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European Journal of Nutrition

, Volume 54, Issue 5, pp 679–689 | Cite as

Overweight and obesity in 16 European countries

  • Silvano GallusEmail author
  • Alessandra Lugo
  • Bojana Murisic
  • Cristina Bosetti
  • Paolo Boffetta
  • Carlo La Vecchia
Original Contribution

Abstract

Purpose

In Europe, only a few population-based studies have been conducted on obesity in different countries at the same time using homogeneous methodologies. We provide updated information on the prevalence of overweight and obesity in Europe, using data from a pan-European survey.

Methods

We considered data from a representative cross-sectional study conducted in 2010 in 16 European countries (i.e., Albania, Austria, Bulgaria, Czech Republic, Croatia, England, Finland, France, Hungary, Ireland, Italy, Latvia, Poland, Romania, Spain, and Sweden), using a uniform protocol and comparable methods, on a total of 14,685 adults (aged ≥18 years) providing information on self-reported height and weight.

Results

Almost half of the interviewed European adults (47.6 %) were overweight or obese (54.5 % in men and 40.8 % in women), and 12.8 % (14.0 % in men and 11.5 % in women) were obese. Obesity prevalence was lower in Western/Southern (11.1 %) than in Central/Eastern (12.4 %) and Northern European countries (18.0 %). It ranged from 7.6 % in Italy to more than 20 % in Croatia (21.5 %) and England (20.1 %). Prevalence of obesity significantly increased with age and decreased with level of education. As compared to never smokers, obesity was less frequent in current smokers and more frequent in male, but not female, ex-smokers.

Conclusions

The lowest prevalence of obesity was observed in Mediterranean countries, particularly in Italy and France. Intervention to control obesity in Europe should focus on subgroups with higher prevalence of obesity, including adults of lower socioeconomic status and male ex-smokers.

Keywords

Overweight Obesity prevalence Pan-European survey Europe 

Notes

Acknowledgments

The project ‘Pricing Policies and Control of Tobacco in Europe (PPACTE)’ was funded by the European Commission Seventh Framework Programme Grant Agreement HEALTH-F2-2009-223323. The work of SG, AL, CB, and CLV is partially supported by the Italian Association for Cancer Research (AIRC, No. 10068) and the Italian League Against Cancer (LILT), Milan, Italy.

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical standard

The study protocol of the PPACTE survey was approved by the Institutional Review Board of the IRCCS - Istituto di Ricerche Farmacologiche “Mario Negri”, Milan, Italy. The procedures for recruitment of subjects, informed consent, data collection, storage, and protection (based on anonymous identification code) were in accordance with the current country-specific legislation. The study has therefore been performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki and its later amendments.

References

  1. 1.
    WHO (2007) The challenge of obesity in the WHO European Region and the strategies for response. http://www.euro.who.int/__data/assets/pdf_file/0010/74746/E90711.pdf. Accessed 17 Sept 2013
  2. 2.
    Austin GL, Ogden LG, Hill JO (2011) Trends in carbohydrate, fat, and protein intakes and association with energy intake in normal-weight, overweight, and obese individuals: 1971–2006. Am J Clin Nutr 93:836–843CrossRefGoogle Scholar
  3. 3.
    Finucane MM, Stevens GA, Cowan MJ et al (2011) National, regional, and global trends in body-mass index since 1980: systematic analysis of health examination surveys and epidemiological studies with 960 country-years and 9.1 million participants. Lancet 377:557–567CrossRefGoogle Scholar
  4. 4.
    Flegal KM, Carroll MD, Kit BK, Ogden CL (2012) Prevalence of obesity and trends in the distribution of body mass index among US adults, 1999–2010. JAMA 307:491–497CrossRefGoogle Scholar
  5. 5.
    WHO (2000) Obesity: preventing and managing the global epidemic. WHO Obesity Technical Report Series 894. World Health Organization (WHO), Geneva, Switzerland. http://whqlibdoc.who.int/trs/WHO_TRS_894.pdf. Accessed 24 Oct 2013
  6. 6.
    WHO (2013) WHO global database on body mass index. http://apps.who.int/bmi/index.jsp. Accessed 18 Sept 2013
  7. 7.
    OECD iLibrary (2012) Health at a glance: Europe 2012, OECD publishing.  10.1787/9789264183896-26-en. Accessed 18 Sept 2013
  8. 8.
    Ogden CL, Carroll MD, Kit BK, Flegal KM (2014) Prevalence of childhood and adult obesity in the United States, 2011–2012. JAMA 311:806–814CrossRefGoogle Scholar
  9. 9.
    WHO (2005) The SuRF Report 2; surveillance of chronic disease risk factors. World Health Organization (WHO), Geneva, Switzerland. https://apps.who.int/infobase/Publicfiles/SuRF2.pdf. Accessed 17 Sept 2013
  10. 10.
    WHO (2011) WHO global infobase. https://apps.who.int/infobase/Comparisons.aspx. Accessed 18 Sept 2013
  11. 11.
    International Obesity Taskforce (IOTF) (2013) Obesity prevalence worldwide. http://www.iaso.org/iotf/obesity/. Accessed 18 Sept 2013
  12. 12.
    Berghofer A, Pischon T, Reinhold T, Apovian CM, Sharma AM, Willich SN (2008) Obesity prevalence from a European perspective: a systematic review. BMC Public Health 8:200CrossRefGoogle Scholar
  13. 13.
    Rabin BA, Boehmer TK, Brownson RC (2007) Cross-national comparison of environmental and policy correlates of obesity in Europe. Eur J Public Health 17:53–61CrossRefGoogle Scholar
  14. 14.
    Doak CM, Wijnhoven TM, Schokker DF, Visscher TL, Seidell JC (2012) Age standardization in mapping adult overweight and obesity trends in the WHO European Region. Obes Rev 13:174–191CrossRefGoogle Scholar
  15. 15.
    Gallus S, Lugo A, La Vecchia C et al (2014) Pricing Policies and Control of Tobacco in Europe (PPACTE) project: cross-national comparison of smoking prevalence In 18 European countries. Eur J Cancer Prev 23:177–185CrossRefGoogle Scholar
  16. 16.
    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 2:125–133CrossRefGoogle Scholar
  17. 17.
    Molarius A, Seidell JC, Kuulasmaa K, Dobson AJ, Sans S (1997) Smoking and relative body weight: an international perspective from the WHO MONICA project. J Epidemiol Community Health 51:252–260CrossRefGoogle Scholar
  18. 18.
    Haftenberger M, Lahmann PH, Panico S et al (2002) Overweight, obesity and fat distribution in 50- to 64-year-old participants in the European Prospective Investigation into Cancer and Nutrition (EPIC). Public Health Nutr 5:1147–1162CrossRefGoogle Scholar
  19. 19.
    Perez-Cueto FJ, Verbeke W, de Barcellos MD, Kehagia O, Chryssochoidis G, Scholderer J, Grunert KG (2010) Food-related lifestyles and their association to obesity in five European countries. Appetite 54:156–162CrossRefGoogle Scholar
  20. 20.
    Eurostat (2013) European health interview survey (EHIS)—collection round 2008. http://epp.eurostat.ec.europa.eu/portal/page/portal/health/public_health/data_public_health/database. Accessed 18 Sept 2013
  21. 21.
    Eurobarometer (2006) Health and food. Special Eurobarometer 246/Wave 64.3. http://ec.europa.eu/health/ph_publication/eb_food_en.pdf. Accessed 18 Sept 2013
  22. 22.
    Peytremann-Bridevaux I, Faeh D, Santos-Eggimann B (2007) Prevalence of overweight and obesity in rural and urban settings of 10 European countries. Prev Med 44:442–446CrossRefGoogle Scholar
  23. 23.
    Gallus S, Lugo A, La Vecchia C et al (2012) PPACTE, WP2: European survey on smoking. PPACTE consortium. http://www.ppacte.eu/index.php?option=com_docman&task=doc_download&gid=185&Itemid=29. Accessed 12 Mar 2013
  24. 24.
    Gallus S, La Vecchia C (2012) Tobacco control: economic aspects of smoking. Prev Med 55:546–547CrossRefGoogle Scholar
  25. 25.
    Howel D (2011) Trends in the prevalence of obesity and overweight in English adults by age and birth cohort, 1991–2006. Public Health Nutr 14:27–33CrossRefGoogle Scholar
  26. 26.
    Zaninotto P, Head J, Stamatakis E, Wardle H, Mindell J (2009) Trends in obesity among adults in England from 1993 to 2004 by age and social class and projections of prevalence to 2012. J Epidemiol Community Health 63:140–146CrossRefGoogle Scholar
  27. 27.
    Lahti-Koski M, Seppanen-Nuijten E, Mannisto S, Harkanen T, Rissanen H, Knekt P, Rissanen A, Heliovaara M (2010) Twenty-year changes in the prevalence of obesity among Finnish adults. Obes Rev 11:171–176CrossRefGoogle Scholar
  28. 28.
    Sundquist J, Johansson SE, Sundquist K (2010) Levelling off of prevalence of obesity in the adult population of Sweden between 2000/01 and 2004/05. BMC Public Health 10:119CrossRefGoogle Scholar
  29. 29.
    Heim I, Leontic K, Gostovic MJ (2007) Obesity and overweight in Croatia. Acta Med Croatica 61:267–273Google Scholar
  30. 30.
    Grossschadl F, Stronegger WJ (2012) Regional trends in obesity and overweight among Austrian adults between 1973 and 2007. Wien Klin Wochenschr 124:363–369CrossRefGoogle Scholar
  31. 31.
    Grossschadl F, Stronegger WJ (2013) Long-term trends in obesity among Austrian adults and its relation with the social gradient: 1973–2007. Eur J Public Health 23:306–312CrossRefGoogle Scholar
  32. 32.
    Shapo L, Pomerleau J, McKee M, Coker R, Ylli A (2003) Body weight patterns in a country in transition: a population-based survey in Tirana City, Albania. Public Health Nutr 6:471–477CrossRefGoogle Scholar
  33. 33.
    Spahija B, Qirjako G, Toci E, Roshi E, Burazeri G (2012) Socioeconomic and lifestyle determinants of obesity in a transitional southeast European population. Med Arh 66:16–20CrossRefGoogle Scholar
  34. 34.
    Mihalache L, Popescu D, Graur M (2010) Prevalence of overweight and obesity in a rural population. Rev Med Chir Soc Med Nat Iasi 114:715–720Google Scholar
  35. 35.
    Charles MA, Eschwege E, Basdevant A (2008) Monitoring the obesity epidemic in France: the Obepi surveys 1997–2006. Obesity (Silver Spring) 16:2182–2186CrossRefGoogle Scholar
  36. 36.
    Fillol F, Dubuisson C, Lafay L, Dufour A, Bertin M, Touvier M, Maire B, Volatier JL, Lioret S (2011) Accounting for the multidimensional nature of the relationship between adult obesity and socio-economic status: the French second National Individual Survey on Food Consumption (INCA 2) dietary survey (2006–07). Br J Nutr 106:1602–1608CrossRefGoogle Scholar
  37. 37.
    Marin-Guerrero AC, Gutierrez-Fisac JL, Guallar-Castillon P, Banegas JR, Rodriguez-Artalejo F (2008) Eating behaviours and obesity in the adult population of Spain. Br J Nutr 100:1142–1148CrossRefGoogle Scholar
  38. 38.
    Gutierrez-Fisac JL, Guallar-Castillon P, Leon-Munoz LM, Graciani A, Banegas JR, Rodriguez-Artalejo F (2012) Prevalence of general and abdominal obesity in the adult population of Spain, 2008–2010: the ENRICA study. Obes Rev 13:388–392CrossRefGoogle Scholar
  39. 39.
    Gallus S, Odone A, Lugo A, Bosetti C, Colombo P, Zuccaro P, La Vecchia C (2013) Overweight and obesity prevalence and determinants in Italy: an update to 2010. Eur J Nutr 52:677–685CrossRefGoogle Scholar
  40. 40.
    ISTAT (2012) Smoke, alcohol, obesity: risk factors. http://noi-italia2013en.istat.it/index.php?id=55&user_100ind_pi1[id_pagina]=740&cHash=59a935e79c6e1717b4e1fb45fdedc326. Accessed 18 Oct 2013Google Scholar
  41. 41.
    Bartali B, Benvenuti E, Corsi AM, Bandinelli S, Russo CR, Di Iorio A, Lauretani F, Ferrucci L (2002) Changes in anthropometric measures in men and women across the life-span: findings from the InCHIANTI study. Soz Praventivmed 47:336–348CrossRefGoogle Scholar
  42. 42.
    Schroder H, Marrugat J, Vila J, Covas MI, Elosua R (2004) Adherence to the traditional mediterranean diet is inversely associated with body mass index and obesity in a Spanish population. J Nutr 134:3355–3361Google Scholar
  43. 43.
    Schwarzfuchs D, Golan R, Shai I (2012) Four-year follow-up after two-year dietary interventions. N Engl J Med 367:1373–1374CrossRefGoogle Scholar
  44. 44.
    Nordmann AJ, Suter-Zimmermann K, Bucher HC, Shai I, Tuttle KR, Estruch R, Briel M (2011) Meta-analysis comparing Mediterranean to low-fat diets for modification of cardiovascular risk factors. Am J Med 124(841–851):e842Google Scholar
  45. 45.
    Rossi M, Negri E, Bosetti C, Dal Maso L, Talamini R, Giacosa A, Montella M, Franceschi S, La Vecchia C (2008) Mediterranean diet in relation to body mass index and waist-to-hip ratio. Public Health Nutr 11:214–217Google Scholar
  46. 46.
    DAta Food NEtworking (DAFNE) (2005) The pan-European food data bank based on household budget surveys. http://www.nut.uoa.gr/dafnesoftweb/Main.aspx?type=multi. Accessed 17 Oct 2013
  47. 47.
    Linseisen J, Welch AA, Ocke M et al (2009) Dietary fat intake in the European Prospective Investigation into Cancer and Nutrition: results from the 24-h dietary recalls. Eur J Clin Nutr 63(Suppl 4):S61–S80CrossRefGoogle Scholar
  48. 48.
    Eurobarometer (2014) Sport and physical activity. Special Eurobarometer 412/Wave EB80.2. http://ec.europa.eu/public_opinion/archives/ebs/ebs_412_en.pdf. Accessed 25 April 2014
  49. 49.
    WHO (2004) Food and health in Europe: a new basis for action. http://www.euro.who.int/__data/assets/pdf_file/0005/74417/E82161.pdf. Accessed 17 Sept 2013
  50. 50.
    Devaux M, Sassi F (2013) Social inequalities in obesity and overweight in 11 OECD countries. Eur J Public Health 23:464–469CrossRefGoogle Scholar
  51. 51.
    Roskam AJ, Kunst AE, Van Oyen H, Demarest S, Klumbiene J, Regidor E, Helmert U, Jusot F, Dzurova D, Mackenbach JP (2010) Comparative appraisal of educational inequalities in overweight and obesity among adults in 19 European countries. Int J Epidemiol 39:392–404CrossRefGoogle Scholar
  52. 52.
    Drewnowski A, Moudon AV, Jiao J, Aggarwal A, Charreire H, Chaix B (2013) Food environment and socioeconomic status influence obesity rates in Seattle and in Paris. Int J Obes (Lond). doi: 10.1038/ijo.2013.97 Google Scholar
  53. 53.
    Monteiro CA, Conde WL, Lu B, Popkin BM (2004) Obesity and inequities in health in the developing world. Int J Obes Relat Metab Disord 28:1181–1186CrossRefGoogle Scholar
  54. 54.
    Jones-Smith JC, Gordon-Larsen P, Siddiqi A, Popkin BM (2012) Is the burden of overweight shifting to the poor across the globe? Time trends among women in 39 low- and middle-income countries (1991–2008). Int J Obes (Lond) 36:1114–1120CrossRefGoogle Scholar
  55. 55.
    Munafo MR, Tilling K, Ben-Shlomo Y (2009) Smoking status and body mass index: a longitudinal study. Nicotine Tob Res 11:765–771CrossRefGoogle Scholar
  56. 56.
    Xu F, Yin XM, Wang Y (2007) The association between amount of cigarettes smoked and overweight, central obesity among Chinese adults in Nanjing, China. Asia Pac J Clin Nutr 16:240–247Google Scholar
  57. 57.
    Flegal KM, Troiano RP, Pamuk ER, Kuczmarski RJ, Campbell SM (1995) The influence of smoking cessation on the prevalence of overweight in the United States. N Engl J Med 333:1165–1170CrossRefGoogle Scholar
  58. 58.
    Williamson DF, Kahn HS, Remington PL, Anda RF (1990) The 10-year incidence of overweight and major weight gain in US adults. Arch Intern Med 150:665–672CrossRefGoogle Scholar
  59. 59.
    Grossschadl F, Haditsch B, Stronegger WJ (2012) Validity of self-reported weight and height in Austrian adults: sociodemographic determinants and consequences for the classification of BMI categories. Public Health Nutr 15:20–27CrossRefGoogle Scholar
  60. 60.
    Spencer EA, Appleby PN, Davey GK, Key TJ (2002) Validity of self-reported height and weight in 4808 EPIC-Oxford participants. Public Health Nutr 5:561–565CrossRefGoogle Scholar
  61. 61.
    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 24:1111–1118CrossRefGoogle Scholar
  62. 62.
    Dauphinot V, Wolff H, Naudin F, Gueguen R, Sermet C, Gaspoz JM, Kossovsky MP (2009) New obesity body mass index threshold for self-reported data. J Epidemiol Community Health 63:128–132CrossRefGoogle Scholar
  63. 63.
    Ahima RS, Lazar MA (2013) Physiology. The health risk of obesity—better metrics imperative. Science 341:856–858CrossRefGoogle Scholar
  64. 64.
    Galesic M, Tourangeau R, Couper MP (2006) Complementing random-digit-dial telephone surveys with other approaches to collecting sensitive data. Am J Prev Med 31:437–443CrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2014

Authors and Affiliations

  • Silvano Gallus
    • 1
    Email author
  • Alessandra Lugo
    • 2
  • Bojana Murisic
    • 1
  • Cristina Bosetti
    • 1
  • Paolo Boffetta
    • 3
  • Carlo La Vecchia
    • 2
  1. 1.Department of EpidemiologyIRCCS - Istituto di Ricerche Farmacologiche “Mario Negri”MilanItaly
  2. 2.Department of Clinical Sciences and Community HealthUniversità degli Studi di MilanoMilanItaly
  3. 3.Institute for Translational Epidemiology and Tisch Cancer InstituteIchan School of Medicine at Mount SinaiNew YorkUSA

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