WHO European Childhood Obesity Surveillance Initiative 2008: weight, height and body mass index in 6-9-year-old children

T. M. Wijnhoven, J. M. van Raaij, A. Spinelli, A. I. Rito, R. Hovengen, M. Kunesova, G. Starc, H. Rutter, A. Sjoberg, A. Petrauskiene, U. O'Dwyer, S. Petrova, V. Farrugia Sant'angelo, M. Wauters, A. Yngve, I. M. Rubana, J. Breda

Research output: Contribution to journalArticle

106 Citations (Scopus)

Abstract

What is already known about this subject Overweight and obesity prevalence estimates among children based on International Obesity Task Force definitions are substantially lower than estimates based on World Health Organization definitions. Presence of a north-south gradient with the highest level of overweight found in southern European countries. Intercountry comparisons of overweight and obesity in primary-school children in Europe based on measured data lack a similar data collection protocol. What this study adds Unique dataset on overweight and obesity based on measured weights and heights in 6-9-year-old children from 12 European countries using a harmonized surveillance methodology. Because of the use of a consistent data collection protocol, it is possible to perform valid multiple comparisons between countries. It demonstrates wide variations in overweight and obesity prevalence estimates among primary-school children between European countries and regions. BACKGROUND: Nutritional surveillance in school-age children, using measured weight and height, is not common in the European Region of the World Health Organization (WHO). The WHO Regional Office for Europe has therefore initiated the WHO European Childhood Obesity Surveillance Initiative. OBJECTIVE: To present the anthropometric results of data collected in 2007/2008 and to investigate whether there exist differences across countries and between the sexes. METHODS: Weight and height were measured in 6-9-year-old children in 12 countries. Prevalence of overweight, obesity, stunting, thinness and underweight as well as mean Z-scores of anthropometric indices of height, weight and body mass index were calculated. RESULTS: A total of 168 832 children were included in the analyses and a school participation rate of more than 95% was obtained in 8 out of 12 countries. Stunting, underweight and thinness were rarely prevalent. However, 19.3-49.0% of boys and 18.4-42.5% of girls were overweight (including obesity and based on the 2007 WHO growth reference).The prevalence of obesity ranged from 6.0 to 26.6% among boys and from 4.6 to 17.3% among girls. Multi-country comparisons suggest the presence of a north-south gradient with the highest level of overweight found in southern European countries. CONCLUSIONS: Overweight among 6-9-year-old children is a serious public health concern and its variation across the European Region highly depends on the country. Comparable monitoring of child growth is possible across Europe and should be emphasized in national policies and implemented as part of action plans.
LanguageEnglish
Pages79-97
Number of pages19
JournalPediatric Obesity
Volume8
Issue number2
DOIs
StatusPublished - 21 Aug 2012

Keywords

  • Analysis of Variance Body Height Body Mass Index Body Weight Child Europe/epidemiology Female Humans Longitudinal Studies Male Nutritional Status Obesity/*epidemiology/prevention & control *Population Surveillance Prevalence School Health Services/organization & administration/*statistics & numerical data Sex Distribution Socioeconomic Factors World Health Organization

Cite this

Wijnhoven, T. M., van Raaij, J. M., Spinelli, A., Rito, A. I., Hovengen, R., Kunesova, M., ... Breda, J. (2012). WHO European Childhood Obesity Surveillance Initiative 2008: weight, height and body mass index in 6-9-year-old children. Pediatric Obesity, 8(2), 79-97. https://doi.org/10.1111/j.2047-6310.2012.00090.x

WHO European Childhood Obesity Surveillance Initiative 2008: weight, height and body mass index in 6-9-year-old children. / Wijnhoven, T. M.; van Raaij, J. M.; Spinelli, A.; Rito, A. I.; Hovengen, R.; Kunesova, M.; Starc, G.; Rutter, H.; Sjoberg, A.; Petrauskiene, A.; O'Dwyer, U.; Petrova, S.; Farrugia Sant'angelo, V.; Wauters, M.; Yngve, A.; Rubana, I. M.; Breda, J.

In: Pediatric Obesity, Vol. 8, No. 2, 21.08.2012, p. 79-97.

Research output: Contribution to journalArticle

Wijnhoven, TM, van Raaij, JM, Spinelli, A, Rito, AI, Hovengen, R, Kunesova, M, Starc, G, Rutter, H, Sjoberg, A, Petrauskiene, A, O'Dwyer, U, Petrova, S, Farrugia Sant'angelo, V, Wauters, M, Yngve, A, Rubana, IM & Breda, J 2012, 'WHO European Childhood Obesity Surveillance Initiative 2008: weight, height and body mass index in 6-9-year-old children' Pediatric Obesity, vol. 8, no. 2, pp. 79-97. https://doi.org/10.1111/j.2047-6310.2012.00090.x
Wijnhoven, T. M. ; van Raaij, J. M. ; Spinelli, A. ; Rito, A. I. ; Hovengen, R. ; Kunesova, M. ; Starc, G. ; Rutter, H. ; Sjoberg, A. ; Petrauskiene, A. ; O'Dwyer, U. ; Petrova, S. ; Farrugia Sant'angelo, V. ; Wauters, M. ; Yngve, A. ; Rubana, I. M. ; Breda, J. / WHO European Childhood Obesity Surveillance Initiative 2008: weight, height and body mass index in 6-9-year-old children. In: Pediatric Obesity. 2012 ; Vol. 8, No. 2. pp. 79-97.
@article{4159dff77039456384f7361ad7a1f7a6,
title = "WHO European Childhood Obesity Surveillance Initiative 2008: weight, height and body mass index in 6-9-year-old children",
abstract = "What is already known about this subject Overweight and obesity prevalence estimates among children based on International Obesity Task Force definitions are substantially lower than estimates based on World Health Organization definitions. Presence of a north-south gradient with the highest level of overweight found in southern European countries. Intercountry comparisons of overweight and obesity in primary-school children in Europe based on measured data lack a similar data collection protocol. What this study adds Unique dataset on overweight and obesity based on measured weights and heights in 6-9-year-old children from 12 European countries using a harmonized surveillance methodology. Because of the use of a consistent data collection protocol, it is possible to perform valid multiple comparisons between countries. It demonstrates wide variations in overweight and obesity prevalence estimates among primary-school children between European countries and regions. BACKGROUND: Nutritional surveillance in school-age children, using measured weight and height, is not common in the European Region of the World Health Organization (WHO). The WHO Regional Office for Europe has therefore initiated the WHO European Childhood Obesity Surveillance Initiative. OBJECTIVE: To present the anthropometric results of data collected in 2007/2008 and to investigate whether there exist differences across countries and between the sexes. METHODS: Weight and height were measured in 6-9-year-old children in 12 countries. Prevalence of overweight, obesity, stunting, thinness and underweight as well as mean Z-scores of anthropometric indices of height, weight and body mass index were calculated. RESULTS: A total of 168 832 children were included in the analyses and a school participation rate of more than 95{\%} was obtained in 8 out of 12 countries. Stunting, underweight and thinness were rarely prevalent. However, 19.3-49.0{\%} of boys and 18.4-42.5{\%} of girls were overweight (including obesity and based on the 2007 WHO growth reference).The prevalence of obesity ranged from 6.0 to 26.6{\%} among boys and from 4.6 to 17.3{\%} among girls. Multi-country comparisons suggest the presence of a north-south gradient with the highest level of overweight found in southern European countries. CONCLUSIONS: Overweight among 6-9-year-old children is a serious public health concern and its variation across the European Region highly depends on the country. Comparable monitoring of child growth is possible across Europe and should be emphasized in national policies and implemented as part of action plans.",
keywords = "Analysis of Variance Body Height Body Mass Index Body Weight Child Europe/epidemiology Female Humans Longitudinal Studies Male Nutritional Status Obesity/*epidemiology/prevention & control *Population Surveillance Prevalence School Health Services/organization & administration/*statistics & numerical data Sex Distribution Socioeconomic Factors World Health Organization",
author = "Wijnhoven, {T. M.} and {van Raaij}, {J. M.} and A. Spinelli and Rito, {A. I.} and R. Hovengen and M. Kunesova and G. Starc and H. Rutter and A. Sjoberg and A. Petrauskiene and U. O'Dwyer and S. Petrova and {Farrugia Sant'angelo}, V. and M. Wauters and A. Yngve and Rubana, {I. M.} and J. Breda",
note = "Wijnhoven, T M A van Raaij, J M A Spinelli, A Rito, A I Hovengen, R Kunesova, M Starc, G Rutter, H Sjoberg, A Petrauskiene, A O'Dwyer, U Petrova, S Farrugia Sant'angelo, V Wauters, M Yngve, A Rubana, I-M Breda, J eng Multicenter Study Research Support, Non-U.S. Gov't England 2012/09/25 06:00 Pediatr Obes. 2013 Apr;8(2):79-97. doi: 10.1111/j.2047-6310.2012.00090.x. Epub 2012 Sep 21.",
year = "2012",
month = "8",
day = "21",
doi = "10.1111/j.2047-6310.2012.00090.x",
language = "English",
volume = "8",
pages = "79--97",
journal = "Pediatric Obesity",
issn = "2047-6302",
publisher = "Wiley-Blackwell",
number = "2",

}

TY - JOUR

T1 - WHO European Childhood Obesity Surveillance Initiative 2008: weight, height and body mass index in 6-9-year-old children

AU - Wijnhoven, T. M.

AU - van Raaij, J. M.

AU - Spinelli, A.

AU - Rito, A. I.

AU - Hovengen, R.

AU - Kunesova, M.

AU - Starc, G.

AU - Rutter, H.

AU - Sjoberg, A.

AU - Petrauskiene, A.

AU - O'Dwyer, U.

AU - Petrova, S.

AU - Farrugia Sant'angelo, V.

AU - Wauters, M.

AU - Yngve, A.

AU - Rubana, I. M.

AU - Breda, J.

N1 - Wijnhoven, T M A van Raaij, J M A Spinelli, A Rito, A I Hovengen, R Kunesova, M Starc, G Rutter, H Sjoberg, A Petrauskiene, A O'Dwyer, U Petrova, S Farrugia Sant'angelo, V Wauters, M Yngve, A Rubana, I-M Breda, J eng Multicenter Study Research Support, Non-U.S. Gov't England 2012/09/25 06:00 Pediatr Obes. 2013 Apr;8(2):79-97. doi: 10.1111/j.2047-6310.2012.00090.x. Epub 2012 Sep 21.

PY - 2012/8/21

Y1 - 2012/8/21

N2 - What is already known about this subject Overweight and obesity prevalence estimates among children based on International Obesity Task Force definitions are substantially lower than estimates based on World Health Organization definitions. Presence of a north-south gradient with the highest level of overweight found in southern European countries. Intercountry comparisons of overweight and obesity in primary-school children in Europe based on measured data lack a similar data collection protocol. What this study adds Unique dataset on overweight and obesity based on measured weights and heights in 6-9-year-old children from 12 European countries using a harmonized surveillance methodology. Because of the use of a consistent data collection protocol, it is possible to perform valid multiple comparisons between countries. It demonstrates wide variations in overweight and obesity prevalence estimates among primary-school children between European countries and regions. BACKGROUND: Nutritional surveillance in school-age children, using measured weight and height, is not common in the European Region of the World Health Organization (WHO). The WHO Regional Office for Europe has therefore initiated the WHO European Childhood Obesity Surveillance Initiative. OBJECTIVE: To present the anthropometric results of data collected in 2007/2008 and to investigate whether there exist differences across countries and between the sexes. METHODS: Weight and height were measured in 6-9-year-old children in 12 countries. Prevalence of overweight, obesity, stunting, thinness and underweight as well as mean Z-scores of anthropometric indices of height, weight and body mass index were calculated. RESULTS: A total of 168 832 children were included in the analyses and a school participation rate of more than 95% was obtained in 8 out of 12 countries. Stunting, underweight and thinness were rarely prevalent. However, 19.3-49.0% of boys and 18.4-42.5% of girls were overweight (including obesity and based on the 2007 WHO growth reference).The prevalence of obesity ranged from 6.0 to 26.6% among boys and from 4.6 to 17.3% among girls. Multi-country comparisons suggest the presence of a north-south gradient with the highest level of overweight found in southern European countries. CONCLUSIONS: Overweight among 6-9-year-old children is a serious public health concern and its variation across the European Region highly depends on the country. Comparable monitoring of child growth is possible across Europe and should be emphasized in national policies and implemented as part of action plans.

AB - What is already known about this subject Overweight and obesity prevalence estimates among children based on International Obesity Task Force definitions are substantially lower than estimates based on World Health Organization definitions. Presence of a north-south gradient with the highest level of overweight found in southern European countries. Intercountry comparisons of overweight and obesity in primary-school children in Europe based on measured data lack a similar data collection protocol. What this study adds Unique dataset on overweight and obesity based on measured weights and heights in 6-9-year-old children from 12 European countries using a harmonized surveillance methodology. Because of the use of a consistent data collection protocol, it is possible to perform valid multiple comparisons between countries. It demonstrates wide variations in overweight and obesity prevalence estimates among primary-school children between European countries and regions. BACKGROUND: Nutritional surveillance in school-age children, using measured weight and height, is not common in the European Region of the World Health Organization (WHO). The WHO Regional Office for Europe has therefore initiated the WHO European Childhood Obesity Surveillance Initiative. OBJECTIVE: To present the anthropometric results of data collected in 2007/2008 and to investigate whether there exist differences across countries and between the sexes. METHODS: Weight and height were measured in 6-9-year-old children in 12 countries. Prevalence of overweight, obesity, stunting, thinness and underweight as well as mean Z-scores of anthropometric indices of height, weight and body mass index were calculated. RESULTS: A total of 168 832 children were included in the analyses and a school participation rate of more than 95% was obtained in 8 out of 12 countries. Stunting, underweight and thinness were rarely prevalent. However, 19.3-49.0% of boys and 18.4-42.5% of girls were overweight (including obesity and based on the 2007 WHO growth reference).The prevalence of obesity ranged from 6.0 to 26.6% among boys and from 4.6 to 17.3% among girls. Multi-country comparisons suggest the presence of a north-south gradient with the highest level of overweight found in southern European countries. CONCLUSIONS: Overweight among 6-9-year-old children is a serious public health concern and its variation across the European Region highly depends on the country. Comparable monitoring of child growth is possible across Europe and should be emphasized in national policies and implemented as part of action plans.

KW - Analysis of Variance Body Height Body Mass Index Body Weight Child Europe/epidemiology Female Humans Longitudinal Studies Male Nutritional Status Obesity/epidemiology/prevention & control Population Surveillance Prevalence School Health Services/organizat

U2 - 10.1111/j.2047-6310.2012.00090.x

DO - 10.1111/j.2047-6310.2012.00090.x

M3 - Article

VL - 8

SP - 79

EP - 97

JO - Pediatric Obesity

T2 - Pediatric Obesity

JF - Pediatric Obesity

SN - 2047-6302

IS - 2

ER -