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


Journal

Obesity reviews : an official journal of the International Association for the Study of Obesity
ISSN: 1467-789X
Titre abrégé: Obes Rev
Pays: England
ID NLM: 100897395

Informations de publication

Date de publication:
11 2021
Historique:
received: 11 01 2021
accepted: 12 01 2021
pubmed: 30 6 2021
medline: 1 1 2022
entrez: 29 6 2021
Statut: ppublish

Résumé

Childhood overweight and obesity have significant short- and long-term negative impacts on children's health and well-being. These challenges are unequally distributed according to socioeconomic status (SES); however, previous studies have often lacked standardized and objectively measured data across national contexts to assess these differences. This study provides a cross-sectional picture of the association between SES and childhood overweight and obesity, based on data from 123,487 children aged 6-9 years in 24 countries in the World Health Organization (WHO) European region. Overall, associations were found between overweight/obesity and the three SES indicators used (parental education, parental employment status, and family-perceived wealth). Our results showed an inverse relationship between the prevalence of childhood overweight/obesity and parental education in high-income countries, whereas the opposite relationship was observed in most of the middle-income countries. The same applied to family-perceived wealth, although parental employment status appeared to be less associated with overweight and obesity or not associated at all. This paper highlights the need for close attention to context when designing interventions, as the association between SES and childhood overweight and obesity varies by country economic development. Population-based interventions have an important role to play, but policies that target specific SES groups are also needed to address inequalities.

Identifiants

pubmed: 34184399
doi: 10.1111/obr.13213
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

e13213

Subventions

Organisme : World Health Organization
ID : 001
Pays : International

Informations de copyright

© 2021 World Obesity Federation. The World Health Organization retains copyright and all other rights in the manuscript of this article as submitted for publication.

Références

Swinburn B, Egger G, Raza F. Dissecting obesogenic environments: the development and application of a framework for identifying and prioritizing environmental interventions for obesity. Prev Med. 1999 Dec;29(6 Pt 1):563-570. https://doi.org/10.1006/pmed.1999.0585 PMID: 10600438
Sahoo K, Sahoo B, Choudhury AK, Sofi NY, Kumar R, Bhadoria AS. Childhood obesity: causes and consequences. J Family Med Prim Care. 2015;4(2):187-192. https://doi.org/10.4103/2249-4863.154628
Roberto CA, Swinburn B, Hawkes C, et al. Patchy progress on obesity prevention: emerging examples, entrenched barriers, and new thinking. Lancet. 2015 Jun 13;385(9985):2400-2409. https://doi.org/10.1016/S0140-6736(14)61744-X Epub 2015 Feb 19. PMID: 25703111
Williams DR, Costa MV, Odunlami AO, Mohammed SA. Moving upstream: how interventions that address the social determinants of health can improve health and reduce disparities. J Public Health Manag Pract. 2008;14(Suppl):S8-S17. https://doi.org/10.1097/01.PHH.0000338382.36695.42
Tanumihardjo SA, Anderson C, Kaufer-Horwitz M, et al. Poverty, obesity, and malnutrition: an international perspective recognizing the paradox. J Amer Diet Ass. 2007;107(11):1966-1972.
Freedman DS, Dietz WH, Srinivasan SR, Berenson GS. The relation of overweight to cardiovascular risk factors among children and adolescents: the Bogalusa heart study. Pediatrics. 1999;103(6):1175-1182.
Whitaker RC, Wright JA, Pepe MS, Seidel KD, Dietz WH. Predicting obesity in young adulthood from childhood and parental obesity. N Engl J Med. 1997;337(13):869-873.
Balistreri KS, Van Hook J. Trajectories of overweight among US school children: a focus on social and economic characteristics. Matern Child Health J. 2011;15(5):610-619.
Reilly JJ, Kelly J. Long-term impact of overweight and obesity in childhood and adolescence on morbidity and premature mortality in adulthood: systematic review. Int J Obes. 2011;35(7):891-898Available from:. doi: https://doi.org/10.1038/ijo.2010.222
Dalla Valle M, Laatikainen T, Kalliokoski T. Childhood obesity in specialist care--searching for a healthy obese child. Ann Med. 2015;47(8):639-654.
Skinner AC, Perrin EM, Moss LA. Cardiometabolic risks and severity of obesity in children and young adults. N Engl J Med. 2015;373(14):1307-1317.
Andersen IG, Holm JC, Homøe P. Obstructive sleep apnea in children and adolescents with and without obesity. Eur Arch Otorhinolaryngol. 2019;276(3):871-878.
Puhl RM, Latner JD. Stigma, obesity, and the health of the nation's children. Psychol Bull. 2007;133(4):557-580.
Wardle J, Cooke L. The impact obesity on psychological well-being. Best Pract Res Clin Endocrinol Metab. 2005;19(3 SPEC. ISS):421-440.
Arias Ramos N, Calvo Sánchez MD, Fernández-Villa T, Ovalle Perandones MA, Fernández García D, Marqués-Sánchez P. Social exclusion of the adolescent with overweight: study of sociocentric social networks in the classroom. Pediatr Obes. 2018;13(10):614-620. https://doi.org/10.1111/ijpo.12396
Quek Y, Tam WWS, Zhang MWB, Ho RCM. Exploring the association between childhood and adolescent obesity and depression: a meta-analysis. Obes Rev. 2017;18(7):742-754.
NCD Risk Factor Collaboration (NCD-RisC). Worldwide trends in body-mass index, underweight, overweight, and obesity from 1975 to 2016: a pooled analysis of 2416 population-based measurement studies in 128·9 million children, adolescents, and adults. Lancet. 2017 Dec 16;390(10113):2627-2642. https://doi.org/10.1016/S0140-6736(17)32129-3 Epub 2017 Oct 10. PMID: 29029897; PMCID: PMC5735219
Stamatakis E, Wardle J, Cole TJ. Childhood obesity and overweight prevalence trends in England: evidence for growing socioeconomic disparities. Int J Obes. 2010;34(1):41-47Available from:. https://doi.org/10.1038/ijo.2009.217
Wang Y, Lim H. The global childhood obesity epidemic and the association between socio-economic status and childhood obesity. Int Rev Psychiatry. 2012;24(3):176-188.
Bammann K, Gwozdz W, Lanfer A, et al. Socioeconomic factors and childhood overweight in europe: results from the multi-centre IDEFICS study. Pediatr Obes. 2013;8(1):1-12.
Vanhelst J, Baudelet JB, Fardy PS, Béghin L, Mikulovic J, Ulmer Z. Prevalence of overweight, obesity, underweight and normal weight in French youth from 2009 to 2013. Public Health Nutr. 2017;20(6):959-964.
Chung A, Backholer K, Wong E, Palermo C, Keating C, Peeters A. Trends in child and adolescent obesity prevalence in economically advanced countries according to socioeconomic position: a systematic review. Obes Rev. 2016;17(3):276-295.
https://www.who.int/health-topics/social-determinants-of-health#tab=tab_1
Marmot M. Social determinants of health inequalities. Lancet. 2005;365(9464):1099-1104.
Mielke GI, Brown WJ, Nunes BP, Silva IC, Hallal PC. Socioeconomic correlates of sedentary behavior in adolescents: systematic review and meta-analysis. Sports Med. 2017;47(1):61-75.
Hajat A, Hsia C, O'Neill MS. Socioeconomic disparities and air pollution exposure: a global review. Curr Envir Health Rpt. 2015;2(4):440-450. https://doi.org/10.1007/s40572-015-0069-5
Wilkinson RG, Marmot M. (Eds). Social determinants of health: the solid facts. 2003. https://www.euro.who.int/__data/assets/pdf_file/0005/98438/e81384.pdf
Wang L, van Grieken A, van der Velde LA, et al. Factors associated with early introduction of complementary feeding and consumption of non-recommended foods among Dutch infants: the BeeBOFT study. Public Health. 2019;19:388.
Wang Y, Liang H, Tussing L, Braunschweig C, Caballero B, Flay B. Obesity and related risk factors among low socio-economic status minority students in Chicago. Public Health Nutr. 2007;10(9):927-938.
Ruiz M, Goldblatt P, Morrison J, et al. Impact of low maternal education on early childhood overweight and obesity in Europe. Paediatr Perinat Epidemiol. 2016;30(3):274-284.
Pereira S, Katzmarzyk PT, Gomes TN, et al. Profiling physical activity, diet, screen and sleep habits in Portuguese children. Nutrients. 2015;7(6):4345-4362.
Muthuri SK, Onywera VO, Tremblay MS, et al. Relationships between parental education and overweight with childhood overweight and physical activity in 9-11 year old children: results from a 12-country study. PLoS ONE. 2016;11(8):1-14.
Shrewsbury V, Wardle J. Socioeconomic status and adiposity in childhood: a systematic review of cross-sectional studies 1990-2005. Obesity. 2008;16(2):275-284.
Sherburne Hawkins S, Law C. A review of risk factors for overweight in preschool children: a policy perspective. Int J Pediatr Obes. 2006;1(4):195-209.
Dinsa GD, Goryakin Y, Fumagalli E, Suhrcke M. Obesity and socioeconomic status in developing countries: a systematic review. Obes Rev. 2012;13(11):1067-1079.
Pampel FC, Denney JT, Krueger PM. Obesity, SES, and economic development: a test of the reversal hypothesis. Soc Sci Med. 2012;74(7):1073-1081. https://doi.org/10.1016/j.socscimed.2011.12.028
Popkin BM, Corvalan C, Grummer-Strawn LM. Dynamics of the double burden of malnutrition and the changing nutrition reality. Lancet. 2020;395(10217):65-74.
Knai C, Lobstein T, Darmon N, Rutter H, McKee M. Socioeconomic patterning of childhood overweight status in Europe. Int J Environ Res Public Health. 2012;9(4):1472-1489.
Ogden CL, Carroll MD, Fakhouri TH, et al. Prevalence of obesity among youths by household income and education level of head of household-United States 2011-2014. MMWR Morb Mortal Wkly Rep. 2018;67(6):186-189. https://doi.org/10.15585/mmwr.mm6706a3
Wang Y, Zhang Q. Are American children and adolescents of low socioeconomic status at increased risk of obesity? Changes in the association between overweight and family income between 1971 and 2002. Am J Clin Nutr. 2006;84(4):707-716.
Singh GK, Kogan MD, Van Dyck PC, Siahpush M. Racial/ethnic, socioeconomic, and behavioral determinants of childhood and adolescent obesity in the United States: analyzing independent and joint associations. Ann Epidemiol. 2008;18(9):682-695.
Sobal J, Stunkard AJ. Socioeconomic status and obesity: a review of the literature. Psychol Bull. 1989;105(2):260-275.
McLaren L. Socioeconomic status and obesity. Epidemiol Rev. 2007;29(1):29-48.
Spinelli A, Buoncristiano M, Nardone P, et al. Thinness, overweight and obesity in 6-9-year-old children from 36 countries. The WHO European Childhood Obesity Surveillance Initiative-COSI 2015-17. Obes Rev. 2021:e13214.
Lissner L, Wijnhoven TM, Mehlig K, et al. Socioeconomic inequalities in childhood overweight: heterogeneity across five countries in the WHO European Childhood Obesity Surveillance Initiative (COSI-2008). Int J Obes (Lond). 2016;40(5):796-802. https://doi.org/10.1038/ijo.2016.12
World Health Organization Regional Office for Europe. WHO Regional Office for Europe, “WHO European Childhood Obesity Surveillance Initiative”. Protocol, 2016. Who; 2016:1-23.
Breda J, McColl K, Buoncristiano M, et al. Methodology and implementation of the WHO European Childhood Obesity Surveillance Initiative (COSI). Obes Rev. 2021:e13215. https://doi.org/10.1111/obr.13215
de Onis M, Onyango AW, Borghi E, Siyam A, Nishida C, Siekmann J. Development of a WHO growth reference for school-aged children and adolescents. Bull World Health Organ. 2007;85(09):660-667.
WHO. AnthroPlus for personal computers manual: software for assessing growth of the world's children and adolescents. Geneva: World Health Organization; 2009:1-45. https://www.who.int/growthref/tools/who_anthroplus_manual.pdf
World Health Organization, 1995 Physical status: the use and interpretation of anthropometry. Report of a WHO Expert Committee. Geneva: WHO Technical Report Series, No. 854. http://whqlibdoc.who.int/trs/WHO_TRS_854.pdf
Rao JNK, Scott AJ. On chi-squared tests for multi-way tables with cell proportions estimated from survey data. Ann Stat. 1984;12(1):46-60.
Heinen MM, Bel-Serrat S, Kelleher CC, et al. 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. Obes Rev. 2021:e13207. https://doi.org/10.1111/obr.13207
United Nations, United Nations Standard Country Code, Series M: Miscellaneous Statistical Papers, No. 49. New York: United Nations. ST/ESA/STAT/SER.M/49
Fantom N, Serajuddin U. The World Bank's Classification of Countries by Income. Policy Research Working Paper; No. 7528. World Bank, Washington, DC. © World Bank. 2016. https://openknowledge.worldbank.org/handle/10986/23628 License: CC BY 3.0 IGO
Kalleberg AL. Precarious work, insecure workers: employment relations in transition. Am Sociol Rev. 2009;74(1):1-22. https://doi.org/10.1177/000312240907400101
Wu JCL. Parental work characteristics and diet quality among pre-school children in dual-parent households: results from a population-based cohort in Taiwan. Public Health Nutr. 2018;21(6):1147-1155.
Fismen A-S, Buoncristiano M, Williams J, et al. Socioeconomic differences in food habits among 6- to 9-year-old children from 23 countries-WHO European Childhood Obesity Surveillance Initiative (COSI 2015/2017). Obes Rev. 2021:e13211. https://doi.org/10.1111/obr.13211
Lund TB, Holm L, Tetens I, Smed S, Nielsen AL. Food insecurity in Denmark-socio-demographic determinants and associations with eating- and health-related variables. Eur J Public Health. 2018;28(2):283-288. https://doi.org/10.1093/eurpub/ckx121
Bahk J, Khang YH. Trends in childhood obesity and central adiposity between 1998-2001 and 2010-2012 according to household income and urbanity in Korea. BMC Public Health. 2015;16(1):18. https://doi.org/10.1186/s12889-015-2616-2
Pietrobelli A, Pecoraro L, Ferruzzi A, et al. Effects of COVID-19 lockdown on lifestyle behaviors in children with obesity living in Verona, Italy: a longitudinal study. Obesity (Silver Spring). 2020 28(8):1382-1385. https://doi.org/10.1002/oby.22861 Epub 2020 Jul 10. PMID: 32352652; PMCID: PMC7267384
Yang S, Guo B, Ao L, et al. Obesity and activity patterns before and during COVID-19 lockdown among youths in China. Clin Obes. 2020 Dec;10(6):e12416. https://doi.org/10.1111/cob.12416 Epub 2020 Oct 2. PMID: 33009706; PMCID: PMC7646045
Drewnowski A, Specter SE. Poverty and obesity: the role of energy density and energy costs. Am J Clin Nutr. January 2004;79(1):6-16. https://doi.org/10.1093/ajcn/79.1.6
Véliz C, Maslen H, Essman M, Taillie LS, Savulescu J. Sugar, taxes, and choice. Hastings Cent Rep. 2019;49(6):22-31. https://doi.org/10.1002/hast.1067
Micha R, Karageorgou D, Bakogianni I, et al. Effectiveness of school food environment policies on children's dietary behaviors: a systematic review and meta-analysis. PLoS ONE. 2018;13(3):e0194555. https://doi.org/10.1371/journal.pone.0194555
Cunningham SA, Kramer MR, Narayan KM. Incidence of childhood obesity in the United States. N Engl J Med. 2014;370(5):403-411. https://doi.org/10.1056/NEJMoa1309753
Swinburn BA, Sacks G, Hall KD, et al. The global obesity pandemic: shaped by global drivers and local environments. Lancet. 2011 27;378(9793):804-814. https://doi.org/10.1016/S0140-6736(11)60813-1 PMID: 21872749
Kuhnt J, Vollmer S. Antenatal care services and its implications for vital and health outcomes of children: evidence from 193 surveys in 69 low-income and middle-income countries. BMJ Open. 2017;7(11):e017122. https://doi.org/10.1136/bmjopen-2017-017122
Tatlow-Golden M, Murrin C, Bergin R, Kerr M, O'Brien S, Livingstone B. Creating good feelings about unhealthy food: children's televised ‘advertised diet’ on the island of Ireland, in a climate of regulation. Ir J Psychol. 2015;36(1-4):83-100. https://doi.org/10.1080/03033910.2016.1194770
Boyland E, Tatlow-Golden M. Exposure, power and impact of food marketing on children: evidence supports strong restrictions. Eur J Risk Regul. 2017;8(2):224-236. https://doi.org/10.1017/err.2017.21
Rabl A, de Nazelle A. Benefits of shift from car to active transport. Transport Policy. 2012;19(1):121-131.
Gibbs BG, Forste R. Socioeconomic status, infant feeding practices and early childhood obesity. Pediatr Obes. 2014;9(2):135-146.
Rito AI, Buoncristiano M, Spinelli A, et al. Association between characteristics at birth, breastfeeding and obesity in 22 countries: the WHO European Childhood Obesity Surveillance Initiative-COSI 2015/2017. Obes Facts. 2019;12(2):226-243. https://doi.org/10.1159/000500425 Epub 2019 Apr 26. PMID: 31030194; PMCID: PMC6547266
Musić Milanović S, Buoncristiano M, Križan H, et al. 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, 2021. Obes Rev. 2021:e13209. https://doi.org/10.1111/obr.13209
Brown T, Moore TH, Hooper L, et al. Interventions for preventing obesity in children. Cochrane Database Syst Rev. 2019;2011:7.
Davison KK, Lawson CT. Do attributes in the physical environment influence children's physical activity? A review of the literature. Int J Behav Nutr Phys Act. 2006;3(1):19.
Wilfley DE, Staiano AE, Altman M, et al. Improving access and systems of care for evidence-based childhood obesity treatment: conference key findings and next steps. Obesity. 2017;25(1):16-29. https://doi.org/10.1002/oby.21712
Pont SJ, Puhl R, Cook SR, Slusser W. Section on obesity, the obesity society. Stigma experienced by children and adolescents with obesity. Pediatrics. 2017;140(6):e20173034. https://doi.org/10.1542/peds.2017-3034
Vartanian LR, Smyth JM. Primum non Nocere: obesity stigma and public health. Bioethical Inquiry. 2013;10(1):49-57. https://doi.org/10.1007/s11673-012-9412-9
Vallgårda S. Childhood obesity policies - mighty concerns, meek reactions. Obes Rev. 2018;19(3):295-301. https://doi.org/10.1111/obr.12639

Auteurs

Marta Buoncristiano (M)

World Health Organization (WHO) European Office for the Prevention and Control of Noncommunicable Diseases, Division of Country Health Programmes, WHO Regional Office for Europe, Moscow, Russian Federation.

Julianne Williams (J)

World Health Organization (WHO) European Office for the Prevention and Control of Noncommunicable Diseases, Division of Country Health Programmes, WHO Regional Office for Europe, Moscow, Russian Federation.

Philippa Simmonds (P)

World Health Organization (WHO) European Office for the Prevention and Control of Noncommunicable Diseases, Division of Country Health Programmes, WHO Regional Office for Europe, Moscow, Russian Federation.

Eha Nurk (E)

Department of Nutrition Research, National Institute for Health Development, Tallinn, Estonia.

Wolfgang Ahrens (W)

Leibniz Institute for Prevention Research and Epidemiology, BIPS, Bremen, Germany.
Faculty of Mathematics and Computer Science, University of Bremen, Bremen, Germany.

Paola Nardone (P)

National Centre for Disease Prevention and Health Promotion, Italian National Institute of Health (Istituto Superiore di Sanità), Rome, Italy.

Ana Isabel Rito (AI)

WHO/Europe Collaborating Center for Nutrition and Childhood Obesity - Food and Nutrition Department, National Institute of Health Dr. Ricardo Jorge, Lisbon, Portugal.

Harry Rutter (H)

Department of Social and Policy Sciences, University of Bath, Bath, UK.

Ingunn Holden Bergh (IH)

Department of Health and Inequality, Division of Mental and Physical Health, Norwegian Institute of Public Health, Oslo, Norway.

Gregor Starc (G)

Faculty of Sport, University of Ljubljana, Ljubljana, Slovenia.

Kenisha Russell Jonsson (KR)

Department of Living Conditions and Lifestyle, Public Health Agency of Sweden, Solna, Sweden.

Angela Spinelli (A)

National Centre for Disease Prevention and Health Promotion, Italian National Institute of Health (Istituto Superiore di Sanità), Rome, Italy.

Stefanie Vandevijvere (S)

Department of Epidemiology and Public Health, Sciensano, Brussels, Belgium.

Päivi Mäki (P)

Public Health and Welfare, Finnish Institute for Health and Welfare, Helsinki, Finland.

Sanja Musić Milanović (SM)

Croatian Institute of Public Health, Zagreb, Croatia.
School of Medicine, University of Zagreb, Zagreb, Croatia.

Benoît Salanave (B)

Departement of Non-Communicable Diseases and Traumatisms, Santé publique France, the French Public Health Agency, Saint Maurice, France.
Nutritional Surveillance and Epidemiology Team (ESEN), University Sorbonne Paris Nord, Bobigny, France.

Mahmut S Yardim (MS)

Faculty of Medicine, Hacettepe University, Ankara, Turkey.

Tatjana Hejgaard (T)

Health Promotion and Inequality, Danish Health Authority, Copenhagen, Denmark.

Anna Fijałkowska (A)

Department of Cardiology, Institute of Mother and Child, Warsaw, Poland.

Shynar Abdrakhmanova (S)

Department of Science and Professional Development, National Center of Public Health of the Ministry of Health of the Republic of Kazakhstan, Almaty, Kazakhstan.
Kazakhstan School of Public Health, Kazakhstan's Medical University, Almaty, Kazakhstan.

Zulfiya Abdurrahmonova (Z)

Republican Centre for Nutrition, Ministry of Health and Social Protection of Population, Dushanbe, Tajikistan.

Vesselka Duleva (V)

Department Food and Nutrition, National Centre of Public Health and Analyses, Sofia, Bulgaria.

Victoria Farrugia Sant'Angelo (V)

Primary Child Health Unit, Primary Health Care, Floriana, Malta.

Marta García-Solano (M)

Spanish Agency for Food Safety and Nutrition, Ministry of Consumer Affairs, Madrid, Spain.

Andrea Gualtieri (A)

Health Authority, Ministry of Health, San Marino, San Marino.

Enrique Gutiérrez-González (E)

Spanish Agency for Food Safety and Nutrition, Ministry of Consumer Affairs, Madrid, Spain.

Constanta Huidumac-Petrescu (C)

National Center for Health Assessment and Promotion, National Institute of Public Health, Bucharest, Romania.

Jolanda Hyska (J)

Nutrition and Food Safety Sector, Institute of Public Health, Tirana, Albania.

Cecily C Kelleher (CC)

College of Health and Agricultural Sciences, University College Dublin, Dublin, Ireland.

Enisa Kujundžić (E)

Center for Health Ecology, Institute of Public Health, Podgorica, Montenegro.

Valentina Peterkova (V)

Institute of Paediatric Endocrinology, National Medical Research Centre for Endocrinology of the Ministry of Health of the Russian Federation, Moscow, Russian Federation.

Ausra Petrauskiene (A)

Department of Preventive Medicine, Lithuanian University of Health Sciences, Kaunas, Lithuania.

Iveta Pudule (I)

Department of Research and Health Statistics, Centre for Disease and Prevention Control, Riga, Latvia.

Elena Sacchini (E)

Health Authority, Ministry of Health, San Marino, San Marino.

Lela Shengelia (L)

Maternal, Child and Reproductive Health, National Center for Disease Control and Public Health of Georgia, Tbilisi, Georgia.

Maya Tanrygulyyeva (M)

Scientific Research Institute of Maternal and Child Health, Ashgabat, Turkmenistan.

Radka Taxová Braunerová (R)

Obesity Management Centre, Institute of Endocrinology, Prague, Czech Republic.

Zhamilya Usupova (Z)

Republican Center for Health Promotion and Mass Communication, Ministry of Health of the Kyrgyz Republic, Bishkek, Kyrgyzstan.

Katharina Maruszczak (K)

Department of Pediatrics, Paracelsus Medical University, Salzburg, Austria.

Sergej M Ostojic (SM)

Biomedical Sciences Department, Faculty of Sport and Physical Education, University of Novi Sad, Novi Sad, Serbia.

Igor Spiroski (I)

Institute of Public Health, Skopje, North Macedonia.
Faculty of Medicine, SS. Cyril and Methodius University, Skopje, North Macedonia.

Dragana Stojisavljević (D)

Faculty of Medicine, University of Banja Luka, Banja Luka, Bosnia and Herzegovina.
Public Health Institute of Republic of Srpska, Banja Luka, Bosnia and Herzegovina.

Kremlin Wickramasinghe (K)

World Health Organization (WHO) European Office for the Prevention and Control of Noncommunicable Diseases, Division of Country Health Programmes, WHO Regional Office for Europe, Moscow, Russian Federation.

João Breda (J)

World Health Organization (WHO) European Office for the Prevention and Control of Noncommunicable Diseases, Division of Country Health Programmes, WHO Regional Office for Europe, Moscow, Russian Federation.

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