Prevalence of Overweight and Obesity in Italy (2001–2008): Is There a Rising Obesity Epidemic?

Micciolo, Rocco; Francesco, Vincenzo Di; Fantin, Francesco; Canal, Luisa; Harris, Tamara B.; Bosello, O; Zamboni, Mauro

doi:10.1016/j.annepidem.2010.01.006

Cited by 48 publications

(24 citation statements)

References 25 publications

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“…Importantly, no significant difference in airway inflammation, assessed by FeNO measurement, was found between the two groups of patients. Lastly, as has been reported in the Italian general population [25], we found that an increased BMI becomes more common with increasing age. Incidentally, our results indicate a high rate of obesity among adult asthmatics referred to an Italian tertiary care asthma clinic.…”

Section: Discussionsupporting

confidence: 68%

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Overweight is Associated with Airflow Obstruction and Poor Disease Control but Not with Exhaled Nitric Oxide Change in an Asthmatic Population

Pisi¹,

Aiello²,

Tzani³

et al. 2012

Respiration

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Background: The role of an elevated body mass index (BMI) in asthma remains controversial. Objectives: To investigate the relationship between overweight (BMI >25 and ≤30), lung function, disease control, and airway inflammation in an asthmatic population. Methods: We consecutively studied 348 patients (age 43 ± 16 years; 211 females). In all patients, BMI, spirometry, the Asthma Control Test (ACT), and fractional exhaled nitric oxide (FeNO; ppb) were measured. Results: One hundred forty-five patients were overweight and, as compared to those with normal BMI, had lower values of FVC, FEV₁, and FEV₁/FVC and of FEF_25–75 even when normalized for FVC (p < 0.05 for each comparison). The ratio between the number of patients with well-controlled asthma (ACT ≥20) and that of patients with poorly controlled asthma (ACT < 20) was significantly lower in overweight patients (1.07 vs. 1.84; χ² = 6.030, p < 0.01). In overweight patients, the odds ratio of uncontrolled asthma expressed by logistic regression analysis was 1.632 (95% CI = 1.043–2.553), independently of gender, atopy, smoking habit, and inhaled steroid therapy. No difference was observed in FeNO values between overweight and normal weight patients (27.7 ± 2.3 vs. 27.9 ± 2.2 ppb). Conclusions: Our results show that, in an asthmatic population, overweight is associated with airflow obstruction and poor disease control but not with FeNO change. The findings of the present study support the view that other factors besides airway inflammation alone may explain the relationship between asthma and an elevated BMI.

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Section: Discussionsupporting

confidence: 68%

“…As compared to the Italian general population [25], in our cohort of patients we found a higher rate of obese patients. Our data are consistent with the results of a previous Canadian report [4] and suggest that in industrialized countries obesity may be more common among adult tertiary care asthmatics than in the general population.…”

Section: Discussionmentioning

confidence: 55%

Overweight is Associated with Airflow Obstruction and Poor Disease Control but Not with Exhaled Nitric Oxide Change in an Asthmatic Population

Pisi¹,

Aiello²,

Tzani³

et al. 2012

Respiration

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“…Despite the important increase in mean BMI recently described in Western Europe (9) , some European countries (37)(38)(39) have reported a slowdown in the rate of increase. The observed increase in these outcome variables could be a herald of a levelling off of the obesity prevalence.…”

Section: Discussionmentioning

confidence: 95%

Trends of BMI and prevalence of overweight and obesity in Portugal (1995–2005): a systematic review

Carreira

Pereira

Azevedo

et al. 2012

Public Health Nutr.

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Objective: Locale-specific data on BMI and overweight/obesity are necessary to understand how the obesity epidemic is evolving in each setting. We aimed to describe the temporal trends of mean BMI and prevalences of overweight/obesity in studies that evaluated Portuguese adults and older people. Design: Systematic review, conducted via a PubMed search up to January 2011 and independent reference screening and data extraction. Twenty-one eligible studies were identified. Data were extracted from the published reports and obtained from the authors of seven of the largest studies. Adjusted ecological estimates of mean BMI and prevalences of overweight/obesity were computed by linear regression. Results: Between 1995 and 2005, when using data obtained from anthropometric measurements, overweight prevalence increased by 3?2 % and 3?5 % and obesity prevalence by 7?4 % and 1?3 % among women and men, respectively, while mean BMI did not vary meaningfully. When using self-reported information, mean BMI increased by 0?8 kg/m 2 and 0?9 kg/m 2 , overweight prevalence by 3?5 % and 3?7 % and obesity prevalence by 5?8 % and 5?5 % among women and men, respectively. Results from the 20-year-old conscripts showed a marked increase in these outcomes in the last decades. Conclusions: Our results show an important increase in overweight/obesity in younger ages. The trends in the indicators derived from self-reported data suggest an increase in awareness of the importance of overweight/obesity among the population. Keywords BMI Obesity Trends PortugalThe health consequences of obesity range from non-fatal but debilitating complaints with an adverse effect on quality of life to an increased risk of premature death (1) . Obesity is an important determinant of hypertension (2) and hyperlipidaemia (2) , type 2 diabetes mellitus (2) , metabolic syndrome (3) , CVD (4) and cancer (5) . Worldwide, it accounts for more than 33?4 million disability-adjusted life years (6) and at least 2?8 million deaths per year in adults (7) .Recent evidence from Western Europe in the last decades suggests that the prevalence of obesity has increased among children (8) and adults (9) . Locale-specific reliable and robust data on BMI distribution and overweight/ obesity prevalence at a population level are necessary to understand the magnitude and trends of the obesity epidemic in each setting, as well as to monitor the impact of public health measures.The most comprehensive data on the distribution of BMI and frequency of overweight and obesity in Portugal come from the National Health Surveys (10-12) (self-reported), young men evaluated for military recruitment (13,14) and two recent national surveys (15,16) . However, accurate estimation of the burden of morbidity and mortality associated with overweight and obesity in Portugal requires the best use of all available resources to obtain detailed information for different age groups and populations across the widest possible time span. A systematic review may allow their identification and descriptio...

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“…In recent years, the prevalence of overweight and obesity has increased in almost all developed countries. In Italy more than 50% of adult men and about 1 of 3 women are overweight or obese [3]. Obesity and a high body mass index (BMI) have been shown to be risk factors for the development of psoriasis, and in large, prospective studies obesity preceded the development of psoriasis [4].…”

Section: Introductionmentioning

confidence: 99%

Weight Reduction Alone May Not Be Sufficient to Maintain Disease Remission in Obese Patients with Psoriasis: A Randomized, Investigator-Blinded Study

Giglio

Gisondi²,

Tessari³

et al. 2012

Dermatology

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Background: The relative risk of psoriasis and its severity are directly related to the body mass index. Objective: To investigate the effects of a hypoenergetic diet to maintain disease remission in obese patients. Methods: A questionnaire was administered to 200 patients with moderate-to-severe chronic plaque psoriasis asking whether diet could influence psoriasis severity. Forty-two obese patients in remission (PASI improvement ≥75%) for at least 12 weeks after methotrexate therapy were randomly assigned to receive a hypocaloric diet or free diet for 24 weeks, and were then followed up for an additional 12 weeks. Results: Most of the patients considered that a diet regimen could influence their psoriasis, and desired to enter a dietary program. Obese patients who were in disease remission and entered a hypocaloric diet regimen showed a significant body weight reduction after 12 weeks which was maintained at week 24. However, patients under hypocaloric and free diets did not significantly differ in the maintenance of psoriasis remission, with relapse observed already at week 12, but with a trend in favor of the intervention group. Conclusions: Body weight reduction alone may not be sufficient for maintaining remission of moderate-to-severe psoriasis in obese patients.

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Prevalence of Overweight and Obesity in Italy (2001–2008): Is There a Rising Obesity Epidemic?

Cited by 48 publications

References 25 publications

Overweight is Associated with Airflow Obstruction and Poor Disease Control but Not with Exhaled Nitric Oxide Change in an Asthmatic Population

Overweight is Associated with Airflow Obstruction and Poor Disease Control but Not with Exhaled Nitric Oxide Change in an Asthmatic Population

Trends of BMI and prevalence of overweight and obesity in Portugal (1995–2005): a systematic review

Weight Reduction Alone May Not Be Sufficient to Maintain Disease Remission in Obese Patients with Psoriasis: A Randomized, Investigator-Blinded Study

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