Prevention of overweight and obesity: a Spanish approach.
BACKGROUND
Obesity is considered a major public health issue in most developed countries nowadays. This paper provides an overview of current population data available in Spain and the approach to develop preventive strategies in the country.


METHODS
Review of population data available is based on individually measured weight and height as well as determinants. On this basis, the approach used in the country to develop preventive strategies is discussed.


RESULTS
According to the DORICA study, the prevalence of obesity (BMI >or=30 kg m-2) is 15.5% in Spanish adults aged 25-60 years (13.2% in men and 17.5% in women). Obesity rates are higher among women aged 45 years and older, low social class, living in semi-urban places. Population estimates for the prevalence of obesity in Spanish children and young people based on the enKid study are 13.9% for the whole group. In this study, overweight and obesity is related to absence of breastfeeding, low consumption of fruit and vegetables, high consumption of cakes, buns, softdrinks and butchery products, low physical activity levels and a positive association with time spent watching TV. In 2005, the Spanish Ministry of Health jointly with the Spanish Agency for Food Safety and Nutrition launched the multifaceted NAOS strategy for nutrition, physical activity and the prevention of obesity. The important role of the family and the school setting as well as the responsibility of the Health Administration and Pediatric Care in the prevention of obesity is highlighted in the document. The need for environmental actions is recognised. The PERSEO programme, a multicomponent school-based intervention project is part of the strategy currently in place.


CONCLUSIONS
Obesity is a public health issue in Spain. A national multifaceted strategy was launched to counteract the problem. Environmental and policy actions are a priority. Young children and their families are among the main target groups.
Aranceta
Javier
J
Commmunity Nutrition Unit, Bilbao Department of Public Health, University of Navarra, Pamplona, Spain. jaranceta@unav.es
Pérez-Rodrigo
Carmen
C
Serra-Majem
Lluis
L
Bellido
Diego
D
de la Torre
Martín López
ML
Formiguera
Xavier
X
Moreno
Basilio
B
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D015992:Body Mass Index; D001942:Breast Feeding; D002648:Child; D004032:Diet; D015444:Exercise / Q000502:physiology*; D005260:Female; D006291:Health Policy; D006801:Humans; D008297:Male; D008875:Middle Aged; D018673:Nutrition Policy; D009747:Nutritional Physiological Phenomena; D009765:Obesity / Q000453:epidemiology / Q000517:prevention & control*; D050177:Overweight / Q000453:epidemiology / Q000517:prevention & control*; D015995:Prevalence; D012307:Risk Factors; D012737:Sex Factors; D013030:Spain / Q000453:epidemiology