By report writers editors: Alex Mathieson, and Theadora Koller .

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05). There was a tendency for more experienced doctors to perform physical examinations, promote lifestyle change and engage with families more readily than opting for laboratory tests. Although national guidelines and recommendations are not yet available, practices in identifying and assessing risk factors in child obesity are generally appropriate and consistent, but a strong need for harmonisation has emerged. 6. Aim of the international guidelines School doctors deal with the most important issues regarding health, health behaviour and health habits through check-ups and guidance services.

These services are therefore not only key players in promoting primary prevention, but are also important in the early detection of health and developmental problems, including overweight and obesity. School health services in Croatia have traditionally been a well-organized part of the national health system. Although the health sector in general has undergone many changes, school health services have remained a separate and distinct service for children and young people characterised by specific preventative and health-promoting approaches.

2% of girls watch TV at least four hours a day (on weekdays). Evidence on prevalence of overweight and obesity in Croatia was derived from three different sources. 1. 1% of girls in Croatia were overweight. 1%). 2. School health services’ systematic health examinations (primary school: enrolment into 1st class, 5th class and 8th class; secondary school: 1st class). Part of these check-ups involves follow-up of students’ growth and development (body weight and height). Using national centile (c) distribution (1), medical records of check-ups from school years 1997/1998 until 2002/2003 show that about 5% of children were under 10c and about 9% over 90c.

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