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Journal of Public Health Advance Access published online on May 8, 2008

Journal of Public Health, doi:10.1093/pubmed/fdn037
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© The Author 2008, Published by Oxford University Press on behalf of Faculty of Public Health. All rights reserved

Overweight and obesity among adolescents in Norway: cultural and socio-economic differences


Else-Karin Grøholt
, Researcher1
Hein Stigum
, Senior Researcher2
Rannveig Nordhagen
, Senior Researcher3

1 Department of Health Statistics, Division of Epidemiology, Norwegian Institute of Public Health, PO Box 4404, Nydalen, 0403 Oslo, Norway
2 Department of Chronic Diseases, Division of Epidemiology, Norwegian Institute of Public Health, PO Box 4404, Nydalen, 0403 Oslo, Norway
3 Department of Genes and Environment, Division of Epidemiology, Norwegian Institute of Public Health, PO Box 4404, Nydalen, 0403 Oslo, Norway


Address correspondence to Else-Karin Grøholt, E-mail: else-karin.groholt{at}fhi.no


   Abstract

Background The aim of this study was to investigate overweight and obesity among a representative population of 15 966 Norwegian 15–16 year olds and the associations with different socio-economic and cultural risk factors.

Methods Self-reported data were obtained from school-based surveys in six counties during 2000–04. Overweight and obesity were calculated using Cole's index.

Results The prevalence of overweight and obesity were 11.8% and 2.4%, respectively, higher among boys. Logistic regression analyses revealed that adolescents in Nordland, Troms and Finnmark (the northernmost counties) were 70–90% more likely to be overweight and obese compared with adolescents in Oslo (the capital and southernmost county) (OR for overweight in Finnmark = 1.7, CI = 1.3, 2.3). Lower educational plans and poor family economy were both significantly associated with overweight and obesity. So was physical inactivity (OR = 1.2, CI = 1.1, 1.3 and OR = 1.6, CI = 1.2, 2.1, respectively). Eating breakfast was positively associated with not being overweight/obese.

Conclusion Overweight and obesity is associated with socio-economic factors and with factors related to food habits and nutrition, suggesting important areas for prevention.

Keywords: epidemiology, obesity, public health


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