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Risk factors for overweight and obesity in Swiss primary school children: results from a representative national survey

European Journal of Nutrition volume 55, pages 621–629 (2016)Cite this article

Abstract

Purpose

Obesity is a global epidemic affecting around 10 % of 5- to 17-year olds. With the causes for obesity being multifactorial, a better understanding of the influencing factors is essential for effective treatment and prevention programs. The aim of this study was therefore to identify specific risk factors for overweight and obesity in children in Switzerland.

Methods

A nationally representative sample of children aged 6–12 years was recruited (n = 2724). Height and weight were measured to calculate BMI (kg/m2). In addition, a questionnaire was distributed to all children asking about their physical activity, media consumption, and dietary habits as well as some parental factors.

Results

The prevalence of overweight and obesity in boys was 11.8 and 7.5 %, respectively, and in girls, it was 11.9 and 5.7 %. In univariate analyses, a number of parental, dietary, and activity factors were shown to be associated with BMI category. Based on a multinomial logistic regression, parent nationality and media consumption were the most important factors predicting obesity in boys, while in girls it was parental education, nationality, and physical activity.

Conclusion

We have demonstrated that parental nationality and education play an important role in the development of childhood obesity, together with media consumption and physical activity. However, risk factors are also different according to child gender. Thus, an important target group for the treatment and prevention of childhood obesity in Switzerland are immigrant families, and the problem needs to be tackled differently in boys and girls as their risk factors are not the same.

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Acknowledgments

We would like to thank the principals of all participating schools as well as all teachers and children for their cooperation. Furthermore, we thank Regula Schüpbach, Jasmin Tajeri Foman, and Sara Stinca for their assistance in the study. Financial support for the study was provided by the Swiss Federal Office of Public Health (Bern, Switzerland). The authors’ responsibilities were as follows: SBM and IHA designed research; SBM, SS, and JZ conducted research; SBM and IHA analyzed data; SBM and IHA wrote the paper; SBM and IHA had primary responsibility for final content. All authors have read and approved the final manuscript.

Conflict of interest

On behalf of all authors, the corresponding author states that there is no conflict of interest.

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Affiliations

  1. Human Nutrition Laboratory, Institute of Food, Nutrition and Health, Swiss Federal Institute of Technology, Schmelzbergstrasse 7, LFV D22, 8092, Zurich, Switzerland

    Stefanie B. Murer, Siret Saarsalu, Jasmin Zimmermann & Isabelle Herter-Aeberli

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  1. Stefanie B. Murer
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  2. Siret Saarsalu
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  3. Jasmin Zimmermann
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  4. Isabelle Herter-Aeberli
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Correspondence to Isabelle Herter-Aeberli.

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Murer, S.B., Saarsalu, S., Zimmermann, J. et al. Risk factors for overweight and obesity in Swiss primary school children: results from a representative national survey. Eur J Nutr 55, 621–629 (2016). https://doi.org/10.1007/s00394-015-0882-5

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Keywords

  • Children
  • Obesity
  • Physical activity
  • Nationality
  • Diet
  • Education