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WHO European Childhood Obesity Surveillance Initiative: Impact of type of clothing worn during anthropometric measurements and timing of the survey on weight and body mass index outcome measures in 6-9-year-old children
Division of Noncommunicable Diseases and Promoting Health through the Life-Course,WHO Regional Office for Europe, UNCity, Copenhagen,Denmark.
Centre for Nutrition, Prevention and Health Services, National Institute for Public Health and the Environment, P.O. Bilthoven, Netherlands; Division of Human Nutrition,Wageningen University, Wageningen, Netherlands.
National Centre for Epidemiology, Surveillance and Health Promotion, National Institute of Health, Rome, Italy.
Örebro universitet, Restaurang- och hotellhögskolan.ORCID iD: 0000-0002-7165-279X
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2016 (English)In: Epidemiology Research International, ISSN 2090-2972, E-ISSN 2090-2980, 5130317Article in journal (Refereed) Published
Abstract [en]

Background: The World Health Organization European Childhood Obesity Surveillance Initiative (COSI) conducted examinations in 6–9-year-old children from 16 countries in the first two rounds of data collection. Allowing participating countries to adhere to their local legal requirements or adapt to other circumstances required developing a flexible protocol for anthropometric procedures.

Objectives: (1) Review intercountry variation in types of clothing worn by children during weight and height measurements, clothes weight adjustments applied, timing of the survey, and duration of data collection; (2) assess the impact of the observed variation in these practices on the children’s weight or body mass index (BMI) outcome measures.

Results: The relative difference between countries’ unadjusted and clothes-adjusted prevalence estimates for overweight was 0.3–11.5%; this figure was 1.4–33.3% for BMI-for-age Z-score values. Monthly fluctuations in mean BMI-for-age Z-score values did not show a systematic seasonal effect. The majority of the monthly BMI-for-age Z-score values did not differ statistically within a country; only 1–3 monthly values were statistically different within some countries.

Conclusions: The findings of the present study suggest that the built-in flexibility in the COSI protocol concerning the data collection practices addressed in the paper can be kept and thus do not necessitate a revision of the COSI protocol.

Place, publisher, year, edition, pages
Hindawi Publishing Corporation , 2016. 5130317
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Pediatrics; Nutrition
URN: urn:nbn:se:uu:diva-304953DOI: 10.1155/2016/5130317OAI: oai:DiVA.org:uu-304953DiVA: diva2:1034306

Funding agencies:


Karolinska Institute

Available from: 2016-04-28 Created: 2016-10-11 Last updated: 2016-10-11

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