PMID- 37880648 OWN - NLM STAT- MEDLINE DCOM- 20231027 LR - 20231122 IS - 1471-2458 (Electronic) IS - 1471-2458 (Linking) VI - 23 IP - 1 DP - 2023 Oct 25 TI - Changes of anthropometric indicators of lithuanian first-graders in 2008-2019 according to International Obesity Task Force (IOTF) and World Health Organization (WHO) definitions. PG - 2097 LID - 10.1186/s12889-023-17031-6 [doi] LID - 2097 AB - INTRODUCTION: The monitoring of children's growth plays a crucial role in assessing their growth patterns and indicating their weight status. Overweight and obesity, determined by cut-offs of body mass index (BMI), are most commonly associated with unhealthy nutrition, non-communicable diseases, and other health disorders. The World Health Organization (WHO) initiated the WHO European Childhood Obesity Surveillance Initiative (COSI) to measure routinely trends in children's anthropometric changes, which allow intercountry comparisons within the European Region. Lithuania joined the COSI initiative. Our study aims to evaluate and compare underweight, normal and elevated weight (overweight and obesity) changes of Lithuanian first-graders during eleven years period. METHODS: This study was composed according to the COSI study protocol, and it compares the five rounds of anthropometric measurements of Lithuanian first-graders (7-8-year-old) from 2008 to 2019. The main analysed variables were weight and height; calculated BMI, weight-for-age (W/A), height-for-age (H/A) and body mass index-for-age (BMI/A) z-scores. Changes of the indicators were evaluated according to the International Obesity Task Force (IOTF) cut-offs and WHO child growth standards, grouped by 4 estimates: underweight (thinness), normal weight, overweight and obesity. All comparisons were performed between age groups, gender and COSI round year. RESULTS: The mean values for weight, height, W/A and H/A Z-scores were significantly higher for both age and gender groups when comparing later COSI round years (2016 or 2019) to earlier years (2008-2013, in some cases 2016 is included in this range). Time trends of the WHO growth standards and IOTF cut-offs indicate significant decrease among 7-year-old overweight group for boys and girls. Also, a significant decrease was indicated among boys aged 8 years in the overweight group according to the WHO definitions. The only significant increase in trend were expressed in girl's group with obesity aged 8 years according to IOTF cut-offs. CONCLUSION: The prevalence of overweight and obesity of first-grade children in Lithuania indicates positive changes, that is the proportion of children with elevated body weight decreased, during eleven-year period. However, it is important to continue the monitoring of children's growth tendencies. CI - (c) 2023. BioMed Central Ltd., part of Springer Nature. FAU - Vita, Speckauskiene AU - Vita S AUID- ORCID: 0000-0002-2545-0177 AD - Health Research Institute, Faculty of Public Health, Lithuanian University of Health Sciences, Kaunas, LT47181, Lithuania. vita.speckauskiene@lsmu.lt. AD - Department of Physics, Mathematics, and Biophysics, Faculty of Medicine, Lithuanian University of Health Sciences, Kaunas, LT, 50162, Lithuania. vita.speckauskiene@lsmu.lt. FAU - Justina, Trisauske AU - Justina T AUID- ORCID: 0000-0002-0710-9784 AD - Health Research Institute, Faculty of Public Health, Lithuanian University of Health Sciences, Kaunas, LT47181, Lithuania. FAU - Monika, Grincaite AU - Monika G AUID- ORCID: 0000-0002-1874-5962 AD - Health Research Institute, Faculty of Public Health, Lithuanian University of Health Sciences, Kaunas, LT47181, Lithuania. FAU - Vilma, Kriaucioniene AU - Vilma K AUID- ORCID: 0000-0001-5269-2895 AD - Health Research Institute, Faculty of Public Health, Lithuanian University of Health Sciences, Kaunas, LT47181, Lithuania. AD - Department of Preventive Medicine, Faculty of Public Health, Lithuanian University of Health Sciences, Kaunas, LT47181, Lithuania. FAU - Ausra, Petrauskiene AU - Ausra P AUID- ORCID: 0000-0001-9116-0672 AD - Health Research Institute, Faculty of Public Health, Lithuanian University of Health Sciences, Kaunas, LT47181, Lithuania. AD - Department of Preventive Medicine, Faculty of Public Health, Lithuanian University of Health Sciences, Kaunas, LT47181, Lithuania. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20231025 PL - England TA - BMC Public Health JT - BMC public health JID - 100968562 SB - IM MH - Male MH - Female MH - Humans MH - Child MH - *Overweight/epidemiology MH - *Pediatric Obesity/epidemiology MH - Lithuania/epidemiology MH - Thinness/epidemiology MH - Body Mass Index MH - World Health Organization MH - Prevalence PMC - PMC10601166 OTO - NOTNLM OT - Anthropometry OT - Changes OT - First-graders OT - Height OT - Obesity OT - Overweight OT - Weight COIS- The authors declare that they have no competing interests. EDAT- 2023/10/26 00:42 MHDA- 2023/10/27 06:42 PMCR- 2023/10/25 CRDT- 2023/10/25 23:57 PHST- 2023/06/06 00:00 [received] PHST- 2023/10/20 00:00 [accepted] PHST- 2023/10/27 06:42 [medline] PHST- 2023/10/26 00:42 [pubmed] PHST- 2023/10/25 23:57 [entrez] PHST- 2023/10/25 00:00 [pmc-release] AID - 10.1186/s12889-023-17031-6 [pii] AID - 17031 [pii] AID - 10.1186/s12889-023-17031-6 [doi] PST - epublish SO - BMC Public Health. 2023 Oct 25;23(1):2097. doi: 10.1186/s12889-023-17031-6.