Severe obesity prevalence in 8- to 9-year-old Italian children: a large population-based study

Lombardo, Flavia; Spinelli, Angela; Lazzeri, Giacomo; Lamberti, Anna; Mazzarella, Gianfranco; Nardone, Paola; Pilato, Valentina; Buoncristiano, Marta; Caroli, Margherita

doi:10.1038/ejcn.2014.188

Cited by 32 publications

(38 citation statements)

References 30 publications

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“…Only a few countries have examined morbid obesity in children with contrasting results. Studies of Italian children have reported small, but significant, reductions in the prevalence of morbid obesity in recent years, while other countries such as the USA have reported an increase in the prevalence of childhood morbid obesity . The level of morbid obesity has also been shown to vary considerably between countries, including from 1.8% in Australia to 5.6% in the USA .…”

Section: Discussionmentioning

confidence: 99%

“…Studies of Italian children have reported small, but significant, reductions in the prevalence of morbid obesity in recent years, while other countries such as the USA have reported an increase in the prevalence of childhood morbid obesity. 24,25 The level of morbid obesity has also been shown to vary considerably between countries, including from 1.8% in Australia 11 to 5.6% in the USA. 26 However, study differences, including survey methodology, children's demographic profiles and the definition used for morbid obesity, make intercountry comparisons difficult.…”

Section: Discussionmentioning

confidence: 99%

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The trends and prevalence of obesity and morbid obesity among Australian school‐aged children, 1985–2014

Hardy

Guo

et al. 2018

J Paediatrics Child Health

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The trends and prevalence of obesity and morbid obesity among Australian school‐aged children, 1985–2014

Hardy

Guo

et al. 2018

J Paediatrics Child Health

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“…Persistence of adiposity from childhood to adulthood is much more common for severely obese children [24, 25]. There is a lack of a standard definition of severe obesity in children, both in terminology (severe obesity can be a synonym for morbid or extreme obesity) and in the methodology that defines it, which makes interpreting data about its prevalence difficult [26]. In 2007, the Centers for Disease Control and Prevention (CDC) proposed the age and gender-specific 99th percentile and above of their growth curves as a definition of severe obesity in children [27], while the World Health Organization (WHO) growth reference curves from 2007 enable the extrapolation of a cut-off to define severe obesity [28] at +3 Z -scores relative to the median.…”

Section: Introductionmentioning

confidence: 99%

“…While there are a good number of studies about the prevalence of severe obesity in American children [30-37], the evidence on severe childhood obesity prevalence in Europe is scarce [26, 38-41]. Moreover, no publication comparing data from different European countries has been found.…”

Section: Introductionmentioning

confidence: 99%

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

et al. 2019

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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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“…Esto, junto con un desequilibrio en el balance energético, conduce a un aumento inadecuado del peso corporal (2). Esta condición es una enfermedad multifactorial que plantea un riesgo importante para la salud presente y futura de las generaciones más jóvenes (3). El aumento internacional en el sobrepeso y la obesidad en niños y adolescentes en las últimas tres décadas confirman que es una epidemia global y un importante problema de salud pública que se asocia con complicaciones cardiovasculares, endocrinas y músculo-esqueléticas, además de presentar consecuencias psicosociales (4).…”

Section: Introductionunclassified

Bajos niveles de rendimiento físico, VO2MAX y elevada prevalencia de obesidad en escolares de 9 a 14 años de edad

Caamaño‐Navarrete¹

2016

Nutr Hosp

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Introduction: Low levels of moderate and vigorous physical activity are a factor of important behavioral risk in the obesity in children. Objective: The objective of this study was to determine the nutritional status and physical condition of students, by comparing the results obtained by gender, obesity, and physical performance. Material and methods: 578 students; 308 men of 11.22 ± 1.93 years and 270 women of 10.93 ± 1.92 years, participated in the investigation. Were evaluated; body mass index (BMI), percentage body fat (%FM), contour waist (CW), waist-to-height ratio (wtHR) and physical performance according to the test of the National Study of Physical Education of the Agency of Quality of Education of Chile. Results: The %FM was higher in women (p < 0.001). In the Test of abdominal and Navette performance was higher in men and in the test of fl exo-extensions of arm performance was higher in women (p < 0.05). Category of obese schoolchildren showed lower results in the test: abdominal, long jump, fl exo-extensions of arm and Navette (p < 0.001). The VO2 MAX was lower in the overweight subjects (p < 0.001). The students who need to improve 3 or 4 test presented more wtHR (p < 0.001) and %FM (p < 0.001). There is a negative association between the wtHR and the VO2 MAX (-0.543, p < 0.001).Conclusions: There exists a high predominance of excess weight and obesity, also it is appreciated a low physical performance associated with this condition. The students, who need to improve 3 or 4 test of physical condition, have a higher average of %FM and wtHR, this last variable is a powerful indicator of cardiovascular risk.

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Severe obesity prevalence in 8- to 9-year-old Italian children: a large population-based study

Abstract: According to the definition used, between 30,000 and 50,000 children aged 8-9 years suffer severe obesity in Italy.

Cited by 32 publications

References 30 publications

The trends and prevalence of obesity and morbid obesity among Australian school‐aged children, 1985–2014

The trends and prevalence of obesity and morbid obesity among Australian school‐aged children, 1985–2014

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

Bajos niveles de rendimiento físico, VO2MAX y elevada prevalencia de obesidad en escolares de 9 a 14 años de edad

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