Hostname: page-component-78c5997874-s2hrs Total loading time: 0 Render date: 2024-11-14T23:22:47.907Z Has data issue: false hasContentIssue false

Epidemiology of overweight and obesity among Italian early adolescents: relation with physical activity and sedentary behaviour

Published online by Cambridge University Press:  11 October 2011

Alessio Vieno*
Affiliation:
Dipartimento di Psicologia dello Sviluppo e della Socializzazione, Università di Padova, Padova
Massimo Santinello
Affiliation:
Dipartimento di Psicologia dello Sviluppo e della Socializzazione, Università di Padova, Padova
Maria Cristiana Martin
Affiliation:
Dipartimento di Scienze Statistiche, Università di Padova, Padova
*
Address for correspondence: Dr. A. Vieno Dipartimento di Psicologia dello Sviluppo e della Socializzazione, Università di Padova, LIRIPAC, Via Belzoni 80, 35131 Padova (Italy). Fax: +39-049-827.8451 E-mail: [email protected]

Summary

Aims – The prevalence of overweight and obesity and the role of possible related factors were analysed among Italian early adolescents. Method – The survey reported here is part of the larger “Health Behaviour in School Aged Children” (HBSC) trans-national study, which is co-ordinated by the European Office of the World Health Organization. The data were gathered through self-administered questionnaires filled out by a representative sample of 4,386 (48.4% males) Italian students (11-, 13- and 15-year old). Results – The overall prevalence is 16.7% for overweight and 2.5% for obesity. Boys are more at risk than girls for the two phenomena. Moreover, age group, mother's education, area of residence, physical activity, and sedentary behaviour show a significant association with both outcomes. Conclusion – Findings of the present study are in agreement with similar studies carried out on early adolescents population, showing that prevalence in overweight and obesity decreases during this phase and is more diffused among boys than girls. The prevalence of both diseases is higher in the South and Islands. Sedentary behaviour and physical activity are substantive factors which preventive interventions could act on.

Declaration of Interest: the HBSC study is partly funded by the University of Padova through a scholarship attributed to Dr. Alessio Vieno (Year 2001 – prot. CPDR013233).

Type
Original Papers
Copyright
Copyright © Cambridge University Press 2005

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

BIBLIOGRAFIA

American Psychiatric Association (1994). Diagnostic and Statistical Manual of Mental Disorders, (DSM-1V), 4th ed. American Psychiatric Association: Washington DC.Google Scholar
Bellizzi, M.C. & Dietz, W.H. (1990). Workshop on childhood obesity: Summary of the discussion. American Journal of Clinical Nutrition 70, 173175.CrossRefGoogle Scholar
Bios, P. (1988). The Adolescent Passage. Developmental Issue. Inter-national University Press: New York.Google Scholar
Buddeburg-Fisher, B., Klaghofer, R. & Reed, V. (1999). Association between body weight, psychiatric disorders and body image in female adolescents. Psychotherapy and Psychosomatic 68, 325332.CrossRefGoogle Scholar
Cacciari, E., Milani, S., Balsamo, A., Dammacco, F., De Luca, F., Chiarelli, F., Pasquino, A.M.Tonini, G. & Vanelli, M. (2002). Italian cross-sectional growth charts for height, weight and BMI (6-20y). European Journal of Clinical Nutrition 56, 171180.CrossRefGoogle Scholar
Celi, F., Bini, V., De Giorgi, G., Molinari, D., Faraoni, F., Di Stefano, G., Bacosi, M.L.Berioli, M.G.Contessa, G. & Falorni, A. (2003). Epidemiology of overweight and obesity among school children and adolescents in three provinces of central Italy, 1993-2001: study of potential influencing variables. European Journal of Clinical Nutrition 57, 10451051.CrossRefGoogle ScholarPubMed
Cole, T., Bellizzi, M., Flegal, K. & Dietz, W. (2000). Establishing a standard definition for child overweight and obesity worldwide: inter-national survey. British Medical Journal 320, 16.CrossRefGoogle Scholar
Cramer, P. & Steinwert, T. (1998). Thin is good, fat is bad: How early does it begin? Journal of Applied Developmental Psychology 19, 429451.CrossRefGoogle Scholar
De Vito, E., La Torre, G., Langiano, E., Berardi, D. & Riccardi, G. (1999). Overweight and obesity among secondary school children in Central Italy. European Journal of Epidemiology 15, 649654.CrossRefGoogle ScholarPubMed
Dietz, W.H. (1990). You are what you eat - what you eat is what you are. Journal of Adolescent Health Care 11, 7681.CrossRefGoogle ScholarPubMed
Dietz, W.H. & Robinson, T.N. (1998). Use of the body mass index (BMI) as a measure of overweight in children and adolescents. Journal of Pediatrics 132, 191193.Google ScholarPubMed
Due, P., Hickman, M., Komkov, A., DeMatos, M.G., Mendoza, R., Roberts, C, Todd, J., Tynjala, J. & Woynarowska, B. (2002). Physical activity. In Health Behavior in School-aged Children: A WHO Cross-national Study. Research Protocol for the 2001/2002 Survey (ed. Currie, C., Samdal, O., Boyce, W. and Smith, B.), pp. 5970. University of Edinburg: Edinburgh.Google Scholar
Gardner, R.M, Friedman, B.N. & Jackson, N.A. (1999). Body estimations, body dissatisfaction, and ideal size preferences in children six through thirteen. Journal of Youth and Adolescence 28, 603618.CrossRefGoogle Scholar
Goodman, E., Hinden, B.R. & Khandelwal, S. (2000). Accuracy of teen and parental reports of obesity and body mass index. Pediatrics 106, 5258.CrossRefGoogle ScholarPubMed
Guo, S.S., Roche, A.F., Chumlea, W.C., Gardner, J.D. & Siervogel, R.M. (1994). The predictive value of childhood body mass index values for overweight at age 35 y. American Journal of Nutrition 59, 810819.Google ScholarPubMed
Hosmer, D.W. & Lemeshow, S. (2000). Applied Logistic Regression. Second Edition. John Wiley & Sons: New York.CrossRefGoogle Scholar
Janssen, I., Craig, W.M., Boyce, W.F. & Pickett, W. (2004). Association between overweight and obesity with bullying behaviours in school-aged children. Pediatrics 113, 11871194.CrossRefGoogle ScholarPubMed
Kimm, S.Y.S., Glynn, N.W., Kriska, A.M., Barton, B.A., Kronsberg, S.S., Daniels, S.R., Crawford, P.B., Sabry, Z.I. & Kiang, L. (2002). Decline in physical activity in black girls and white girls during adolescence. New England Journal of Medicine 347, 709715.CrossRefGoogle Scholar
Livingstone, B. (2000). Epidemiology of childhood obesity in Europe. European Journal of Pediatrics 159, 1434.CrossRefGoogle ScholarPubMed
Lobstein, T. & Frelut, M.L. (2003). Prevalence of overweight among children in Europe. Obesity Reviews 4, 195200.CrossRefGoogle ScholarPubMed
Maffeis, C. (2000). Aetiology of overweight and obesity in children and adolescents. European Journal of Pediatrics 159, 3544.CrossRefGoogle ScholarPubMed
Molnar, D. (2000). Physical activity in relation to overweight and obesity in children and adolescents. European Journal of Pediatrics 159, 4555.CrossRefGoogle ScholarPubMed
Must, A., Jacques, P.F., Dallal, G.E., Bajema, C.J. & Dietz, W.H. (1992) Long-term morbidity and mortality of overweight adolescents: a follow-up of the Harvard Growth Study 1922 to 1935. New England Journal of Medicine 327, 13501355.CrossRefGoogle ScholarPubMed
Nieto, F.J., Szklo, M. & Comstock, G.W. (1992). Childhood weight and growth rate as a predictors of adult mortality. American Journal of Epidemiology 136, 201213.CrossRefGoogle ScholarPubMed
Pesa, J.A., Syre, T.R. & Jones, E. (2000). Psychosocial differences associated with body weight among female adolescents: The importance of body image. Journal of Adolescent Health 26, 330337.CrossRefGoogle ScholarPubMed
Prochaska, J.J., Sallis, J.F. & Long, B. (2001). A physical activity screening measure for use with adolescents in primary care. Archives of Pediatrics & Adolescent Medicine 155, 554, 559.CrossRefGoogle ScholarPubMed
Roberts, R.J. (1995). Can self-reported data accurately describe the prevalence of overweight. Public Health 109, 275284.CrossRefGoogle ScholarPubMed
Robinson, T.N. (1999). Reducing children's television viewing to pre-vent obesity: a randomised control trial. American Journal of Medical Association 282, 15611567.CrossRefGoogle Scholar
Rosenblum, G.D. & Lewis, M. (1999). The relations among body image, physical attractiveness, and body mass in adolescence. Child Development 70, 5064.CrossRefGoogle ScholarPubMed
Santinello, M., Vieno, A., Bertinato, L., Mirandola, M. & Rampazzo, L. (2002). L'uso dei risultati dell'indagine “Health Behaviour in School-aged Children”: il caso del Veneto. Psicologia delta Salute 1, 145153.Google Scholar
Stradmeijer, M., Bosch, J., Koops, W. & Seidell, J. (2000). Family functioning and psychosocial adjustment in overweight youngsters. International Journal of Eating Disorders 27, 110114.3.0.CO;2-5>CrossRefGoogle ScholarPubMed
Strauss, R.S. (1999). Childhood obesity. Current Problem Pediatric 29, 129.CrossRefGoogle ScholarPubMed
Thompson, S.K. (2002). Sampling, 2nd Ed. John Wiley & Sons: New York.Google ScholarPubMed
Van den Bulck, J. (2000). Is television bad for your health? Behavior and body image of the adolescent ‘couch potato’. Journal of Youth and Adolescence 29, 273288.CrossRefGoogle Scholar
Wallace, W.J., Sheslow, D., & Hassink, S. (1993). Obesity in children: a risk for depression. Annals of the New York Academy of Sciences 699, 301303.CrossRefGoogle ScholarPubMed
Wolf, A.M. & Colditz, G.A. (1998). Current estimates of the economic cost of obesity in the United States. Obesity Research 6, 97106.CrossRefGoogle ScholarPubMed
World Health Organization (1998). Health Behaviour in School-aged Children: Research Protocol from the 1997-98 Survey. University of Edinburgh: Edinburgh.Google Scholar
Zametkin, A.J., Zoon, C.K., Klein, H.W. & Munson, S. (2004). Psychiatric aspects of child and adolescent obesity: a review of the past 10 years. Journal of the American Academy of Child and Adolescent Psychiatry 43, 134150.CrossRefGoogle ScholarPubMed