Статья

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

Angela SpinelliIstituto Superiore di Sanità (National Institute of Health), National Centre for Disease Prevention and Health Promotion, Rome, Italy, [email protected]Marta BuoncristianoWHO European Office for the Prevention and Control of the NCDs, Moscow, Russian FederationViktória KovácsNational Institute of Pharmacy and Nutrition, DG of Food and Nutrition Science, Budapest, HungaryAgneta YngveDepartment of food studies, Nutrition and Dietetics, Uppsala University, Uppsala, SwedenIgor SpiroskiInstitute of Public Health of the Republic of Macedonia, Skopje, North MacedoniaGalina ObrejaGregor StarcFaculty of Sport, University of Ljubljana, Ljubljana, SloveniaNapoleón PérezSpanish Observatory of Nutrition and Study of Obesity, Madrid, SpainAna Isabel RitoNational Institute of Health Dr. Ricardo Jorge, Lisbon, PortugalMarie KunešováObesity Management Centre, Institute of Endocrinology, Prague, CzechiaVictoria Farrugia Sant’AngeloPrimary Health Care, Floriana, MaltaJørgen MeisfjordDepartment of Health and Inequality, Division of Mental and Physical Health, Norwegian Institute of Public Health, Oslo, NorwayIngunn Holden BerghDepartment of Child Health and Development, Division of Mental and Physical Health, Norwegian Institute of Public Health, Oslo, NorwayCecily C. KelleherUniversity College Dublin, Dublin, IrelandNazan YardımTurkish Ministry of Health, Ankara, TurkeyIveta PuduleAušra PetrauskienėDepartment of Preventive Medicine, Lithuanian University of Health Sciences, Kaunas, LithuaniaVesselka DulevaNational Center of Public Health and Analyses, Sofia, BulgariaAgneta SjöbergDepartment of Food and Nutrition and Sport Science, University of Gothenburg, Gothenburg, SwedenAndrea GualtieriSocial Security Institute San Marino, San Marino, San MarinoMaria HassapidouDepartment of Nutrition and Dietetics, Alexander Technological Educational Institute of Thessaloniki, Thessaloniki, GreeceJolanda HyskaInstitute of Public Health, Tirana, AlbaniaGenc BurazeriInstitute of Public Health, Tirana, AlbaniaConstanta Huidumac PetrescuMirjam M. HeinenUniversity College Dublin, Dublin, IrelandHajnalka TakacsSemmelweis University, Karoly Racz School of PhD Studies, Budapest, HungaryHana ZamrazilováObesity Management Centre, Institute of Endocrinology, Prague, CzechiaTülay Bağcı BosiPublic Health Department, Hacettepe University, Ankara, TurkeyElena SacchiniHealth Authority San Marino, San Marino, San MarinoIoannis PagkalosDepartment of Nutrition and Dietetics, Alexander Technological Educational Institute of Thessaloniki, Thessaloniki, GreeceAlexandra CucuPaola NardoneIstituto Superiore di Sanità (National Institute of Health), National Centre for Disease Prevention and Health Promotion, Rome, ItalyPaul GatelyCentre for Applied Obesity Research, Leeds Beckett University, Leeds, United KingdomJulianne WilliamsWHO European Office for the Prevention and Control of the NCDs, Moscow, Russian FederationJoão BredaWHO European Office for the Prevention and Control of the NCDs, Moscow, Russian Federation

2019en

ABI

Аннотация

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.

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Идентификаторы

DOI: 10.1159/000500436

Цитирования и источники

Цитирований: 2Использованных источников: 0

Показатели — AkademScholar