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. 2021 Nov 5;14(6):658–674. doi: 10.1159/000517586

Table 3.

WHO classification and parents' perception of child's weigh status by country and overall

Country Classification of child's weight status based on WHO definition, %
Parental perception of child's weight, % (95% CI) (95% CI)
thinness normal weight overweight (excluding obesity) obesity underweight normal weight a little overweight extremely overweight
ALB 2.4 (1.8–3.1) 72.8 (69.5–75.8) 15.0 (13.1–17.1) 9.9 (8.2–11.9) 7.0 (6.0–8.2) 79.5 (77.6–81.3) 12.0 (10.2–14.1) 1.4 (1.0–2.0)
BUL 3.0 (2.4–3.8) 67.2 (65.4–69.0) 16.2 (14.8–17.6) 13.6 (12.3–14.9) 7.0 (6.1–8.0) 79.7 (78.1–81.1) 12.2 (11.0–13.5) 1.2 (0.8–1.7)
CRO 1.7 (1.2–2.2) 65.1 (63.4–66.9) 19.7 (18.3–21.3) 13.5 (12.2–14.9) 1.7 (1.2–2.2) 83.8 (82.3–85.1) 13.7 (12.4–15.1) 0.9 (0.6–1.4)
CZH 4.2 (3.1–5.9) 74.9 (72.4–77.2) 13.9 (12.1–15.9) 7.0 (5.4–9.0) 5.5 (4.4–7.0) 86.1 (83.9–87.9) 7.6 (6.3–9.2) 0.8 (0.4–1.4)
DEN 2.2 (1.4–3.5) 83.9 (80.8–86.6) 10.6 (8.7–12.9) 3.2 (2.1–4.7) 6.9 (5.2–9.1) 87.6 (85.0–89.9) 5.4 (3.7–7.8) 0.1 (0.0–0.8)
GEO 1.6 (1.1–2.3) 74.0 (72.2–75.8) 15.6 (14.3–16.9) 8.8 (7.7–10.0) 10.3 (9.1–11.7) 78.8 (77.0–80.4) 10.1 (9.0–11.3) 0.8 (0.5–1.2)
ITA 1.6 (1.4–1.8) 59.0 (58.3–59.7) 22.6 (22.0–23.1) 16.8 (16.3–17.3) 7.4 (7.1–7.8) 71.8 (71.2–72.4) 19.6 (19.1–20.1) 1.2 (1.0–1.3)
KAZ 3.0 (2.0–4.3) 78.0 (75.2–80.5) 13.4 (11.7–15.2) 5.7 (4.3–7.5) 6.7 (5.5–8.1) 85.7 (83.1–87.9) 6.7 (5.4–8.2) 1.0 (0.6–1.5)
KGZ 3.0 (2.4–3.9) 87.1 (85.9–88.9) 7.2 (6.4–8.0) 2.7 (2.1–3.3) 19.3 (17.7–20.9) 76.8 (75.1–78.4) 3.7 (3.1–4.4) 0.3 (0.1–0.5)
LTU 2.0 (1.5–2.5) 71.9 (70.3–73.6) 15.7 (14.7–16.8) 10.4 (9.2–11.8) 5.7 (5.0–6.5) 82.1 (80.8–83.3) 11.0 (10.1–11.9) 1.1 (0.8–1.5)
LVA 1.6 (1.1–2.3) 73.4 (72.0–74.7) 16.9 (15.8–18.0) 8.1 (7.3–9.0) 6.6 (5.9–7.5) 80.4 (79.1–81.7) 11.9 (10.9–12.9) 1.1 (0.9–1.4)
MAT 1.0 (0.9–1.1) 63.4 (62.9–63.9) 18.4 (18.0–18.8) 17.2 (16.8–17.6) 6.2 (5.9–6.5) 79.4 (79.0–79.9) 13.7 (13.3–14.1) 0.7 (0.6–0.8)
MNE 0.9 (0.6–1.4) 65.9 (63.9–67.9) 20.4 (18.7–22.2) 12.8 (11.4–14.3) 1.8 (1.3–2.5) 88.2 (86.5–89.7) 8.6 (7.5–9.8) 1.4 (1.0–2.0)
POL 1.8 (1.3–2.7) 67.7 (65.2–70.2) 18.0 (16.0–20.1) 12.6 (10.5–14.9) 7.9 (7.2–8.8) 78.6 (77.8–79.4) 11.1 (10.8–11.5) 2.4 (1.9–3.0)
POR 0.9 (0.7–1.3) 68.8 (67.4–70.1) 18.9 (17.9–20.0) 11.4 (10.4–12.4) 7.6 (6.9–8.3) 83.3 (82.1–84.4) 8.9 (8.1–9.8) 0.2 (0.1–0.4)
ROM 6.7 (5.7–7.8) 65.3 (63.9–66.8) 17.1 (16.1–18.0) 11.0 (10.0–12.0) 6.9 (6.1–7.9) 78.1 (76.7–79.4) 14.4 (13.5–15.2) 0.6 (0.3–1.0)
RUS 2.8 (1.9–4.0) 72.3 (69.8–74.7) 15.5 (14.0–17.2) 9.4 (7.8–11.1) 7.3 (6.2–8.6) 80.1 (77.7–82.2) 11.8 (10.0–13.8) 0.8 (0.5–1.3)
SMR 1.0 (0.7–1.3) 65.7 (64.3–67.1) 21.1 (19.9–22.4) 12.2 (11.3–13.2) 6.6 (5.9–7.4) 76.9 (75.6–78.1) 15.8 (14.8–17.0) 0.7 (0.5–0.9)
SPA 0.9 (0.6–1.3) 58.8 (57.0–60.6) 23.0 (21.7–24.3) 17.4 (16.0–18.8) 6.1 (5.4–6.9) 81.3 (80.2–82.3) 11.9 (11.0–12.9) 0.7 (0.5–0.9)
TJK 4.4 (3.2–6.2) 87.9 (85.7–89.7) 6.2 (5.0–7.6) 1.5 (1.0–2.2) 7.4 (6.1–9.1) 89.6 (87.6–91.2) 2.7 (2.0–3.7) 0.3 (0.1–0.6)
TKM 4.3 (3.5–5.4) 83.8 (82.1–85.4) 8.6 (7.4–10.0) 3.2 (2.6–4.0) 4.7 (3.5–6.3) 93.3 (91.5–94.7) 1.8 (1.4–2.4) 0.1 (0.1–0.3)
TUR 1.6 (1.3–1.9) 72.1 (70.8–73.4) 15.5 (14.7–16.4) 10.8 (9.9–11.7) 25.3 (23.9–26.6) 67.5 (66.2–68.9) 6.6 (5.9–7.4) 0.6 (0.4–0.8)
Pooled estimatesa 2.3 (2.0–2.5) 68.8 (67.9–69.7) 17.2 (16.6–17.8) 11.7 (11.1–12.3) 9.6 (9.1–10.1) 79.1 (78.5–79.8) 10.5 (10.0–10.9) 0.8 (0.7–1.0)

COSI/WHO Europe round 4 (2015–17). COSI, Childhood Obesity Surveillance Initiative; CI, confidence interval; BUL, Bulgaria; CZH, Czechia; DEN, Denmark; KGZ, Kyrgyzstan; GEO, Georgia; LVA, Latvia; LTU, Lithuania; MTA, Malta; MNE, Montenegro; RUS, Moscow city-Russian Federation; POR, Portugal; SPA, Spain; TJK, Tajikistan; TKM, Turkey; TUR, Turkmenistan, ALB, Albania; CRO, Croatia; ITA, Italy; POL, Poland; ROM, Romania; SMR, San Marino; KAZ, Kazakhstan.

a

Pooled estimates were calculated for the following age groups/countries: 7 year olds from BUL, CZH, DEN, KGZ, GEO, LVA, LTU, MAT, MNE, RUS, POL, SPA, TJK, TKM, and TUR; 8 year olds from ALB, CRO, ITA, POL, ROM, and SMR; and 9 year olds from KAZ.