Thinness, overweight, and obesity in 6‐ to 9‐year‐old children from 36 countries: The World Health Organization European Childhood Obesity Surveillance Initiative—COSI 2015–2017

Spinelli, Angela; Buoncristiano, Marta; Nardone, Paola; Starc, Gregor; Hejgaard, Tatjana; Júlíusson, Pétur Benedikt; Fismen, Anne‐Siri; Weghuber, Daniel; Milanović, Sanja Musić; García-Solano, Marta; Rutter, Harry; Rakovac, Ivo; Cucu, Alexandra; Brînduşe, Lăcrămioara Aurelia; Rito, Ana Isabel; Kovács, Viktória; Heinen, Mirjam M.; Nurk, Eha; Mäki, Päivi; Abdrakhmanova, Shynar; Rakhmatulleoeva, Sanavbar; Duleva, Vesselka; Sant’Angelo, Victoria Farrugia; Fijałkowska, Anna; Gualtieri, Andrea; Sacchini, Elena; Hassapidou, Maria; Hyska, Jolanda; Kelleher, Cecily; Kujundžić, Enisa; Kunešová, Marie; Ioannidou, Eliza Markidou; Ostojić, Sergej M.; Peterkova, Valentina; Petrauskienė, Aušra; Popović, Stevo; Pudule, Iveta; Jonsson, Kenisha Russell; Saavedra, Maria angeles Dal-Re; Salanave, Benoît; Shengelia, Lela; Spiroski, Igor; Tanrygulyyeva, Maya; Tichá, Ľubica; Usupova, Zhamilya; Özcebe, Lütfiye Hilal; Abildina, Akbota; Schindler, Karin; Weber, Martin; Hadžiomeragić, Aida Filipović; Melkumova, Marina; Stojisavljević, Dragana; Boymatova, Khadichamo; Williams, Julianne; Breda, João

doi:10.1111/obr.13214

Cited by 65 publications

(69 citation statements)

References 38 publications

(75 reference statements)

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“…In particular, the countries included in the study with a higher initial prevalence of overall overweight or obesity had 25 and other studies. 1,2,26 However, despite the encouraging decrease, the Southern European countries continue to have a higher prevalence of childhood overweight and obesity relative to other countries, 22 and declines are not as steep as experts would like them to be. These differences in trends may be due to cultural differences, including a mistaken perception of the effects of overweight and obesity on health and differences in children's exposure to risk factors within the food and physical activity environments.…”

Section: Discussionmentioning

confidence: 99%

Childhood overweight and obesity in Europe: Changes from 2007 to 2017

et al. 2021

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SummaryThe Childhood Obesity Surveillance Initiative (COSI) routinely measures height and weight of primary school children aged 6–9 years and calculates overweight and obesity prevalence within the World Health Organization (WHO) European Region using a standard methodology. This study examines the trends in the prevalence of overweight and obesity from the first round of COSI carried out in 2007/2008 to the latest of 2015/2017 in 11 European countries in which data were collected for at least three rounds. In total 303,155 children were measured. In general, the prevalence of overweight and obesity among boys and girls decreased in countries with high prevalence (Southern Europe) and remained stable or slightly increased in Northern European and Eastern European countries included in the analysis. Among boys, the highest decrease in overweight (including obesity) was observed in Portugal (from 40.5% in 2007/2008 to 28.4 in 2015/2017) and in Greece for obesity (from 30.5% in 2009/2010 to 21.7% in 2015/2017). Lithuania recorded the strongest increase in the proportion of boys with overweight (from 24.8% to 28.5%) and obesity (from 9.4% to 12.2%). The trends were similar for boys and girls in most countries. Several countries in Europe have successfully implemented policies and interventions to counteract the increase of overweight and obesity, but there is still much to be done.

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Section: Discussionmentioning

confidence: 99%

Childhood overweight and obesity in Europe: Changes from 2007 to 2017

et al. 2021

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“…In the WHO European Childhood Obesity Surveillance Initiative (COSI), overweight and obesity prevalence of primary-school children aged 6-9 years is routinely assessed. 4 Concurrently, in some countries, waist circumference (WC) was measured. Intercountry comparison of the differences in the waist and waist/height ratio between the countries with waist measurement accessible is an important output of the project.…”

Section: Introductionmentioning

confidence: 99%

Waist circumference and waist‐to‐height ratio in 7‐year‐old children—WHO Childhood Obesity Surveillance Initiative

et al. 2021

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“…The inclusion criteria were as follows: (1) under 18 years old, (2) the actual injection regimen should be in a range of 1.7-2.0 MBq/kg. The exclusion criteria were as follows: (1) waiting time after 18 F-FDG injection ≥80 min, (2) the body mass above the standard de nition of children overweight and obesity [21,22]. (3) inhomogeneous background uptake, particularly due to liver or spleen metastasis or other irregularities.…”

Section: Patientsmentioning

confidence: 99%

Evaluation of pediatric malignancies using total-body PET/CT with half-dose [18F]-FDG

Chen

Liu

et al. 2022

Eur J Nucl Med Mol Imaging

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PurposeTo explore the effect of half 18 F-FDG dose on image quality of pediatric oncological patients using totalbody PET/CT. and investigate the ultra-low dose of administered tracer activity. Methods 100 pediatric oncological patients who underwent total-body PET/CT using the uEXPLORER scanner with half 18 F-FDG dose (1.85 MBq/kg) were retrospectively enrolled. The PET images were rstly reconstructed using all the 600s data, and then split into 300s, 180s, 60s, 40s and 20s duration groups. The subjective analysis method was assessed using a 5-point Likert scales. Objective quantitative metrics included the maximum standard uptake value (SUV max ), SUV mean , standard deviation (SD), signal to noise ratio (SNR) and SNR norm of the backgrounds. The variability in lesion SUV mean , SUV max , and tumor-to-background ratio (TBR) were also calculated. ResultsThe overall image quality scores in Group 600s, 300s, 180s and 60s were 4.9 ± 0.2, 4.9 ± 0.3, 4.4±0.5 and 3.5±0.5 respectively. All the lesions identi ed in half-dose images were localised down to G60s (1/20-dose) images; while 56% of the lesion could be clearly identi ed in G20s (1/60-dose) images. With stimulated reduced doses, SUV max and SD of backgrounds were gradually increased, while TBR values showed no statistically signi cant deviation among all the groups (all p > 0.1). Using the half-dose images as reference, the variability of lesion SUV max gradually increased from G180s to G20s, while lesion SUVmean remained stable for all the age groups. SNR norm was highly correlated with the age in a negative direction. ConclusionsThe total-body PET/CT with half 18 F-FDG dose achieved good performance in pediatric patients considering the su cient image quality and lesion conspicuity. Su cient image quality and lesion conspicuity could be maintained with an administered dose reduced down to 1/20-dose (0.185 MBq/kg, , estimated effective dose: 0.18-0.26 mSv).

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Thinness, overweight, and obesity in 6‐ to 9‐year‐old children from 36 countries: The World Health Organization European Childhood Obesity Surveillance Initiative—COSI 2015–2017

Cited by 65 publications

References 38 publications

Childhood overweight and obesity in Europe: Changes from 2007 to 2017

Childhood overweight and obesity in Europe: Changes from 2007 to 2017

Waist circumference and waist‐to‐height ratio in 7‐year‐old children—WHO Childhood Obesity Surveillance Initiative

Evaluation of pediatric malignancies using total-body PET/CT with half-dose [18F]-FDG

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