Skip to main content

Epidemiology of Obesity in Children

  • Chapter
  • First Online:
Adipose Tissue and Adipokines in Health and Disease

Part of the book series: Nutrition and Health ((NH))

  • 1878 Accesses

Abstract

This chapter describes the classification of childhood obesity and the current prevalence and time trends of childhood obesity worldwide. Various references and standards have been used over the past two decades and at present to define overweight and obesity in children, although in general most are based on age-sex-specific body mass index (BMI) cut points (percentile or other cut points), and they can give different estimate of the rates.

Childhood obesity has become a global public health crisis, and the prevalence varied considerable across countries and is still growing in many parts of the world. The prevalence is highest in Western and industrialized countries, but still low in some developing countries. The prevalence also varies by age and gender within and across countries. The WHO Americas and Eastern Mediterranean Regions had higher prevalence of overweight and obesity (30–40 %) than the European (20–30 %), South East Asian, Western Pacific, and African Regions (10–20 % in the latter three). Forty-three million children (35 million in developing countries) were estimated to be overweight or obese; 92 million were at risk of overweight in 2010. The global overweight and obesity prevalence has increased dramatically since 1990, e.g., in preschool age children, from approximately 4 % in 1990 to 7 % in 2010. If this trend continues, the prevalence may reach 9 % or 60 million people in 2020. Vigorous efforts including national policies and programs are needed to combat the epidemic.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 89.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Wang Y, Lobstein T. Worldwide trends in childhood overweight and obesity. Int J Pediatr Obes. 2006;1(1):11–25.

    Article  PubMed  Google Scholar 

  2. Wang Y, Beydoun MA. The obesity epidemic in the United States—gender, age, socioeconomic, racial/ethnic, and geographic characteristics: a systematic review and meta-regression analysis. Epidemiol Rev. 2007;29:6–28.

    Article  CAS  PubMed  Google Scholar 

  3. Wang Y, Lim H. The global childhood obesity epidemic and the association between socio-economic status and childhood obesity. Int Rev Psychiatry. 2012;24(3):176–88.

    Article  PubMed  Google Scholar 

  4. WHO. Obesity and overweight. 2009. Available from: http://www.who.int/mediacentre/factsheets/fs311/en/.

  5. International Obesity Task Force (IOTF). Worldwide prevalence of obesity. 2007 [cited 2007 Oct 1]. Available from: http://www.iotf.org.

  6. Wang Y, Mi J, Shan XY, Wang QJ, Ge KY. Is China facing an obesity epidemic and the consequences? The trends in obesity and chronic disease in China. Int J Obes (Lond). 2007;31(1):177–88.

    Article  CAS  Google Scholar 

  7. Must A, Strauss RS. Risks and consequences of childhood and adolescent obesity. Int J Obes Relat Metab Disord. 1999;23 Suppl 2:S2–11.

    Article  PubMed  Google Scholar 

  8. Dietz WH. Health consequences of obesity in youth: childhood predictors of adult disease. Pediatrics. 1998;101(3 Pt 2):518–25.

    CAS  PubMed  Google Scholar 

  9. WHO. Childhood overweight and obesity. 2010. Available from: http://www.who.int/dietphysicalactivity/childhood/en.

  10. Kuczmarski RJ, Ogden CL, Grummer-Strawn LM, Flegal KM, Guo SS, Wei R, et al. CDC growth charts: United States. Adv Data. 2000;314:1–27.

    PubMed  Google Scholar 

  11. Wang Y. Epidemiology of childhood obesity—methodological aspects and guidelines: what is new? Int J Obes Relat Metab Disord. 2004;28 Suppl 3:S21–8.

    Article  PubMed  Google Scholar 

  12. WHO. Physical status: the use and interpretation of anthropometry. Report of a WHO Expert Committee. World Health Organ Tech Rep Ser. 1995;854:1–452.

    Google Scholar 

  13. WHO. Obesity: preventing and managing the global epidemic. Report of a WHO consultation. World Health Organ Tech Rep Ser. 2000;894:i–xii. 1–253.

    Google Scholar 

  14. Cole TJ, Bellizzi MC, Flegal KM, Dietz WH. Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ. 2000;320(7244):1240–3.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  15. WHO/IASO/IOTF. The Asia-Pacific perspective: redefining obesity and its treatment. Sydney, Australia: Health Communications Australia Pty Limited: The World Health Organization Western Pacific Region; The International Association for the Study of Obesity; The International Obesity Task Force; 2000.

    Google Scholar 

  16. Guillaume M. Defining obesity in childhood: current practice. Am J Clin Nutr. 1999;70(1):126S–30.

    CAS  Google Scholar 

  17. Wang Y, Wang JQ. A comparison of international references for the assessment of child and adolescent overweight and obesity in different populations. Eur J Clin Nutr. 2002;56(10):973–82.

    Article  CAS  PubMed  Google Scholar 

  18. WHO. The WHO child growth standards. 2006 [cited 2010 Jan 20]. Available from: http://www.who.int/childgrowth/en/.

  19. 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. Bull World Health Organ. 2007;85(9):660–7.

    Article  PubMed Central  PubMed  Google Scholar 

  20. Must A, Dallal GE, Dietz WH. Reference data for obesity: 85th and 95th percentiles of body mass index (wt/ht2) and triceps skinfold thickness. Am J Clin Nutr. 1991;53(4):839–46.

    CAS  PubMed  Google Scholar 

  21. Wang Y, Moreno LA, Caballero B, Cole TJ. Limitations of the current world health organization growth references for children and adolescents. Food Nutr Bull. 2006;27(4 Suppl, Growth Standard):S175–88.

    PubMed  Google Scholar 

  22. Jackson-Leach R, Lobstein T. Estimated burden of paediatric obesity and co-morbidities in Europe. Part 1. The increase in the prevalence of child obesity in Europe is itself increasing. Int J Pediatr Obes. 2006;1(1):26–32.

    Article  PubMed  Google Scholar 

  23. Janssen I, Katzmarzyk PT, Boyce WF, Vereecken C, Mulvihill C, Roberts C, et al. Comparison of overweight and obesity prevalence in school-aged youth from 34 countries and their relationships with physical activity and dietary patterns. Obes Rev. 2005;6(2):123–32.

    Article  CAS  PubMed  Google Scholar 

  24. Tremblay MS, Katzmarzyk PT, Willms JD. Temporal trends in overweight and obesity in Canada, 1981–1996. Int J Obes Relat Metab Disord. 2002;26(4):538–43.

    Article  CAS  PubMed  Google Scholar 

  25. Willms JD, Tremblay MS, Katzmarzyk PT. Geographic and demographic variation in the prevalence of overweight Canadian children. Obes Res. 2003;11(5):668–73.

    Article  PubMed  Google Scholar 

  26. Ahrens W, Moreno LA, Pigeot I. Childhood obesity: prevalence worldwide epidemiology of obesity in children and adolescents. 1st ed. New York, NY: Springer; 2011. p. 219–35.

    Book  Google Scholar 

  27. Due P, Damsgaard MT, Rasmussen M, Holstein BE, Wardle J, Merlo J, et al. Socioeconomic position, macroeconomic environment and overweight among adolescents in 35 countries. Int J Obes (Lond). 2009;33(10):1084–93.

    Article  CAS  Google Scholar 

  28. International Association for the Study of Obesity (IASO). Global Childhood Overweight. 2011 [cited 2012 Jan 20]. http://www.iaso.org. Available from: http://www.iaso.org/site_media/uploads/Global_Childhood_Overweight_September_2011.pdf.

  29. de Onis M, Blossner M, Borghi E. Global prevalence and trends of overweight and obesity among preschool children. Am J Clin Nutr. 2010;92(5):1257–64.

    Article  PubMed  Google Scholar 

  30. Ogden CL, Carroll MD, Curtin LR, Lamb MM, Flegal KM. Prevalence of high body mass index in US children and adolescents, 2007–2008. JAMA. 2010;303(3):242–9.

    Article  CAS  PubMed  Google Scholar 

  31. Ogden CL, Carroll MD, Kit BK, Flegal KM. Prevalence of obesity and trends in body mass index among US children and adolescents, 1999–2010. JAMA. 2012;307(5):483–90.

    Article  PubMed  Google Scholar 

  32. Shan XY, Xi B, Cheng H, Hou DQ, Wang Y, Mi J. Prevalence and behavioral risk factors of overweight and obesity among children aged 2–18 in Beijing, China. Int J Pediatr Obes. 2010;5(5):383–9.

    Article  PubMed  Google Scholar 

  33. Ji CY, Cheng TO. Epidemic increase in overweight and obesity in Chinese children from 1985 to 2005. Int J Cardiol. 2009;132(1):1–10.

    Article  PubMed  Google Scholar 

  34. Wang Y, Chen HJ, Shaikh S, Mathur P. Is obesity becoming a public health problem in India? Examine the shift from under- to overnutrition problems over time. Obes Rev. 2009;10(4):456–74.

    Article  CAS  PubMed  Google Scholar 

  35. Wang Y, Beydoun MA, Liang L, Caballero B, Kumanyika SK. Will all Americans become overweight or obese? Estimating the progression and cost of the US obesity epidemic. Obesity (Silver Spring). 2008;16(10):2323–30.

    Article  Google Scholar 

  36. Wang Y, Zhang Q. Are American children and adolescents of low socioeconomic status at increased risk of obesity? Changes in the association between overweight and family income between 1971 and 2002. Am J Clin Nutr. 2006;84(4):707–16.

    CAS  PubMed  Google Scholar 

Download references

Acknowledgement

This work is supported in part by research grants from the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) and the Office of Behavioral and Social Sciences Research (OBSSR, 1U54 HD070725-01) and the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK, R01DK81335-01A1).

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Youfa Wang M.D., M.S., Ph.D. .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2014 Springer Science+Business Media New York

About this chapter

Cite this chapter

Wang, Y., Lim, H. (2014). Epidemiology of Obesity in Children. In: Fantuzzi, G., Braunschweig, C. (eds) Adipose Tissue and Adipokines in Health and Disease. Nutrition and Health. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-62703-770-9_11

Download citation

  • DOI: https://doi.org/10.1007/978-1-62703-770-9_11

  • Published:

  • Publisher Name: Humana Press, Totowa, NJ

  • Print ISBN: 978-1-62703-769-3

  • Online ISBN: 978-1-62703-770-9

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics