Thinness in young schoolchildren in Serbia: another case of the double burden of malnutrition?

Djordjic, Visnja; Jorga, Jagoda; Radisavljević, Snežana; Milanović, Ivana; Bozic, Predrag R.; Ostojić, Sergej M.

doi:10.1017/s1368980017003457

Cited by 6 publications

(8 citation statements)

References 32 publications

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“…Furthermore, the dependencies are similar to those of the population thus making this a nationally representative sample of Polish children [16]. This result is also supported by international research [26][27][28]. Age differences mainly refer to the older group where the prevalence of thinness was significantly higher in girls (14.5%) than in boys (11.1%), also confirming the tendency of girls' thinness to increase with age [29,30].…”

Section: Discussionsupporting

confidence: 80%

“…Age differences mainly refer to the older group where the prevalence of thinness was significantly higher in girls (14.5%) than in boys (11.1%), also confirming the tendency of girls' thinness to increase with age [29,30]. Generally, the prevalence of thinness in Polish children is higher than in other European countries or Australia and USA, where thinness among children and adolescents is about 4%-9% [26,28,31,32]. The increasing percentage of children, especially older girls, with body weight deficiencies observed between 1977 and 2004 [8] in the Polish population is also alarming.…”

Section: Discussionsupporting

confidence: 52%

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Prevalence and Factors Associated with Thinness in Rural Polish Children

Suder

Jagielski

Piórecka

et al. 2020

IJERPH

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A lot of attention has been focused on obesity, however, the other extreme—thinness—may lead to inhibition of physical and intellectual development. The aim was to assess the prevalence of thinness and determine the associated factors in children from rural populations. We used data from the cross-sectional sample of 3048 children, examined in schools from a district in southern Poland. The sample included 89% of the district departments, and included a proportion of rural and small town populations—a representative one for the region. Thinness was determined based on the criteria proposed by Cole and Lobstein. Biological, sociodemographic and lifestyle factors were analysed. The odds ratio (OR) and 95% confidence interval (CI) were calculated using logistic regression analysis. The prevalence of thinness was 11.5% in boys and 13.5% in girls. In the younger group, it was similar in boys and girls at 11.8%; whereas in the older group, it was 11.1% and 14.5%, respectively. The prevalence of thinness Grade 3 in girls was two times higher than in boys. The increased index of leisure time physical activity was connected with thinness in prepubertal boys. The mechanism determining the development of thinness is very complex and further exploration of this trend is recommended.

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Section: Discussionsupporting

confidence: 80%

Section: Discussionsupporting

confidence: 52%

Prevalence and Factors Associated with Thinness in Rural Polish Children

Suder

Jagielski

Piórecka

et al. 2020

IJERPH

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“…We did not collect information on foods' portion sizes to identify chilren's prevalence meeting specific nutrition recommendations. Our study identified a negative trend of underweight, overweight, and obesity pandemic among Serbian children compared to our previous reports (3,24). We found some bright spots in dietary habits, such as the high prevalence of Serbian children that regularly consume breakfast and some areas that require improvements, including low fruit and vegetable and high nutrition-poor food consumption.…”

Section: Discussionsupporting

confidence: 57%

“…Overweight and obesity in children are among the most severe public health problems that have increased dramatically during the last decades at the global and European levels ( 1 ). According to estimates from the World Health Organization (WHO), around 1 in 3 children in Europe aged 6–9 years old were overweight or obese ( 2 ), while reports from eight European countries suggest varied prevalence for underweight, from 5.7% in Italian boys to 16.6% for girls in Hungary ( 3 , 4 ). Being overweight during childhood is associated with obesity and adverse health consequences throughout the life-span ( 5 ), reducing the average age at which non-communicable diseases and disabilities or the likelihood of mortality become apparent ( 6 ).…”

Section: Introductionmentioning

confidence: 99%

Dietary Patterns and Weight Status of Primary School Children in Serbia

Bozic

Djordjic

et al. 2021

Front. Public Health

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The purpose of the present cross-sectional study was to examine dietary patterns and the prevalence of underweight, overweight, and obesity among Serbian children. Furthermore, the study analyzed the association between dietary patterns and weight status. A nationally representative sample of 6–9-year-old children (n = 3,067) was evaluated as part of the Fifth Round World Health Organization European Childhood Obesity Surveillance Initiative. The children's height and weight were measured by trained field examiners, while their parents or guardians filled paper versions of the food frequency questionnaire to collect information related to the child's breakfast habits and food and beverage intake. According to the International Obesity Task Force cut-off points, the overall prevalence of overweight (including obesity) and underweight were 28.9 and 8.1%, respectively. The majority of parents reported that their children (84.5%) had breakfast every day, while only 39.5 and 37% of children had daily fruit and vegetable consumption, respectively. The children who do not eat breakfast every day are more likely to be obese (OR = 1.50), while a higher intake frequency of nutrient-poor beverages such as soft drinks increases the risk of being not only overweight (OR = 1.32) but also underweight (OR = 1.39). Regular monitoring and understanding of dietary patterns and weight status is crucial to inform, design, and implement strategies to reduce national and global diet and obesity-related diseases. Urgent actions need to be taken from public policymakers to stop and reverse the increasing trend of overweight (including obesity) among Serbian children.

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“…Research from the latest round of the WHO European Childhood Obesity Surveillance Initiative (COSI) carried out in 2015–2017 indicates that 29% of boys and 27% of girls aged seven to nine years had overweight and there was a prevalence of obesity of 12% in boys and 9% in girls [ 6 ]. At the same time, in certain parts of the WHO European Region, there is a double burden of malnutrition, characterized by the coexistence of undernutrition (being underweight for one’s age, too short for one’s age (stunted), too thin for one’s height (wasted), or deficient in vitamins and minerals (micronutrient malnutrition)), along with overweight, obesity, or noncommunicable diseases, within individuals, households, and populations, and across the life course [ 7 , 8 ].…”

Section: Introductionmentioning

confidence: 99%

A Snapshot of European Children’s Eating Habits: Results from the Fourth Round of the WHO European Childhood Obesity Surveillance Initiative (COSI)

et al. 2020

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Consuming a healthy diet in childhood helps to protect against malnutrition and noncommunicable diseases (NCDs). This cross-sectional study described the diets of 132,489 children aged six to nine years from 23 countries participating in round four (2015–2017) of the WHO European Childhood Obesity Surveillance Initiative (COSI). Children’s parents or caregivers were asked to complete a questionnaire that contained indicators of energy-balance-related behaviors (including diet). For each country, we calculated the percentage of children who consumed breakfast, fruit, vegetables, sweet snacks or soft drinks “every day”, “most days (four to six days per week)”, “some days (one to three days per week)”, or “never or less than once a week”. We reported these results stratified by country, sex, and region. On a daily basis, most children (78.5%) consumed breakfast, fewer than half (42.5%) consumed fruit, fewer than a quarter (22.6%) consumed fresh vegetables, and around one in ten consumed sweet snacks or soft drinks (10.3% and 9.4%, respectively); however, there were large between-country differences. This paper highlights an urgent need to create healthier food and drink environments, reinforce health systems to promote healthy diets, and continue to support child nutrition and obesity surveillance.

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Thinness in young schoolchildren in Serbia: another case of the double burden of malnutrition?

Abstract: A rather high prevalence of thinness highlights this malnutrition disorder as an emerging health issue that should trigger public health policies to tackle thinness, especially in girls of young age and children living in economically disadvantaged areas.

Cited by 6 publications

References 32 publications

Prevalence and Factors Associated with Thinness in Rural Polish Children

Prevalence and Factors Associated with Thinness in Rural Polish Children

Dietary Patterns and Weight Status of Primary School Children in Serbia

A Snapshot of European Children’s Eating Habits: Results from the Fourth Round of the WHO European Childhood Obesity Surveillance Initiative (COSI)

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