The aim of the study was to examine changes in obesity prevalence among primary school children in Serbia between 2015 and 2019 rounds of the national WHO European Childhood Obesity Surveillance Initiative (COSI-Serbia). Cross-sectional studies were conducted in 2015 and 2019. The nationally representative samples of primary school children were measured for body height and weight, following the COSI protocol. Body Mass Index was calculated, and the IOTF and WHO definitions were used to classify children as overweight or obese. Participants were children of both sexes aged 7.00–8.99 years (n = 6105). Significant differences in overweight (obesity included) prevalence between two COSI rounds were identified regardless of definitions applied. According to the WHO definitions, prevalence of overweight and obesity combined increased in 7–9-year-old children in Serbia from 30.7% in 2015 to 34.8% in 2019 (z = −3.309, p < 0.05), and according to the IOTF standards, the increase from 22.8% to 30% was registered (z = −6.08, p = 0.00). The childhood overweight/obesity rate is increasing in Serbia, which places monitoring and surveillance of children’s nutritional status high on the public health agenda.
Background and objectives: The effectiveness of short-term focused educational programs to change health behaviors across large populations seems to be poorly described so far. The main aim of the present study was to evaluate an age-specific 45-min educational program, designed in accordance with the current U.S. Department of Health and Human Services and U.S. Department of Agriculture dietary guidelines and physical activity (PA) guidelines, among adolescents and adults. Materials and Methods: We evaluated the health-promoting lifestyle habits by the Health-Promoting Lifestyle Profile (HPLP-II) at baseline and following 6–8 weeks post-education in a nationally representative sample of Serbian adolescents and adults (n = 3822). Results: The percentage of adolescents eating 3–5 servings of vegetables per day increased at follow-up (20.1% versus 23.1%, p = 0.001), with significantly more adolescents regularly reading food labels (from 12.2% at baseline to 14.2% at follow-up; p = 0.02). Taken together, mean HPLP-II scores in adolescents significantly improved for both diet (0.05 points; p < 0.0001) and PA (0.09 points; p < 0.0001), and for PA in adults (0.08 points; p < 0.0001). Hierarchical multiple regression analysis revealed that our model as a whole (including time of testing as a predictor variable, and age and gender as control variables) explained 3.0% of the variance in mean HPLP-II scores for diet (p = 0.942) and 3.0% for PA (p = 0.285) in adolescents, and 1.1% of the variance in HPLP-II scores for diet (p = 0.781) and 1.9% for PA (p = 0.075) in adults, respectively. Conclusions: It appears that a brief focused education can positively tackle unhealthy lifestyles in promoting good health in general population. Different modes of interactive communication used here appeared to strengthen participants’ capacities for lifestyle changes.
1 November 2019 in The Journal of Sports Medicine and Physical Fitness
BACKGROUND: Standard neuromuscular assessment through a single value, such as the maximum voluntary torque, could be limited since it changes substantially with movement velocity and joint position and could not discern among force, velocity or power producing capacities of a specific muscle. Therefore, we aimed to evaluate the torque-angular velocity (T-AV) interchange across various joint positions. METHODS: Knee extensors were tested in 40 physically active participants at six velocities between 30 degrees and 180 degrees/s. Both, linear and the second-order polynomial regression methods were applied on peak torque (T-MAX) and angle specific torque outputs (between 80 degrees to 20 degrees of knee extension). RESULTS: The obtained results suggest decline of the concentric torque as angular velocity increases (P0.80) at least when the positions around the T-MAX angle are considered. CONCLUSIONS: The present study revealed that the T-AV relationship of knee extensors, observed from isokinetic tests conducted within a wide range of angular velocities, could be strong, linear and reliable. The results demonstrate that linear regression method could be feasible approach for evaluating individual muscle mechanical capacities.
The purpose of the present cross-sectional study was to examine dietary patterns and the prevalence of underweight, overweight, and obesity among Serbian children. Furthermore, the study analyzed the association between dietary patterns and weight status. A nationally representative sample of 6–9-year-old children (n = 3,067) was evaluated as part of the Fifth Round World Health Organization European Childhood Obesity Surveillance Initiative. The children's height and weight were measured by trained field examiners, while their parents or guardians filled paper versions of the food frequency questionnaire to collect information related to the child's breakfast habits and food and beverage intake. According to the International Obesity Task Force cut-off points, the overall prevalence of overweight (including obesity) and underweight were 28.9 and 8.1%, respectively. The majority of parents reported that their children (84.5%) had breakfast every day, while only 39.5 and 37% of children had daily fruit and vegetable consumption, respectively. The children who do not eat breakfast every day are more likely to be obese (OR = 1.50), while a higher intake frequency of nutrient-poor beverages such as soft drinks increases the risk of being not only overweight (OR = 1.32) but also underweight (OR = 1.39). Regular monitoring and understanding of dietary patterns and weight status is crucial to inform, design, and implement strategies to reduce national and global diet and obesity-related diseases. Urgent actions need to be taken from public policymakers to stop and reverse the increasing trend of overweight (including obesity) among Serbian children.
1 March 2018 in Montenegrin Journal of Sports Science and Medicine
This study aimed to consolidate the body height, body weight, BMI, and nutrition status data of the overall young male population from the Municipality of Berane in order to assess the trajectories of those variables from 1979 to 1987. The sample of respondents included 8740 adolescents who were divided into nine groups according to their age. The sample of variables included body height, body weight, body mass index, and nutrition status, which were presented based on a long-established BMI categorization (underweight, normal weight, pre-obese, and obese). The descriptive statistics are expressed as the mean and standard deviation for each variable; the analysis of nutrition status was calculated based on BMI, while LSD post hoc testing with ANOVA was employed to investigate differences between the means. The results indicate that a secular trend is visible regarding body height and body weight, while no trend is visible for the BMI and nutrition status. This study’s contribution is that it provides insight into more recently published data for the studied period and in this municipality, which can significantly aid in following the secular trend throughout Montenegro.