Upstream Determinants of Overweight and Obesity in Europe

Singh GM, Danaei G, Farzadfar F, Stevens GA, Woodward M, Wormser D, Kaptoge S, Whitlock G, Qiao Q, Lewington S, Di Angelantonio E, Vander Hoorn S, Lawes CM, Ali MK, Mozaffarian D, Ezzati M; Global Burden of Metabolic Risk Factors of Chronic Diseases Collaborating Group; Asia-Pacific Cohort Studies Collaboration (APCSC); Diabetes Epidemiology: Collaborative analysis of Diagnostic criteria in Europe (DECODE); Emerging Risk Factor Collaboration (ERFC); Prospective Studies Collaboration (PSC).The age-specific quantitative effects of metabolic risk factors on cardiovascular diseases and diabetes: a pooled analysis. PLoS One. 2013 Jul 30;8(7):e65174.

Alkaf B, Blakemore AI, Järvelin MR, Lessan N. Secondary analyses of global datasets: do obesity and physical activity explain variation in diabetes risk across populations? Int J Obes (Lond). 2021;45(5):944–56.

Article  PubMed  Google Scholar 

Lauby-Secretan B, Scoccianti C, Loomis D, Grosse Y, Bianchini F, Straif K; International Agency for Research on Cancer Handbook Working Group. Body fatness and cancer — viewpoint of the IARC Working Group. N Engl J Med. 2016 Aug 25;375(8):794–98.

•• WHO Regional Office for Europe. WHO European Regional Obesity Report 2022 [Internet]. Copenhagen: WHO Regional Office for Europe; 2022. Available from: https://apps.who.int/iris/handle/10665/353747The report focuses on managing obesity throughout the life course and tackling obesogenic environments; it also considers more recent challenges, including problematic digital marketing to children.

Bull FC, Al-Ansari SS, Biddle S, Borodulin K, Buman MP, Cardon G, et al. World Health Organization 2020 guidelines on physical activity and sedentary behaviour. Br J Sports Med. 2020;54(24):1451–62.

Article  PubMed  Google Scholar 

Gorasso V, Moyersoen I, Heyden JV der, De Ridder K, Vandevijvere S, Vansteelandt S, et al. Health care costs and lost productivity costs related to excess weight in Belgium [Internet]. 2021 [cited 2022 Jan 3]. Available from: https://www.researchsquare.com/article/rs-860500/v1.

Traill WB. Effectiveness of policy interventions to promote healthy eating and recommendations for future action: evidence from the EATWELL Project Deliverable 5 . 1. 2012 [cited 2023 Apr 5]. Available from: https://www.semanticscholar.org/paper/Effectiveness-of-Policy-Interventions-to-Promote-%3A-Traill/fdfa14916a37a17e070e8252783ac47c466e32f6.

Roberto CA, Swinburn B, Hawkes C, Huang TTK, Costa SA, Ashe M, et al. Patchy progress on obesity prevention: emerging examples, entrenched barriers, and new thinking. The Lancet. 2015;385(9985):2400–9.

Article  Google Scholar 

NCD Global Monitoring Framework [Internet]. [cited 2023 Mar 20]. Available from: https://www.who.int/publications-detail-redirect/ncd-surveillance-global-monitoring-framework.

World Obesity Atlas [Internet]. London, United Kingdom: World Obesity; 2022. Available from: https://www.worldobesity.org/resources/resource-library/world-obesity-atlas-2022.

World Health Organization. Regional Office for Europe. Monitoring noncommunicable disease commitments in Europe 2021: are we on track to reach targets 10 years after the Moscow Declaration and First United Nations High-Level Meeting? [Internet]. Copenhagen: World Health Organization. Regional Office for Europe. 2021. Available from: https://apps.who.int/iris/handle/10665/350457.

Finegood DT. The importance of systems thinking to address obesity. In: Drewnowski A, Rolls BJ, editors. Nestlé Nutrition Institute Workshop Series [Internet]. S. Karger AG. 2012 [cited 2023 Mar 20]. p. 123–37. Available from: https://www.karger.com/Article/FullText/341308.

Breda J, Castro LSN, Whiting S, Williams J, Jewell J, Engesveen K, et al. Towards better nutrition in Europe: evaluating progress and defining future directions. Food Policy. 2020;1(96): 101887.

Article  Google Scholar 

Swinburn BA, Kraak VI, Allender S, Atkins VJ, Baker PI, Bogard JR, et al. The global syndemic of obesity, undernutrition, and climate change: the Lancet Commission report. The lancet. 2019;393(10173):791–846.

Article  Google Scholar 

Lakerveld J, Mackenbach J. The upstream determinants of adult obesity. Obes Facts. 2017;10(3):216–22.

Article  PubMed  PubMed Central  Google Scholar 

Swinburn BA, Sacks G, Hall KD, McPherson K, Finegood DT, Moodie ML, et al. The global obesity pandemic: shaped by global drivers and local environments. The lancet. 2011;378(9793):804–14.

Article  Google Scholar 

NCD Risk Factor Collaboration (NCD-RisC). Worldwide trends in body-mass index, underweight, overweight, and obesity from 1975 to 2016: a pooled analysis of 2416 population-based measurement studies in 128·9 million children, adolescents, and adults. Lancet. 2017;390(10113):2627–42.

Maltoni G, Zioutas M, Deiana G, Biserni GB, Pession A, Zucchini S. Gender differences in weight gain during lockdown due to COVID-19 pandemic in adolescents with obesity. Nutr Metab Cardiovasc Dis. 2021;31(7):2181–5.

Article  CAS  PubMed  Google Scholar 

Vogel M, Geserick M, Gausche R, Beger C, Poulain T, Meigen C, et al. Age- and weight group-specific weight gain patterns in children and adolescents during the 15 years before and during the COVID-19 pandemic. Int J Obes. 2022;46(1):144–52.

Article  CAS  Google Scholar 

Buoncristiano M, Williams J, Simmonds P, Nurk E, Ahrens W, Nardone P, Rito AI, Rutter H, Bergh IH, Starc G, Jonsson KR, Spinelli A, Vandevijvere S, Mäki P, Milanović SM, Salanave B, Yardim MS, Hejgaard T, Fijałkowska A, Abdrakhmanova S, Abdurrahmonova Z, Duleva V, Farrugia Sant'Angelo V, García-Solano M, Gualtieri A, Gutiérrez-González E, Huidumac-Petrescu C, Hyska J, Kelleher CC, Kujundžić E, Peterkova V, Petrauskiene A, Pudule I, Sacchini E, Shengelia L, Tanrygulyyeva M, Taxová Braunerová R, Usupova Z, Maruszczak K, Ostojic SM, Spiroski I, Stojisavljević D, Wickramasinghe K, Breda J. Socioeconomic inequalities in overweight and obesity among 6- to 9-year-old children in 24 countries from the World Health Organization European region. Obes Rev. 2021 Nov;22 Suppl 6:e13213.

Ford ND, Patel SA, Narayan KM. Obesity in Low- and Middle-Income Countries: Burden, Drivers, and Emerging Challenges. Annu Rev Public Health. 2017 Mar 20;38:145–164.

Popkin BM, Gordon-Larsen P. The nutrition transition: worldwide obesity dynamics and their determinants. Int J Obes Relat Metab Disord. 2004 Nov;28 Suppl 3:S2–9.

Rauber F, Chang K, Vamos EP, da Costa Louzada ML, Monteiro CA, Millett C, Levy RB. Ultra-processed food consumption and risk of obesity: a prospective cohort study of UK Biobank. Eur J Nutr. 2021 Jun;60(4):2169–2180.

Beslay M, Srour B, Méjean C, Allès B, Fiolet T, Debras C, Chazelas E, Deschasaux M, Wendeu-Foyet MG, Hercberg S, Galan P, Monteiro CA, Deschamps V, Calixto Andrade G, Kesse-Guyot E, Julia C, Touvier M. Ultra-processed food intake in association with BMI change and risk of overweight and obesity: A prospective analysis of the French NutriNet-Santé cohort. PLoS Med. 2020 Aug 27;17(8):e1003256.

Dicken SJ, Batterham RL. The role of diet quality in mediating the association between ultra-processed food intake, obesity and health-related outcomes: a review of prospective cohort studies. Nutrients. 2022;14(1):23.

Article  CAS  Google Scholar 

Monteiro CA, Moubarac JC, Levy RB, Canella DS, da Costa Louzada ML, Cannon G. Household availability of ultra-processed foods and obesity in nineteen European countries. Public Health Nutr. 2018;21(1):18–26.

Article  PubMed  Google Scholar 

Vandevijvere S, Jaacks LM, Monteiro CA, Moubarac JC, Girling-Butcher M, Lee AC, et al. Global trends in ultraprocessed food and drink product sales and their association with adult body mass index trajectories. Obes Rev. 2019;20(Suppl 2):10–9.

Article  PubMed  Google Scholar 

Baker P, Machado P, Santos T, Sievert K, Backholer K, Hadjikakou M, et al. Ultra-processed foods and the nutrition transition: global, regional and national trends, food systems transformations and political economy drivers. Obesity Reviews [Internet]. [cited 2020 Aug 7]. Available from: https://onlinelibrary.wiley.com/doi/abs/10.1111/obr.13126.

Mertens E, Colizzi C, Peñalvo JL. Ultra-processed food consumption in adults across Europe. Eur J Nutr. 2022;61(3):1521–39.

Article  PubMed  Google Scholar 

Costa CS, Del-Ponte B, Assunção MCF, Santos IS. Consumption of ultra-processed foods and body fat during childhood and adolescence: a systematic review. Public Health Nutr. 2018;21(1):148–59.

Article  PubMed  Google Scholar 

Pietrobelli A, Pecoraro L, Ferruzzi A, Heo M, Faith M, Zoller T, et al. Effects of COVID-19 lockdown on lifestyle behaviors in children with obesity living in Verona, Italy: a longitudinal study. Obesity (Silver Spring). 2020;28(8):1382–5.

Article  CAS  PubMed  Google Scholar 

Drieskens S, Berger N, Vandevijvere S, Gisle L, Braekman E, Charafeddine R, De Ridder K, Demarest S. Short-term impact of the COVID-19 confinement measures on health behaviours and weight gain among adults in Belgium. Arch Public Health. 2021 Feb 22;79(1):22.

FAO, IFAD, UNICEF, WFP, WHO. The state of food security and nutrition in the world 2022: repurposing food and agricultural policies to make healthy diets more affordable [Internet]. Rome, Italy: FAO, IFAD, UNICEF, WFP, WHO; 2022 [cited 2023 Apr 5]. 260 p. (The State of Food Security and Nutrition in the World (SOFI)). Available from: https://www.fao.org/documents/card/en/c/cc0639en.

Kino S, Bernabé E, Sabbah W. Socioeconomic inequality in clusters of health-related behaviours in Europe: latent class analysis of a cross-sectional European survey. BMC Public Health. 2017 May 23;17(1):497.

Papamichael MM, Karatzi K, Mavrogianni C, Cardon G, De Vylder F, Iotova V, Usheva N, Tankova T, González-Gil EM, Kivelä J, Wikström K, Moreno L, Liatis S, Makrilakis K, Manios Y; Feel4Diabetes-Study Group. Socioeconomic vulnerabilities and food intake in European children: The Feel4Diabetes Study. Nutrition. 2022 Nov-Dec;103–104:111744.

Salmela J, Kouvonen A, Mauramo E, Rahkonen O, Roos E, Lallukka T. Associations of childhood and adult socioeconomic circumstances with recommended food habits among young and midlife Finnish employees. BMC Nutr. 2022 Jul 14;8(1):65.

Giskes K, Avendano M, Brug J, Kunst AE. A systematic review of studies on socioeconomic inequalities in dietary intakes associated with weight gain and overweight/obesity conducted among European adults. Obes Rev. 2010;11(6):413–29.

Article  CAS  PubMed  Google Scholar 

Fismen AS, Buoncristiano M, Williams J, Helleve A, Abdrakhmanova S, Bakacs M, et al. Socioeconomic differences in food habits among 6- to 9-year-old children from 23 countries-WHO European Childhood Obesity Surveillance Initiative (COSI 2015/2017). Obes Rev. 2021;22(Suppl 6): e13211.

PubMed  Google Scholar 

Khandpur N, Neri DA, Monteiro C, Mazur A, Frelut ML, Boyland E, et al. Ultra-processed food consumption among the paediatric population: an overview and call to action from the European Childhood Obesity Group. ANM. 2020;76(2):109–13.

CAS  Google Scholar 

WHO [Internet]. World Health Organization; [cited 2023 Apr 5]. WHO | WHO Global Data Bank on Infant and Young Child Feeding. Available from: https://apps.who.int/nutrition/databases/infantfeeding/en/index.html.

Williams J, Kuttumuratova A, Breda J, Wickramasinghe K, Zhiteneva O, Weber MW. Improving the lagging rates of breastfeeding. Lancet Child Adolesc Health. 2021 Sep;5(9):606–607.

Horta BL, Rollins N, Dias MS, Garcez V, Pérez-Escamilla R. Systematic review and meta-analysis of breastfeeding and later overweight or obesity expands on previous study for World Health Organization. Acta Paediatr. 2023;112(1):34–41.

Article  PubMed  Google Scholar 

Arenz S, Rückerl R, Koletzko B, von Kries R. Breast-feeding and childhood obesity--a systematic review. Int J Obes Relat Metab Disord. 2004 Oct;28(10):1247–56.

Rito AI, Buoncristiano M, Spinelli A, Salanave B, Kunešová M, Hejgaard T, García Solano M, Fijałkowska A, Sturua L, Hyska J, Kelleher C, Duleva V, Musić Milanović S, Farrugia Sant'Angelo V, Abdrakhmanova S, Kujundzic E, Peterkova V, Gualtieri A, Pudule I, Petrauskienė A, Tanrygulyyeva M, Sherali R, Huidumac-Petrescu C, Williams J, Ahrens W, Breda J. Association between Characteristics at Birth, Breastfeeding and Obesity in 22 Countries: The WHO European Childhood Obesity Surveillance Initiative - COSI 2015/2017. Obes Facts. 2019;12(2):226-243.

Blair SN, Archer E, Hand GA. Commentary: Luke and Cooper are wrong: physical activity has a crucial role in weight management and determinants of obesity. Int J Epidemiol. 2013;42(6):1836–8.

Article  PubMed  Google Scholar 

Steene-Johannessen J, Hansen BH, Dalene KE, Kolle E, Northstone K, Møller NC, Grøntved A, Wedderkopp N, Kriemler S, Page AS, Puder JJ, Reilly JJ, Sardinha LB, van Sluijs EMF, Andersen LB, van der Ploeg H, Ahrens W, Flexeder C, Standl M, Shculz H, Moreno LA, De Henauw S, Michels N, Cardon G, Ortega FB, Ruiz J, Aznar S, Fogelholm M, Decelis A, Olesen LG, Hjorth MF, Santos R, Vale S, Christiansen LB, Jago R, Basterfield L, Owen CG, Nightingale CM, Eiben G, Polito A, Lauria F, Vanhelst J, Hadjigeorgiou C, Konstabel K, Molnár D, Sprengeler O, Manios Y, Harro J, Kafatos A, Anderssen SA, Ekelund U; Determinants of Diet and Physical Activity knowledge hub (DEDIPAC); International Children’s Accelerometry Database (ICAD) Collaborators, IDEFICS Consortium and HELENA Consortium. Variations in accelerometry measured physical activity and sedentary time across Europe - harmonized analyses of 47,497 children and adolescents. Int J Behav Nutr Phys Act. 2020 Mar 18;17(1):38.

Knuth AG, Hallal PC. Temporal trends in physical activity: a systematic review. J Phys Act Health. 2009;6(5):548–59.

Article  PubMed  Google Scholar 

Falese L, Federico B, Kunst AE, Perelman J, Richter M, Rimpelä A, Lorant V. The association between socioeconomic position and vigorous physical activity among adolescents: a cross-sectional study in six European cities. BMC Public Health. 2021 May 5;21(1):866.

Moreno-Llamas A, García-Mayor J, De la Cruz-Sánchez E. The Socioeconomic paradox of physical activity and sedentary behavior in Europe. J Phys Act Health. 2023 Jan 20;20(3):193–203.

Beenackers MA, Kamphuis CB, Giskes K, Brug J, Kunst AE, Burdorf A, van Lenthe FJ. Socioeconomic inequalities in occupational, leisure-time, and transport related physical activity among European adults: a systematic review. Int J Behav Nutr Phys Act. 2012 Sep 19;9:116.

Scholes S, Mindell JS. Inequalities in participation and time spent in moderate-to-vigorous physical activity: a pooled analysis of the cross-sectional health surveys for England 2008, 2012, and 2016. BMC Public Health. 2020;20(1):361.

Article  PubMed  PubMed Central  Google Scholar 

Musić Milanović S, Buoncristiano M, Križan H, Rathmes G, Williams J, Hyska J, et al. Socioeconomic disparities in physical activity, sedentary behavior and sleep patterns among 6- to 9-year-old children from 24 countries in the WHO European region. Obes Rev. 2021;22(S6): e13209.

Article  PubMed  Google Scholar 

Egger G, Pearson S, Pal S, Swinburn B. Dissecting obesogenic behaviours: the development and application of a test battery for targeting prescription for weight loss. obesity reviews. 2007;6.

Swinburn B, Sacks G, Vandevijvere S, Kumanyika S, Lobstein T, Neal B, et al. INFORMAS (International Network for Food and Obesity/non-communicable diseases Research, Monitoring and Action Support): overview and key principles: INFORMAS overview. Obes Rev. 2013;14:1–12.

Article  PubMed  Google Scholar 

Pineda E, Poelman MP, Aaspõllu A, Bica M, Bouzas C, Carrano E, et al. Policy implementation and priorities to create healthy food environments using the Healthy Food Environment Policy Index (Food-EPI): a pooled level analysis across eleven European countries. The Lancet Regional Health-Europe. 2022;23: 100522.

Article  PubMed  PubMed Central  Google Scholar 

Food and Agriculture Organisation (FAO). Influencing food environments for healthy diets. Rome, Italy: Food and Agriculture Organization of the United Nations. 2016;154.

Van Dam I, Wood B, Sacks G, Allais O, Vandevijvere S. A detailed mapping of the food industry in the European Single Market: similarities and differences in market structure across countries and sectors. Int J Behav Nutr Phys Act. 2020.

Granheim SI, Løvhaug AL, Terragni L, Torheim LE, Thurston M. Mapping the digital food environment: a systematic scoping review. Obes Rev. 2022;23(1): e13356.

Article  PubMed  Google Scholar 

Roof K, Oleru N. Public health: Seattle and King County’s push for the built environment. J Environ Health. 2008;71(1):24–7.

PubMed  Google Scholar 

Renalds A, Smith TH, Hale PJ. A systematic review of built environment and health. Family and community health. 2010;68–78.

Townshend T, Lake A. Obesogenic environments: current evidence of the built and food environments. Perspect Public Health. 2017;137(1):38–44.

Article  PubMed  Google Scholar 

Dixon BN, Ugwoaba UA, Brockmann AN, Ross KM. Associations between the built environment and dietary intake, physical activity, and obesity: a scoping review of reviews. Obes Rev. 2021;22(4): e13171.

Article  PubMed 

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