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Updated: Jul 11, 2025

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Change in the prevalence of overweight/obesity in Czech seven-year-old children between 2008 and 2019
Insights
Childhood obesity surveillance in the Czech Republic shows stable overweight and obesity rates from 2008-2019. However, a 2019 increase in obesity and decrease in overweight highlights the need for continued prevention programs.
Area of Science:
- Pediatrics
- Public Health
- Epidemiology
Background:
- The Childhood Obesity Surveillance Initiative (COSI) by WHO Europe monitors child obesity.
- The Czech Republic has participated in COSI since its inception.
- Monitoring childhood overweight and obesity is crucial for public health.
Purpose of the Study:
- To track the prevalence of overweight and obesity in 7-year-old children in the Czech Republic.
- To analyze trends in childhood obesity from 2008 to 2019.
- To assess the prevalence of severe obesity in Czech children.
Main Methods:
- Data collected from 2349 children aged 7 years across the Czech Republic.
- Involved 72 pediatricians conducting anthropometric measurements.
- Utilized questionnaires for additional data collection.
Main Results:
- Overall prevalence of overweight and obesity remained stable between 2008 and 2019.
- In 2019, obesity prevalence increased (Boys: 9.26%, Girls: 8.64%) while overweight slightly decreased (Boys: 6.09%, Girls: 7.12%).
- Severe obesity prevalence was notably high from the first round (Boys: 3.21%, Girls: 0.8%) and remained consistent.
Conclusions:
- Despite stable overall trends, the recent increase in obesity necessitates ongoing preventive measures.
- Early detection and intervention programs for childhood obesity are vital.
- Continued surveillance is essential for understanding and addressing childhood obesity in the Czech Republic.
Abstract:
World Health Organization (WHO) Europe organizes Childhood Obesity Surveillance Initiative (COSI), in which the Czech Republic participates since the beginning. The aim of this project is to monitor the prevalence of overweight and obesity of 7-year-old children in the Czech Republic. Data were obtained from 2349 children examined by 72 pediatricians across the Czech Republic. Anthropometric parameters were measured and subjects filled questionnaire. The prevalence of obesity and overweight did not change significantly between 2008 and 2019. Although in the fifth round in 2019, the prevalence of obesity increased and the prevalence of overweight slightly decreased in both sexes. In 2019 6.09 % of boys and 7.12 % of girl had overweight. The prevalence of obesity in the fifth round was 9.26 % in boys and 8.64 % in girls (assessed according to the Czech reference values). Already in the first round we noticed a relatively high prevalence of severe obesity (3.21 % for boys and 0.8 % for girls), which did not differ significantly between rounds. Even if the prevalence of overweight has not significantly increased until 2019, preventive and treatment programs are very important, because it is an important part of the prevention and early detection of obesity in children.
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