Turchetta Fabrizio, Gatto Guerino, Saulle Rosella, Romano Ferdinando, Boccia Antonio, La Torre Giuseppe
Dipartimento di Sanità Pubblica e Malattie Infettive, Sapienza Università di Roma.
Epidemiol Prev. 2012 May-Aug;36(3-4):188-95.
The objective of the study was to obtain reliable data from recent surveys carried out in Italy on the prevalence of overweight (OW) and obesity (OB) in children.
We searched in MEDLINE/Pubmed and Scopus. The keywords included "overweight ", "obesity", "children", "aged 6-11 years", "Italy", associated to the boolean operators AND/OR. The limits applied to the research were: English AND/OR Italian language, publication time period January 2000-September 2010, target of 6-11 years; Body Mass Index assessed according to IOTF criteria. StatsDirect 2.7.8 was utilized to perform statistical analysis.
25 studies have been select, the percentage of overweight varied between 18% and 33,7% and obesity between 5,5% and 21,9%. The highest values were in Southern Italy (OW: 25,6%, CI95% 24,8-26,3; OB: 15,2%, CI95% 13-17,5) vs Central Italy (OW: 22,6%, CI95% 21-24,1; OB: 9,3%, CI95% 7,9-10,7) vs Northern Italy (OW: 21%, CI95% 19,6-22,3; OB: 8,2%, CI95% 6,8-9,7).
A relevant prevalence of overweight and obesity was found In Italian children; the excess weight concerns one child out of four. There are significant differences in the prevalence of overweight and obesity in relation to geographical distribution (Northern, Central and Southern Italy), the high prevalence of overweight and obesity resulted statistically significant in the Southern compared to Central and Northern Italy. These differences are likely linked to different geographical areas in relation to socioeconomic and environmental condition that must be further investigated. There is a need of promoting better eating habits in young children in Italy, above all in areas with highest prevalence.
本研究的目的是从意大利近期开展的关于儿童超重（OW）和肥胖（OB）患病率的调查中获取可靠数据。
我们在MEDLINE/Pubmed和Scopus中进行搜索。关键词包括“超重”“肥胖”“儿童”“6至11岁”“意大利”，并与布尔运算符AND/OR相关联。应用于该研究的限制条件为：英语和/或意大利语、2000年1月至2010年9月的出版时间段、6至11岁的目标人群；根据国际肥胖工作组（IOTF）标准评估体重指数。使用StatsDirect 2.7.8进行统计分析。
共选取了25项研究，超重百分比在18%至33.7%之间，肥胖百分比在5.5%至21.9%之间。最高值出现在意大利南部（超重：25.6%，95%置信区间24.8 - 26.3；肥胖：15.2%，95%置信区间13 - 17.5），相比意大利中部（超重：22.6%，95%置信区间21 - 24.1；肥胖：9.3%，95%置信区间7.9 - 10.7）和意大利北部（超重：21%，95%置信区间19.6 - 22.3；肥胖：8.2%，95%置信区间6.8 - 9.7）。
在意大利儿童中发现超重和肥胖的患病率较高；每四个孩子中就有一个超重。超重和肥胖的患病率在地理分布（意大利北部、中部和南部）方面存在显著差异，与意大利中部和北部相比，超重和肥胖的高患病率在南部具有统计学意义。这些差异可能与不同地理区域的社会经济和环境状况有关，必须进一步调查。在意大利，尤其是在患病率最高的地区，有必要促进幼儿养成更好的饮食习惯。
