RT Journal Article
T1 Prevalence of Severe Obesity among Primary School Children in 21 European Countries.
A1 Spinelli, Angela
A1 Buoncristiano, Marta
A1 Kovacs, Viktoria Anna
A1 Yngve, Agneta
A1 Spiroski, Igor
A1 Obreja, Galina
A1 Starc, Gregor
A1 Pérez, Napoleón
A1 Rito, Ana Isabel
A1 Kunešová, Marie
A1 Sant'Angelo, Victoria Farrugia
A1 Meisfjord, Jørgen
A1 Bergh, Ingunn Holden
A1 Kelleher, Cecily
A1 Yardim, Nazan
A1 Pudule, Iveta
A1 Petrauskiene, Ausra
A1 Duleva, Vesselka
A1 Sjöberg, Agneta
A1 Gualtieri, Andrea
A1 Hassapidou, Maria
A1 Hyska, Jolanda
A1 Burazeri, Genc
A1 Petrescu, Constanta Huidumac
A1 Heinen, Mirjam
A1 Takacs, Hajnalka
A1 Zamrazilová, Hana
A1 Bosi, Tulay Bagci
A1 Sacchini, Elena
A1 Pagkalos, Ioannis
A1 Cucu, Alexandra
A1 Nardone, Paola
A1 Gately, Paul
A1 Williams, Julianne
A1 Breda, João
K1 BMI
K1 Childhood Obesity Surveillance Initiative
K1 Europe
K1 Obesity
AB 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. The aim of this work was to present the prevalence of severe obesity in school-aged children from 21 countries participating in COSI. 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. 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. 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.
YR 2019
FD 2019-04-26
LK https://hdl.handle.net/10668/25446
UL https://hdl.handle.net/10668/25446
LA en
DS RISalud
RD Apr 17, 2025