Elinder Liselotte Schäfer, Lissner Lauren, Janson Annika, Hejgaard Tatjana, Steensen Emil Steen, Bergh Ingunn Holden, Manvik Marit Dromnes, Torheim Liv Elin, Juliusson Pétur Benedikt, Olafsdottir Anna S, Bjarnason Ragnar, Helgason Tryggvi, Saari Antti, Kuusipalo Heli, Mäki Päivi
Department of Public Health Sciences, Karolinska Institutet, Solna, Sweden.
Department of Public Health and Community Medicine, University of Gothenburg, Gothenburg, Sweden.
Acta Paediatr. 2025 Sep;114(9):2182-2188. doi: 10.1111/apa.70135. Epub 2025 May 19.
To describe the current approaches to surveillance and use of data on children's growth in the Nordic countries and to reach consensus on how this can be improved.
Members of the Promoting Healthy Weight in Children (PromoKids) network and additional public health professionals from five Nordic countries described their respective national growth surveillance systems. The various approaches to data collection and consolidation were analysed and compared.
In Finland, Denmark, Norway, Sweden and Iceland, all children's weight and height are measured repeatedly at different intervals from birth by child and school health services. However, the data are not consistently registered centrally in all countries for use in public health planning, policymaking and research. Finland and Denmark had the most mature systems for data collection.
A consensus was reached that surveillance of body weight and height should be a mandatory element of national action plans to prevent and manage growth disorders including obesity, and to identify susceptible population groups. Surveillance protocols should be designed to prevent stigmatisation of children with overweight. Nordic countries should collaborate to accomplish comprehensive data coverage to uncover social inequalities and evaluate societal actions to prevent obesity in children.
描述北欧国家当前儿童生长监测及数据使用方法,并就如何改进达成共识。
促进儿童健康体重(PromoKids)网络成员以及来自五个北欧国家的其他公共卫生专业人员介绍了各自国家的生长监测系统。对数据收集和整合的各种方法进行了分析和比较。
在芬兰、丹麦、挪威、瑞典和冰岛,儿童和学校卫生服务机构从出生起就会在不同时间间隔对所有儿童的体重和身高进行多次测量。然而,并非所有国家都将这些数据统一集中登记,以供公共卫生规划、政策制定和研究使用。芬兰和丹麦的数据收集系统最为成熟。
达成的共识是,体重和身高监测应成为国家预防和管理包括肥胖在内的生长障碍以及识别易感人群行动计划的强制性要素。监测方案的设计应避免给超重儿童带来污名化。北欧国家应开展合作,以实现全面的数据覆盖,揭示社会不平等现象,并评估预防儿童肥胖的社会行动。