1Faculty of Sport and PE,University of Novi Sad,Lovcenska 16,Novi Sad 21000,Serbia.
2University of Belgrade School of Medicine,Belgrade,Serbia.
Public Health Nutr. 2018 Apr;21(5):877-881. doi: 10.1017/S1368980017003457. Epub 2017 Dec 13.
Thinness is rarely highlighted or regularly monitored among children in developed countries although it may be rather frequent and pose a significant risk to children's health. We aimed to describe the prevalence of mild, moderate and severe thinness among young Serbian schoolchildren.
Cross-sectional study of schoolchildren aged 6-9 years. Children were assessed for weight, height and BMI as part of the WHO European Childhood Obesity Surveillance Initiative in Serbia. Thinness grades were defined as gender- and age-specific cut-offs for BMI according to the International Obesity Task Force criteria.
Serbia, September to November 2015.
Students (n 4861) in grades 2 and 3 (6-9 years, 2397 girls).
Overall prevalence of thinness in Serbian schoolchildren was 9·6 %. Mild thinness was clearly the largest category with a prevalence of 7·6 %, moderate thinness was present in 1·7 % of children and severe thinness was found in 0·3 % of children. OR indicated a significant risk of being thin for girls (1·44 times higher compared with boys) and children attending schools with no health-focused educational programme (1·57 times more likely to be thin than peers enrolled in schools with such programmes). In addition, OR for thinness tended to be 1·23 times higher in children living in an economically disadvantaged region of Serbia (P=0·06).
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.
尽管在发达国家儿童消瘦很少被强调或定期监测，但消瘦可能相当普遍，并对儿童健康构成重大风险。我们旨在描述塞尔维亚学龄儿童轻度、中度和重度消瘦的流行情况。
6-9 岁学龄儿童的横断面研究。儿童作为世卫组织欧洲儿童肥胖监测倡议的一部分接受体重、身高和 BMI 的评估。消瘦等级根据国际肥胖工作组标准，根据 BMI 定义为性别和年龄特异性的截断值。
塞尔维亚，2015 年 9 月至 11 月。
2 年级和 3 年级的学生（n=4861，2397 名女孩）。
塞尔维亚学龄儿童消瘦的总患病率为 9.6%。轻度消瘦明显是最大类别，患病率为 7.6%，中度消瘦占 1.7%，重度消瘦占 0.3%。比值比表明女孩消瘦的风险显著增加（是男孩的 1.44 倍），以及参加没有以健康为重点的教育计划的学校的儿童（比参加此类计划的同龄人消瘦的可能性高 1.57 倍）。此外，OR 表明，在塞尔维亚经济落后地区的儿童消瘦的可能性高 1.23 倍（P=0.06）。
消瘦的高患病率突出表明，这种营养不良障碍是一个新出现的健康问题，应该引发公共卫生政策来解决消瘦问题，特别是在年轻女孩和经济落后地区的儿童中。
