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Urban and rural differences in frequency of fruit, vegetable, and soft drink co...

Heinen, Mirjam M.; Bel‐Serrat, Silvia; Kelleher, Cecily C.; Buoncristiano, Marta; Spinelli, Angela; Nardone, Paola; Milanović, Sanja Musić

In order to address the paucity of evidence on the association between childhood eating habits and urbanization, this cross-sectional study describes urban–rural differences in frequency of fruit, vegetable, and soft drink consumption in 123,100 children aged 6–9 years from 19 countries participating in the fourth round (2015-2017) of the WHO European Childhood Obesity Surveillance Initiative (COSI). Children's...


Thinness, overweight, and obesity in 6‐ to 9‐year‐old children from 36 countrie...

Spinelli, Angela; Buoncristiano, Marta; Nardone, Paola; Starc, Gregor; Hejgaard, Tatjana; Júlíusson, Petur Benedikt; Fismen, Anne‐Siri; Weghuber, Daniel

In 2015-2017, the fourth round of the World Health Organization (WHO) European Childhood Obesity Surveillance Initiative (COSI) was conducted in 36 countries. National representative samples of children aged 6–9 (203,323) were measured by trained staff, with similar equipment and using a standardized protocol. This paper assesses the children's body weight status and compares the burden of childhood overweight,...


Parental Perceptions of Children’s Weight Status in 22 Countries: The WHO Europ...

Ramos Salas, Ximena; Buoncristiano, Marta; Williams, Julianne; Kebbe, Maryam; Spinelli, Angela; Nardone, Paola; Rito, Ana; Duleva, Vesselka

Introduction: Parents can act as important agents of change and support for healthy childhood growth and development. Studies have found that parents may not be able to accurately perceive their child’s weight status. The purpose of this study was to measure parental perceptions of their child’s weight status and to identify predictors of potential parental misperceptions. Methods: We used data from the World H...


Socioeconomic disparities in physical activity, sedentary behavior and sleep pa...

Musić Milanović, Sanja; Buoncristiano, Marta; Križan, Helena; Rathmes, Giulia; Williams, Julianne; Hyska, Jolanda; Duleva, Vesselka; Zamrazilová, Hana

Physical activity, sedentary behavior, and sleep are important predictors of children's health. This paper aimed to investigate socioeconomic disparities in physical activity, sedentary behavior, and sleep across the WHO European region. This cross-sectional study used data on 124,700 children aged 6 to 9 years from 24 countries participating in the WHO European Childhood Obesity Surveillance Initiative between...


Methodology and implementation of the WHO European Childhood Obesity Surveillan...

Breda, João; McColl, Karen; Buoncristiano, Marta; Williams, Julianne; Abdrakhmanova, Shynar; Abdurrahmonova, Zulfiya; Ahrens, Wolfgang

Establishment of the WHO European Childhood Obesity Surveillance Initiative (COSI)has resulted in a surveillance system which provides regular, reliable, timely, andaccurate data on children's weight status—through standardized measurement ofbodyweight and height—in the WHO European Region. Additional data on dietaryintake, physical activity, sedentary behavior, family background, and schoolenvironments are col...


A Snapshot of European Children’s Eating Habits: Results from the Fourth Round ...

Williams, Julianne; Buoncristiano, Marta; Nardone, Paola; Rito, Ana Isabel; Spinelli, Angela; Hejgaard, Tatjana; Kierkegaard, Lene; Nurk, Eha

Consuming a healthy diet in childhood helps to protect against malnutrition and noncommunicable diseases (NCDs). This cross-sectional study described the diets of 132,489 children aged six to nine years from 23 countries participating in round four (2015-2017) of the WHO European Childhood Obesity Surveillance Initiative (COSI). Children's parents or caregivers were asked to complete a questionnaire that contai...


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