Online ISSN: 3007-0244,
Print ISSN:  2410-4280
ADAPTATION OF THE COSI METHODOLOGY TO THE CONDITIONS OF THE SCHOOL ENVIRONMENT AS A METHOD FOR ASSESSING THE EFFECTIVENESS OF MEASURES WITHIN THE FRAMEWORK OF THE WORLD HEALTH ORGANIZATION HEALTH-PROMOTING SCHOOLS
Objective: To adapt the methodology of the World Health Organization European Childhood Obesity Surveillance Initiative (COSI) to the school setting to evaluate the effectiveness of Health-promoting schools implementation measures through BMI indicators of children 8-10 years old in Kazakhstan as a basis for monitoring and influencing health promotion measures. Methods. We adapted the data collection methodology of the World Health Organization European Childhood Obesity Surveillance Initiative to assess the effectiveness of a whole school approach through BMI scores in children aged 8-10 as a basis for monitoring and influencing health promotion measures. Using the method of a randomized controlled trial based on general education schools, we carried out anthropometric measurements of children before and after applying the whole school approach within the framework of the World Health Organization Concept of Healthy Schools. Results. The number of students in the sample was 368 (boys n=172, 46.7%, girls n=196, 53.3%). Parents or legal representatives of children completed 349 family questionnaires, and the response rate was 77%. We conducted the study in three stages. In the first stage, the basic anthropometric parameters of children aged 8, 9, and 10 were measured, and a survey was conducted of parents and legal representatives of children. The second stage of the study consisted of calculating children's BMI, after which, in each age category, the children were divided into groups according to BMI. The overweight indicator is dominated in Nur-Sultan city, 12.24%, and East Kazakhstan region, 11.3% among children aged 10 years. There are more overweight children aged 9 (8.8%) and 10 (11.3%) in urban areas than rural areas. After the groups were formed, the school-wide approach of the HSS was applied. We also formed control groups for each weight status category. In the third stage of the study, we re-measured the anthropometric parameters of children in the experimental and control groups and calculated the BMI. In the Akmola region, normal weight indicators among children aged 8 grew by 3.27% and among children aged 10 by 0.6%. Conclusions. The study's results showed the effectiveness of the COSI method in assessing one of the critical health indicators in childhood - weight status. The experimental group's results in achieving BMI thresholds in each weight status category were 41.4%, compared with the control group. Among underweight students, 39.7% reached the normal weight threshold. Regarding all ages, the BMI of overweight decreased by 21.4%. In turn, the adapted COSI tool is applicable to school settings to monitor weight status as one of the indicators of student health.
Akbota Abildina1, https://orcid.org/0000-0001-6791-6396 Assiya Turgambayeva1, https://orcid.org/0000-0002-2300-0105 Zhandulla Nakipov1, https://orcid.org/0000-0001-5528-693X Gaukhar Dauletova1, https://orcid.org/0000-0002-1621-8149 Gaukhar Saurbayeva1 https://orcid.org/0000-0002-8614-0033 1 NJSC "Astana Medical University", Department of Public Health and Management, Astana, Republic of Kazakhstan.
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Abildina A., Turgambayeva A., Nakipov Zh., Dauletova G., Saurbayeva G. Adaptation of the COSI methodology to the conditions of the school environment as a method for assessing the effectiveness of measures within the framework of the World Health Organization that Health-promoting schools // Nauka i Zdravookhranenie [Science & Healthcare]. 2023, (Vol.25) 1, pp. 130-139. doi 10.34689/SH.2023.25.1.017

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