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Prevalence and trends of thinness, overweight and obesity among children and adolescents aged 3–18 years across Europe: a protocol for a systematic review and meta-analysis
  1. Miriam Garrido-Miguel1,
  2. Iván Cavero-Redondo1,
  3. Celia Álvarez-Bueno1,
  4. Fernando Rodriguez-Artalejo2,
  5. Luis Moreno Aznar3,
  6. Jonatan R Ruiz4,
  7. Vicente Martinez-Vizcaino1,5
  1. 1 Health and Social Research Center, Universidad de Castilla-La Mancha, Cuenca, Spain
  2. 2 Department of Preventive Medicine and Public Health, School of Medicine, Universidad Autónoma de Madrid/IdiPaz, CIBERESP, and IMDEA-Food Institute. CEI UAM+CSIC, Madrid, Spain
  3. 3 GENUD "Growth, Exercise, NUtrition and Development" Research Group, Faculty of Health Sciences, Universidad de Zaragoza, Spain; Instituto Agroalimentario de Aragón(IA2), Spain; Instituto de Investigación Sanitaria Aragón (IIS Aragón), Spain; Centro deInvestigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición(CIBERObn), Spain
  4. 4 Department of Physical Education and Sports, Faculty of Sport Sciences, PROmoting FITness and Health through Physical Activity Research Group (PROFITH), University of Granada, Granada, Andalucía, Spain
  5. 5 Facultad de Ciencias de la Salud, Universidad Autónoma de Chile, Talca, Chile
  1. Correspondence to Celia Álvarez-Bueno; Celia.Alvarezbueno{at}uclm.es

Abstract

Introduction Increasing prevalence of both thinness and excess weight during childhood and adolescence is a significant public health issue because of short-term health consequences and long-term tracking of weight status. Monitoring weight status in Europe may serve to identify countries and regions where rates of these disorders are either slowing down or increasing to evaluate recent policies aimed at appropriate body weight, and to direct future interventions. This study protocol provides a standardised and transparent methodology to improve estimating trends of thinness, overweight and obesity in children aged 3–18 years and adolescents across the European region between 2000 and 2017.

Methods and analysis This protocol is guided by the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols (PRISMA-P) and the Cochrane Collaboration Handbook. To identify relevant studies, a search will be conducted in MEDLINE, EMBASE, Cochrane Library, CINAHL and Web of Science databases. From the selected studies, relevant references will be screened as supplemental sources. Finally, open search in websites from health institutions will be conducted to identify weight status data not published in scientific journals. Cross-sectional, follow-up studies and panel surveys reporting weight status (objectively measured height and weight) according to the International Obesity Task Force criteria, and written in English or Spanish will be included. Subgroup analyses will be carried out by gender, age, study year and country or European region.

Discussion This study will provide a comprehensive description of weight status of children and adolescents across Europe from 2000 to 2017. The results will be disseminated in a peer-reviewed journal. This study will use data exclusively from published research or institutional literature, so institutional ethical approval is not required.

PROSPERO registration number CRD42017056917.

  • obesity
  • underweight
  • weight status
  • trends
  • europe
  • schoolchildren

This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/

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Footnotes

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  • Contributors VM-V and MG-M designed the study. VM-V was the principal investigator and guarantor. VM-V and MG-M were the main coordinators of the study. CA-B, IC-R, FR-A, LMA, JRR and VM-V conducted the study. MG-M, IC-R and CA-B gave statistical and epidemiological support. MG-M wrote the article with the support of CA-B and VM-V. All authors reviewed and approved the final version of the manuscript.

  • Funding MG-M and CA-B are supported by grants from the Ministerio de Educación, Cultura y Deporte, (FPU15/03847 and FPU13/03137, respectively). IC-R is supported by a grant from the Universidad de Castilla-La Mancha (FPI13/01582).

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.