期刊
BMC PUBLIC HEALTH
卷 14, 期 -, 页码 -出版社
BMC
DOI: 10.1186/1471-2458-14-806
关键词
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资金
- Belgium: Flemish Agency for Care and Health and Ministry of Education, Youth, Equal Opportunities and Brussels Affairs
- Czech Republic: Internal Grant Agency of the Ministry of Health [IGA NS/9832-4]
- Greece: Hellenic Medical Association for Obesity and the Alexander Technological Educational Institute of Thessaloniki
- Hungary: National Institute for Food and Nutrition Science and Chamber of Hungarian Health Care Professionals
- Ireland: the Health Service Executive and Department of Health
- Italy: Ministry of Health
- Latvia: Centre for Disease Prevention and Control
- Lithuania: Lithuanian State Science and Studies Foundation, Lithuanian University of Health Sciences
- Research Council of Lithuania [SIN-17/2012]
- Norway: Norwegian Institute of Public Health and Directorate of Health
- Portugal: Ministry of Health and Regional Health Directorates
- Slovenia: Ministry of Education, Science and Sport
- Spain: Spanish Food Safety and Nutrition Agency, Ministry of Health, Social Services and Equality
- Yugoslav Republic of Macedonia: Ministry of Health
- General Health Directorate of Portugal
- National Institute of Health Doutor Ricardo Jorge IP in Lisbon, Portugal
- National Institute of Health in Rome, Italy
- Norwegian Institute of Public Health in Oslo, Norway
- Directorate-General for Health of France
- Karolinska Institute in Huddinge, Sweden
Background: The World Health Organization (WHO) Regional Office for Europe has established the Childhood Obesity Surveillance Initiative (COSI) to monitor changes in overweight in primary-school children. The aims of this paper are to present the anthropometric results of COSI Round 2 (2009/2010) and to explore changes in body mass index (BMI) and overweight among children within and across nine countries from school years 2007/2008 to 2009/2010. Methods: Using cross-sectional nationally representative samples of 6-9-year-olds, BMI, anthropometric Z-scores and overweight prevalence were derived from measured weight and height. Significant changes between rounds were assessed using variance and t-tests analyses. Results: At Round 2, the prevalence of overweight (including obesity; WHO definitions) ranged from 18% to 57% among boys and from 18% to 50% among girls; 6 -31% of boys and 5 -21% of girls were obese. Southern European countries had the highest overweight prevalence. Between rounds, the absolute change in mean BMI (range: from -0.4 to + 0.3) and BMI-for-age Z-scores (range: from -0.21 to + 0.14) varied statistically significantly across countries. The highest significant decrease in BMI-for-age Z-scores was found in countries with higher absolute BMI values and the highest significant increase in countries with lower BMI values. The highest significant decrease in overweight prevalence was observed in Italy, Portugal and Slovenia and the highest significant increase in Latvia and Norway. Conclusions: Changes in BMI and prevalence of overweight over a two-year period varied significantly among European countries. It may be that countries with higher prevalence of overweight in COSI Round 1 have implemented interventions to try to remedy this situation.
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