Universidad de Castilla-La Mancha, Health and Social Research Center, C/ Santa Teresa Jornet, s/n, 16071, Cuenca, Spain.
Universidad de Castilla-La Mancha, Faculty of Nursing, Albacete, Spain.
Eur J Nutr. 2021 Oct;60(7):3611-3624. doi: 10.1007/s00394-021-02540-0. Epub 2021 Mar 29.
This study aimed at providing prevalence trend estimates of underweight among children and adolescents in Europe from 2000 to 2017.
MEDLINE, Web of Science, Scopus and CINAHL were searched from their inception up to March 2020. Moreover, searches were conducted on health institutions' websites to identify studies not published in scientific journals. Underweight was defined according to the body mass index (BMI) cut-offs proposed by the International Obesity Task Force (IOTF) and the World Health Organization (WHO) definition criteria. The Mantel-Haenszel method was used to compute the pooled prevalence estimates whenever there was no evidence of heterogeneity; otherwise, the DerSimonian and Laird random-effects method was used. Subgroup analyses by sex, age range (2-13 and 14-18 years old), study year (2000-2006 and 2007-2017), country and European region were conducted.
A total of 49 studies with data from 323,420 children and adolescents aged 2 to 18 years, from 26 countries were included. From 2000 to 2017, according to the IOTF criteria, the prevalence of underweight showed an increasing trend in Eastern, Northern and Southern Europe, where the underweight prevalence ranged from 9.1 to 12.0%, from 4.1 to 6.8%, and from 5.8 to 6.7%, respectively. In Western Europe, the prevalence of underweight tended to decrease, from 14.0 to 11.8%. No significant differences were found by sex or age range.
The prevalence of underweight is considerable (overall, around 8-9%), particularly in Eastern Europe, and follows a slight upward trend during the past decade.
PROSPERO CRD42017056924.
本研究旨在提供 2000 年至 2017 年欧洲儿童和青少年体重不足的流行趋势估计。
从成立之初到 2020 年 3 月，我们在 MEDLINE、Web of Science、Scopus 和 CINAHL 上进行了搜索。此外，还在卫生机构的网站上进行了搜索，以确定未在科学期刊上发表的研究。体重不足根据国际肥胖工作组（IOTF）和世界卫生组织（WHO）定义标准提出的体重指数（BMI）切点来定义。只要没有异质性证据，就使用 Mantel-Haenszel 方法计算汇总流行率估计值；否则，使用 DerSimonian 和 Laird 随机效应方法。按性别、年龄范围（2-13 岁和 14-18 岁）、研究年份（2000-2006 年和 2007-2017 年）、国家和欧洲地区进行亚组分析。
共纳入来自 26 个国家的 323420 名 2 至 18 岁儿童和青少年的 49 项研究的数据。根据 IOTF 标准，2000 年至 2017 年期间，体重不足的流行率在东欧、北欧和南欧呈上升趋势，体重不足的流行率分别为 9.1%至 12.0%、4.1%至 6.8%和 5.8%至 6.7%。在西欧，体重不足的流行率呈下降趋势，从 14.0%降至 11.8%。性别或年龄范围没有发现显著差异。
体重不足的流行率相当高（总体约为 8-9%），特别是在东欧，在过去十年中呈轻微上升趋势。
PROSPERO CRD42017056924。
