinness in Northern, Eastern, and Southern Europe and Central Asia. The results show great geographic variability in height, weight, and body mass index. On average, the children of Northern Europe were the tallest, those of Southern Europe the heaviest, and the children living in Central Asia the lightest and the shortest. Overall, 28.7% of boys and 26.5% of girls were overweight (including obesity) and 2.5% and 1.9%, respectively, were thin according to the WHO definitions. The prevalence of obesity varied from 1.8% of boys and 1.1% of girls in Tajikistan to 21.5% and 19.2%, respectively, in Cyprus, and tended to be higher for boys than for girls. Levels of thinness, stunting, and underweight were relatively low, except in Eastern Europe (for thinness) and in Central Asia. Despite the efforts to halt it, unhealthy weight status is still an important problem in the WHO European Region.
- WHO European Childhood Obesity Surveillance Initiative: Impact of Type of Clothing Worn during Anthropometric Measurements and Timing of the Survey on Weight and Body Mass Index Outcome Measures in 6–9-Year-Old ChildrenPublication . Wijnhoven, Trudy M.A.; van Raaij, Joop M.A.; Spinelli, Angela; Yngve, Agneta; Lissner, Lauren; Spiroski, Igor; Farrugia Sant'Angelo, Victoria; Pérez-Farinós, Napoleón; Martos, Éva; Heinen, Mirjam; Kunešová, Marie; Rito, Ana I.; Hovengen, Ragnhild; Starc, Gregor; Duleva, Vesselka; Pudule, Iveta; Petrauskiene, Ausra; Braeckevelt, Lien; Hassapidou, Maria; Breda, João; van 't Veer, PieterBackground. The World Health Organization European Childhood Obesity Surveillance Initiative (COSI) conducted examinations in 6–9-year-old children from 16 countries in the first two rounds of data collection. Allowing participating countries to adhere to their local legal requirements or adapt to other circumstances required developing a flexible protocol for anthropometric procedures. Objectives. (1) Review intercountry variation in types of clothing worn by children during weight and height measurements, clothes weight adjustments applied, timing of the survey, and duration of data collection; (2) assess the impact of the observed variation in these practices on the children’s weight or body mass index (BMI) outcome measures. Results. The relative difference between countries’ unadjusted and clothes-adjusted prevalence estimates for overweight was 0.3–11.5%; this figure was 1.4–33.3% for BMI-for-age Z-score values. Monthly fluctuations in mean BMI-for-age Z-score values did not show a systematic seasonal effect. The majority of the monthly BMI-for-age Z-score values did not differ statistically within a country; only 1–3 monthly values were statistically different within some countries. Conclusions. The findings of the present study suggest that the built-in flexibility in the COSI protocol concerning the data collection practices addressed in the paper can be kept and thus do not necessitate a revision of the COSI protocol.