Pushing forward to only ever healthy body weight in children and adolescents: the Swiss paradox

  • Paola Macrí
  • Maurizio Battino


The economic future of a country depends largely on the vitality of its new generations: they need to be healthy enough to lead. However, facts and high prevalence of obesity epidemic demonstrate that the individual choice approach towards adequate nutritional behaviour and exercise is not working, and governments around the globe are stepping into halt and hopefully reverse the trend towards a future without childhood overweight. Figuring out how best to proceed is an issue that has been raised also in Switzerland, a country known for its excellent living conditions and healthy environment, and measures are being actively implemented by cantons, addressing healthier lifestyles. However, solving the obesity epidemic requires implementation of a comprehensive program that, beyond cantonal and local endeavours, could use heavier legislative and regulatory authority from the Swiss government to ensure that there are no gaps left in the development, test and propagation of national policies concerning schools curricula, food labelling and prices. Nevertheless, encouraging signs are coming from scientific reports supporting the levelling off of overweight and obesity rates in children and adolescents from around the world, including Switzerland. There is optimism about the future, but also certainty about the critical role that advocacy, by all involved parts, plays to maintain high standards in goals to achieve, and shared responsibility to prevent conflict of interests among governments, industry and consumers.


Switzerland Children Obesity Nutritional policies 


Conflict of interest



  1. 1.
    IASO/IOTF (2010) Obesity the global epidemic. Available at Accessed 28 June 2011
  2. 2.
    IASO: Obesity prevalence worldwide: interactive map. Accessed 28 June 2011
  3. 3.
    Cole TJ, Bellizzi MC, Flegal KM, Dietz WH (2000) Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ 320(7244):1240–1243CrossRefGoogle Scholar
  4. 4.
    Lioret S, Touvier M, Dubuisson C, Dufour A, Calamassi-Tran G et al (2009) Trends in child overweight rates and energy intake in France from 1999 to 2007: relationships with socioeconomic status. Obesity 17(5):1092–1100CrossRefGoogle Scholar
  5. 5.
    Aeberli I, Henschen I, Molinari L, Zimmermann MB (2010) Stabilisation of the prevalence of childhood obesity in Switzerland. Swiss Med Wkly 140:w13046Google Scholar
  6. 6.
    Lasserre AM, Chiolero A, Cachat F, Paccaud F, Bovet P (2007) Overweight in Swiss children and associations with children’s and parents’ characteristics. Obesity 15(12):2912–2919CrossRefGoogle Scholar
  7. 7.
    Jackson-Leach R, Lobstein T (2006) 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 1(1):26–32CrossRefGoogle Scholar
  8. 8.
    Wilkinson KM (2008) Increasing obesity in children and adolescents: an alarming epidemic. JAAPA 21(12):31–36Google Scholar
  9. 9.
    Erler T, Paditz E (2004) Obstructive sleep apnea syndrome in children: a state-of-the-art review. Treat Respir Med 3(2):107–122CrossRefGoogle Scholar
  10. 10.
    Strauss RS (2000) Childhood obesity and self-esteem. Pediatrics 105(1):1–5CrossRefGoogle Scholar
  11. 11.
    Eisenberg ME, Neumark-Sztainer D, Story M (2003) Associations of weight based teasing and emotional wellbeing among adolescents. Arch Pediatr Adolesc Med 157:733–738CrossRefGoogle Scholar
  12. 12.
    WHO (2004) Global strategy on diet, physical activity and health: obesity and overweight. Accessed 28 June 2011
  13. 13.
    Field AE (2008) Predictors and consequences of childhood obesity. In: Hu F (ed) Obesity epidemiology. Oxford University Press, Oxford, pp 416–436Google Scholar
  14. 14.
    Whitlock G, Lewington S, Sherliker P, Clarke R et al (9000) Prospective studies collaboration. Body-mass index and cause-specific mortality in 90000 adults: collaborative analyses of 57 prospective studies. Lancet 373:1083–1096Google Scholar
  15. 15.
    Rana F (2010) The best countries in the world. Newsweek Accessed 28 June 2011
  16. 16.
    Schopper D (2010) Healthy body weight among children and adolescent. What are the lessons learnt since 2005? Health promotion Switzerland, Bern, SwitzerlandGoogle Scholar
  17. 17.
    Schneider H, Venetz W, Gallani Berardo C (2009) Overweight and obesity in Switzerland. Part 1: cost burden of adult obesity in 2007. Health Econ, BaselGoogle Scholar
  18. 18.
    Schneider H, Venetz W, Gallani Berardo C (2009) Overweight and obesity in Switzerland. Part 2: overweight and obesity trends in children. HealthEcon, BaselGoogle Scholar
  19. 19.
    Micciolo R, Di Francesco V, Fantin F, Canal L, Harris TB, Bosello O, Zamboni M (2010) Prevalence of overweight and obesity in Italy (2001–2008): is there a rising obesity epidemic? Ann Epidemiol 20(4):258–264CrossRefGoogle Scholar
  20. 20.
    Hauner H, Bramlage P, Lösch C, Steinhagen-Thiessen E, Schunkert H, Wasem J, Jöckel K-H, Moebus S (2008) Prevalence of obesity in primary care using different anthropometric measures: results of the German Metabolic and Cardiovascular Risk Project (GEMCAS). BMC Public Health 8:282CrossRefGoogle Scholar
  21. 21.
    Rokholm B, Baker JL, Sørensen TIA (2010) The levelling off of the obesity epidemic since the year 1999: a review of evidence and perspectives. IASO doi:  10.1111/j.1467-789X.2010.00810.x
  22. 22.
    Durrer D, Schutz Y (2008) ADOS: an educational primary prevention programme for preventing excess body weight in adolescents. Int J Obes 32:S72–S76CrossRefGoogle Scholar
  23. 23.
    Procter KL (2007) The aetiology of childhood obesity: a review. Nutr Res Rev 20:29–45CrossRefGoogle Scholar
  24. 24.
    Levi J, Vinter S, St. Laurent R, Segal LM (2010) F as in fat: how obesity threatens America’s future. 2010 Issue report by the Robert Wood Johnson FoundationGoogle Scholar
  25. 25.
    Cairns G, Angus K, Hastings G (2008) The extent, nature and effects of food promotion to children: a review of the evidence to December 2008. World Health Organisation, GenevaGoogle Scholar
  26. 26.
    Montgomery KC, Chester J (2009) Interactive food and beverage marketing: targeting adolescents in the digital age. J Adolesc Health 45(3 Suppl):S18–S29CrossRefGoogle Scholar
  27. 27.
    Keller SK, Schulz PJ (2011) Distorted food pyramid in kids programmes: A content analysis of television advertising watched in Switzerland. Eur J Public Health 21(3):300–305CrossRefGoogle Scholar
  28. 28.
    Nestle M (2007) Food politics: how the food industry influences nutrition, and health. revised and expanded edition (California Studies in Food and Culture) University of California Press, USAGoogle Scholar
  29. 29.
    Wiggins J (2010) Obesity: corporate sector backtracks on fat facts. Financial Times 26 01 2010Google Scholar
  30. 30.
    Federal Office of Public Health (2011) Activity report 2009–2010. Actiosanté Bern, Switzerland. Accessed June 2011
  31. 31.
    Romon M, Lommez A, Tafflet M, Basdevant A, Oppert JM, Bresson JL et al (2008) Downward trends in the prevalence of childhood overweight in the setting of 12-year school-and community-based programmes. Public Health Nutr 12(10):1735–1742CrossRefGoogle Scholar
  32. 32.
    Sacher PM, Kolotourou M, Chadwick PM et al (2010) Randomized controlled trial of the MEND program: a family-based community intervention for childhood obesity. Obesity 18(suppl 1):S62–S68CrossRefGoogle Scholar
  33. 33.
    Epode European Network. Accessed 28 June 2011
  34. 34.
    Mercer (2010) Mercer’s 2010 Cost of Living survey highlights: global. Accessed 4 July 2011
  35. 35.
    Swiss Federation of trade Unions (2011) Rapport sur la repartition des revenus et de la fortune en Suisse. Accessed 2 July 2011
  36. 36.
    UK Department of Health: the Public Health Responsibility deal; National Child Measurement Programme; The Nutrient profiling model. and Accessed 2 July 2011
  37. 37.
    France Programme National Nutrition Santé: PNNS 2011-2015. Accessed 2 July 2011
  38. 38.
    Norden: Official co-operation in the Nordic region. Accessed 2 July 2011

Copyright information

© Springer-Verlag 2011

Authors and Affiliations

  1. 1.Macrí ConsultingVeveySwitzerland
  2. 2.Department of Biochemistry, Biology and Genetics, Faculty of MedicineUniversità Politecnica delle MarcheAnconaItaly

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