Overweight among students aged 11–15 years and its relationship with breakfast, area of residence and parents’ education: results from the Italian HBSC 2010 cross-sectional study
Open Access
- 5 July 2014
- journal article
- research article
- Published by Springer Science and Business Media LLC in Nutrition Journal
- Vol. 13 (1), 1-10
- https://doi.org/10.1186/1475-2891-13-69
Abstract
The international increase in overweight and obesity among children and adolescents over the past three decades confirms that childhood obesity is a global ‘epidemic’. The World Health Organization considers childhood obesity to be a major public health concern. Childhood obesity is associated with cardiovascular, endocrine, musculoskeletal and gastrointestinal complications, and may have psycho-social consequences. The aim of this paper is to examine overweight (including obesity) prevalence and its association with geographic area of residence, parental education and daily breakfast consumption in Italian students aged 11–15 yrs. A nationally representative sample of 11–15 year old students from 20 Italian Regions (Italian Health Behaviour in School-aged Children 2010-HBSC) was randomly selected (2,504 schools and 77,113 students). Self-reported anonymous questionnaires, prepared by the international HBSC network, were used to collect the data. BMI was calculated using self-reported weight and height and the International Obesity Task Force cut-offs. Multiple logistic regressions were performed to assess the relationship between the risk of overweight and parental education, area of residence and breakfast consumption in each age group and gender. Boys were more likely to be overweight or obese than girls (28.1% vs. 18.9% at 11 yrs-old, 24.8% vs. 16.5% at 13 yrs and 25.4 vs. 11.8% at 15 yrs). The prevalence of overweight and obesity was lower among the older girls. Overweight and obesity rates increased from the North of Italy to the South in both boys and girls and in all age groups. Boys 11-15 yrs living in southern Italy had an OR=2.05 (1.77-2.38) and girls 2.04 (95% CI 1.70-2.44) for overweight (including obesity) compared with those living in the North. Parent’s low educational level and no daily breakfast consumption were also associated with overweight including obesity (p<0.05). The prevalence of obesity and overweight in Italian school-children 11-15 yrs old are high, in particular in the South and in boys. These findings suggest appropriate interventions are needed, at the community as well as the individual level, in particular in the southern regions. However, more research is warranted on intermediary factors to determine which interventions are likely to be most effective.This publication has 37 references indexed in Scilit:
- Measured Parental Weight Status and Familial Socio-Economic Status Correlates with Childhood Overweight and Obesity at Age 9PLOS ONE, 2012
- Relationship between 8/9-yr-old school children BMI, parents' BMI and educational level: a cross sectional surveyNutrition Journal, 2011
- Breakfast Frequency and Quality May Affect Glycemia and Appetite in Adults and ChildrenJournal of Nutrition, 2011
- A national survey of the prevalence of childhood overweight and obesity in ItalyObesity Reviews, 2009
- Breakfast consumption and its socio-demographic and lifestyle correlates in schoolchildren in 41 countries participating in the HBSC studyInternational Journal of Public Health, 2009
- The Health Behaviour in School-aged Children (HBSC) study: methodological developments and current tensionsInternational Journal of Public Health, 2009
- Overweight in school-aged children and its relationship with demographic and lifestyle factors: results from the WHO-Collaborative Health Behaviour in School-aged Children (HBSC) StudyInternational Journal of Public Health, 2009
- Prevalence of obesity in 6‐ and 9‐year‐old children living in Central‐North Italy. Analysis of determinants and indicators of risk of overweightObesity Reviews, 2007
- Body mass index cut offs to define thinness in children and adolescents: international surveyBMJ, 2007
- What Can We Do to Improve Child Health in Southern Italy?PLoS Medicine, 2005