Overweight and obesity prevalence: a pilot implementation of the ?COSI" methodology in the Republic of Srpska.

OBJECTIVES: Childhood obesity has become a worldwide public health concern over the past decade, counting Bosnia and Herzegovina (BiH). The Childhood Obesity Surveillance Initiative (COSI) was established by the World Health Organization (WHO) to address the lack of standardized surveillance data on childhood obesity. However, BiH and its entity, Republic of Srpska (RS), are failing inclusion in such initiative, which hinders efforts to monitor and address the issue. Henceforth, the objective of this nationally funded study was to gather and analyse data on the prevalence of overweight and obesity among primary-school children in RS by implementing the COSI methodology. METHODS: Weight, height, and BMI of first, second, and third grade children (aged 6-8), from 11 schools (N = 2,030) in the RS region was analysed according to the standardized COSI protocol. RESULTS: The prevalence rates of overall overweight (OW) and obesity (OB) observed were 14.37% (OW 9.09%, OB 5.21%). No gender-related differences were noted (boys 14.36%, girls 14.88%). CONCLUSIONS: These findings highlight a concerning trend of increasing overweight and obesity prevalence with age among primary-school children in the RS.

The Effects of Zumba Fitness® on Respiratory Function and Body Composition Parameters: An Eight-Week Intervention in Healthy Inactive Women.

BACKGROUND: Women are considered less active than men, and a sedentary lifestyle particularly affects middle-aged women and affects their overall health. Recommending group fitness programs that have a positive effect on women's overall health is an important strategy of any health policy. Thus, the purpose of this study was to investigate how the Zumba Fitness® workout affects healthy inactive women's respiratory function and body composition. METHODS: The research was conducted for eight weeks on a sample of 41 females aged 35 to 45 divided into two groups: experimental (21 subjects: age 38.52 ± 2.29) and control (20 subjects: age 39.45 ± 3.01). They were tested before, four weeks, and eight weeks after the intervention period. The respiratory functions were tested using spirometry and the body composition parameters by the Tanita body analyzer. The experimental group practiced Zumba Fitness® three times per week for 60 min (24 training sessions in total). The control group was not physically active during the intervention period. RESULTS: After the Zumba Fitness® program, the experimental group showed a significant improvement in the following respiratory function parameters: forced expiratory volume in the first second (M = 4.02 ± 0.69; MD = 0.65, p = 0.01, ES = 0.14), vital capacity (M = 4.10 ± 0.65: MD = -0.63, p = 0.03, ES = 0.11) and lung age (M = 30.95 ± 10.30; MD = 8.52, p = 0.04, ES = 0.10). The body composition parameters were significantly decreased: body mass (M = 60.09 ± 7.57; MD = 6.32, p = 0.03, ES = 0.11), body mass index (M = 20.44 ± 2.63; MD = 2.61, p = 0.01, ES = 0.13) and fat mass (M = 16.07 ± 4.87; MD = 3.95, p = 0.03, ES = 0.11). CONCLUSIONS: The results of the current study suggest that the Zumba Fitness® workout is a beneficial exercise method not only for reducing body parameters but also for improving respiratory function in inactive women.