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Body Mass Index and Overweight in Adolescents in 13 European Countries, Israel, and the United States
Inge Lissau, PhD;
Mary D. Overpeck, DrPH;
W. June Ruan, MA;
Pernille Due, MD;
Bjørn E. Holstein, MSS;
Mary L. Hediger, PhD; and the Health Behaviour in School-aged Children Obesity Working Group
Arch Pediatr Adolesc Med. 2004;158:27-33.
Objective To compare the body mass index (BMI) (calculated as weight in kilograms divided by the square of height in meters) and the prevalence of BMI at or above the 85th centile and 95th centile (overweight) in adolescents.
Design Cross-sectional, nationally representative school-based surveys in 1997-1998 by means of identical data collection methods.
Setting Austria, Czech Republic, Denmark, Flemish Belgium, Finland, France, Germany, Greece, Lithuania, Ireland, Israel, Portugal, Slovakia, Sweden, and the United States.
Participants A total of 29 242 boys and girls, aged 13 and 15 years.
Main Outcome Measures The BMI, BMI at or above the 85th centile, and BMI at or above the 95th centile (overweight) from self-reported height and weight.
Results The highest prevalence of overweight was found in the United States and the lowest in Lithuania. On the basis of the study reference standard, the prevalence of overweight (percentage) in the United States was 12.6% in 13-year-old boys, 10.8% in 13-year-old girls, 13.9% in 15-year-old boys, and 15.1% in 15-year-old girls, all significantly increased. Prevalence of overweight in Lithuania was significantly below the expected 5%, with 1.8% in 13-year-old boys, 2.6% in 13-year-old girls, 0.8% in 15-year-old boys, and 2.1% in 15-year-old girls. Relative rankings among countries were similar for BMI at or above the 85th centile, although there were less dramatic differences at this level.
Conclusions The highest prevalences of overweight were found in the United States, Ireland, Greece, and Portugal.
From Copenhagen, Denmark (Dr Lissau); Maternal and Child Health Bureau, Health Resources and Services Administration, US Department of Health and Human Services, Rockville, Md (Dr Overpeck); Allied Technology Group Incorporated, Rockville (Ms Ruan); Department of Social Medicine, University of Copenhagen, Copenhagen (Dr Due and Mr Holstein); and Division of Epidemiology, Statistics, and Prevention Research, National Institute of Child Health and Human Development, National Institutes of Health, US Department of Health and Human Services, Bethesda, Md (Dr Hediger).
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