Open Access Open Access  Restricted Access Subscription Access

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


Affiliations
1 Division of Noncommunicable Diseases and Promoting Health through the Life-Course, WHO Regional Office for Europe, UN City, Marmorvej 51, 2100 Copenhagen, Denmark
2 Centre for Nutrition, Prevention and Health Services, National Institute for Public Health and the Environment, P.O. Box 1, 3720 BA Bilthoven, Netherlands
3 National Centre for Epidemiology, Surveillance and Health Promotion, National Institute of Health, Viale Regina Elena 299, 00161 Rome, Italy
4 School of Hospitality, Culinary Arts and Meal Science, Orebro University, Campus Grythyttan, P.O. Box 1, 712 02 Grythyttan, Sweden
5 Section for Epidemiology and Social Medicine, Department of Public Health and Community Medicine, University of Gothenburg, P.O. Box 300, 405 30 Gothenburg, Sweden
6 Department of Physiology and Monitoring of Nutrition, Institute of Public Health, 50. Divizija 6, 1000 Skopje, Macedonia, the former Yugoslav Republic of
7 Primary Child Health, Floriana Health Centre, Triq Francesco Saverio Fenech, Floriana, Malta
8 Spanish Agency for Consumer Affairs, Food Safety and Nutrition, Alcala 56, 28071 Madrid, Spain
9 National Institute of Pharmacy and Nutrition, Albert Florian Street 3/a., Budapest 1097, Hungary
10 National Nutrition Surveillance Centre, School of Public Health, Physiotherapy & Population Science, University College Dublin, Belfield, Dublin 4, Ireland
11 Obesity Management Centre, Institute of Endocrinology, Narodni 8, 11694 Prague 1, Czech Republic
12 Instituto Nacional de Saude Dr. Ricardo Jorge, IP, Avenida Padre Cruz, 1649-016 Lisbon, Portugal
13 Department of Health Statistics, Norwegian Institute of Public Health, P.O. Box 4404, Nydalen, 0403 Oslo, Norway
14 University of Ljubljana, Gortanova 22, SI-1000 Ljubljana, Slovakia
15 Department of Food and Nutrition, National Center of Public Health and Analyses, 15 Akademik Ivan Evstatiev Geshov Boulevard, 1431 Sofia, Bulgaria
16 Centre for Disease Prevention and Control, 22 Duntes Street, LV-1005 Riga, Latvia
17 Department of Preventive Medicine, Lithuanian University of Health Sciences, Eiveniu Street 4, LT-50009 Kaunas, Lithuania
18 Flemish Agency for Care and Health, Flemish Ministry of Welfare, Public Health and Family, Koning Albert II-Laan 35, P.O. Box 33, 1030 Brussels, Belgium
19 Department of Nutrition and Dietetics, Alexander Technological Educational Institute of Thessaloniki, P.O. Box 14561, 54101 Thessaloniki, Greece
20 Division of Human Nutrition, Wageningen University, P.O. Box 17, 6700 AA Wageningen, Netherlands
 

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.
User
Notifications
Font Size

Abstract Views: 67

PDF Views: 0




  • 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

Abstract Views: 67  |  PDF Views: 0

Authors

Trudy M. A. Wijnhoven
Division of Noncommunicable Diseases and Promoting Health through the Life-Course, WHO Regional Office for Europe, UN City, Marmorvej 51, 2100 Copenhagen, Denmark
Joop M. A. van Raaij
Centre for Nutrition, Prevention and Health Services, National Institute for Public Health and the Environment, P.O. Box 1, 3720 BA Bilthoven, Netherlands
Angela Spinelli
National Centre for Epidemiology, Surveillance and Health Promotion, National Institute of Health, Viale Regina Elena 299, 00161 Rome, Italy
Agneta Yngve
School of Hospitality, Culinary Arts and Meal Science, Orebro University, Campus Grythyttan, P.O. Box 1, 712 02 Grythyttan, Sweden
Lauren Lissner
Section for Epidemiology and Social Medicine, Department of Public Health and Community Medicine, University of Gothenburg, P.O. Box 300, 405 30 Gothenburg, Sweden
Igor Spiroski
Department of Physiology and Monitoring of Nutrition, Institute of Public Health, 50. Divizija 6, 1000 Skopje, Macedonia, the former Yugoslav Republic of
Victoria Farrugia Sant'Angelo
Primary Child Health, Floriana Health Centre, Triq Francesco Saverio Fenech, Floriana, Malta
Perez-Farinos Napoleon
Spanish Agency for Consumer Affairs, Food Safety and Nutrition, Alcala 56, 28071 Madrid, Spain
Eva Martos
National Institute of Pharmacy and Nutrition, Albert Florian Street 3/a., Budapest 1097, Hungary
Mirjam Heinen
National Nutrition Surveillance Centre, School of Public Health, Physiotherapy & Population Science, University College Dublin, Belfield, Dublin 4, Ireland
Marie Kunesova
Obesity Management Centre, Institute of Endocrinology, Narodni 8, 11694 Prague 1, Czech Republic
Ana I. Rito
Instituto Nacional de Saude Dr. Ricardo Jorge, IP, Avenida Padre Cruz, 1649-016 Lisbon, Portugal
Ragnhild Hovengen
Department of Health Statistics, Norwegian Institute of Public Health, P.O. Box 4404, Nydalen, 0403 Oslo, Norway
Gregor Starc
University of Ljubljana, Gortanova 22, SI-1000 Ljubljana, Slovakia
Vesselka Duleva
Department of Food and Nutrition, National Center of Public Health and Analyses, 15 Akademik Ivan Evstatiev Geshov Boulevard, 1431 Sofia, Bulgaria
Iveta Pudule
Centre for Disease Prevention and Control, 22 Duntes Street, LV-1005 Riga, Latvia
Ausra Petrauskiene
Department of Preventive Medicine, Lithuanian University of Health Sciences, Eiveniu Street 4, LT-50009 Kaunas, Lithuania
Lien Braeckevelt
Flemish Agency for Care and Health, Flemish Ministry of Welfare, Public Health and Family, Koning Albert II-Laan 35, P.O. Box 33, 1030 Brussels, Belgium
Maria Hassapidou
Department of Nutrition and Dietetics, Alexander Technological Educational Institute of Thessaloniki, P.O. Box 14561, 54101 Thessaloniki, Greece
Joao Breda
Division of Noncommunicable Diseases and Promoting Health through the Life-Course, WHO Regional Office for Europe, UN City, Marmorvej 51, 2100 Copenhagen, Denmark
Pieter van't Veer
Division of Human Nutrition, Wageningen University, P.O. Box 17, 6700 AA Wageningen, Netherlands

Abstract


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.