Abstract

Aim. The aim of the report is to draw attention to the studies not included in system reviews and meta-analyzes which are important in the opinion of the authors of the paper - for: 1. estimating the size of the obesity phenomenon and its correlates on a global scale, 2. assessing the effectiveness of promoting physical activity and the approach to changing pro-health behaviors, with particular emphasis on the sedentary and inactive behavior. Material and methods. The effect of the preliminary literature search in the preparation of a systematic review of publications documenting the existence of regional differences in both the level of obesity and its growth rate in the last decades of the 21st century and assessing the effectiveness of interventions aimed at behavioral changes, mainly in the field of nutrition and physical activity in children and adolescents. Unobtrusive research, content analysis. Results. The report highlights the results of the research conducted as part of the International Study of Childhood Obesity, Lifestyle and the Environment (ISCOLE). They were compared to other European and global results of solving the problem of overweight and obesity in school-age children and adolescents, and to assessing the potential of the determinants of physical activity in several dozen countries around the world. In addition, the American proposals to solve the obesity problem were indicated, with particular emphasis on the theoretical assumptions and practical implications of the NCOOR organization, included in the American four-volume study. Conclusions. 1.Each country and geographic jurisdiction has its own limited variation in the prevalence of obesity and each of the potentially modifying factors at different levels of prevalence but the international research is able to minimize variability in these factors. 2. The ecological approach to solving the determinants of physical activity and the methods of its evaluation based on the SEM model should be treated with greater interest in the social policy of the individual countries on different continents. 3. The theoretical assumptions of American behavioral epidemiology and solutions to the problem of obesity and the practical implications based on them, resulting from many years of experience in the approach to eliminating the obesity epidemic, should be more widely disseminated and used in the programming of the health promotion outside the United States and in shaping health-oriented physical fitness in children and adolescents Health Related Fitness (H-RF).

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