PMID- 25226821 OWN - NLM STAT- MEDLINE DCOM- 20160205 LR - 20211203 IS - 1476-5640 (Electronic) IS - 0954-3007 (Linking) VI - 69 IP - 5 DP - 2015 May TI - Severe obesity prevalence in 8- to 9-year-old Italian children: a large population-based study. PG - 603-8 LID - 10.1038/ejcn.2014.188 [doi] AB - 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. FAU - Lombardo, F L AU - Lombardo FL AD - National Center of Epidemiology, Surveillance and Health Promotion, National Institute of Health, Rome, Italy. FAU - Spinelli, A AU - Spinelli A AD - National Center of Epidemiology, Surveillance and Health Promotion, National Institute of Health, Rome, Italy. FAU - Lazzeri, G AU - Lazzeri G AD - CREPS-Research Centre for Health Promotion and Education, Department Molecular and Developmental Medicine, University of Siena, Siena, Italy. FAU - Lamberti, A AU - Lamberti A AD - National Center of Epidemiology, Surveillance and Health Promotion, National Institute of Health, Rome, Italy. FAU - Mazzarella, G AU - Mazzarella G AD - Health Authority NA3 Sud, Vico Equense, Naples, Italy. FAU - Nardone, P AU - Nardone P AD - National Center of Epidemiology, Surveillance and Health Promotion, National Institute of Health, Rome, Italy. FAU - Pilato, V AU - Pilato V AD - CREPS-Research Centre for Health Promotion and Education, Department Molecular and Developmental Medicine, University of Siena, Siena, Italy. FAU - Buoncristiano, M AU - Buoncristiano M AD - National Center of Epidemiology, Surveillance and Health Promotion, National Institute of Health, Rome, Italy. FAU - Caroli, M AU - Caroli M AD - Brindisi Local Health Authority, Brindisi, Italy. CN - OKkio alla SALUTE Group 2010 LA - eng PT - Journal Article DEP - 20140917 PL - England TA - Eur J Clin Nutr JT - European journal of clinical nutrition JID - 8804070 SB - IM MH - *Body Mass Index MH - Child MH - Ethnicity MH - Female MH - Humans MH - Italy/epidemiology MH - Logistic Models MH - Male MH - *Nutritional Status MH - Obesity, Morbid/diagnosis/epidemiology MH - Overweight/diagnosis/epidemiology MH - Pediatric Obesity/*diagnosis/*epidemiology MH - Prevalence MH - Risk Factors MH - World Health Organization EDAT- 2014/09/18 06:00 MHDA- 2016/02/06 06:00 CRDT- 2014/09/18 06:00 PHST- 2014/04/03 00:00 [received] PHST- 2014/06/27 00:00 [revised] PHST- 2014/07/14 00:00 [accepted] PHST- 2014/09/18 06:00 [entrez] PHST- 2014/09/18 06:00 [pubmed] PHST- 2016/02/06 06:00 [medline] AID - ejcn2014188 [pii] AID - 10.1038/ejcn.2014.188 [doi] PST - ppublish SO - Eur J Clin Nutr. 2015 May;69(5):603-8. doi: 10.1038/ejcn.2014.188. Epub 2014 Sep 17.