WHO European Childhood Obesity Surveillance Initiative: body mass index and level of overweight among 6-9-year-old children from school year 2007/2008 to school year 2009/2010.

WHO European Childhood Obesity Surveillance Initiative: body mass index and level of overweight among 6-9-year-old children from school year 2007/2008 to school year 2009/2010.
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DOI:
10.1186/1471-2458-14-806
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发表时间:
2014-08-07
期刊:
影响因子:
4.5
通讯作者:
Breda J
Breda J
中科院分区:
医学2区
文献类型:
--
作者:
Wijnhoven TM;van Raaij JM;Spinelli A;Starc G;Hassapidou M;Spiroski I;Rutter H;Martos É;Rito AI;Hovengen R;Pérez-Farinós N;Petrauskiene A;Eldin N;Braeckevelt L;Pudule I;Kunešová M;Breda J

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世界卫生组织(WHO)欧洲区域办事处建立了儿童肥胖监测倡议(COSI),以监测小学生超重的变化。本文的目的是介绍COSI第二轮(2009/2010)的人体测量结果,并探索从2007/2008学年到2009/2010学年九个国家和地区儿童的身体质量指数(BMI)和超重的变化。使用6名−9岁儿童的全国代表性横断面样本,根据测量的体重和身高得出体重指数、人体测量Z分数和超重患病率。使用方差和t检验分析来评估轮次之间的显著变化。在第二轮中,超重(包括肥胖;世卫组织定义)在男孩中的流行率从18%到57%不等,在女孩中从18%到50%不等;6 − 31%的男孩和5 − 21%的女孩肥胖。南欧国家的超重率最高。在轮次之间,平均体重指数的绝对变化(范围:从−0.4%到+0.3%)和年龄体重指数的Z分数(范围:从−0.21%到+0.14%)在不同国家之间存在显著的统计学差异。在BMI绝对值较高的国家,BMI-Z得分的下降幅度最大,而在BMI较低的国家,Z-得分的下降幅度最大。意大利、葡萄牙和斯洛文尼亚的超重率降幅最大,拉脱维亚和挪威的超重率增幅最大。在两年的时间里,欧洲国家的BMI和超重流行率的变化差异很大。可能是COSI第一轮超重发生率较高的国家已经采取了干预措施,试图纠正这种情况。本文的在线版本(DOI:10.1186/1471-2458-14-806)包含补充材料,可供授权用户使用。
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. 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. 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. 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. The online version of this article (doi:10.1186/1471-2458-14-806) contains supplementary material, which is available to authorized users.
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