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1. Methodology and implementation of the WHO European Childhood Obesity Surveillance Initiative (COSI)

Author

Breda, João, primary, McColl, Karen, additional, Buoncristiano, Marta, additional, Williams, Julianne, additional, Abdrakhmanova, Shynar, additional, Abdurrahmonova, Zulfiya, additional, Ahrens, Wolfgang, additional, Akhmedova, Dilorom, additional, Bakacs, Márta, additional, Boer, Jolanda M.A., additional, Boymatova, Khadichamo, additional, Brinduse, Lacramioara Aurelia, additional, Cucu, Alexandra, additional, Duleva, Vesselka, additional, Endevelt, Ronit, additional, Sant'Angelo, Victoria Farrugia, additional, Fijałkowska, Anna, additional, Hadžiomeragić, Aida Filipović, additional, García‐Solano, Marta, additional, Grøholt, Else Karin, additional, Gualtieri, Andrea, additional, Hassapidou, Maria, additional, Hejgaard, Tatjana, additional, Hyska, Jolanda, additional, Kelleher, Cecily C., additional, Kujundžić, Enisa, additional, Mäki, Päivi, additional, Markidou Ioannidou, Eliza, additional, Melkumova, Marina, additional, Moyersoen, Isabelle, additional, Milanović, Sanja Musić, additional, Nurk, Eha, additional, Ostojic, Sergej M., additional, Peterkova, Valentina, additional, Petrauskienė, Aušra, additional, Pudule, Iveta, additional, Rito, Ana Isabel, additional, Russell Jonsson, Kenisha, additional, Rutter, Harry, additional, Salanave, Benoît, additional, Seyidov, Nabil, additional, Shengelia, Lela, additional, Silitrari, Natalia, additional, Spinelli, Angela, additional, Spiroski, Igor, additional, Starc, Gregor, additional, Stojisavljević, Dragana, additional, Tanrygulyyeva, Maya, additional, Tichá, Ľubica, additional, Usupova, Zhamilya, additional, Weghuber, Daniel, additional, Yardim, Nazan, additional, Zamrazilová, Hana, additional, Zbanatskyi, Vladyslav, additional, Branca, Francesco, additional, Weber, Martin, additional, and Rakovac, Ivo, additional

Published
2021
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2. Socioeconomic disparities in physical activity, sedentary behavior and sleep patterns among 6‐ to 9‐year‐old children from 24 countries in the WHO European region

Author

Giulia Rathmes, Julianne Williams, Sergej M. Ostojic, Eha Nurk, Mahmut S. Yardim, Igor Spiroski, Lela Shengelia, Shynar Abdrakhmanova, João Breda, Päivi Mäki, Vesselka Duleva, Maya Tanrygulyyeva, Khadichamo Boymatova, Angela Spinelli, Tatjana Hejgaard, Enrique Gutiérrez-González, Valentina Peterkova, Anna Fijałkowska, Paola Nardone, Marta Buoncristiano, Victoria Farrugia Sant'Angelo, Maja Bæksgaard Jørgensen, Ausra Petrauskiene, Ivo Rakovac, Jolanda Hyska, Wolfgang Ahrens, Sanja Musić Milanović, Ingunn Holden Bergh, Alexandra Cucu, Andrea Gualtieri, Enisa Kujundžić, Iveta Pudule, Harry Rutter, Lacramioara Aurelia Brinduse, Daniel Weghuber, Hana Zamrazilová, Cecily Kelleher, Kenisha Russell Jonsson, Helena Križan, Stephen Whiting, Ana Isabel Rito, Benoît Salanave, Marina Melkumova, Zhamilya Usupova, and Marta García-Solano

Subjects
Pediatric Obesity, Endocrinology, Diabetes and Metabolism, media_common.quotation_subject, Physical activity, physical activity, Child Behavior, Saúde Pública, World Health Organization, Childhood obesity, Pediatric Obesity / epidemiology, Screen time, Childhood Obesity Surveillance Initiative, SDG 3 - Good Health and Well-being, sedentary behavior, medicine, Humans, Social inequality, Child, Exercise, Socioeconomic status, media_common, sleep hygiene, Sleep hygiene, Portugal, social inequalities, business.industry, Public Health, Environmental and Occupational Health, Sedentary behavior, medicine.disease, Europe, Cross-Sectional Studies, Social Class, Socioeconomic Factors, COSI, Sedentary Behavior, Sleep, business, Estilos de Vida e Impacto na Saúde, Demography, Diversity (politics)
Abstract

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 2015 and 2017. Socioeconomic status (SES) was measured through parental education, parental employment status, and family perceived wealth. Overall, results showed different patterns in socioeconomic disparities in children's movement behaviors across countries. In general, high SES children were more likely to use motorized transportation. Low SES children were less likely to participate in sports clubs and more likely to have more than 2 h/day of screen time. Children with low parental education had a 2.24 [95% CI 1.94-2.58] times higher risk of practising sports for less than 2 h/week. In the pooled analysis, SES was not significantly related to active play. The relationship between SES and sleep varied by the SES indicator used. Importantly, results showed that low SES is not always associated with a higher prevalence of "less healthy" behaviors. There is a great diversity in SES patterns across countries which supports the need for country-specific, targeted public health interventions. The authors gratefully acknowledge support from a grant from the Russian Government in the context of the WHO European Office for the Prevention and Control of NCDs. Data collection in the countries was made possible through funding from: Croatia: Ministry of Health, Croatian Institute of Public Health and WHO Regional Office for Europe. Albania: World Health Organization (WHO) Country Office Albania and the WHO Regional Office for Europe. Bulgaria: WHO Regional Office for Europe. Czech Republic: Ministry of Health of the Czech Republic, grant nr. AZV MZČR 17-31670 A and MZČR–RVO EÚ 00023761. Denmark: The Danish Ministry of Health. France: Santé publique France, the French Agency for Public Health. Georgia: WHO. Ireland: Health Service Executive. Italy: Italian Ministry of Health; Italian National Institute of Health (Istituto Superiore di Sanità). Kazakhstan: the Ministry of Health of the Republic of Kazakhstan within the scientific and technical program. Kyrgyzstan: World Health Organization. Latvia: Centre for Disease Prevention and Control, Ministry of Health, Latvia. Lithuania: Science Foundation of Lithuanian University of Health Sciences and Lithuanian Science Council and WHO. Malta: Ministry of Health. Montenegro: WHO and Institute of Public Health of Montenegro. Poland: National Health Programme, Ministry of Health. Portugal: Ministry of Health Institutions, the National Institute of Health, Directorate General of Health, Regional Health Directorates and the kind technical support from the Center for Studies and Research on Social Dynamics and Health (CEIDSS). Romania: Ministry of Health. Russian Federation: WHO. San Marino: Health Ministry. Spain: the Spanish Agency for Food Safety & Nutrition. Tajikistan: WHO Country Office in Tajikistan and Ministry of Health and Social Protection; Turkmenistan: WHO Country Office in Turkmenistan and Ministry of Health. Turkey: Turkish Ministry of Health and World Bank. Austria: Federal Ministry of Labor, Social Affairs, Health and Consumer Protection of Austria. info:eu-repo/semantics/publishedVersion

Published
2021

3. Mobilizing governments and society to combat obesity: Reflections on how data from the WHO European Childhood Obesity Surveillance Initiative are helping to drive policy progress

Author

Breda, João, primary, Farrugia Sant'Angelo, Victoria, additional, Duleva, Vesselka, additional, Galeone, Daniela, additional, Heinen, Mirjam M., additional, Kelleher, Cecily C., additional, Menzano, Maria Teresa, additional, Musić Milanović, Sanja, additional, Mitchell, Lachlan, additional, Pudule, Iveta, additional, Rito, Ana Isabel, additional, Shengelia, Lela, additional, Spinelli, Angela, additional, Spiroski, Igor, additional, Yardim, Nazan, additional, Buoncristiano, Marta, additional, Williams, Julianne, additional, Rakovac, Ivo, additional, and McColl, Karen, additional

Published
2021
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4. Socioeconomic differences in food habits among 6‐ to 9‐year‐old children from 23 countries—WHO European Childhood Obesity Surveillance Initiative (COSI 2015/2017)

Author

Fismen, Anne‐Siri, primary, Buoncristiano, Marta, additional, Williams, Julianne, additional, Helleve, Arnfinn, additional, Abdrakhmanova, Shynar, additional, Bakacs, Márta, additional, Bergh, Ingunn Holden, additional, Boymatova, Khadichamo, additional, Duleva, Vesselka, additional, Fijałkowska, Anna, additional, García‐Solano, Marta, additional, Gualtieri, Andrea, additional, Gutiérrez‐González, Enrique, additional, Hejgaard, Tatjana, additional, Huidumac‐Petrescu, Constanta, additional, Hyska, Jolanda, additional, Kelleher, Cecily C., additional, Kierkegaard, Lene, additional, Kujundžić, Enisa, additional, Kunešová, Marie, additional, Milanović, Sanja Musić, additional, Nardone, Paola, additional, Nurk, Eha, additional, Ostojic, Sergej M., additional, Ozcebe, Lütfiye Hilal, additional, Peterkova, Valentina, additional, Petrauskiene, Ausra, additional, Pudule, Iveta, additional, Rakhmatulleoeva, Sanavbar, additional, Rakovac, Ivo, additional, Rito, Ana Isabel, additional, Rutter, Harry, additional, Sacchini, Elena, additional, Stojisavljević, Dragana, additional, Farrugia Sant'Angelo, Victoria, additional, Shengelia, Lela, additional, Spinelli, Angela, additional, Spiroski, Igor, additional, Tanrygulyyeva, Maya, additional, Usupova, Zhamilya, additional, Weghuber, Daniel, additional, and Breda, João, additional

Published
2021
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5. Socioeconomic disparities in physical activity, sedentary behavior and sleep patterns among 6‐ to 9‐year‐old children from 24 countries in the WHO European region

Author

Musić Milanović, Sanja, primary, Buoncristiano, Marta, additional, Križan, Helena, additional, Rathmes, Giulia, additional, Williams, Julianne, additional, Hyska, Jolanda, additional, Duleva, Vesselka, additional, Zamrazilová, Hana, additional, Hejgaard, Tatjana, additional, Jørgensen, Maja Bæksgaard, additional, Salanave, Benoît, additional, Shengelia, Lela, additional, Kelleher, Cecily C., additional, Spinelli, Angela, additional, Nardone, Paola, additional, Abdrakhmanova, Shynar, additional, Usupova, Zhamilya, additional, Pudule, Iveta, additional, Petrauskiene, Ausra, additional, Farrugia Sant'Angelo, Victoria, additional, Kujundžić, Enisa, additional, Fijałkowska, Anna, additional, Rito, Ana Isabel, additional, Cucu, Alexandra, additional, Brinduse, Lacramioara Aurelia, additional, Peterkova, Valentina, additional, Gualtieri, Andrea, additional, García‐Solano, Marta, additional, Gutiérrez‐González, Enrique, additional, Boymatova, Khadichamo, additional, Yardim, Mahmut S., additional, Tanrygulyyeva, Maya, additional, Melkumova, Marina, additional, Weghuber, Daniel, additional, Nurk, Eha, additional, Mäki, Päivi, additional, Bergh, Ingunn Holden, additional, Ostojic, Sergej M., additional, Russell Jonsson, Kenisha, additional, Spiroski, Igor, additional, Rutter, Harry, additional, Ahrens, Wolfgang, additional, Rakovac, Ivo, additional, Whiting, Stephen, additional, and Breda, João, additional

Published
2021
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6. 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

Author

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

Published
2021
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7. Urban and rural differences in frequency of fruit, vegetable, and soft drink consumption among 6–9‐year‐old children from 19 countries from the WHO European region

Author

Heinen, Mirjam M., primary, Bel‐Serrat, Silvia, additional, Kelleher, Cecily C., additional, Buoncristiano, Marta, additional, Spinelli, Angela, additional, Nardone, Paola, additional, Milanović, Sanja Musić, additional, Rito, Ana Isabel, additional, Bosi, A. Tülay Bağci, additional, Gutiérrrez‐González, Enrique, additional, Pudule, Iveta, additional, Abdrakhmanova, Shynar, additional, Abdurrahmonova, Zulfiya, additional, Brinduse, Lacramioara Aurelia, additional, Cucu, Alexandra, additional, Duleva, Vesselka, additional, Fijałkowska, Anna, additional, Gualtieri, Andrea, additional, Hejgaard, Tatjana, additional, Hyska, Jolanda, additional, Kujundžić, Enisa, additional, Petrauskiene, Ausra, additional, Sacchini, Elena, additional, Shengelia, Lela, additional, Tanrygulyyeva, Maya, additional, Usupova, Zhamilya, additional, Bergh, Ingunn Holden, additional, Weghuber, Daniel, additional, Taxová Braunerová, Radka, additional, Kunešová, Marie, additional, Sant'Angelo, Victoria Farrugia, additional, Nurk, Eha, additional, Ostojic, Sergej M., additional, Spiroski, Igor, additional, Tichá, Ľubica, additional, Rutter, Harry, additional, Williams, Julianne, additional, Boymatova, Khadichamo, additional, Rakovac, Ivo, additional, Weber, Martin W., additional, and Breda, João, additional

Published
2021
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8. Socioeconomic inequalities in overweight and obesity among 6‐ to 9‐year‐old children in 24 countries from the World Health Organization European region

Author

Buoncristiano, Marta, primary, Williams, Julianne, additional, Simmonds, Philippa, additional, Nurk, Eha, additional, Ahrens, Wolfgang, additional, Nardone, Paola, additional, Rito, Ana Isabel, additional, Rutter, Harry, additional, Bergh, Ingunn Holden, additional, Starc, Gregor, additional, Jonsson, Kenisha Russell, additional, Spinelli, Angela, additional, Vandevijvere, Stefanie, additional, Mäki, Päivi, additional, Milanović, Sanja Musić, additional, Salanave, Benoît, additional, Yardim, Mahmut S., additional, Hejgaard, Tatjana, additional, Fijałkowska, Anna, additional, Abdrakhmanova, Shynar, additional, Abdurrahmonova, Zulfiya, additional, Duleva, Vesselka, additional, Farrugia Sant'Angelo, Victoria, additional, García‐Solano, Marta, additional, Gualtieri, Andrea, additional, Gutiérrez‐González, Enrique, additional, Huidumac‐Petrescu, Constanta, additional, Hyska, Jolanda, additional, Kelleher, Cecily C., additional, Kujundžić, Enisa, additional, Peterkova, Valentina, additional, Petrauskiene, Ausra, additional, Pudule, Iveta, additional, Sacchini, Elena, additional, Shengelia, Lela, additional, Tanrygulyyeva, Maya, additional, Taxová Braunerová, Radka, additional, Usupova, Zhamilya, additional, Maruszczak, Katharina, additional, Ostojic, Sergej M., additional, Spiroski, Igor, additional, Stojisavljević, Dragana, additional, Wickramasinghe, Kremlin, additional, and Breda, João, additional

Published
2021
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