Published 15 October 2008, doi:10.1136/bmj.a1824
Cite this as: BMJ 2008;337:a1824

Clinical Review

Obesity in children. Part 1: Epidemiology, measurement, risk factors, and screening

Ruth R Kipping, research fellow1, Russell Jago, senior lecturer2, Debbie A Lawlor, professor of epidemiology1,3

1 Department of Social Medicine, University of Bristol, Bristol BS8 2PS, 2 Department of Exercise, Nutrition and Health Sciences, University of Bristol, Bristol BS8 1TP, 3 MRC Centre for Causal Analysis in Translational Epidemiology, University of Bristol, Bristol BS8 2BN

Correspondence to: R Kipping ruth.kipping@bristol.ac.uk

The first 150 words of the full text of this article appear below.


Population changes in physical activity and diet are probably the main drivers of the obesity epidemic
A complex interplay of genetics; epigenetics; and intrauterine, infancy, childhood, and family non-genetic factors may also be involved
Obesity in children and adolescents is associated with metabolic and cardiovascular abnormalities and other adverse health outcomes
Modifiable risk factors for childhood obesity are maternal gestational diabetes; high levels of television viewing; low levels of physical activity; parents’ inactivity; and high consumption of dietary fat, carbohydrate, and sweetened drinks
Obesity is commonly measured in children by plotting body mass index on a standard growth chart to adjust for sex and age using a defined cut-off point
Population screening for childhood obesity is not recommended


Obesity was first included in the international classification of diseases in 1948. Since then, an epidemic has developed internationally, affecting all age groups. This article describes the prevalence of obesity in children, . . . [Full text of this article]

Prevalence of obesity in the UK, Europe, and US

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This article has been cited by other articles:

  • Baur, L. A. (2009). Tackling the epidemic of childhood obesity. CMAJ 180: 701-702 [Full text]  
  • Nelson, S. M, Sattar, N. (2009). Fatness, faltering metabolism and fecundity: an expanding challenge in reproductive medicine. British Journal of Diabetes & Vascular Disease 9: 36-37 [Abstract]  
  • Kipping, R. R, Jago, R., Lawlor, D. A (2008). Obesity in children. Part 2: Prevention and management. BMJ 337: a1848-a1848 [Full text]  

Rapid Responses:

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Why, oh why?
Brid Hehir
bmj.com, 22 Oct 2008 [Full text]
Classifying children as overweight and obese
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bmj.com, 27 Nov 2008 [Full text]



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