PMID- 27544722 OWN - NLM STAT- MEDLINE DCOM- 20170504 LR - 20210503 IS - 2191-0251 (Electronic) IS - 0334-018X (Linking) VI - 29 IP - 9 DP - 2016 Sep 1 TI - WHO European Childhood Obesity Surveillance Initiative in Serbia: a prevalence of overweight and obesity among 6-9-year-old school children. PG - 1025-30 LID - 10.1515/jpem-2016-0138 [doi] AB - BACKGROUND: The World Health Organization (WHO) European Childhood Obesity Surveillance Initiative (COSI) is a public health program established in order to understand the progress of the obesity epidemic in young populations and gain inter-country comparisons within the European region, yet the data from a number of East European countries, including Serbia, were not available then. Therefore, the main aim of this cross-sectional study was to collect data about the prevalence of overweight and obesity among 6-9-year-old school children in Serbia according to the standardized protocol during the Fourth COSI Implementation Round. METHODS: From September 2015 to November 2015, 5102 first- and second-grade primary-school children (age 7.7+/-0.6 years) were assessed for weight, height, and body mass index (BMI) in 14 Serbian school districts. RESULTS: The prevalence rates of obesity, as calculated using the International Obesity Task Force (IOTF) cut-off points, vary across different age groups, with the lowest obesity rates reported in 7-year-old boys (6.2%), while the highest obesity prevalence rates were observed in 6-year-old boys (9.7%). In addition, being overweight was strongly associated with poor local community development and lower level of urbanization. The overall prevalence of overweight (23.1%, including obesity) and obesity (6.9%) in Serbian primary-school children seem to be comparable to rather high rates previously reported in other countries participating in the COSI program, indicating an obesity epidemic in Serbian children. CONCLUSIONS: This surveillance system should be regularly implemented throughout Europe, providing comparable data on rates of overweight/obesity in primary schools that might drive prudent actions to reverse the pandemic trend of childhood obesity. FAU - Djordjic, Visnja AU - Djordjic V FAU - Radisavljevic, Snezana AU - Radisavljevic S FAU - Milanovic, Ivana AU - Milanovic I FAU - Bozic, Predrag AU - Bozic P FAU - Grbic, Miljana AU - Grbic M FAU - Jorga, Jagoda AU - Jorga J FAU - Ostojic, Sergej M AU - Ostojic SM LA - eng PT - Journal Article PL - Germany TA - J Pediatr Endocrinol Metab JT - Journal of pediatric endocrinology & metabolism : JPEM JID - 9508900 SB - IM MH - Body Mass Index MH - *Body Weight MH - Child MH - Cross-Sectional Studies MH - Female MH - Follow-Up Studies MH - Humans MH - Male MH - Nutritional Status MH - Overweight/diagnosis/*epidemiology MH - Pediatric Obesity/diagnosis/*epidemiology MH - Population Surveillance MH - Prevalence MH - Prognosis MH - Schools MH - Serbia/epidemiology MH - World Health Organization EDAT- 2016/08/22 06:00 MHDA- 2017/05/05 06:00 CRDT- 2016/08/22 06:00 PHST- 2016/04/07 00:00 [received] PHST- 2016/07/18 00:00 [accepted] PHST- 2016/08/22 06:00 [entrez] PHST- 2016/08/22 06:00 [pubmed] PHST- 2017/05/05 06:00 [medline] AID - /j/jpem.ahead-of-print/jpem-2016-0138/jpem-2016-0138.xml [pii] AID - 10.1515/jpem-2016-0138 [doi] PST - ppublish SO - J Pediatr Endocrinol Metab. 2016 Sep 1;29(9):1025-30. doi: 10.1515/jpem-2016-0138.