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Thinness, overweight, and obesity in 6‐ to 9‐year‐old children from 36 countries: The World Health Organization European Childhood Obesity Surveillance Initiative - COSI 2015-2017

2021-07-07Journal article Open access
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dc.contributor.authorSpinelli, Angela
dc.contributor.authorBuoncristiano, Marta
dc.contributor.authorNardone, Paola
dc.contributor.authorStarc, Gregor
dc.contributor.authorHejgaard, Tatjana
dc.contributor.authorJúlíusson, Petur Benedikt
dc.contributor.authorFismen, Anne‐Siri
dc.contributor.authorWeghuber, Daniel
dc.contributor.authorMusić Milanović, Sanja
dc.contributor.authorGarcía‐Solano, Marta
dc.contributor.authorRutter, Harry
dc.contributor.authorRakovac, Ivo
dc.contributor.authorCucu, Alexandra
dc.contributor.authorBrinduse, Lacramioara Aurelia
dc.contributor.authorRito, Ana Isabel
dc.contributor.authorKovacs, Viktoria Anna
dc.contributor.authorHeinen, Mirjam M.
dc.contributor.authorNurk, Eha
dc.contributor.authorMäki, Päivi
dc.contributor.authorAbdrakhmanova, Shynar
dc.contributor.authorRakhmatulleoeva, Sanavbar
dc.contributor.authorDuleva, Vesselka
dc.contributor.authorFarrugia Sant'Angelo, Victoria
dc.contributor.authorFijałkowska, Anna
dc.contributor.authorGualtieri, Andrea
dc.contributor.authorSacchini, Elena
dc.contributor.authorHassapidou, Maria
dc.contributor.authorHyska, Jolanda
dc.contributor.authorKelleher, Cecily C.
dc.contributor.authorKujundžić, Enisa
dc.contributor.authorKunešová, Marie
dc.contributor.authorMarkidou Ioannidou, Eliza
dc.contributor.authorOstojic, Sergej M.
dc.contributor.authorPeterkova, Valentina
dc.contributor.authorPetrauskienė, Aušra
dc.contributor.authorPopović, Stevo
dc.contributor.authorPudule, Iveta
dc.contributor.authorRussell Jonsson, Kenisha
dc.contributor.authorDal‐Re Saavedra, Maria Ángeles
dc.contributor.authorSalanave, Benoît
dc.contributor.authorShengelia, Lela
dc.contributor.authorSpiroski, Igor
dc.contributor.authorTanrygulyyeva, Maya
dc.contributor.authorTichá, Ľubica
dc.contributor.authorUsupova, Zhamilya
dc.contributor.authorOzcebe, Lütfiye Hilal
dc.contributor.authorAbildina, Akbota
dc.contributor.authorSchindler, Karin
dc.contributor.authorWeber, Martin W.
dc.contributor.authorFilipović Hadžiomeragić, Aida
dc.contributor.authorMelkumova, Marina
dc.contributor.authorStojisavljević, Dragana
dc.contributor.authorBoymatova, Khadichamo
dc.contributor.authorWilliams, Julianne
dc.contributor.authorBreda, João
dc.date.accessioned2022-02-17T16:09:38Z
dc.date.available2022-02-17T16:09:38Z
dc.date.issued2021-07-07
dc.description.abstractIn 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.pt_PT
dc.description.sponsorshipThe authors gratefully acknowledge support from a grant from the Russian Government in the context of the WHO European Office for the Prevention and Control of NCDs. Data collection in the countries was made possible through funding from the following: Albania: WHO through the Joint Programme on Children, Food Security and Nutrition “Reducing Malnutrition in Children,” funded by the Millennium Development Goals Achievement Fund, and the Institute of Public Health; Austria: Federal Ministry of Social Affairs, Health, Care and Consumer Protection, Republic of Austria; Bulgaria: Ministry of Health, National Center of Public Health and Analyses, WHO Regional Office for Europe; Croatia: Ministry of Health, Croatian Institute of Public Health and WHO Regional Office for Europe; Czechia: Ministry of Health of the Czech Republic, grants AZV MZČR 17-31670 A and MZČR – RVO EÚ 00023761; Cyprus: not available; Denmark: Danish Ministry of Health; Estonia: Ministry of Social Affairs, Ministry of Education and Research (IUT 42-2), WHO Country Office, and National Institute for Health Development; Finland: Finnish Institute for Health and Welfare; France: Santé publique France, the French Agency for Public Health; Georgia: WHO; Greece: International Hellenic University and Hellenic Medical Association for Obesity; Hungary: WHO Country Office for Hungary; Ireland: Health Service Executive; Italy: Ministry of Health and Italian National Institute of Health; Kazakhstan: Ministry of Health of the Republic of Kazakhstan and WHO Country Office; Kyrgyzstan: World Health Organization; Latvia: Ministry of Health, Centre for Disease Prevention and Control; Lithuania: Science Foundation of Lithuanian University of Health Sciences and Lithuanian Science Council and WHO; Malta: Ministry of Health; Montenegro: WHO and Institute of Public Health of Montenegro; North Macedonia: funded by the Government of North Macedonia through National Annual Program of Public Health and implemented by the Institute of Public Health and Centers of Public Health in the country. WHO country office provided support for training and data management; Norway: Ministry of Health and Norwegian Institute of Public Health; Poland: National Health Programme, Ministry of Health; Portugal: Ministry of Health Institutions, the National Institute of Health, Directorate General of Health, Regional Health Directorates and the kind technical support from the Center for Studies and Research on Social Dynamics and Health (CEIDSS); Romania: Ministry of Health; Russian Federation: WHO; San Marino: Health Ministry, Educational Ministry, Social Security Institute and Health Authority; Serbia: World Health Organization (Ref. File 2015-540940); Slovakia: Biennial Collaborative Agreement between WHO Regional Office for Europe and Ministry of Health SR; Slovenia: Ministry of Education, Science and Sport of the Republic of Slovenia within the SLOfit surveillance system; Spain: Spanish Agency for Food Safety and Nutrition (AESAN); Sweden: Public Health Agency of Sweden; Tajikistan: WHO Country Office in Tajikistan and Ministry of Health and Social Protection; Turkmenistan: WHO Country Office in Turkmenistan and Ministry of Health; Turkey: Turkish Ministry of Health and World Bank.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationObes Rev. 2021 Nov;22(Suppl 6):e13214. doi: 10.1111/obr.13214. Epub 2021 Jul 7pt_PT
dc.identifier.doi10.1111/obr.13214pt_PT
dc.identifier.issn1467-7881
dc.identifier.urihttp://hdl.handle.net/10400.18/7951
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherWiley/ World Obesity Federationpt_PT
dc.relation.publisherversionhttps://onlinelibrary.wiley.com/doi/10.1111/obr.13214pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/pt_PT
dc.subjectMalnutritionpt_PT
dc.subjectObesitypt_PT
dc.subjectPreventionpt_PT
dc.subjectThinnesspt_PT
dc.subjectEuropean Childhood Obesity Surveillance Initiativept_PT
dc.subjectWHOpt_PT
dc.subjectWorld Health Organizationpt_PT
dc.subjectEuropept_PT
dc.subjectEstilos de Vida e Impacto na Saúdept_PT
dc.subjectSaúde Públicapt_PT
dc.subjectPortugal
dc.titleThinness, overweight, and obesity in 6‐ to 9‐year‐old children from 36 countries: The World Health Organization European Childhood Obesity Surveillance Initiative - COSI 2015-2017pt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issueSuppl 6pt_PT
oaire.citation.startPagee13214pt_PT
oaire.citation.titleObesity Reviewspt_PT
oaire.citation.volume22pt_PT
rcaap.embargofctAcesso de acordo com página web do editor da revista.pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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