Obesity, the onset of adolescence and menstrual disorders


  • 1.

    Obesity among children, adolescents, and adults is set to be one of the most important public health concerns of the 21st century.

  • 2.

    Over the last three decades, the incidence of obesity in childhood and adolescence has been a growing epidemic, with a rise by more than a half of overweight and a doubling of obesity.

  • 3.

    All around the world, 1 in 10 young people aged 5–17 years are overweight or obese, and most of them live in developing countries,

  • 4.

    More than 60% of children who are overweight before puberty will become overweight young adults.

  • 5.

    Globally, prevalence of childhood overweight and obesity increased from 4.25 in 1990 to 6.7% in 2010 with 8.5% in Africa and 4.9% in Asia.

  • 6.

    Data collected by WHO Europe show a prevalence of overweight/obesity ranging from 5% to more than 25%, with great variability among countries and a still growing incidence in more than half of them.

  • 7.

    In general, a greater proportion of overweight/obesity was found in boys than in girls, and more so in western and southern Europe as compared to Northern European countries.

  • 8.

    The prevalence rates are approximately double in Mediterranean nations than those of Northern European countries

  • 9.

    30% of North American children and adolescents are overweight or obese, with the highest rates among minorities and low-income families.

  • 10.

    Obesity rates of both genders are the highest in Mexican Americans (31%), followed by non-Hispanic blacks (20%), non-Hispanic whites (15%), and Asian Americans (11%).

Role of BMI charts

  • 1.

    In children and adolescents, obesity has not been as well defined as in adults, and therefore it is not a perfect measurement, but BMI is still considered to be a gold standard for diagnosis of overweight and obesity.

  • 2.

    Even by using a BMI percentile chart, different definitions of being overweight and obese have been described in different systems.

  • 3.

    Table 1.1 compares definitions for childhood and adolescent obesity as used by different organisations.

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