Sandra Vujkov, Milenko Janković, Karolina Berenji, Zoran Milić, Danilo Radanović

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The aim of this study was to investigate the differences in body composition, involvement in structured PA and nutritional quality habits of normal weight and overweight preschool children from Serbia. Overall, 207 children (5 ± 0.87 year) participated in the study, of which 16 were excluded from the study because of incomplete data. Based on the BMI calculation, the children were divided into two groups: N1=168 normal weight (5.19 ± 0.87 year) and N2=23 overweight children (4.93 ± 0.86 year). There was no statistically significant difference between the observed groups regarding structured PA. Furthermore, no differences in nutritional status were found, underlying the importance of parents promoting good nutritional habits to their children. The preschool age provides a good opportunity for children to develop healthy eating habits in order to maintain healthy growth and development. Nutritional status monitoring in children, along with adequate physical activity, represent  good preventive measures against obesity in a population. Developing and maintaining good overall lifestyle habits at this age could prevent development of some modern diseases at later stages in life.


NutriStep, BMI, Obesity, Physical Activity

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Active Healthy Kids Canada. Are we driving our kids to unhealthy habits? The 2013 Active Healthy Kids Canada Report Card on Physical Activity for Children and Youth. Toronto: Active Healthy Kids Canada; 2013.

Berenson, G. S., Srinivasan, S. R., Xu, J. H., & Chen, W. (2016). Adiposity and cardiovascular risk factor variables in childhood are associated with premature death from coronary heart disease in adults: the Bogalusa Heart Study. The American journal of the medical sciences, 352(5), 448-454.

Biehl, A., Hovengen, R., Groholt, E. K., Hjelmesaeth, J., Strand, B. H., & Meyer, H. E. (2013). Adiposity among children in Norway by urbanity and maternal education: a nationally representative study. BMC Public Health,13,842-50. doi: 10.1186/1471- 2458-13-842.

Carrie, F., Keller, L., Olson, J., & Plymale, A. (2005). Helping preschoolers become healthy eaters. Journal of Pediatric Health Care, 19(3), 178-182.

Cole, T. J., Bellizzi, M. C., Flegal, K. M., & Dietz, W. H. (2000). Establishing a standard definition for child overweight and obesity worldwide: international survey. British Medical Journal, 320(7244), 1240.

Committee on Sports Medicine and Fitness, & Committee on School Health. (2001). Organized sports for children and preadolescents. Pediatrics, 107(6), 1459-1462.

De Onis, M., Blössner, M., & Borghi, E. (2010). Global prevalence and trends of overweight and obesity among preschool children free. The American journal of clinical nutrition, 92(5), 1257-1264.

Drid, P., Vujkov, S., Jakšić, D., Trivić, T., Marinković, D., & Bala, G. (2013). Differences in motor and cognitive abilities of children depending on their body mass index and subcutaneous adipose tissue. Collegium antropologicum, 37(2), 171-177.

Institut za javno zdravlje Srbije “Dr Milan Jovanović Batut. (2014). Rezultati istraživanja zdravlja stanovništva Srbije, 2013.godine. Beograd: Institut za javno zdravlje Srbije “Dr Milan Jovanović Batut”.

Jaballas, E., Clark-Ott, D., Clasen, C., Stolfi, A., & Urban, M. (2011). Parents' perceptions of their children's weight, eating habits, and physical activities at home and at school. Journal of Pediatric Health Care, 25(5), 294-301.

Jin, J., Yun, J., & Agiovlasitis, S. (2018). Impact of enjoyment on physical activity and health among children with disabilities in schools. Disability and health journal, 11(1), 14-19.

Kaur, J., Lamb, M. M., & Ogden, C. L. (2015). The association between food insecurity and obesity in children—The National Health and Nutrition Examination Survey. Journal of the Academy of Nutrition and Dietetics, 115(5), 751-758.

Kopelman, P. G. (2000). Obesity as a medical problem. Nature, 404(6778), 635.

Lobstein, T., & Jackson-Leach, R. (2016). Planning for the worst: estimates of obesity and comorbidities in school-age children in 2025. Pediatric obesity, 11(5), 321-325.

Martorell, R., Khan, L. K., Hughes, M. L., & Grummer-Strawn, L. M. (2000). Overweight and obesity in preschool children from developing countries. International journal of obesity, 24(8), 959.

Mei, Z., Grummer-Strawn, L.M., Pietrobelli, A., Goulding, A., Goran, M.I., Dietz, W.H. (2002). Validity of body mass index compared with other body-composition screening indexes for the assessment of body fatness in children and adolescents. The American Journal of Clinical Nutrition, 75(6), 978–985.

Nalty, C.C., Sharkey, J.R., Dean, W.R. (2013). Children’s reporting of food insecurity in predominately food insecure households in Texas border colonias. Nutritional Journal., 12(1), 15.

Ng, M., Fleming, T., Robinson, M., Thomson, B., Graetz, N., Margono, C., ... & Abraham, J. P. (2014). Global, regional, and national prevalence of overweight and obesity in children and adults during 1980–2013: a systematic analysis for the Global Burden of Disease Study 2013. The lancet, 384(9945), 766-781.

Ostojic, S. M., Stojanovic, M. D., Milosevic, Z., Jorga, J., & Grujic, S. (2014). Prevalence of Obesity and Association between Body Fatness and Aerobic Fitness in Serbian Preschool Children. Obesity Epidemic, 53-66.

Pate, R.R., O’Neill, J.R. (2012). Physical activity guidelines for young children: An emerging consensus. Archives of Pediatrics & Adolescent Medicine; 166(12), 1095–1096.

Pietrobelli, A., Faith, M.S., Allison, D.B., Gallagher, D., Chiumello, G., Heymsfield, S.B. (1998). Body mass index as a measure of adiposity among children and adolescents: a validation study. The Journal of Pediatrics; 132(2), 204–210.

Popkin, B. M. (1994). The nutrition transition in low‐income countries: an emerging crisis. Nutrition reviews, 52(9), 285-298.

Sigman-Grant, M., Byington, T.A., Lindsay, A.R., et al. (2013). Preschoolers can distinguish between healthy and unhealthy foods: The all 4 kids study. Journal of Nutrition Education and Behavior 46(2), 121–127.

Simpson, R.J., Boere, M., Dwyer, J., Haresign, H., Beyers, J., Darlington, G., & Haines, J. (2017). Efficacy of nutrition risk screening with NutriSTEP® among toddlers and preschoolers. Appl Physiol Nutr Metab 2017;42:S44

Skinner, A. C., Perrin, E. M., Moss, L. A., & Skelton, J. A. (2015). Cardio-metabolic risks and severity of obesity in children and young adults. New England Journal of Medicine, 373(14), 1307-1317.

Statistical Office of the Republic of Serbia and UNICEF 2014 Serbia Multiple Indicator Cluster Survey and 2014 Serbia Roma Settlements Multiple Indicator Cluster Survey (MICS). Key Findings. Belgrade, Serbia: Statistical Office of the Republic of Serbia and UNICEF (2014).

Stojanovic, D., & Belojevic, G. (2009). Prevalence of obesity among children aged 6–7 years in South-East Serbia. Obesity reviews, 10(3), 262-264.

Wilmore, J.H., & Behnke, A.R. (1969). An anthropometric estimation of body density and lean body weight in young men. Journal of Applied Physiology, 27(1), 25-31.

Wiseman, N., Harris, N., & Lee, P. (2016). Lifestyle knowledge and preferences in preschool children: Evaluation of the Get up and Grow healthy lifestyle education programme. Health Education Journal, 75(8), 1012-1024

World Health Organization. (2017). Tenfold increase in childhood and adolescent obesity in four decades: new study by Imperial College London and WHO. Saudi Medical Journal, 38(11), 1162-1163.

Zarnowiecki, D., Dollman, J. and Sin, N. (2011). A tool for assessing healthy food knowledge in 5-6-year-old Australian children. Public Health Nutrition 14(7), 1177–1183.


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