Changes of anthropometric indicators of lithuanian first-graders in 2008–2019 according to International Obesity Task Force (IOTF) and World Health Organization (WHO) definitions

Abstract Introduction The monitoring of children’s growth plays a crucial role in assessing their growth patterns and indicating their weight status. Overweight and obesity, determined by cut-offs of body mass index (BMI), are most commonly associated with unhealthy nutrition, non-communicable disea...

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Main Authors: Špečkauskienė Vita, Trišauskė Justina, Grincaitė Monika, Kriaučionienė Vilma, Petrauskienė Aušra
Format: Article
Language:English
Published: BMC 2023-10-01
Series:BMC Public Health
Subjects:
Online Access:https://doi.org/10.1186/s12889-023-17031-6
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author Špečkauskienė Vita
Trišauskė Justina
Grincaitė Monika
Kriaučionienė Vilma
Petrauskienė Aušra
author_facet Špečkauskienė Vita
Trišauskė Justina
Grincaitė Monika
Kriaučionienė Vilma
Petrauskienė Aušra
author_sort Špečkauskienė Vita
collection DOAJ
description Abstract Introduction The monitoring of children’s growth plays a crucial role in assessing their growth patterns and indicating their weight status. Overweight and obesity, determined by cut-offs of body mass index (BMI), are most commonly associated with unhealthy nutrition, non-communicable diseases, and other health disorders. The World Health Organization (WHO) initiated the WHO European Childhood Obesity Surveillance Initiative (COSI) to measure routinely trends in children’s anthropometric changes, which allow intercountry comparisons within the European Region. Lithuania joined the COSI initiative. Our study aims to evaluate and compare underweight, normal and elevated weight (overweight and obesity) changes of Lithuanian first-graders during eleven years period. Methods This study was composed according to the COSI study protocol, and it compares the five rounds of anthropometric measurements of Lithuanian first-graders (7-8-year-old) from 2008 to 2019. The main analysed variables were weight and height; calculated BMI, weight-for-age (W/A), height-for-age (H/A) and body mass index-for-age (BMI/A) z-scores. Changes of the indicators were evaluated according to the International Obesity Task Force (IOTF) cut-offs and WHO child growth standards, grouped by 4 estimates: underweight (thinness), normal weight, overweight and obesity. All comparisons were performed between age groups, gender and COSI round year. Results The mean values for weight, height, W/A and H/A Z-scores were significantly higher for both age and gender groups when comparing later COSI round years (2016 or 2019) to earlier years (2008–2013, in some cases 2016 is included in this range). Time trends of the WHO growth standards and IOTF cut-offs indicate significant decrease among 7-year-old overweight group for boys and girls. Also, a significant decrease was indicated among boys aged 8 years in the overweight group according to the WHO definitions. The only significant increase in trend were expressed in girl’s group with obesity aged 8 years according to IOTF cut-offs. Conclusion The prevalence of overweight and obesity of first-grade children in Lithuania indicates positive changes, that is the proportion of children with elevated body weight decreased, during eleven-year period. However, it is important to continue the monitoring of children’s growth tendencies.
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spelling doaj.art-8a752fcd87ec4856808964de424eb8082023-11-26T14:28:14ZengBMCBMC Public Health1471-24582023-10-0123111110.1186/s12889-023-17031-6Changes of anthropometric indicators of lithuanian first-graders in 2008–2019 according to International Obesity Task Force (IOTF) and World Health Organization (WHO) definitionsŠpečkauskienė Vita0Trišauskė Justina1Grincaitė Monika2Kriaučionienė Vilma3Petrauskienė Aušra4Health Research Institute, Faculty of Public Health, Lithuanian University of Health SciencesHealth Research Institute, Faculty of Public Health, Lithuanian University of Health SciencesHealth Research Institute, Faculty of Public Health, Lithuanian University of Health SciencesHealth Research Institute, Faculty of Public Health, Lithuanian University of Health SciencesHealth Research Institute, Faculty of Public Health, Lithuanian University of Health SciencesAbstract Introduction The monitoring of children’s growth plays a crucial role in assessing their growth patterns and indicating their weight status. Overweight and obesity, determined by cut-offs of body mass index (BMI), are most commonly associated with unhealthy nutrition, non-communicable diseases, and other health disorders. The World Health Organization (WHO) initiated the WHO European Childhood Obesity Surveillance Initiative (COSI) to measure routinely trends in children’s anthropometric changes, which allow intercountry comparisons within the European Region. Lithuania joined the COSI initiative. Our study aims to evaluate and compare underweight, normal and elevated weight (overweight and obesity) changes of Lithuanian first-graders during eleven years period. Methods This study was composed according to the COSI study protocol, and it compares the five rounds of anthropometric measurements of Lithuanian first-graders (7-8-year-old) from 2008 to 2019. The main analysed variables were weight and height; calculated BMI, weight-for-age (W/A), height-for-age (H/A) and body mass index-for-age (BMI/A) z-scores. Changes of the indicators were evaluated according to the International Obesity Task Force (IOTF) cut-offs and WHO child growth standards, grouped by 4 estimates: underweight (thinness), normal weight, overweight and obesity. All comparisons were performed between age groups, gender and COSI round year. Results The mean values for weight, height, W/A and H/A Z-scores were significantly higher for both age and gender groups when comparing later COSI round years (2016 or 2019) to earlier years (2008–2013, in some cases 2016 is included in this range). Time trends of the WHO growth standards and IOTF cut-offs indicate significant decrease among 7-year-old overweight group for boys and girls. Also, a significant decrease was indicated among boys aged 8 years in the overweight group according to the WHO definitions. The only significant increase in trend were expressed in girl’s group with obesity aged 8 years according to IOTF cut-offs. Conclusion The prevalence of overweight and obesity of first-grade children in Lithuania indicates positive changes, that is the proportion of children with elevated body weight decreased, during eleven-year period. However, it is important to continue the monitoring of children’s growth tendencies.https://doi.org/10.1186/s12889-023-17031-6ObesityOverweightHeightWeightAnthropometryChanges
spellingShingle Špečkauskienė Vita
Trišauskė Justina
Grincaitė Monika
Kriaučionienė Vilma
Petrauskienė Aušra
Changes of anthropometric indicators of lithuanian first-graders in 2008–2019 according to International Obesity Task Force (IOTF) and World Health Organization (WHO) definitions
BMC Public Health
Obesity
Overweight
Height
Weight
Anthropometry
Changes
title Changes of anthropometric indicators of lithuanian first-graders in 2008–2019 according to International Obesity Task Force (IOTF) and World Health Organization (WHO) definitions
title_full Changes of anthropometric indicators of lithuanian first-graders in 2008–2019 according to International Obesity Task Force (IOTF) and World Health Organization (WHO) definitions
title_fullStr Changes of anthropometric indicators of lithuanian first-graders in 2008–2019 according to International Obesity Task Force (IOTF) and World Health Organization (WHO) definitions
title_full_unstemmed Changes of anthropometric indicators of lithuanian first-graders in 2008–2019 according to International Obesity Task Force (IOTF) and World Health Organization (WHO) definitions
title_short Changes of anthropometric indicators of lithuanian first-graders in 2008–2019 according to International Obesity Task Force (IOTF) and World Health Organization (WHO) definitions
title_sort changes of anthropometric indicators of lithuanian first graders in 2008 2019 according to international obesity task force iotf and world health organization who definitions
topic Obesity
Overweight
Height
Weight
Anthropometry
Changes
url https://doi.org/10.1186/s12889-023-17031-6
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