The ALADINO study: a national study of prevalence of overweight and obesity in Spanish children in 2011

Napoleón Pérez-Farinós, Ana M López-Sobaler, M Ángeles Dal Re, Carmen Villar, Estefanía Labrado, Teresa Robledo, Rosa M Ortega, Napoleón Pérez-Farinós, Ana M López-Sobaler, M Ángeles Dal Re, Carmen Villar, Estefanía Labrado, Teresa Robledo, Rosa M Ortega

Abstract

The aim of the study was to determine the prevalence of overweight and obesity in children in Spain using different sets of cut-off criteria, through a community-based cross-sectional study. The study was conducted in a representative sample of Spanish children between 6 and 9 years, recruited in Spanish schools, between October 2010 and May 2011. 7,569 boys and girls were selected. All were weighed and measured, and their parents were asked about their socioeconomic background, food habits and physical activity. The BMI of each was calculated, and the prevalence of overweight and obesity was determined by age and sex using Spanish reference tables (SPART), IOTF reference values, and WHO growth standards. The prevalence of overweight in boys ranged from 14.1% to 26.7%, and in girls from 13.8% to 25.7%, depending on the cut-off criteria. The prevalence of obesity in boys ranged from 11.0% to 20.9%, and in girls from 11.2% to 15.5%. The prevalence of obesity was the highest among those same children when using the SPART or WHO criteria. Overweight and obesity remain widespreading among Spanish children; a consensus on the definition of overweight and obesity cut-off criteria is necessary.

Figures

Figure 1
Figure 1
Prevalence of overweight and obesity in Spanish Autonomous Regions by BMI tertiles and three different criteria.

References

    1. Lobstein T, Baur L, Uauy R. Obesity in children and young people: a crisis in public health. Obesity Reviews. 2004;5(supplement 1):4–104.
    1. Branca F, Nikogosian H, Lobstein T. The Challenge of Obesity in the WHO European Region and the Strategies For Response. Copenhagen, Denmark: WHO Regional Office for Europe; 2007.
    1. Encuesta Nacional de Salud de España 2006. Ministerio de Sanidad y Política Social, 2010, .
    1. Adams KF, Schatzkin A, Harris TB, et al. Overweight, obesity, and mortality in a large prospective cohort of persons 50 to 71 years old. The New England Journal of Medicine. 2006;355(8):763–778.
    1. Pelone F, Specchia ML, Veneziano MA, et al. Economic impact of childhood obesity on health systems: a systematic review. Obesity Reviews. 2012;13(5):431–440.
    1. Lanigan J, Barber S, Singhal A. Prevention of obesity in preschool children. Proceedings of the Nutrition Society. 2010;69(2):204–210.
    1. Encuesta Nacional de Salud. Ministerio de Sanidad y Política Social, 2010, .
    1. Majem LS, Barba LR, Bartrina JA, Rodrigo CP, Santana PS, Quintana LP. Obesidad en la infancia y adolescencia en España. Resultados del estudio enKid (1998–2000) Medicina Clinica. 2003;121(19):725–732.
    1. Kunešová M, Vignerová J, Pařízková J, et al. Long-term changes in prevalence of overweight and obesity in Czech 7-year-old children: evaluation of different cut-off criteria of childhood obesity. Obesity Reviews. 2011;12(7):483–491.
    1. Rito A, Wijnhoven TM, Rutter H, et al. Prevalence of obesity among Portuguese children (6–8 years old) using three definition criteria: COSI Portugal, 2008. Pediatric Obesity. 2012;7(6):413–422.
    1. He M, Beynon C. Prevalence of overweight and obesity in school-aged children. Canadian Journal of Dietetic Practice and Research. 2006;67(3):125–129.
    1. Kovalskys I, Rausch Herscovici C, de Gregorio MJ. Nutritional status of school-aged children of Buenos Aires, Argentina: data using three references. Journal of Public Health. 2011;33(3):403–411.
    1. European Childhood Obesity Surveillance Initiative (COSI) WHO Regional Office for Europe, 2012, .
    1. World Health Organization. WHO Technical Report Series. 854. Geneva, Switzerland: WHO; 1995. Physical status: the use and interpretation of anthropometry.
    1. Sobradillo B, Aguirre A, Aresti U, et al. Curvas y Tablas de Crecimiento (Estudios Longitudinal y Transversal) Bilbao, Spain: Fundaci ón Faustino Orbegozo Eizaguirre; 2004.
    1. Cole TJ, Bellizzi MC, Flegal KM, Dietz WH. Establishing a standard definition for child overweight and obesity worldwide: international survey. British Medical Journal. 2000;320(7244):1240–1243.
    1. de Onis M, Onyango AW, Borghi E, Siyam A, Nishida C, Siekmann J. Development of a WHO growth reference for school-aged children and adolescents. Bulletin of the World Health Organization. 2007;85(9):660–667.
    1. García SE, Alonso ATV, Alonso JL, et al. Obesity in Castile and Leon, Spain: epidemiology and association with other cardiovascular risk factors. Revista Espanola de Cardiologia. 2011;64(1):63–66.
    1. Vázquez FL, Díaz O, Pomar C. Prevalence of overweight and obesity among preadolescent schoolchildren in Galicia, Spain. Child. 2010;36(3):392–395.
    1. Bibiloni MDM, Martinez E, Llull R, Juarez MD, Pons A, Tur JA. Prevalence and risk factors for obesity in Balearic islands adolescents. British Journal of Nutrition. 2010;103(1):99–106.
    1. Aguilera-Zubizarreta E, Ugarte-Miota T, Cacho PM, Vara-González L, de Castro SS. Prevalence of overweight and obesity in Cantabria. Gaceta Sanitaria. 2008;22(5):461–464.
    1. Salcedo V, Gutiérrez-Fisac JL, Guallar-Castillón P, Rodríguez-Artalejo F. Trends in overweight and misperceived overweight in Spain from 1987 to 2007. International Journal of Obesity. 2010;34(12):1759–1765.
    1. Quiles IJ, Vioque J. Validez de los datos antropométricos declarados para la determinación de la prevalencia de obesidad. Medicina Clinica. 1996;106(19):725–729.
    1. Olds T, Maher C, Zumin S, et al. Evidence that the prevalence of childhood overweight is plateauing: data from nine countries. International Journal of Pediatric Obesity. 2011;6(5-6):342–360.
    1. Cattaneo A, Monasta L, Stamatakis E, et al. Overweight and obesity in infants and pre-school children in the European Union: a review of existing data. Obesity Reviews. 2010;11(5):389–398.
    1. Direction de la Recherche des Etudes de l’Evaluation et des Statistiques. Nutrition et Activité Physique. Surpoids et Obésité Chez l’Enfant. L’État de Santé de la PopuLation en France: Rapport 2009-2010. Paris, France: Ministère de la Santé; 2010.
    1. National child measurement programme: England, 2010/11 school year. National Health Service, 2011, .
    1. Rito AI, Paixao E, Carvalho MA, Ramos C. Childhood Obesity Surveillance Initiative. COSI Portugal 2008. Lisboa, Portugal: Instituto Nacional de Saude Doutor Ricardo Jorge; 2010.
    1. Binkin N, Fontana G, Lamberti A, et al. A national survey of the prevalence of childhood overweight and obesity in Italy: national prevalence of obesity. Obesity Reviews. 2010;11(1):2–10.
    1. Grech V, Farrugia Sant’Angelo V. Body mass index estimation in a school-entry aged cohort in Malta. International Journal of Pediatric Obesity. 2009;4(2):126–128.
    1. Centers for Disease Control Prevention. Obesity prevalence among low-income, preschool-aged children—United States, 1998–2008. Morbidity and Mortality Weekly Report. 2009;58:769–773.
    1. Agencia Española de Seguridad Alimentaria y Nutrición. Estrategia Para la Nutrición, Actividad Física y Prevención de la Obesidad. Estrategia NAOS. Madrid, Spain: Ministerio de Sanidad y Consumo; 2005.
    1. Neira M, de Onis M. The Spanish strategy for nutrition, physical activity and the prevention of obesity. The British Journal of Nutrition. 2006;96(supplement 1):S8–S11.
    1. Ley de seguridad alimentaria y nutrición. Spanish Official Bulletin (BOE), 2011.
    1. World Health Organization. WHO Technical Report Series. 916. Geneva, Switzerland: WHO; 2002. Joint WHO/FAO expert consultation on diet, nutrition and the prevention of chronic diseases.
    1. Aranceta J, Pérez-Rodrigo C, Serra-Majem L, et al. Prevention of overweight and obesity: a Spanish approach. Public Health Nutrition. 2007;10(10A):1187–1193.
    1. Rolland-Cachera MF. Childhood obesity: current definitions and recommendations for their use. International Journal of Pediatric Obesity. 2011;6(5-6):325–331.

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