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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 Children

Artikel i vetenskaplig tidskrift
Författare T Wijnhoven
J van Raaij
A Spinelli
A Yngve
Lauren Lissner
I Spiroski
V Sant Angelo
N Pérez-Farinós
E Martos
M Heinen
M Kunesová
A Rito
R Hovengen
G Starc
V Duleva
I Pudule
A Petrauskeine
L Braeckevelt
M Hassapidou
J Breda
P Vant Veer
Publicerad i Epidemiology Research International
Volym 2016
Sidor 1-16
ISSN 2090-2972
Publiceringsår 2016
Publicerad vid Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa
Sidor 1-16
Språk en
Länkar dx.doi.org/10.1155/2016/5130317
Ämnesord Pediatric obesity, Energy balance, Nutrition, Physical activity, Adiposity, Behaviour, WEIGHT-GAIN, CHILDREN, BODY-FAT, EUROPEAN ADOLESCENTS, YOUTH, NEIGHBORHOOD ENVIRONMENTS, DETERMINANTS, SCHOOL, PHYSICAL-ACTIVITY, PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH, SHORT-SLEEP DURATION, Pediatric Obesity - prevention & control, Social aspects, Prevention, Diagnosis, Obesity in children, Health aspects, Life style
Ämneskategorier Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi

Sammanfattning

Background. 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.

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