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Updated: Jul 20, 2025

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
[Childhood obesity risk index (IROBIC) for small administrative areas in Chile]
Juliana Kain1, Moisés H Sandoval2, Yasna Orellana2
1Instituto de Nutrición y Tecnología de los Alimentos (INTA). Universidad de Chile.
Insights
A new Obesity Risk Index (IROBIC) was developed to assess childhood obesity (CO) risk in Chilean comunas. This index helps identify territorial factors contributing to CO, aiding targeted public health interventions.
Area of Science:
- Public Health
- Epidemiology
- Socioeconomic Determinants of Health
Context:
- Childhood obesity (CO) presents a significant global health challenge.
- Existing metrics lack a territorial approach to assess CO risk factors.
- Chilean comunas (small administrative units) require localized risk assessment tools.
Purpose:
- To develop and validate a composite index, the Obesity Risk Index (IROBIC), for estimating territorial risks associated with childhood obesity.
- To analyze the relationship between socioeconomic factors, built environments, and educational settings and CO risk at the comuna level.
- To provide a tool for monitoring and understanding the spatial distribution of CO risk in Chile.
Summary:
- The Obesity Risk Index (IROBIC) was created using 16 indicators across health, socioeconomic, built, and educational domains for Chilean comunas.
- Principal component analysis informed the domain structure, and a weighted geometric mean calculated the IROBIC.
- Analysis revealed that while poorer comunas often had higher IROBIC scores, the impact of inequality on CO risk could be mitigated by considering domain-specific factors.
Impact:
- IROBIC serves as a valuable tool for territorial-based monitoring of childhood obesity risk and its contributing factors.
- The index facilitates the identification of high-risk areas, enabling targeted public health strategies.
- Understanding the interplay of environmental and socioeconomic factors can inform policy for CO prevention.
Introduction:
Introduction: although the prevalence of childhood obesity (CO) is high globally, there are no composite indices to estimate territorial aspects associated with its risk Objective: to develop an obesity risk index (IROBIC) for small administrative units, called "comunas" in Chile Methods: we used 2019 data from public sources on children under 10 years living in "comunas" of the two largest regions. IROBIC includes 16 indicators standardized for each "comuna" and grouped together into four domains, determined by principal component analysis (health, socio-economic, built-in and educational environments). IROBIC was calculated as a weighted geometric mean. Differences in obesity risk between the 10 and 5 "comunas" with the highest and lowest IROBIC and of each domain, were calculated with the disparity ratio. Results: in spite of the poorest "comunas" having the highest IROBIC, when its value and that for each domain were considered, we observed that the effect of inequality could be mitigated. The 10 and 5 "comunas" with the highest IROBIC have a 2.41 and 4.05 higher risk of CO compared to those with the lowest values Conclusions: IROBIC is a useful tool for monitoring the risk of CO and its factors from a territorial perspective.
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