{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T17:56:27Z","timestamp":1778090187402,"version":"3.51.4"},"reference-count":41,"publisher":"Cambridge University Press (CUP)","issue":"10","license":[{"start":{"date-parts":[[2013,9,24]],"date-time":"2013-09-24T00:00:00Z","timestamp":1379980800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Public Health Nutr."],"published-print":{"date-parts":[[2014,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1368980013002541_abs1\" sec-type=\"general\"><jats:title>Objective<\/jats:title><jats:p>To describe the prevalence of \u2018graded thinness\u2019 in children aged 11, 13 and 15 years in eleven developed countries and to identify trends in the prevalence of \u2018thinness\u2019 (BMI &lt; 17 kg\/m<jats:sup>2<\/jats:sup>at age 18 years) by age and gender.<\/jats:p><\/jats:sec><jats:sec id=\"S1368980013002541_abs2\" sec-type=\"general\"><jats:title>Design<\/jats:title><jats:p>Cross-sectional study using data collected through self-reported questionnaires.<\/jats:p><\/jats:sec><jats:sec id=\"S1368980013002541_abs3\" sec-type=\"general\"><jats:title>Setting<\/jats:title><jats:p>Data were taken from the 1997\/1998, 2001\/2002 and 2005\/2006 surveys of the Health Behaviours in School-aged Children (HBSC) Study.<\/jats:p><\/jats:sec><jats:sec id=\"S1368980013002541_abs4\" sec-type=\"subjects\"><jats:title>Subjects<\/jats:title><jats:p>Children and adolescents from ten European countries and the USA (<jats:italic>n<\/jats:italic>158 000).<\/jats:p><\/jats:sec><jats:sec id=\"S1368980013002541_abs5\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>Prevalence of grades 1, 2 and 3 of thinness was higher among 11-year-old students compared with the 13- and 15-year-olds in all countries. A higher prevalence of thinness was observed in girls than in boys. Since 1998 the prevalence of thinness decreased steadily in Czech boys and girls, while it increased for French girls. In the total European sample of females, thinness decreased from 1998 to 2006 (<jats:italic>\u03c7<\/jats:italic><jats:sup>2<\/jats:sup>for trend,<jats:italic>P<\/jats:italic>&lt; 0\u00b701). Age-adjusted logistic regression analysis showed that Czech boys and girls, and Flemish and American girls were less likely to be thin in 2006 than in 1998; while a noteworthy increment, even if borderline significant, was observed for French girls with a 41 % increase in the likelihood to be thin.<\/jats:p><\/jats:sec><jats:sec id=\"S1368980013002541_abs6\" sec-type=\"conclusion\"><jats:title>Conclusions<\/jats:title><jats:p>Our findings suggest that thinness is an important overlooked phenomenon with wide variation in prevalence and trends across developed countries. It deserves further longitudinal studies in a multinational context that could increase the understanding of the factors associated with thinness and contribute to developing preventive and nutritional programmes targeted at controlling obesity and chronic diseases, while monitoring thinness.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1368980013002541","type":"journal-article","created":{"date-parts":[[2013,9,24]],"date-time":"2013-09-24T15:18:50Z","timestamp":1380035930000},"page":"2207-2215","source":"Crossref","is-referenced-by-count":31,"title":["Trends in thinness prevalence among adolescents in ten European countries and the USA (1998\u20132006): a cross-sectional survey"],"prefix":"10.1017","volume":"17","author":[{"given":"Giacomo","family":"Lazzeri","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefania","family":"Rossi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Colette","family":"Kelly","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carine","family":"Vereecken","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Namanjeet","family":"Ahluwalia","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mariano V","family":"Giacchi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2013,9,24]]},"reference":[{"key":"S1368980013002541_ref25","doi-asserted-by":"publisher","DOI":"10.1007\/s00038-009-5404-x"},{"key":"S1368980013002541_ref26","first-page":"9","volume-title":"Health and Health Behaviour among Young People. WHO Policy Series: Health for Children and Adolescents","author":"Roberts","year":"2000"},{"key":"S1368980013002541_ref40","doi-asserted-by":"publisher","DOI":"10.1038\/sj.ijo.0800971"},{"key":"S1368980013002541_ref31","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/79.1.6"},{"key":"S1368980013002541_ref17","first-page":"10","article-title":"Prevalence of thinness in children and adolescents in the Seychelles: comparison of two international growth references","volume":"9","author":"Bovet","year":"2011","journal-title":"Nutr J"},{"key":"S1368980013002541_ref16","doi-asserted-by":"publisher","DOI":"10.1038\/ejcn.2010.8"},{"key":"S1368980013002541_ref15","doi-asserted-by":"publisher","DOI":"10.1016\/j.puhe.2010.03.017"},{"key":"S1368980013002541_ref10","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.39238.399444.55"},{"key":"S1368980013002541_ref8","doi-asserted-by":"publisher","DOI":"10.1038\/sj.ijo.0802824"},{"key":"S1368980013002541_ref4","doi-asserted-by":"publisher","DOI":"10.1080\/10640260600952506"},{"key":"S1368980013002541_ref29","doi-asserted-by":"publisher","DOI":"10.1038\/sj.ijo.0802146"},{"key":"S1368980013002541_ref3","doi-asserted-by":"publisher","DOI":"10.1037\/0021-843X.97.3.342"},{"key":"S1368980013002541_ref18","volume-title":"Physical Status: The Use and Interpretation of Anthropometry. Report of a WHO Export Committee. WHO Technical Report Series","year":"1995"},{"key":"S1368980013002541_ref12","doi-asserted-by":"publisher","DOI":"10.1038\/oby.2005.183"},{"key":"S1368980013002541_ref20","unstructured":"World Health Organization (1995) Thin adults. In Physical Status: The Use and Interpretation of Anthropometry. Report of a WHO Export Committee. WHO Technical Report Series no. 854, pp. 354\u2013374. Geneva: WHO; available at http:\/\/whqlibdoc.who.int\/trs\/WHO_TRS_854.pdf"},{"key":"S1368980013002541_ref9","doi-asserted-by":"publisher","DOI":"10.1079\/BJN2001396"},{"key":"S1368980013002541_ref28","volume-title":"The Health of Youth. A Cross-National Survey. WHO Regional Publications European Series","author":"King","year":"1996"},{"key":"S1368980013002541_ref1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.94.9.1592"},{"key":"S1368980013002541_ref39","doi-asserted-by":"publisher","DOI":"10.1016\/j.annepidem.2004.08.010"},{"key":"S1368980013002541_ref41","doi-asserted-by":"publisher","DOI":"10.1542\/peds.106.1.52"},{"key":"S1368980013002541_ref36","doi-asserted-by":"publisher","DOI":"10.1079\/PHN2004644"},{"key":"S1368980013002541_ref23","doi-asserted-by":"publisher","DOI":"10.1038\/oby.2009.188"},{"key":"S1368980013002541_ref27","doi-asserted-by":"publisher","DOI":"10.1007\/s00038-009-5405-9"},{"key":"S1368980013002541_ref5","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/59.1.98"},{"key":"S1368980013002541_ref13","doi-asserted-by":"crossref","first-page":"529","DOI":"10.57187\/smw.2004.10740","article-title":"Prevalence of underweight, overweight and obesity in Turkish adolescents","volume":"134","author":"Oner","year":"2004","journal-title":"Swiss Med Wkly"},{"key":"S1368980013002541_ref33","doi-asserted-by":"publisher","DOI":"10.1017\/S1368980007352476"},{"key":"S1368980013002541_ref11","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/75.6.971"},{"key":"S1368980013002541_ref30","doi-asserted-by":"publisher","DOI":"10.1016\/j.ehb.2009.06.002"},{"key":"S1368980013002541_ref24","doi-asserted-by":"publisher","DOI":"10.1017\/S136898000800311X"},{"key":"S1368980013002541_ref2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1440-1819.1999.00559.x"},{"key":"S1368980013002541_ref34","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2010.08.005"},{"key":"S1368980013002541_ref32","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2008.04.002"},{"key":"S1368980013002541_ref7","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-789X.2004.00133.x"},{"key":"S1368980013002541_ref6","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2004-0540"},{"key":"S1368980013002541_ref14","first-page":"428","article-title":"International BMI-for-age references underestimate thinness and overestimate overweight and obesity in Bolivian adolescents","volume":"25","author":"Baya Botti","year":"2010","journal-title":"Nutr Hosp"},{"key":"S1368980013002541_ref22","doi-asserted-by":"publisher","DOI":"10.1017\/S1368980008003571"},{"key":"S1368980013002541_ref35","doi-asserted-by":"publisher","DOI":"10.1001\/archpedi.157.8.816"},{"key":"S1368980013002541_ref38","doi-asserted-by":"publisher","DOI":"10.1038\/ejcn.2010.106"},{"key":"S1368980013002541_ref37","doi-asserted-by":"publisher","DOI":"10.1016\/j.encep.2008.05.003"},{"key":"S1368980013002541_ref19","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1111\/j.1365-2214.2007.00744.x","article-title":"Thinness, overweight and obesity in a national sample of Iranian children and adolescents: CASPIAN Study","volume":"34","author":"Kelishadi","year":"2008","journal-title":"Child Care Health Dev"},{"key":"S1368980013002541_ref21","unstructured":"Health Behaviour in School-aged Children World Health Organization Collaborative Cross-National Study (2010) HBSC International Protocol 2009\/10. http:\/\/www.hbsc.org\/methods\/index.html"}],"container-title":["Public Health Nutrition"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1368980013002541","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,18]],"date-time":"2024-05-18T03:58:27Z","timestamp":1716004707000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1368980013002541\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,9,24]]},"references-count":41,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2014,10]]}},"alternative-id":["S1368980013002541"],"URL":"https:\/\/doi.org\/10.1017\/s1368980013002541","relation":{},"ISSN":["1368-9800","1475-2727"],"issn-type":[{"value":"1368-9800","type":"print"},{"value":"1475-2727","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,9,24]]}}}