Abstract
Objective:
Overweight has been increasing in several developed countries over the last few decades. No update information on the issue is available for Italy.
Design and setting:
We conducted a computer assisted personal in-house interview survey in March–April 2004, on a sample of 2932 Italian individuals (1407 men and 1525 women) aged 18 years or over, representative of the general adult Italian population. Information on weight and height was self-reported.
Results:
Overall, 3.4% of the Italian adult population were underweight (<18.5 kg/m2, 0.9% of men and 5.8% of women), 31.3% were overweight (25.0–29.9 kg/m2, 38.4% of men, 24.7% of women), and 8.2% were obese (⩾30.0 kg/m2, 7.4% of men and 8.9% of women). Overweight or obesity was reported by 14.2% of subjects aged 18–24 years (20.6% of men and 7.6% of women). The highest proportions of overweight and obese subjects were in the 45–64 year age group for men (51.4% overweight, 10.0% obese) and in the ⩾65 year age group for women (38.8% overweight, 13.8% obese). Age- and sex-standardised prevalence of overweight or obesity was 36.0% for more educated subjects, and 54.0% for less educated ones. It was 32.3% in northern, 44.3% in central and 47.0% in southern Italy. Overweight increased from 1983 to the early 1990s, and levelled off thereafter. Prevalence of obesity remained around 8–9% across the last 20 years.
Conclusions:
Trends of overweight and obesity in Italy are more favourable than in several developed countries. Still, approximately 15 million of Italian adults are overweight and 4 million obese.
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References
Adami HO, Trichopoulos D (2003). Obesity and mortality from cancer. N Engl J Med 348, 1623–1624.
Anonymous (2002). Getting a handle on obesity. Lancet 359, 1955.
Anonymous (2004). Who pays in the obesity war. Lancet 363, 339.
Aranceta J, Perez-Rodrigo C, Serra-Majem L, Ribas L, Quiles-Izquierdo J, Vioque J, et al., Spanish Collaborative Group for the Study of Obesity (2001). Influence of sociodemographic factors in the prevalence of obesity in Spain. The SEEDO'97 Study. Eur J Clin Nutr 55, 430–435.
Aranceta J, Perez Rodrigo C, Serra Majem L, Ribas Barba L, Quiles Izquierdo J, Vioque J, et al., Grupo colaborativo para el Estudio de la Obesidad en Espana (2003). Prevalence of obesity in Spain: results of the SEEDO 2000 study. Med Clin (Barcelona) 120, 608–612.
Arroyo P, Loria A, Fernandez V, Flegal KM, Kuri-Morales P, Olaiz G et al. (2000). Prevalence of pre-obesity and obesity in urban adult Mexicans in comparison with other large surveys. Obes Res 8, 179–185.
Avila-Funes JA, Gutierrez-Robledo LM, Ponce De Leon Rosales S (2004). Validity of height and weight self-report in Mexican adults: results from the national health and aging study. J Nutr Health Aging 8, 355–361.
Baskin ML, Ard J, Franklin F, Allison DB (2005). Prevalence of obesity in the United States. Obes Rev 6, 5–7.
Bendixen H, Holst C, Sorensen TI, Raben A, Bartels EM, Astrup A (2004). Major increase in prevalence of overweight and obesity between 1987 and 2001 among Danish adults. Obes Res 12, 1464–1472.
Bianchini F, Kaaks R, Vainio H (2002). Overweight, obesity, and cancer risk. Lancet Oncol 3, 565–574.
Calle EE, Rodriguez C, Walker-Thurmond K, Thun MJ (2003). Overweight, obesity, and mortality from cancer in a prospectively studied cohort of US adults. N Engl J Med 348, 1625–1638.
Calle EE, Thun MJ, Petrelli JM, Rodriguez C, Heath Jr CW (1999). Body-mass index and mortality in a prospective cohort of US adults. N Engl J Med 341, 1097–1105.
Chopra M, Darnton-Hill I (2004). Tobacco and obesity epidemics: not so different after all? BMJ 328, 1558–1560.
Flegal KM, Carroll MD, Ogden CL, Johnson CL (2002). Prevalence and trends in obesity among US adults, 1999–2000. JAMA 288, 1723–1727.
Flegal KM, Graubard BI, Williamson DF, Gail MH (2005). Excess deaths associated with underweight, overweight, and obesity. JAMA 293, 1861–1867.
Flegal KM, Ogden CL, Carroll MD (2004a). Prevalence and trends in overweight in Mexican-American adults and children. Nutr Rev 62, S144–S148.
Flegal KM, Williamson DF, Pamuk ER, Rosenberg HM (2004b). Estimating deaths attributable to obesity in the United States. Am J Publ Health 94, 1486–1489.
Freedman DS, Khan LK, Serdula MK, Galuska DA, Dietz WH (2002). Trends and correlates of class 3 obesity in the United States from 1990 through 2000. JAMA 288, 1758–1761.
Gallus S, Pacifici R, Colombo P, Scarpino V, Zuccaro P, Bosetti C et al. (2006). Prevalence of smoking and attitude towards smoking regulation in Italy, 2004. Eur J Cancer Prev 15, 77–81.
Gutierrez-Fisac JL, Lopez E, Banegas JR, Graciani A, Rodriguez-Artalejo F (2004). Prevalence of overweight and obesity in elderly people in Spain. Obes Res 12, 710–715.
Harnack LJ, Jeffery RW, Boutelle KN (2000). Temporal trends in energy intake in the United States: an ecologic perspective. Am J Clin Nutr 71, 1478–1484.
Hedley AA, Ogden CL, Johnson CL, Carroll MD, Curtin LR, Flegal KM (2004). Prevalence of overweight and obesity among US children, adolescents, and adults, 1999–2002. JAMA 291, 2847–2850.
ISTAT (2002). Fattori di rischio e tutela della salute. Indagine multiscopo sulle famiglie ‘Condizioni di salute e ricorso ai servizi sanitari’, Anni 1999–2000. In: Gargiulo L, Sebastiani G (eds) ISTAT: Roma. Available online at: http://catalogo.istat.it/20020630_00.
ISTAT (2004). Stili di vita e condizioni di salute. Indagine multiscopo sulle famiglie ‘Aspetti della vita quotidiana’, Anno 2002. In: Orsini S (ed) ISTAT: Roma. Available online at: http://catalogo.istat.it/20041214_00.
ISTAT (2005). Stili di vita e condizioni di salute. Indagine multiscopo sulle famiglie ‘Aspetti della vita quotidiana’, Anno 2003. In: Orsini S (ed) ISTAT: Roma. Available online at: http://www.istat.it/dati/catalogo/20051118_00.
James PT, Leach R, Kalamara E, Shayeghi M (2001). The worldwide obesity epidemic. Obes Res 9, S228–S233.
Jeffery RW, Rick AM (2002). Cross-sectional and longitudinal associations between body mass index and marriage-related factors. Obes Res 10, 809–815.
Katzmarzyk PT (2002). The Canadian obesity epidemic, 1985–1998. CMAJ 166, 1039–1040.
Kenchaiah S, Evans JC, Levy D, Wilson PW, Benjamin EJ, Larson MG et al. (2002). Obesity and the risk of heart failure. N Engl J Med 347, 305–313.
Manson JE, Bassuk SS (2003). Obesity in the United States: a fresh look at its high toll. JAMA 289, 229–230.
Mark DH (2005). Deaths attributable to obesity. JAMA 293, 1918–1919.
Martinez JA, Kearney JM, Kafatos A, Paquet S, Martinez-Gonzalez MA (1999). Variables independently associated with self-reported obesity in the European Union. Public Health Nutr 2, 125–133.
Martinez JA, Moreno B, Martinez-Gonzalez MA (2004). Prevalence of obesity in Spain. Obes Rev 5, 171–172.
McGee DL, Diverse Populations Collaboration (2005). Body mass index and mortality: a meta-analysis based on person-level data from twenty-six observational studies. Ann Epidemiol 15, 87–97.
Monteiro CA, Conde WL, Lu B, Popkin BM (2004). Obesity and inequities in health in the developing world. Int J Obes Relat Metab Disord 28, 1181–1186.
Neira M, de Onis M (2005). Preventing obesity: a public health priority in Spain. Lancet 365, 1386.
Niedhammer I, Bugel I, Bonenfant S, Goldberg M, Leclerc A (2000). Validity of self-reported weight and height in the French GAZEL cohort. Int J Obes Relat Metab Disord 24, 1111–1118.
Nielsen SJ, Popkin BM (2003). Patterns and trends in food portion sizes, 1977–1998. JAMA 289, 450–453.
Olshansky SJ, Passaro DJ, Hershow RC, Layden J, Carnes BA, Brody J et al. (2005). A potential decline in life expectancy in the United States in the 21st century. N Engl J Med 352, 1138–1145.
Pagano R, La Vecchia C (1994). Overweight and obesity in Italy, 1990–91. Int J Obes Relat Metab Disord 18, 665–669.
Pagano R, La Vecchia C, Decarli A, Negri E, Franceschi S (1997). Trends in overweight and obesity among Italian adults, 1983 through 1994. Am J Publ Health 87, 1869.
Popkin BM, Doak CM (1998). The obesity epidemic is a worldwide phenomenon. Nutr Rev 56, 106–114.
Raebel MA, Malone DC, Conner DA, Xu S, Porter JA, Lanty FA (2004). Health services use and health care costs of obese and nonobese individuals. Arch Intern Med 164, 2135–2140.
Rennie KL, Jebb SA (2005). Prevalence of obesity in Great Britain. Obes Rev 6, 11–12.
Rodriguez Artalejo F, Lopez Garcia E, Gutierrez-Fisac JL, Banegas Banegas JR, Lafuente Urdinguio PJ, Dominguez Rojas V (2002). Changes in the prevalence of overweight and obesity and their risk factors in Spain, 1987-1997. Prev Med 34, 72–81.
Sarlio-Lahteenkorva S, Lahelma E (1999). The association of body mass index with social and economic disadvantage in women and men. Int J Epidemiol 28, 445–449.
SAS Institute Inc. (1999). SAS/STAT User's Guide, Version 8. SAS Institute Inc.: Cary, NC.
Seidell JC, Flegal KM (1997). Assessing obesity: classification and epidemiology. BMJ 53, 238–252.
Sibai AM, Hwalla N, Adra N, Rahal B (2003). Prevalence and covariates of obesity in Lebanon: findings from the first epidemiological study. Obes Res 11, 1353–1361.
Silventoinen K, Sans S, Tolonen H, Monterde D, Kuulasmaa K, Kesteloot H, et al., WHO MONICA Project (2004). Trends in obesity and energy supply in the WHO MONICA Project. Int J Obes Relat Metab Disord 28, 710–718.
Spencer EA, Appleby PN, Davey GK, Key TJ (2002). Validity of self-reported height and weight in 4808 EPIC-Oxford participants. Public Health Nutr 5, 561–565.
Sundquist J, Johansson SE (1998). The influence of socioeconomic status, ethnicity and lifestyle on body mass index in a longitudinal study. Int J Epidemiol 27, 57–63.
Thorogood M, Appleby PN, Key TJ, Mann J (2003). Relation between body mass index and mortality in an unusually slim cohort. J Epidemiol Community Health 57, 130–133.
Trichopoulou A, Naska A, Orfanos P, Trichopoulos D (2005). Mediterranean diet in relation to body mass index and waist-to-hip ratio: the Greek European Prospective Investigation into Cancer and Nutrition Study. Am J Clin Nutr 82, 935–940.
Tur JA, Serra-Majem L, Romaguera D, Pons A (2005). Profile of overweight and obese people in a Mediterranean region. Obes Res 13, 527–536.
Will JC, Denny C, Serdula M, Muneta B (1999). Trends in body weight among American Indians: findings from a telephone survey, 1985 through 1996. Am J Public Health 89, 395–398.
WHO, World Health Organization (2000). Obesity: preventing and managing the global epidemic. WHO Obesity Technical Report Series 894. WHO: Geneva, Switzerland.
WHO, World Health Organization. Regional Office for the Western Pacific (2003). Diet, food supply and obesity in the Pacific. WHO: Geneva, Switzerland.
Yanovski SZ, Yanovski JA (2002). Obesity. N Engl J Med 346, 591–602.
Yumuk VD (2005). Prevalence of obesity in Turkey. Obes Rev 6, 9–10.
Zizza C, Herring AH, Stevens J, Popkin BM (2004). Length of hospital stays among obese individuals. Am J Public Health 94, 1587–1591.
Acknowledgements
This work was conducted with partial contributions by the Italian Ministry of Health, the Italian League Against Cancer and the Italian Association for Cancer Research (AIRC). The authors thank Ms MP Bonifacino for editorial assistance.
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Guarantor: S Gallus.
Contributors: CLV, SG and PZ had the original idea of the study. PC and VS conducted the survey and provided data. SG analysed data, and wrote the manuscript with the contribution of CLV, EN and GA. All the authors contributed to the final version of the manuscript.
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Gallus, S., Colombo, P., Scarpino, V. et al. Overweight and obesity in Italian adults 2004, and an overview of trends since 1983. Eur J Clin Nutr 60, 1174–1179 (2006). https://doi.org/10.1038/sj.ejcn.1602433
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DOI: https://doi.org/10.1038/sj.ejcn.1602433
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