Trends in overweight and obesity in Bergen, Norway, using data from routine child healthcare 2010-2022
Melissa R Balthasar1,2, Mathieu Roelants3, Bente Brannsether-Ellingsen1
1Department of Pediatrics and Adolescents, Stavanger University Hospital, Stavanger, Norway.
Insights
Childhood overweight and obesity decreased in Norwegian boys pre-pandemic but increased during the pandemic. Routine health data effectively tracks weight status trends in children.
Area of Science:
- Pediatric Endocrinology
- Public Health
- Epidemiology
Background:
- Childhood overweight and obesity trends in Norway were previously undocumented.
- Understanding these trends is crucial for public health interventions.
Purpose of the Study:
- To assess pre-pandemic (2010-2019) trends in childhood overweight, obesity, and severe obesity in Norway.
- To evaluate changes in prevalence during the COVID-19 pandemic years (2020-2022).
Main Methods:
- Utilized retrospective height and weight data from routine child and school health centers for children aged 2-13 years.
- Classified weight status using International Obesity Task Force (IOTF) criteria.
- Analyzed pre-pandemic trends with linear regression and compared pandemic prevalence to predicted intervals.
Main Results:
- A decrease in overweight and obesity prevalence was observed in boys from 2010-2019, notably at ages 4 and 13.
- No significant pre-pandemic trends were found for girls.
- During the pandemic, overweight and obesity prevalence exceeded predictions for boys aged 4, 6, and 8, and for 6-year-old girls.
Conclusions:
- Childhood overweight and obesity plateaued in girls and decreased in boys pre-pandemic, but increased in prepubertal boys during the pandemic.
- Routine healthcare data provides a valuable resource for monitoring childhood weight status prevalence.
Aim:
Trends in childhood overweight, obesity and severe obesity have been lacking in Norway. This study assessed pre-pandemic trends from 2010 to 2019 and evaluated differences in prevalence during the 2020-2022 pandemic years.
Methods:
Routine height and weight measurements from child and school health centres were extracted retrospectively from children aged 2, 4, 6, 8 and 13 years. Overweight, obesity and severe obesity was classified according to the International Obesity Task Force cut-offs. Pre-pandemic trends were estimated using linear regression. The prevalence during the pandemic was compared to the 95% prediction interval of this model.
Results:
We obtained 181 527 body mass index measurements on 78 024 children (51.0% boys). There was a decrease in the prevalence of overweight including obesity from 2010 to 2019 in boys and this was statistically significant at 4 and 13 years of age. We found no significant trends in girls during this period. During the pandemic, the prevalence of overweight including obesity exceeded the prediction intervals for boys aged 4, 6, and 8 years, and for 6-year-old girls.
Conclusion:
From 2010-2019, overweight including obesity plateaued in girls and decreased in boys but increased during the pandemic among prepubertal boys. Routine healthcare data is useful for estimating the prevalence of different weight status.
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