Marković Lidija, Đorđić Višnja, Trajković Nebojša, Božić Predrag, Halaši Szabolcs, Cvejić Dragan, Ostojić Sergej M
Faculty of Sport and Physical Education, University of Novi Sad, 21101 Novi Sad, Serbia.
Faculty of Sport and Physical Education, University of Niš, 18000 Niš, Serbia.
Children (Basel). 2021 May 18;8(5):409. doi: 10.3390/children8050409.
The aim of the study was to examine changes in obesity prevalence among primary school children in Serbia between 2015 and 2019 rounds of the national WHO European Childhood Obesity Surveillance Initiative (COSI-Serbia). Cross-sectional studies were conducted in 2015 and 2019. The nationally representative samples of primary school children were measured for body height and weight, following the COSI protocol. Body Mass Index was calculated, and the IOTF and WHO definitions were used to classify children as overweight or obese. Participants were children of both sexes aged 7.00-8.99 years ( = 6105). Significant differences in overweight (obesity included) prevalence between two COSI rounds were identified regardless of definitions applied. According to the WHO definitions, prevalence of overweight and obesity combined increased in 7-9-year-old children in Serbia from 30.7% in 2015 to 34.8% in 2019 (z = -3.309, < 0.05), and according to the IOTF standards, the increase from 22.8% to 30% was registered (z = -6.08, = 0.00). The childhood overweight/obesity rate is increasing in Serbia, which places monitoring and surveillance of children's nutritional status high on the public health agenda.
该研究的目的是调查2015年至2019年塞尔维亚全国范围内世界卫生组织欧洲儿童肥胖监测倡议（COSI - 塞尔维亚）各轮次中，小学生肥胖患病率的变化情况。分别于2015年和2019年开展了横断面研究。按照COSI方案，对具有全国代表性的小学生样本进行了身高和体重测量。计算了体重指数，并采用国际肥胖工作组（IOTF）和世界卫生组织（WHO）的定义将儿童分类为超重或肥胖。参与者为年龄在7.00 - 8.99岁的男女儿童（n = 6105）。无论采用何种定义，均发现两轮COSI调查中超重（包括肥胖）患病率存在显著差异。根据世界卫生组织的定义，塞尔维亚7至9岁儿童超重和肥胖合并患病率从2015年的30.7%上升至2019年的34.8%（z = -3.309，p < 0.05）；根据国际肥胖工作组标准，患病率从22.8%上升至30%（z = -6.08，p = 0.00）。塞尔维亚儿童超重/肥胖率正在上升，这使得儿童营养状况的监测和监督在公共卫生议程中占据重要位置。
