uu.seUppsala University Publications
Change search
ReferencesLink to record
Permanent link

Direct link
Socioeconomic inequalities in childhood overweight: heterogeneity across five countries in the WHO European Childhood Obesity Surveillance Initiative (COSI-2008)
Section for Epidemiology and Community Medicine (EPSO), Department of Public Health and Community Medicine, University of Gothenburg, Gothenburg, Sweden.
Division of Noncommunicable Diseases and Promoting Health Through the Life-Course, WHO Regional Office for Europe, UN City, Copenhagen, Denmark .
Section for Epidemiology and Community Medicine (EPSO), Department of Public Health and Community Medicine, University of Gothenburg, Gothenburg, Sweden.
Department of Food and Nutrition and Sport Science, University of Gothenburg, Gothenburg, Sweden.
Show others and affiliations
2016 (English)In: International Journal of Obesity, ISSN 0307-0565, E-ISSN 1476-5497, Vol. 40, no 5, 796-802 p.Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Excess risk of childhood overweight and obesity occurring in socioeconomically disadvantaged families has been demonstrated in numerous studies from high-income regions, including Europe. It is well known that socioeconomic characteristics such as parental education, income and occupation are etiologically relevant to childhood obesity. However, in the pan-European setting, there is reason to believe that inequalities in childhood weight status may vary among countries as a function of differing degrees of socioeconomic development and equity.

SUBJECTS AND METHODS: In this cross-sectional study, we have examined socioeconomic differences in childhood obesity in different parts of the European region using nationally representative data from Bulgaria, the Czech Republic, Lithuania, Portugal and Sweden that were collected in 2008 during the first round of the World Health Organization ( WHO) European Childhood Obesity Surveillance Initiative.

RESULTS: Heterogeneity in the association between parental socioeconomic indicators and childhood overweight or obesity was clearly observed across the five countries studied. Positive as well as negative associations were observed between parental socioeconomic indicators and childhood overweight, with statistically significant interactions between country and parental indicators.

CONCLUSIONS: These findings have public health implications for the WHO European Region and underscore the necessity to continue documenting socioeconomic inequalities in obesity in all countries through international surveillance efforts in countries with diverse geographic, social and economic environments. This is a prerequisite for universal as well as targeted preventive actions.

Place, publisher, year, edition, pages
Nature Publishing Group , 2016. Vol. 40, no 5, 796-802 p.
National Category
Nutrition and Dietetics
Research subject
URN: urn:nbn:se:uu:diva-304913DOI: 10.1038/ijo.2016.12ISI: 000377616500010PubMedID: 27136760ScopusID: 2-s2.0-84966397604OAI: oai:DiVA.org:uu-304913DiVA: diva2:1034350
Swedish Research Council

Funding Agencies:

Ministry of Health

National Center of Public Health and Analyses

Regional Health Inspectorates

Internal Grant Agency of the Ministry of Health IGA NS/9832-4

Lithuanian State Science and Studies Foundation

Lithuanian University of Health Sciences

Research Council of Lithuania SIN-17/2012

Ministry of Health and Regional Health Directorates

Swedish Research Council for Health, Working Life and Welfare (FORTE)

Directorate-General for Health of Portugal

National Health Institute Doutor Ricardo Jorge in Lisbon, Portugal

National Institute of Health in Rome, Italy

Norwegian Institute of Public Health in Oslo, Norway

Hellenic Medical Association for Obesity in Athens, Greece

Directorate-General for Health of France

Karolinska Institute in Huddinge, Sweden

Available from: 2016-07-27 Created: 2016-10-11 Last updated: 2016-10-11

Open Access in DiVA

No full text

Other links

Publisher's full textPubMedScopusFulltext

Search in DiVA

By author/editor
Yngve, Agneta
In the same journal
International Journal of Obesity
Nutrition and Dietetics

Search outside of DiVA

GoogleGoogle Scholar
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

Altmetric score

ReferencesLink to record
Permanent link

Direct link