Prevalence of Severe Obesity among Primary School Children in 21 European Countries
| العنوان: | Prevalence of Severe Obesity among Primary School Children in 21 European Countries |
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| المؤلفون: | João Breda, Jørgen Meisfjord, Viktoria Anna Kovacs, Napoleón Pérez, Julianne Williams, Angela Spinelli, Paola Nardone, Agneta Yngve, Genc Burazeri, Andrea Gualtieri, Mirjam M. Heinen, Ana Isabel Rito, Alexandra Cucu, Jolanda Hyska, Tülay Bağcı Bosi, Gregor Starc, Ingunn Holden Bergh, Maria Hassapidou, Vesselka Duleva, Constanta Huidumac Petrescu, Marie Kunešová, Ioannis Pagkalos, Hajnalka Takacs, Hana Zamrazilová, Marta Buoncristiano, Ausra Petrauskiene, Paul Gately, Agneta Sjöberg, Iveta Pudule, Elena Sacchini, Igor Spiroski, Nazan Yardim, Victoria Farrugia Sant'Angelo, Galina Obreja, Cecily Kelleher |
| المصدر: | Obesity Facts, Vol 12, Iss 2, Pp 244-258 (2019) Obesity Facts Obesity facts, Basel : Karger, 2019, vol. 12, no. 2, p. 244-258 |
| بيانات النشر: | Karger Publishers, 2019. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | 0301 basic medicine, Male, Pediatric Obesity, Health (social science), Cross-sectional study, Epidemiology, Overweight, Pediatrics, 0302 clinical medicine, Childhood Obesity Surveillance Initiative, Prevalence, Child, lcsh:RC620-627, Nutrition and Dietetics, Schools, Pediatrik, Public Health, Global Health, Social Medicine and Epidemiology, Obesity, Morbid, Näringslära, Europe, lcsh:Nutritional diseases. Deficiency diseases, Female, COSI, medicine.symptom, lcsh:Nutrition. Foods and food supply, Research Article, medicine.medical_specialty, Childhood Obesity, Adolescent, 030209 endocrinology & metabolism, lcsh:TX341-641, World Health Organization, Childhood obesity, World health, 03 medical and health sciences, BMI, Physiology (medical), Environmental health, medicine, Humans, Obesity, Students, 030109 nutrition & dietetics, Portugal, business.industry, Severe obesity, medicine.disease, Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi, Cross-Sectional Studies, epidemiology, Risk factors, Body mass index, sense organs, business, 616-056.52 [udc], Estilos de Vida e Impacto na Saúde |
| الوصف: | Background: The 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. Objectives: The aim of this work was to present the prevalence of severe obesity in school-aged children from 21 countries participating in COSI. Method: The data are from cross-sectional studies in 21 European WHO member states that took part in the first three COSI rounds of data collection (2007/2008, 2009/2010, 2012/2013). School-aged children were measured using standardized instruments and methodology. Children were classified as severely obese using the definitions provided by WHO and the International Obesity Task Force (IOTF). Analyses overtime, by child’s age and mother’s educational level, were performed in a select group of countries. Results:A total of 636,933 children were included in the analysis (323,648 boys and 313,285 girls). The prevalence of severe obesity varied greatly among countries, with higher values in Southern Europe. According to the WHO definition, severe obesity ranged from 1.0% in Swedish and Moldovan children (95% CI 0.7–1.3 and 0.7–1.5, respectively) to 5.5% (95% CI 4.9–6.1) in Maltese children. The prevalence was generally higher among boys compared to girls. The IOTF cut-offs lead to lower estimates, but confirm the differences among countries, and were more similar for both boys and girls. In many countries 1 in 4 obese children were severely obese. Applying the estimates of prevalence based on the WHO definition to the whole population of children aged 6–9 years in each country, around 398,000 children would be expected to be severely obese in the 21 European countries. The trend between 2007 and 2013 and the analysis by child’s age did not show a clear pattern. Severe obesity was more common among children whose mother’s educational level was lower. Conclusions: Severe obesity is a serious public health issue which affects a large number of children in Europe. Because of the impact on educational, health, social care, and economic systems, obesity needs to be addressed via a range of approaches from early prevention of overweight and obesity to treatment of those who need it. |
| وصف الملف: | application/pdf |
| اللغة: | English |
| تدمد: | 1662-4033 1662-4025 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::5d4a4628bc26160a94438a1fa713545cTest https://www.karger.com/Article/FullText/500436Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....5d4a4628bc26160a94438a1fa713545c |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 16624033 16624025 |
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