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Updated: Sep 4, 2025

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
[Prevalence of overweight and obesity in children]
A N Martinchik1, K E Laikam2, N A Kozyreva2
1Federal Research Centre of Nutrition, Biotechnology and Food Safety, 109240, Moscow, Russian Federation.
Insights
Overweight and obesity affect 18% of Russian children aged 2-18, a higher prevalence than in European countries. Malnutrition rates like underweight and short stature are low.
Area of Science:
- Pediatrics
- Public Health
- Nutritional Science
Background:
- Childhood overweight and obesity are global health concerns.
- Understanding nutritional status in diverse populations is crucial for public health interventions.
Purpose of the Study:
- To analyze the prevalence of overweight, obesity, and other nutritional disorders in Russian children aged 2-18 years.
- To assess the applicability of WHO standards for evaluating nutritional status in this population.
Main Methods:
- Utilized anthropometric data from 17,329 children (2-18 years) from the 2018 "Sample Survey of the Population's Diet."
- Assessed nutritional status using Z-score categories (underweight, stunted growth, thinness, overweight, obesity).
- Employed multilevel logistic regression to identify factors influencing overweight and obesity.
Main Results:
- WHO Z-score standards are applicable to Russian children.
- Prevalence of overweight is 18% and obesity is 9.1% in children aged 2-18.
- Overweight and obesity rates in Russian children exceed those in European countries, while underweight and short stature are low.
Conclusions:
- Russian children exhibit low rates of underweight and thinness.
- The prevalence of overweight and obesity in Russian children is a significant public health concern.
- Risk factors for overweight and obesity include younger age and male sex, with lower risk in urban settings.
Abstract:
The growing prevalence of overweight and obesity is an urgent problem not only in adults but also in children in both developed and developing countries. The purpose of this study was to analyze the prevalence of overweight and obesity and other forms of nutritional disorders in Russian children. Material and methods. The nutritional status of 17 329 children aged 2-18 years was assessed on the basis of anthropometric data, obtained by the Federal State Statistics Service during the "Sample Survey of the Population's Diet" in 2018. The prevalence of various forms of malnutrition was assessed by the Z-score categories: underweight, stunted growth (short stature), thinness, overweight, obesity. Results. Population mean and median values of Z-scores in all sex-age groups do not exceed ±0.5 in relation to WHO standards, which indicates the applicability of the standards to assessing the nutritional status of Russian children population. High body weight (WAZ>2) occurs in 7.6% of children, underweight in 2.6%. The incidence of short stature in boys and girls is 7.0 and 6.8%, respectively. The prevalence of overweight and obesity in boys is 20.4 and 10.4%, respectively, while in girls, 15.4 and 7.6%. In general, in the population of children 2-18 years old, the prevalence of overweight is 18%, and obesity is 9.1%. The index of malnutrition, including the sum of the frequency of various combinations of low Z-scores (<-2), characterizing underweight, short stature, thinness, and their combinations was 8.0%. The multilevel logistic regression showed that overweight and obesity inversely depend on age; the risk of developing these conditions is lower in the city, but higher in male children compared to female children. Conclusion. The population of children 2-18 years old in the Russian Federation is characterized by a low incidence of forms of malnutrition, such as underweight and thinness. However, the prevalence of overweight and obesity is higher than in European countries.
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