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Severe obesity prevalence in 8- to 9-year-old Italian children: a large population-based study
F L Lombardo1, A Spinelli1, G Lazzeri2
1National Center of Epidemiology, Surveillance and Health Promotion, National Institute of Health, Rome, Italy.
Insights
Severe obesity affects 4.5% of 8- to 9-year-old Italian children, with higher rates in boys and Southern regions. Parental factors like low education and high BMI are strongly linked to this childhood obesity epidemic.
Area of Science:
- Pediatric Endocrinology
- Public Health Nutrition
- Childhood Obesity Research
Background:
- Limited data exists on severe obesity prevalence in children.
- Understanding childhood obesity is crucial for public health interventions.
Purpose of the Study:
- To estimate the prevalence of severe obesity in 8- to 9-year-old Italian children.
- To investigate associations between severe obesity and sociodemographic factors, including parental characteristics.
- Utilize World Health Organization (WHO) and International Obesity Task Force (IOTF) criteria for assessment.
Main Methods:
- A nationally representative sample of 42,431 third-grade Italian students was surveyed in 2010.
- Standardized instruments and methodology ensured data accuracy.
- Multivariate logistic regression analyzed the independent effects of sociodemographic variables on severe obesity.
Main Results:
- In 2010, severe obesity prevalence was 4.5% (WHO) and 2.7% (IOTF), a slight decrease from 2008.
- Prevalence was higher in males, 8-year-olds, and children residing in Southern Italy.
- Low parental education and high parental Body Mass Index (BMI) showed strong associations with severe childhood obesity.
Conclusions:
- An estimated 30,000 to 50,000 Italian children aged 8-9 years experience severe obesity.
- Findings highlight the need for targeted interventions addressing socioeconomic and parental factors in childhood obesity.
Background And Objectives:
Little information is available on severe obesity in childhood. This study estimates the prevalence of severe obesity in 8- to 9-year-old children resident in Italy and its association with gender, age, geographical area and parents' nutritional status and education using the World Health Organization (WHO) and International Obesity Task Force (IOTF) criteria.
Subjects/Methods:
A nationally representative sample of grade 3 Italian students was measured in 2010 (N=42,431) using standardized instruments and methodology. Severe obesity in children was assessed using definitions provided by the WHO and by the IOTF. Prevalence was estimated within categories of sociodemographic variables and their independent effects were estimated using multivariate logistic regression.
Results:
The estimated prevalence of severe obesity in 2010 was 4.5% (95% confidence interval (CI): 4.2-4.7) according to the WHO definition and 2.7% (95% CI: 2.5-2.9) with IOTF cutoffs. These values were slightly lower than those observed in 2008. The prevalence was higher in males, in 8-year-old children and in the South. Parental low education and high body mass index were strongly associated with childhood severe obesity.
Conclusion:
According to the definition used, between 30,000 and 50,000 children aged 8-9 years suffer severe obesity in Italy.
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