Prevalence of Severe Obesity among Primary School Children in 21 European Countries

Autor: João Breda, Jørgen Meisfjord, Viktoria Anna Kovacs, Napoleón Pérez, Julianne Williams, Angela Spinelli, Paola Nardone, Agneta Yngve, Genc Burazeri, Andrea Gualtieri, Mirjam M. Heinen, Ana Isabel Rito, Alexandra Cucu, Jolanda Hyska, Tülay Bağcı Bosi, Gregor Starc, Ingunn Holden Bergh, Maria Hassapidou, Vesselka Duleva, Constanta Huidumac Petrescu, Marie Kunešová, Ioannis Pagkalos, Hajnalka Takacs, Hana Zamrazilová, Marta Buoncristiano, Ausra Petrauskiene, Paul Gately, Agneta Sjöberg, Iveta Pudule, Elena Sacchini, Igor Spiroski, Nazan Yardim, Victoria Farrugia Sant'Angelo, Galina Obreja, Cecily Kelleher
Jazyk: angličtina
Rok vydání: 2019
Předmět:
0301 basic medicine
Male
Pediatric Obesity
Health (social science)
Cross-sectional study
Epidemiology
Overweight
Pediatrics
0302 clinical medicine
Childhood Obesity Surveillance Initiative
Prevalence
Child
lcsh:RC620-627
Nutrition and Dietetics
Schools
Pediatrik
Public Health
Global Health
Social Medicine and Epidemiology
Obesity
Morbid
Näringslära
Europe
lcsh:Nutritional diseases. Deficiency diseases
Female
COSI
medicine.symptom
lcsh:Nutrition. Foods and food supply
Research Article
medicine.medical_specialty
Childhood Obesity
Adolescent
030209 endocrinology & metabolism
lcsh:TX341-641
World Health Organization
Childhood obesity
World health
03 medical and health sciences
BMI
Physiology (medical)
Environmental health
medicine
Humans
Obesity
Students
030109 nutrition & dietetics
Portugal
business.industry
Severe obesity
medicine.disease
Folkhälsovetenskap
global hälsa
socialmedicin och epidemiologi
Cross-Sectional Studies
epidemiology
Risk factors
Body mass index
sense organs
business
616-056.52 [udc]
Estilos de Vida e Impacto na Saúde
Zdroj: Obesity Facts, Vol 12, Iss 2, Pp 244-258 (2019)
Obesity Facts
Obesity facts, Basel : Karger, 2019, vol. 12, no. 2, p. 244-258
ISSN: 1662-4033
1662-4025
Popis: Background: The World Health Organization (WHO) European Childhood Obesity Surveillance Initiative (COSI) was established more than 10 years ago to estimate prevalence and monitor changes in overweight and obesity in children aged 6–9 years. Since then, there have been five rounds of data collection in more than 40 countries involving more than half a million children. To date, no comparative studies with data on severe childhood obesity from European countries have been published. Objectives: The aim of this work was to present the prevalence of severe obesity in school-aged children from 21 countries participating in COSI. Method: The data are from cross-sectional studies in 21 European WHO member states that took part in the first three COSI rounds of data collection (2007/2008, 2009/2010, 2012/2013). School-aged children were measured using standardized instruments and methodology. Children were classified as severely obese using the definitions provided by WHO and the International Obesity Task Force (IOTF). Analyses overtime, by child’s age and mother’s educational level, were performed in a select group of countries. Results:A total of 636,933 children were included in the analysis (323,648 boys and 313,285 girls). The prevalence of severe obesity varied greatly among countries, with higher values in Southern Europe. According to the WHO definition, severe obesity ranged from 1.0% in Swedish and Moldovan children (95% CI 0.7–1.3 and 0.7–1.5, respectively) to 5.5% (95% CI 4.9–6.1) in Maltese children. The prevalence was generally higher among boys compared to girls. The IOTF cut-offs lead to lower estimates, but confirm the differences among countries, and were more similar for both boys and girls. In many countries 1 in 4 obese children were severely obese. Applying the estimates of prevalence based on the WHO definition to the whole population of children aged 6–9 years in each country, around 398,000 children would be expected to be severely obese in the 21 European countries. The trend between 2007 and 2013 and the analysis by child’s age did not show a clear pattern. Severe obesity was more common among children whose mother’s educational level was lower. Conclusions: Severe obesity is a serious public health issue which affects a large number of children in Europe. Because of the impact on educational, health, social care, and economic systems, obesity needs to be addressed via a range of approaches from early prevention of overweight and obesity to treatment of those who need it.
Databáze: OpenAIRE
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