PMID- 31113403
OWN - NLM
STAT- MEDLINE
DCOM- 20190807
LR  - 20200225
IS  - 1471-2458 (Electronic)
IS  - 1471-2458 (Linking)
VI  - 19
IP  - 1
DP  - 2019 May 21
TI  - Decline of childhood overweight and obesity in Italy from 2008 to 2016: results 
      from 5 rounds of the population-based surveillance system.
PG  - 618
LID - 10.1186/s12889-019-6946-3 [doi]
LID - 618
AB  - BACKGROUND: Given the effects of childhood obesity on future health, and the lack 
      of information of its prevalence in Italy, a national surveillance system was 
      implemented in 2007. It is OKkio alla SALUTE, part of the WHO/Europe Childhood 
      Obesity Surveillance Initiative (COSI). This study reports the 2008-2016 trends 
      by sex, area of residence and socio-demographic characteristics in the prevalence 
      of overweight and obesity in primary school children (8-9 years). METHODS: In 
      each round of the surveillance held in 2008, 2010, 2012, 2014 and 2016, a 
      nationally representative sample of about 45,000 children, was weighed and 
      measured with standard equipment and methods by trained personnel. Children were 
      classified as normal weight, overweight or obese using World Obesity Federation 
      (WOF) (formerly the International Obesity Task Force (IOTF)) and WHO cut-offs. 
      Children's sex, area of residence and mothers' education and citizenship, were 
      obtained using self-reported questionnaires and were assessed using multivariate 
      logistic regression models. RESULTS: Between 2008 and 2016, the overall 
      prevalence of obesity dropped from 12.0 to 9.3% (WOF-IOTF) and from 21.2 to 17.0% 
      (WHO), while the overall prevalence of overweight (including obesity) from 35.2 
      to 30.6% (WOF-IOTF) and from 44.4 to 39.4% (WHO). Reduction in the prevalence of 
      overweight and obesity was greater in boys (- 14.5%, p for trend< 0.001; 
      and - 24.7%, p = 0.001) compared to girls (- 11.1%, p < 0.001; and - 19.2%, 
      p = 0.034). Decreasing trends were observed in overweight prevalences within 
      children resident in the center and in the south. Decreasing trends in obesity 
      prevalences were observed among boys resident in the north and in the south, and 
      among girls resident in the center. Decreasing trends were observed in overweight 
      prevalences within socio-demographic characteristics, except among children with 
      low educated and foreign mothers; and in obesity prevalences for children with 
      medium educated mothers, and girls with Italian mothers. CONCLUSIONS: From 2008 
      to 2016 a decrease of childhood overweight and obesity was observed in Italy. 
      However, as these prevalences are still among the highest in Europe, there is 
      need to continue their monitoring and implement more interventions to promote 
      healthy lifestyles. More effort should be focused on children belonging to low 
      social classes.
FAU - Lauria, Laura
AU  - Lauria L
AUID- ORCID: 0000-0001-7831-1798
AD  - National Centre for Disease Prevention and Health Promotion, National Institute 
      of Health, Viale Regina Elena 299, 00161, Rome, Italy. laura.lauria@iss.it.
FAU - Spinelli, Angela
AU  - Spinelli A
AD  - National Centre for Disease Prevention and Health Promotion, National Institute 
      of Health, Viale Regina Elena 299, 00161, Rome, Italy.
FAU - Buoncristiano, Marta
AU  - Buoncristiano M
AD  - National Centre for Disease Prevention and Health Promotion, National Institute 
      of Health, Viale Regina Elena 299, 00161, Rome, Italy.
FAU - Nardone, Paola
AU  - Nardone P
AD  - National Centre for Disease Prevention and Health Promotion, National Institute 
      of Health, Viale Regina Elena 299, 00161, Rome, Italy.
LA  - eng
GR  - I85I16001700005/Minister of Health/
PT  - Journal Article
DEP - 20190521
PL  - England
TA  - BMC Public Health
JT  - BMC public health
JID - 100968562
MH  - Child
MH  - Female
MH  - Humans
MH  - Italy/epidemiology
MH  - Male
MH  - Pediatric Obesity/*epidemiology
MH  - *Population Surveillance
MH  - Prevalence
MH  - Schools
MH  - Surveys and Questionnaires
PMC - PMC6528349
OTO - NOTNLM
OT  - Children
OT  - Italy
OT  - Obesity
OT  - Overweight
OT  - Prevalence trends
OT  - Socio-demographic characteristics
COIS- The authors declare that they have no competing interests.
EDAT- 2019/05/23 06:00
MHDA- 2019/08/08 06:00
PMCR- 2019/05/21
CRDT- 2019/05/23 06:00
PHST- 2018/08/01 00:00 [received]
PHST- 2019/05/07 00:00 [accepted]
PHST- 2019/05/23 06:00 [entrez]
PHST- 2019/05/23 06:00 [pubmed]
PHST- 2019/08/08 06:00 [medline]
PHST- 2019/05/21 00:00 [pmc-release]
AID - 10.1186/s12889-019-6946-3 [pii]
AID - 6946 [pii]
AID - 10.1186/s12889-019-6946-3 [doi]
PST - epublish
SO  - BMC Public Health. 2019 May 21;19(1):618. doi: 10.1186/s12889-019-6946-3.