Prevalence and time trends of overweight, obesity and severe obesity in 447,925 Swedish adults, 1995–2017

Hemmingsson, Erik; Ekblom, Örjan; Kallings, Lena; Andersson, Gunnar; Wallin, Peter; Söderling, Jonas; Blom, Victoria; Ekblom, Björn; Ekblom-Bak, Elin

doi:10.1177/1403494820914802

Cited by 57 publications

(56 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…26 The prevalence of overweight in children and their parents has shown to be higher in rural compared with urban areas. 12,39 Moraeus et al have suggested that targeting rural areas might be an effective approach to reach children with the greatest needs. 39 Two-thirds of the children in this study reduced their degree of obesity.…”

Section: Discussionmentioning

confidence: 99%

“…The previous rapid increase in the prevalence of childhood obesity in Sweden may have haltered 10 . The prevalence of childhood and adult obesity is higher in the less densely populated northern parts of Sweden than in other parts of the country 11,12 . A decline in childhood overweight and obesity has been noticed also in rural areas.…”

Section: Introductionmentioning

confidence: 99%

“…10 The prevalence of childhood and adult obesity is higher in the less densely populated northern parts of Sweden than in other parts of the country. 11,12 A decline in childhood overweight and obesity has been noticed also in rural areas. In a study on four-year-old children living in Northern Sweden the prevalence of overweight among boys fell in five years from 17.2% to 14.2% and among girls from 22.3% to 19.0%.…”

mentioning

confidence: 99%

See 2 more Smart Citations

Development, implementation and early results of a 12‐week web‐based intervention targeting 51 children age 5–13 years and their families

Thorén

Janson

Englund

et al. 2020

Obesity Science & Practice

View full text Add to dashboard Cite

Background: Internet-based treatments have proven effective for various health issues. There is a need to scale up interventions targeting children with obesity, also in less densely populated areas where the prevalence in many countries is higher than in urban areas. The aim of this study was to design and implement an internetbased program as an add-on to standard treatment for childhood obesity. Methods: Web-Childhood Obesity Prevention (Web-COP) was a prospective feasibility study with a pre-post-design. The intervention consisted of four groupbased education sessions at the clinic, physical activity on prescription, and a new 12-week internet-based program. Web-COP was offered to children with obesity (International Obesity Task Force Body Mass Index (IOTF-BMI) ≥ 30 kg/m2) and their parents in two counties in Northern Sweden from August 2018 to June 2019. The primary outcome was change in BMI standard deviation score (BMI-SDS). Results: The study included 55 children 5-13 years of age. The internet-based component was well received, and retention rate was 51/55 (92.7%). Data was analysed for 51 children. Mean BMI-SDS was 3.3 at start and decreased by 0.2, 0.3, and 0.4 at two, four, and six months from baseline. Using a continuous algorithm, 42/51 (81%), children lowered their BMI-SDS and 33/51 (65%) lowered their BMI. Conclusion: Adding group sessions and an internet-based program to standard care was feasible and two thirds of included children with obesity reduced their BMI.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

Development, implementation and early results of a 12‐week web‐based intervention targeting 51 children age 5–13 years and their families

Thorén

Janson

Englund

et al. 2020

Obesity Science & Practice

View full text Add to dashboard Cite

show abstract

“…There is a strong association between socioeconomic status and body weight, with an increasing risk of becoming overweight or obese in people with lower socioeconomic status 15 – 18 . In addition, individuals living in rural areas are more likely to be overweight or obese, even though this risk is attenuated when accounting for educational level 19 .…”

Section: Introductionmentioning

confidence: 99%

Social inequalities and trends in pre-pregnancy body mass index in Swedish women

Lundberg

Ryd

Adiels

et al. 2021

Sci Rep

View full text Add to dashboard Cite

Obesity rates in adolescence and young adulthood have increased in Sweden, reflecting global trends. To which extent this occurs across different socioeconomic strata has not been clarified. The aim of the present study was to investigate trends in social inequalities in body mass index (BMI) in young/mid-adulthood Swedish women. We obtained weight and height for all women aged 20–45 years, at their first registered pregnancy (< 12 weeks of gestation) in the Swedish Medical Birth Register 1982–2013 (1,022,330, mean age = 28.8 years), documenting education and county of residence. Trends in mean BMI and in the prevalence of BMI categories between 1982 and 2013 were estimated across education levels and geographical location. Overall, mean BMI increased from 22.7 kg/m2 (SD 3.2) to 24.3 kg/m2 (SD 4.4) between 1982 and 2013. Simultaneously, the prevalence of overweight and obesity (BMI ≥ 25 kg/m2) increased from 18.1 to 33.4% while that of moderate obesity (BMI ≥ 30 to < 35 kg/m2) and severe obesity (BMI ≥ 35 kg/m2) increased markedly from 3.4 and 0.4% to 7.4 and 3.1%, respectively. The prevalence of moderate and severe obesity more than doubled during the study period across all educational levels. In conclusion, BMI and moderate and severe obesity increased markedly among young/mid-adulthood Swedish women regardless of education with a widening gap between those with lower and higher education. These growing social inequalities in BMI are likely to cause a rising divide in serious health problems following early and long-lasting obesity.

show abstract

“…1), with a flattening and marked shift to the right, especially for waist circumference. Line graphs of the prevalence rates at the different survey time points paint a similarly bleak picture: a clear and drastic increase, with no discernible signs of a slowdown, mirroring the developments seen in the US and elsewhere [1,2] While obesity aetiology is multifactorial, including many aspects that are still not well understood, there are also likely to be underlying factors that are specific to China, such as previous famines and social policies. But the main overall driver is likely to be China's exceptionally rapid economic growth [5].…”

mentioning

confidence: 99%

The unparalleled rise of obesity in China: a call to action

Hemmingsson

2021

Int J Obes

Self Cite

View full text Add to dashboard Cite

Whenever civilisations ignore a problem, they will inevitably experience increasingly louder wake-up calls, of which the year 2020 is certainly a telling example. When it comes to obesity in the Western hemisphere, mainly North America and Europe, there have been many such instances over the decades, most of them thoroughly ignored, to the countries clear detriment. A recent example from February 2020 was when obesity in the US (data from 2017 to 2018) reached 42% among adults, with severe obesity (BMI ≥ 40 kg/m 2) approaching double digits at 9% [1]. While European nations are behind the US, the same upward trajectory is certainly present, especially in socially vulnerable populations [2, 3]. The corresponding numbers in the Eastern hemisphere, mainly Asia, are generally lower still, but this appears to be changing. In this issue of the journal Ma et al. [4], convincingly show that China is in the midst of a severely alarming increase in obesity, particularly abdominal obesity. When these increases are combined with the sheer size of China's population, we are likely witnessing an unparalleled development, at least in scope. Using a series of cross-sectional surveys between 1993 and 2015, including~70,000 adults from different regions of China, Ma et al. calculated overall and subgroup trends, using standardisation to account for variations between surveys in important prognostic variables, such as age, gender, etc. They also carried out extensive sensitivity analyses to test the robustness of their findings. While there are always limitations in using multiple crosssectional surveys to study population trends, which the authors discuss and acknowledge, we can nevertheless be reasonably confident that the findings are both valid and representative of the development of obesity and abdominal obesity in Chinese adults since 1993. A particularly

show abstract

Prevalence and time trends of overweight, obesity and severe obesity in 447,925 Swedish adults, 1995–2017

Cited by 57 publications

References 31 publications

Development, implementation and early results of a 12‐week web‐based intervention targeting 51 children age 5–13 years and their families

Development, implementation and early results of a 12‐week web‐based intervention targeting 51 children age 5–13 years and their families

Social inequalities and trends in pre-pregnancy body mass index in Swedish women

The unparalleled rise of obesity in China: a call to action

Contact Info

Product

Resources

About