Skip to main content
Top
Published in: Current Obesity Reports 1/2014

Open Access 01-03-2014 | Etiology of Obesity (MS Westerterp-Plantenga, Section Editor)

Social Inequalities in Obesity Persist in the Nordic Region Despite Its Relative Affluence and Equity

Authors: Maria Magnusson, Thorkild I. A. Sørensen, Steingerdur Olafsdottir, Susanna Lehtinen-Jacks, Turid Lingaas Holmen, Berit Lilienthal Heitmann, Lauren Lissner

Published in: Current Obesity Reports | Issue 1/2014

Login to get access

Abstract

Social inequalities in overweight and obesity (OWOB) have persisted in the affluent and reputedly egalitarian Nordic countries. In this review we examine associations between socioeconomic position (SEP) and OWOB, and secular trends in such associations. Determinants and possible causes of the relations are discussed together with opportunities to cope with OWOB as a public health problem. The findings show a persisting inverse social gradient. An interaction between SEP and gender is noted for adults in Denmark, Finland and Iceland and for children in Sweden. There are overall tendencies for increased inequality, however no consistent trend for an increased social gradient in OWOB. Reasons that increased inequality does not unequivocally mirror in a steepened social gradient in obesity may include methodological questions as well as societal efforts to counteract obesity. Multi-level efforts are needed to prevent OWOB.
Literature
1.
go back to reference Goldblatt PB, Moore ME, Stunkard AJ. Social factors in obesity. JAMA: J Am Med Assoc. 1965;192:1039–44.CrossRef Goldblatt PB, Moore ME, Stunkard AJ. Social factors in obesity. JAMA: J Am Med Assoc. 1965;192:1039–44.CrossRef
2.
go back to reference Stunkard A, d’Aquili E, Fox S, Filion RD. Influence of social class on obesity and thinness in children. JAMA: J Am Med Assoc. 1972;221(6):579–84.CrossRef Stunkard A, d’Aquili E, Fox S, Filion RD. Influence of social class on obesity and thinness in children. JAMA: J Am Med Assoc. 1972;221(6):579–84.CrossRef
3.
go back to reference Shrewsbury V, Wardle J. Socioeconomic status and adiposity in childhood: a systematic review of cross-sectional studies 1990–2005. Obesity (Silver Spring). 2008;16(2):275–84.CrossRef Shrewsbury V, Wardle J. Socioeconomic status and adiposity in childhood: a systematic review of cross-sectional studies 1990–2005. Obesity (Silver Spring). 2008;16(2):275–84.CrossRef
4.
go back to reference Sobal J, Stunkard AJ. Socioeconomic status and obesity: a review of the literature. Psychol Bull. 1989;105(2):260–75.PubMedCrossRef Sobal J, Stunkard AJ. Socioeconomic status and obesity: a review of the literature. Psychol Bull. 1989;105(2):260–75.PubMedCrossRef
5.
go back to reference Popkin BM, Gordon-Larsen P. The nutrition transition: worldwide obesity dynamics and their determinants. Int J Obes Relat Metab Disord: J Int Assoc Study of Obes. 2004;28 Suppl 3:S2–9.CrossRef Popkin BM, Gordon-Larsen P. The nutrition transition: worldwide obesity dynamics and their determinants. Int J Obes Relat Metab Disord: J Int Assoc Study of Obes. 2004;28 Suppl 3:S2–9.CrossRef
6.
go back to reference Offer A, Pechey R, Ulijaszek S. Obesity under affluence varies by welfare regimes: the effect of fast food, insecurity, and inequality. Econ Hum Biol. 2010;8:297–308.PubMedCrossRef Offer A, Pechey R, Ulijaszek S. Obesity under affluence varies by welfare regimes: the effect of fast food, insecurity, and inequality. Econ Hum Biol. 2010;8:297–308.PubMedCrossRef
7.
go back to reference Knai C, Lobstein T, Darmon N, Rutter H, McKee M. Socioeconomic patterning of childhood overweight status in Europe. Int J Environ Res Public Health. 2012;9:1472–89.PubMedCrossRef Knai C, Lobstein T, Darmon N, Rutter H, McKee M. Socioeconomic patterning of childhood overweight status in Europe. Int J Environ Res Public Health. 2012;9:1472–89.PubMedCrossRef
10.
go back to reference Rasmussen LB, Andersen LF, Borodulin K, Enghard Barbieri H, Fagt S, Matthiessen J et al. Nordic monitoring of diet, physical activity and overweight. First collection of data in all nordic countries 2011. TemaNord 2012. Rasmussen LB, Andersen LF, Borodulin K, Enghard Barbieri H, Fagt S, Matthiessen J et al. Nordic monitoring of diet, physical activity and overweight. First collection of data in all nordic countries 2011. TemaNord 2012.
12.
go back to reference Lissner L. Psychosocial aspects of obesity: individual and societal perspectives. Scand J Nutr. 1997;41:75–9. Lissner L. Psychosocial aspects of obesity: individual and societal perspectives. Scand J Nutr. 1997;41:75–9.
14.•
go back to reference Strandhagen E, Berg C, Lissner L, Nunez L, Rosengren A, Toren K, et al. Selection bias in a population survey with registry linkage: potential effect on socioeconomic gradient in cardiovascular risk. Eur J Epidemiol. 2010;25(3):163–72. doi:10.1007/s10654-010-9427-7. This study demonstrates that non-participation is a likely source of bias in studies describing social disparities in health. A positive association between education level and frequent alcohol consumption was found to in part be explained by such bias. For other risk factors studied, an underestimation of the importance of low socioeconomic status was considered to be more likely.PubMedCrossRef Strandhagen E, Berg C, Lissner L, Nunez L, Rosengren A, Toren K, et al. Selection bias in a population survey with registry linkage: potential effect on socioeconomic gradient in cardiovascular risk. Eur J Epidemiol. 2010;25(3):163–72. doi:10.​1007/​s10654-010-9427-7. This study demonstrates that non-participation is a likely source of bias in studies describing social disparities in health. A positive association between education level and frequent alcohol consumption was found to in part be explained by such bias. For other risk factors studied, an underestimation of the importance of low socioeconomic status was considered to be more likely.PubMedCrossRef
15.
go back to reference Sjöberg A, Moraeus L, Yngve A, Poortvliet E, Al-Ansari U, Lissner L. Overweight and obesity in a representative sample of schoolchildren—exploring the urban-rural gradient in Sweden. Obes Rev: Off J Int Assoc Study Obes. 2011;12(5):305–14. doi:10.1111/j.1467-789X.2010.00838.x.CrossRef Sjöberg A, Moraeus L, Yngve A, Poortvliet E, Al-Ansari U, Lissner L. Overweight and obesity in a representative sample of schoolchildren—exploring the urban-rural gradient in Sweden. Obes Rev: Off J Int Assoc Study Obes. 2011;12(5):305–14. doi:10.​1111/​j.​1467-789X.​2010.​00838.​x.CrossRef
16.
go back to reference Moraeus L, Lissner L, Yngve A, Poortvliet E, Al-Ansari U, Sjoberg A. Multi-level influences on childhood obesity in Sweden: societal factors, parental determinants and child’s lifestyle. Int J Obes (2005). 2012;36(7):969–76. doi:10.1038/ijo.2012.79.CrossRef Moraeus L, Lissner L, Yngve A, Poortvliet E, Al-Ansari U, Sjoberg A. Multi-level influences on childhood obesity in Sweden: societal factors, parental determinants and child’s lifestyle. Int J Obes (2005). 2012;36(7):969–76. doi:10.​1038/​ijo.​2012.​79.CrossRef
18.
go back to reference Lissner L, Johansson SE, Qvist J, Rossner S, Wolk A. Social mapping of the obesity epidemic in Sweden. Int J Obes Relat Metab Disord: J Int Assoc Study Obes. 2000;24(6):801–5.CrossRef Lissner L, Johansson SE, Qvist J, Rossner S, Wolk A. Social mapping of the obesity epidemic in Sweden. Int J Obes Relat Metab Disord: J Int Assoc Study Obes. 2000;24(6):801–5.CrossRef
19.
go back to reference Eiben G, Dey DK, Rothenberg E, Steen B, Björkelund C, Bengtsson C, et al. Obesity in 70-year-old Swedes: secular changes over 30 years. Int J Obes (2005). 2005;29(7):810–7.CrossRef Eiben G, Dey DK, Rothenberg E, Steen B, Björkelund C, Bengtsson C, et al. Obesity in 70-year-old Swedes: secular changes over 30 years. Int J Obes (2005). 2005;29(7):810–7.CrossRef
20.
go back to reference Sundblom E, Petzold M, Rasmussen F, Callmer E, Lissner L. Childhood overweight and obesity prevalences levelling off in Stockholm but socioeconomic differences persist. Int J Obes (2005). 2008. Sundblom E, Petzold M, Rasmussen F, Callmer E, Lissner L. Childhood overweight and obesity prevalences levelling off in Stockholm but socioeconomic differences persist. Int J Obes (2005). 2008.
21.
go back to reference Sjöberg A, Lissner L, Albertsson-Wikland K, Mårild S. Recent anthropometric trends among Swedish school children: evidence for decreasing prevalence of overweight in girls. Acta Paediatr. 2008;97(1):118–23.PubMedCrossRef Sjöberg A, Lissner L, Albertsson-Wikland K, Mårild S. Recent anthropometric trends among Swedish school children: evidence for decreasing prevalence of overweight in girls. Acta Paediatr. 2008;97(1):118–23.PubMedCrossRef
22.
go back to reference Magnusson MB, Sjöberg A, Kjellgren KI, Lissner L. Childhood obesity and prevention in different socio-economic contexts. Prev Med. 2011. Magnusson MB, Sjöberg A, Kjellgren KI, Lissner L. Childhood obesity and prevention in different socio-economic contexts. Prev Med. 2011.
23.
go back to reference Due P, Heitmann B, Sørensen TIA. Prevalence of obesity in Denmark. Obes Rev: Off J Int Assoc Study Obes. 2007;8(3):187–9.CrossRef Due P, Heitmann B, Sørensen TIA. Prevalence of obesity in Denmark. Obes Rev: Off J Int Assoc Study Obes. 2007;8(3):187–9.CrossRef
25.
go back to reference Sundhedsstyrelsen. Den nationale sundhedsprofil 2010: Sundhedsstyrelsen 2011. Sundhedsstyrelsen. Den nationale sundhedsprofil 2010: Sundhedsstyrelsen 2011.
26.
go back to reference Jensen HN GC, Jørgensen T. Udvikling i risikofaktorer for hjerte-karsygdom i Vestegnskommunerne 1978–2006. s. 31. Glostrup, Danmark2008. Jensen HN GC, Jørgensen T. Udvikling i risikofaktorer for hjerte-karsygdom i Vestegnskommunerne 1978–2006. s. 31. Glostrup, Danmark2008.
27.
go back to reference Larsen AM, Lund R, Kriegbaum M, Avlund K, Osler M. Childhood social circumstances and body mass index in adult life: the Metropolit 1953 Danish male birth cohort. Scand J Public Health. 2011;39(3):296–302. doi:10.1177/1403494811399654.PubMedCrossRef Larsen AM, Lund R, Kriegbaum M, Avlund K, Osler M. Childhood social circumstances and body mass index in adult life: the Metropolit 1953 Danish male birth cohort. Scand J Public Health. 2011;39(3):296–302. doi:10.​1177/​1403494811399654​.PubMedCrossRef
28.
go back to reference Groth MV, Fagt S, Stockmarr A, Matthiessen J, Biltoft-Jensen A. Dimensions of socioeconomic position related to body mass index and obesity among Danish women and men. Scand J Public Health. 2009;37(4):418–26. doi:10.1177/1403494809105284.PubMedCrossRef Groth MV, Fagt S, Stockmarr A, Matthiessen J, Biltoft-Jensen A. Dimensions of socioeconomic position related to body mass index and obesity among Danish women and men. Scand J Public Health. 2009;37(4):418–26. doi:10.​1177/​1403494809105284​.PubMedCrossRef
29.
go back to reference Morgan C, Mortensen L, Rasmussen M, Andersen A, Sørensen TIA, Due P. Parental socioeconomic position and development of overweight in adolescence: longitudinal study of Danish adolescents. BMC Public Health. 2010;29(10):520.CrossRef Morgan C, Mortensen L, Rasmussen M, Andersen A, Sørensen TIA, Due P. Parental socioeconomic position and development of overweight in adolescence: longitudinal study of Danish adolescents. BMC Public Health. 2010;29(10):520.CrossRef
30.
go back to reference Krue S, Coolidge J. The prevalence of overweight and obesity among Danish school children. Obes Rev: Off J Int Assoc Study Obes. 2010;11(7):489–91.CrossRef Krue S, Coolidge J. The prevalence of overweight and obesity among Danish school children. Obes Rev: Off J Int Assoc Study Obes. 2010;11(7):489–91.CrossRef
31.
go back to reference Aarup M, Sokolowski I, Lous J. The prevalence of obesity and overweight among 3 year-old children in the municipality of Aalborg and identification of risk factors Ugeskr Laeger[Article in Danish]. 2008;170(6):452–6. Aarup M, Sokolowski I, Lous J. The prevalence of obesity and overweight among 3 year-old children in the municipality of Aalborg and identification of risk factors Ugeskr Laeger[Article in Danish]. 2008;170(6):452–6.
32.
go back to reference Pietinen P, Vartiainen E, Mannisto S. Trends in body mass index and obesity among adults in Finland from 1972 to 1992. Int J Obes Relat Metab Disord: J Int Assoc Study Obes. 1996;20(2):114–20. Pietinen P, Vartiainen E, Mannisto S. Trends in body mass index and obesity among adults in Finland from 1972 to 1992. Int J Obes Relat Metab Disord: J Int Assoc Study Obes. 1996;20(2):114–20.
33.
go back to reference Lahti-Koski M, Vartiainen E, Mannisto S, Pietinen P. Age, education and occupation as determinants of trends in body mass index in Finland from 1982 to 1997. Int J Obes Relat Metab Disord: J Int Assoc Study Obes. 2000;24(12):1669–76.CrossRef Lahti-Koski M, Vartiainen E, Mannisto S, Pietinen P. Age, education and occupation as determinants of trends in body mass index in Finland from 1982 to 1997. Int J Obes Relat Metab Disord: J Int Assoc Study Obes. 2000;24(12):1669–76.CrossRef
34.
go back to reference Lahti-Koski M, Harald K, Saarni S, Peltonen M, Männistö S. Changes in body mass index and measures of abdominal obesity in Finnish adults between 1992 and 2006, the National FINRISK Study Clinical. Obesity. 2012;2:57–63.CrossRef Lahti-Koski M, Harald K, Saarni S, Peltonen M, Männistö S. Changes in body mass index and measures of abdominal obesity in Finnish adults between 1992 and 2006, the National FINRISK Study Clinical. Obesity. 2012;2:57–63.CrossRef
36.
go back to reference Sarlio-Lahteenkorva S, Lahelma E. The association of body mass index with social and economic disadvantage in women and men. Int J Epidemiol. 1999;28(3):445–9.PubMedCrossRef Sarlio-Lahteenkorva S, Lahelma E. The association of body mass index with social and economic disadvantage in women and men. Int J Epidemiol. 1999;28(3):445–9.PubMedCrossRef
37.••
go back to reference Prättälä R, Sippola R, Lahti-Koski M, Laaksonen MT, Mäkinen T, Roos E. Twenty-five year trends in body mass index by education and income in Finland. BMC Public Health. 2012;12:936. doi:10.1186/1471-2458-12-936. In this study, an interesting observation was made that while there were no overall change in the educational and income differences of BMI in Finland between 1978 and 2002, income differences in men varied according to their educational level. The authors “encourage further research on the pathways between income,education, living conditions and the increasing BMI”.PubMedCentralPubMedCrossRef Prättälä R, Sippola R, Lahti-Koski M, Laaksonen MT, Mäkinen T, Roos E. Twenty-five year trends in body mass index by education and income in Finland. BMC Public Health. 2012;12:936. doi:10.​1186/​1471-2458-12-936. In this study, an interesting observation was made that while there were no overall change in the educational and income differences of BMI in Finland between 1978 and 2002, income differences in men varied according to their educational level. The authors “encourage further research on the pathways between income,education, living conditions and the increasing BMI”.PubMedCentralPubMedCrossRef
39.
go back to reference Jokela M, Kivimäki M, Elovainio M, Viikari J, Raitakari O, Keltikangas-Järvinen L. Urban/rural differences in body weight: evidence for social selection and causation hypotheses in Finland. Soc Sci Med (1982). 2009;68(5):867–75.CrossRef Jokela M, Kivimäki M, Elovainio M, Viikari J, Raitakari O, Keltikangas-Järvinen L. Urban/rural differences in body weight: evidence for social selection and causation hypotheses in Finland. Soc Sci Med (1982). 2009;68(5):867–75.CrossRef
40.
go back to reference Lahti-Koski M, Taskinen O, Similä M, Männistö S, Laatikainen T, Knekt P, et al. Mapping geographical variation in obesity in Finland. Eur J Public Health. 2008;18(6):637–43.PubMedCrossRef Lahti-Koski M, Taskinen O, Similä M, Männistö S, Laatikainen T, Knekt P, et al. Mapping geographical variation in obesity in Finland. Eur J Public Health. 2008;18(6):637–43.PubMedCrossRef
41.
go back to reference Kautiainen S, Koivisto AM, Koivusilta L, Lintonen T, Virtanen SM, Rimpela A. Sociodemographic factors and a secular trend of adolescent overweight in Finland. Int J Pediatr Obes. 2009;4(4):360–70.PubMedCrossRef Kautiainen S, Koivisto AM, Koivusilta L, Lintonen T, Virtanen SM, Rimpela A. Sociodemographic factors and a secular trend of adolescent overweight in Finland. Int J Pediatr Obes. 2009;4(4):360–70.PubMedCrossRef
44.
go back to reference Koivusilta LK, Rimpela AH, Kautiainen SM. Health inequality in adolescence. Does stratification occur by familial social background, family affluence, or personal social position? BMC Public Health. 2006;6:110.PubMedCrossRef Koivusilta LK, Rimpela AH, Kautiainen SM. Health inequality in adolescence. Does stratification occur by familial social background, family affluence, or personal social position? BMC Public Health. 2006;6:110.PubMedCrossRef
47.
go back to reference Jacobsen BK, Njolstad I, Thune I, Wilsgaard T, Lochen ML, Schirmer H. Increase in weight in all birth cohorts in a general population: the Tromso study, 1974–1994. Arch Intern Med. 2001;161(3):466–72.PubMedCrossRef Jacobsen BK, Njolstad I, Thune I, Wilsgaard T, Lochen ML, Schirmer H. Increase in weight in all birth cohorts in a general population: the Tromso study, 1974–1994. Arch Intern Med. 2001;161(3):466–72.PubMedCrossRef
49.
go back to reference Tverdal A. [Prevalence of obesity among persons aged 40–42 years in two periods] (In Norwegian). Tidsskrift for den Norske laegeforening: tidsskrift for praktisk medicin, ny raekke. 2001;121(6):667–72. Tverdal A. [Prevalence of obesity among persons aged 40–42 years in two periods] (In Norwegian). Tidsskrift for den Norske laegeforening: tidsskrift for praktisk medicin, ny raekke. 2001;121(6):667–72.
50.••
go back to reference Krokstad S, Erntsen L, Sund E, Bjørngaard J, Langhammer A, Midthjell K, et al. Social and spatial patterns of obesity diffusion over three decades in a Norwegian county population. The HUNT Study. BMC Public Health. 2013;13(1):973. This study includes men and women 30–69 yrs from the three surveys of the HUNT study (1984–06, 1995–97 and 2006–08) with a little more than 40.000 people in each wave. The relative SEP inequalities of obesity did not change significantly, but the differences in absolute prevalence of obesity between the low and the high educational group have increased during these 20 years.PubMedCentralPubMedCrossRef Krokstad S, Erntsen L, Sund E, Bjørngaard J, Langhammer A, Midthjell K, et al. Social and spatial patterns of obesity diffusion over three decades in a Norwegian county population. The HUNT Study. BMC Public Health. 2013;13(1):973. This study includes men and women 30–69 yrs from the three surveys of the HUNT study (1984–06, 1995–97 and 2006–08) with a little more than 40.000 people in each wave. The relative SEP inequalities of obesity did not change significantly, but the differences in absolute prevalence of obesity between the low and the high educational group have increased during these 20 years.PubMedCentralPubMedCrossRef
51.
go back to reference Strand BH, Tverdal A. Trends in educational inequalities in cardiovascular risk factors: a longitudinal study among 48.000 middle-aged Norwegian men and women. Eur J Epidemiol. 2006;21(10):731–9.PubMedCrossRef Strand BH, Tverdal A. Trends in educational inequalities in cardiovascular risk factors: a longitudinal study among 48.000 middle-aged Norwegian men and women. Eur J Epidemiol. 2006;21(10):731–9.PubMedCrossRef
53.
go back to reference WHO. Evaluation of the Norwegian nutrition policy with a focus on the Action Plan on Nutrition 2007–2011. 2013. WHO. Evaluation of the Norwegian nutrition policy with a focus on the Action Plan on Nutrition 2007–2011. 2013.
54.
go back to reference Dvergsnes K, Skeie G. Utviklingen i kropsmasseindeks hos firåringer I Tromsø 1980–2005. (Development of body mass index in 4 years old in Tromsø, Norway). Tidsskr Nor Legefoen. 2009;129:13–6.CrossRef Dvergsnes K, Skeie G. Utviklingen i kropsmasseindeks hos firåringer I Tromsø 1980–2005. (Development of body mass index in 4 years old in Tromsø, Norway). Tidsskr Nor Legefoen. 2009;129:13–6.CrossRef
59.
go back to reference Bjornelv S, Lydersen S, Mykletun A, Holmen TL. Changes in BMI-distribution from 1966–69 to 1995–97 in adolescents. The Young-HUNT study, Norway. BMC Public Health. 2007;7:279.PubMedCentralPubMedCrossRef Bjornelv S, Lydersen S, Mykletun A, Holmen TL. Changes in BMI-distribution from 1966–69 to 1995–97 in adolescents. The Young-HUNT study, Norway. BMC Public Health. 2007;7:279.PubMedCentralPubMedCrossRef
60.
go back to reference HUNT. Public health development, The HUNT Study Norway, HUNT1 (1984–86)-HUNT2 (1995–97)-HUNT3 (2006–08). HUNT Forskningssenter 2011, ISBN 978-82-91725-08-6. HUNT. Public health development, The HUNT Study Norway, HUNT1 (1984–86)-HUNT2 (1995–97)-HUNT3 (2006–08). HUNT Forskningssenter 2011, ISBN 978-82-91725-08-6.
61.
go back to reference Lien N, Kumar BN, Lien L. [Overweight among adolescents in Oslo] (in Norwegian). Tidsskrift for den Norske laegeforening: tidsskrift for praktisk medicin, ny raekke. 2007a;127(17):2254–8. Lien N, Kumar BN, Lien L. [Overweight among adolescents in Oslo] (in Norwegian). Tidsskrift for den Norske laegeforening: tidsskrift for praktisk medicin, ny raekke. 2007a;127(17):2254–8.
62.
go back to reference Lien N, Kumar BN, Holmboe-Ottesen G, Klepp KI, Wandel M. Assessing social differences in overweight among 15- to 16-year-old ethnic Norwegians from Oslo by register data and adolescent self-reported measures of socio-economic status. Int J Obes (2005). 2007;31(1):30–8. doi:10.1038/sj.ijo.0803415.CrossRef Lien N, Kumar BN, Holmboe-Ottesen G, Klepp KI, Wandel M. Assessing social differences in overweight among 15- to 16-year-old ethnic Norwegians from Oslo by register data and adolescent self-reported measures of socio-economic status. Int J Obes (2005). 2007;31(1):30–8. doi:10.​1038/​sj.​ijo.​0803415.CrossRef
63.
go back to reference Groholt EK, Stigum H, Nordhagen R. Overweight and obesity among adolescents in Norway: cultural and socio-economic differences. J Public Health (Oxf). 2008;30(3):258–65.CrossRef Groholt EK, Stigum H, Nordhagen R. Overweight and obesity among adolescents in Norway: cultural and socio-economic differences. J Public Health (Oxf). 2008;30(3):258–65.CrossRef
65.
go back to reference Bjelland M, Lien N, Bergh IH, Grydeland M, Anderssen SA, Klepp KI, et al. Overweight and waist circumference among Norwegian 11-year-olds and associations with reported parental overweight and waist circumference: the HEIA study. Scand J Public Health. 2010;38(5 Suppl):19–27. doi:10.1177/1403494810385036.PubMedCrossRef Bjelland M, Lien N, Bergh IH, Grydeland M, Anderssen SA, Klepp KI, et al. Overweight and waist circumference among Norwegian 11-year-olds and associations with reported parental overweight and waist circumference: the HEIA study. Scand J Public Health. 2010;38(5 Suppl):19–27. doi:10.​1177/​1403494810385036​.PubMedCrossRef
66.
go back to reference Kristiansen H, Juliusson PB, Eide GE, Roelants M, Bjerknes R. TV viewing and obesity among Norwegian children: the importance of parental education. Acta Paediatr. 2013;102(2):199–205. doi:10.1111/apa.12066.PubMedCrossRef Kristiansen H, Juliusson PB, Eide GE, Roelants M, Bjerknes R. TV viewing and obesity among Norwegian children: the importance of parental education. Acta Paediatr. 2013;102(2):199–205. doi:10.​1111/​apa.​12066.PubMedCrossRef
67.
go back to reference Nilsen S, Krokstad S, Holmen T, Westin S. Adolescents’ health-related dietary patterns by parental socio-economic position, the Nord-Trøndelag Health Study (HUNT). Eur J Public Health. 2010;20(3):299–305.PubMedCrossRef Nilsen S, Krokstad S, Holmen T, Westin S. Adolescents’ health-related dietary patterns by parental socio-economic position, the Nord-Trøndelag Health Study (HUNT). Eur J Public Health. 2010;20(3):299–305.PubMedCrossRef
68.
go back to reference Heyerdahl N, Aamodt G, Nordhagen R, Hovengen R. [Overweight children--how important is the urban/rural factor?] (In Norwegian). Tidsskrift for den Norske laegeforening: tidsskrift for praktisk medicin, ny raekke. 2010;132(9):1080–3. Heyerdahl N, Aamodt G, Nordhagen R, Hovengen R. [Overweight children--how important is the urban/rural factor?] (In Norwegian). Tidsskrift for den Norske laegeforening: tidsskrift for praktisk medicin, ny raekke. 2010;132(9):1080–3.
69.
go back to reference Valdimarsdottir M, Jonsson SH, Thorgeirsdottir H, Gisladottir E, Gudlaugsson JO, Thorlindsson T. Body weight and weight condition of adult Icelanders from 1990 to 2007. [in Icelandic]. Reykjavík: Directorate of Health.2009. Valdimarsdottir M, Jonsson SH, Thorgeirsdottir H, Gisladottir E, Gudlaugsson JO, Thorlindsson T. Body weight and weight condition of adult Icelanders from 1990 to 2007. [in Icelandic]. Reykjavík: Directorate of Health.2009.
70.
go back to reference Thorgeirsdottir H, Valgeirsdottir H, Gunnarsdottir I, Gisladottir E, Gunnarsdottir BE, Thorsdottir I, et al. The diet of Icelanders. National nutrition survey 2010–2011. Main results. [in Icelandic]. Reykjavík: Directorate of Health, Icelandic Food and Veterinary Authority, Unit for Nutrition Research at University of Iceland.2011. Thorgeirsdottir H, Valgeirsdottir H, Gunnarsdottir I, Gisladottir E, Gunnarsdottir BE, Thorsdottir I, et al. The diet of Icelanders. National nutrition survey 2010–2011. Main results. [in Icelandic]. Reykjavík: Directorate of Health, Icelandic Food and Veterinary Authority, Unit for Nutrition Research at University of Iceland.2011.
71.
go back to reference Steingrimsdottir L, Olafsdottir EJ, Jonsdottir LS, Sigurdsson R, Tryggvadottir L. Smoking, obesity and education of Icelandic women by rural-urban residence [in Icelandic]. Icel Med J. 2010;96:259–64. Steingrimsdottir L, Olafsdottir EJ, Jonsdottir LS, Sigurdsson R, Tryggvadottir L. Smoking, obesity and education of Icelandic women by rural-urban residence [in Icelandic]. Icel Med J. 2010;96:259–64.
72.
go back to reference Steingrimsdottir L, Thorgeirsdottir H, Olafsdottir AS. The diet of Icelanders. Dietary survey of The Icelandic Nutrition Council 2002. Main findings. [in Icelandic]. Reykjavík: The Icelandic Nutrition Council; 2002. Steingrimsdottir L, Thorgeirsdottir H, Olafsdottir AS. The diet of Icelanders. Dietary survey of The Icelandic Nutrition Council 2002. Main findings. [in Icelandic]. Reykjavík: The Icelandic Nutrition Council; 2002.
73.
go back to reference Jonsson SH, Hedinsdottir M, Erlendsdottir RO, Gudlaugsson JO, Danielsdottir S, Reynisson JA. Body weight of children in the capital area. [in Icelandic]. Reykjavík: Directorate of Health, Primary Health care of the Capital Area; 2013. Jonsson SH, Hedinsdottir M, Erlendsdottir RO, Gudlaugsson JO, Danielsdottir S, Reynisson JA. Body weight of children in the capital area. [in Icelandic]. Reykjavík: Directorate of Health, Primary Health care of the Capital Area; 2013.
74.••
go back to reference Eidsdottir S, Kristjansson A, Sigfusdottir ID, Garber CE, Allegrante JP. Secular trends in overweight and obesity among Icelandic adolescents: do parental education levels and family structure play a part? Scand J Public Health. 2013;41(4):384–91. doi:10.1177/1403494813477927. Representative data from 70–80% of the total population in the age group 16–20 years. The results demonstrate that adolescents with low-educated parents were consistently overrepresented among those with overweight and obesity across all four survey years, and that the gap in overweight and obesity between the high- and low-educated subgroups increased over time.CrossRef Eidsdottir S, Kristjansson A, Sigfusdottir ID, Garber CE, Allegrante JP. Secular trends in overweight and obesity among Icelandic adolescents: do parental education levels and family structure play a part? Scand J Public Health. 2013;41(4):384–91. doi:10.​1177/​1403494813477927​. Representative data from 70–80% of the total population in the age group 16–20 years. The results demonstrate that adolescents with low-educated parents were consistently overrepresented among those with overweight and obesity across all four survey years, and that the gap in overweight and obesity between the high- and low-educated subgroups increased over time.CrossRef
75.
go back to reference Thorisdottir I, Kristjansson A, Sigfusdottir I, Allegrante J. The landscape of overweight and obesity in Icelandic adolescents: geographic variation in body-mass index between 2000 and 2009. J Community Health. 2012;37:234–41.PubMedCrossRef Thorisdottir I, Kristjansson A, Sigfusdottir I, Allegrante J. The landscape of overweight and obesity in Icelandic adolescents: geographic variation in body-mass index between 2000 and 2009. J Community Health. 2012;37:234–41.PubMedCrossRef
76.
go back to reference Ball K, Crawford D. Socioeconomic status and weight change in adults: a review. Soc Sci Med (1982). 2005;60(9):1987–2010.CrossRef Ball K, Crawford D. Socioeconomic status and weight change in adults: a review. Soc Sci Med (1982). 2005;60(9):1987–2010.CrossRef
77.
go back to reference Stamatakis E, Zaninotto P, Falaschetti E, Mindell J, Head J. Time trends in childhood and adolescent obesity in England from 1995 to 2007 and projections of prevalence to 2015. J Epidemiol Community Health. 2010;64:167–74.PubMedCrossRef Stamatakis E, Zaninotto P, Falaschetti E, Mindell J, Head J. Time trends in childhood and adolescent obesity in England from 1995 to 2007 and projections of prevalence to 2015. J Epidemiol Community Health. 2010;64:167–74.PubMedCrossRef
78.
go back to reference Geyer S, Hemström O, Peter R, Vagerö D. Education, income, and occupational class cannot be used interchangeably in social epidemiology. Empirical evidence against a common practice. J Epidemiol Community Health. 2006;60(9):804–10.PubMedCrossRef Geyer S, Hemström O, Peter R, Vagerö D. Education, income, and occupational class cannot be used interchangeably in social epidemiology. Empirical evidence against a common practice. J Epidemiol Community Health. 2006;60(9):804–10.PubMedCrossRef
79.
go back to reference Rosendahl KI, Sundblom E, Schäfer EL. Trajectories of weight disturbances during adolescence in relation to gender in a Swedish cohort. Acta Paediatr. 2012;101:300–7.PubMedCrossRef Rosendahl KI, Sundblom E, Schäfer EL. Trajectories of weight disturbances during adolescence in relation to gender in a Swedish cohort. Acta Paediatr. 2012;101:300–7.PubMedCrossRef
80.
go back to reference Connor Gorber S, Tremblay M, Moher D, Gorber B. A comparison of direct vs. self-report measures for assessing height, weight and body mass index: a systematic review. Obes Rev: Off J Int Assoc Study Obes. 2007;8(4):307–26.CrossRef Connor Gorber S, Tremblay M, Moher D, Gorber B. A comparison of direct vs. self-report measures for assessing height, weight and body mass index: a systematic review. Obes Rev: Off J Int Assoc Study Obes. 2007;8(4):307–26.CrossRef
81.
go back to reference Boström G, Diderichsen F. Socioeconomic differentials in misclassification of height, weight and body mass index based on questionnaire data. Int J Epidemiol. 1997;26(4):860–6.PubMedCrossRef Boström G, Diderichsen F. Socioeconomic differentials in misclassification of height, weight and body mass index based on questionnaire data. Int J Epidemiol. 1997;26(4):860–6.PubMedCrossRef
82.
go back to reference Hayes AJ, Clarke PM, Lung TW. Change in bias in self-reported body mass index in Australia between 1995 and 2008 and the evaluation of correction equations. Popul Health Metrics. 2011;9:53. doi:10.1186/1478-7954-9-53.CrossRef Hayes AJ, Clarke PM, Lung TW. Change in bias in self-reported body mass index in Australia between 1995 and 2008 and the evaluation of correction equations. Popul Health Metrics. 2011;9:53. doi:10.​1186/​1478-7954-9-53.CrossRef
84.
go back to reference Renzaho AM. Fat, rich and beautiful: changing socio-cultural paradigms associated with obesity risk, nutritional status and refugee children from sub-Saharan Africa. Health Place. 2004;10(1):105–13.PubMedCrossRef Renzaho AM. Fat, rich and beautiful: changing socio-cultural paradigms associated with obesity risk, nutritional status and refugee children from sub-Saharan Africa. Health Place. 2004;10(1):105–13.PubMedCrossRef
85.
go back to reference Egger G, Swinburn B. An “ecological” approach to the obesity pandemic. Br Med J. 1997;315(7106):477–80.CrossRef Egger G, Swinburn B. An “ecological” approach to the obesity pandemic. Br Med J. 1997;315(7106):477–80.CrossRef
86.
go back to reference Lobstein T, Dibb S. Evidence of a possible link between obesogenic food advertising and child overweight. Obes Rev: Off J Int Assoc Study Obes. 2005;6(3):203–8.CrossRef Lobstein T, Dibb S. Evidence of a possible link between obesogenic food advertising and child overweight. Obes Rev: Off J Int Assoc Study Obes. 2005;6(3):203–8.CrossRef
88.
go back to reference Rao M, Afshin A, Singh G, Mozaffarian D. Do healthier foods and diet patterns cost more than less healthy options? A systematic review and meta-analysis. BMJ Open. 2013;3:e004277. Rao M, Afshin A, Singh G, Mozaffarian D. Do healthier foods and diet patterns cost more than less healthy options? A systematic review and meta-analysis. BMJ Open. 2013;3:e004277.
90.
go back to reference Brunner EJ, Marmot M. Social organization, stress and health. In: Marmot M, Wilkinson R, editors. Social determinants of health. Oxford: Oxford University Press; 2001. Brunner EJ, Marmot M. Social organization, stress and health. In: Marmot M, Wilkinson R, editors. Social determinants of health. Oxford: Oxford University Press; 2001.
91.
go back to reference Sørensen TIA. Is obesity a healthy active response to an expected futire lack of energy rather than a passive storage of surplus energy? Obes Facts. 2012;5:431–5.PubMedCrossRef Sørensen TIA. Is obesity a healthy active response to an expected futire lack of energy rather than a passive storage of surplus energy? Obes Facts. 2012;5:431–5.PubMedCrossRef
92.
go back to reference Power E. An introduction to Pierre Bourdieu’s key theoretical concepts. J Study Food Soc. 1999;3(1):48–52.CrossRef Power E. An introduction to Pierre Bourdieu’s key theoretical concepts. J Study Food Soc. 1999;3(1):48–52.CrossRef
93.
go back to reference Lopez-Arana S, Burdorf A, Avendano M. Trends in overweight by educational level in 33 low- and middle-income countries: the role of parity, age at first birth and breastfeeding. Obes Rev: Off J Int Assoc Study Obes. 2013. doi:10.1111/obr.12051. Lopez-Arana S, Burdorf A, Avendano M. Trends in overweight by educational level in 33 low- and middle-income countries: the role of parity, age at first birth and breastfeeding. Obes Rev: Off J Int Assoc Study Obes. 2013. doi:10.​1111/​obr.​12051.
94.
go back to reference Sonne-Holm S, Sørensen TIA. Prospective study of attainment of social class of severely obese subjects in relation to parental social class, intelligence, and education. Br Med J (Clinical research ed). 1986;292(6520):586–9.PubMedCentralCrossRef Sonne-Holm S, Sørensen TIA. Prospective study of attainment of social class of severely obese subjects in relation to parental social class, intelligence, and education. Br Med J (Clinical research ed). 1986;292(6520):586–9.PubMedCentralCrossRef
96.
97.
go back to reference Marcus C, Nyberg G, Nordenfelt A, Karpmyr M, Kowalski J, Ekelund U. A 4-year, cluster-randomized, controlled childhood obesity prevention study: STOPP. Int J Obes (Lond). 2009;33(4):408–17.CrossRef Marcus C, Nyberg G, Nordenfelt A, Karpmyr M, Kowalski J, Ekelund U. A 4-year, cluster-randomized, controlled childhood obesity prevention study: STOPP. Int J Obes (Lond). 2009;33(4):408–17.CrossRef
98.
99.
go back to reference White M, Adams J, Heywood P. How and why do interventions that increase health overall widen inequalities within populations? In: Babones SJ, editor. Social inequality and public health. Bristol: The Policy Press; 2009. White M, Adams J, Heywood P. How and why do interventions that increase health overall widen inequalities within populations? In: Babones SJ, editor. Social inequality and public health. Bristol: The Policy Press; 2009.
100.
go back to reference WHO. Population-based prevention strategies for childhood obesity:report of a WHO forum and technical meeting, Geneva, 15–17 December 2009: World Health Organization; 2010. WHO. Population-based prevention strategies for childhood obesity:report of a WHO forum and technical meeting, Geneva, 15–17 December 2009: World Health Organization; 2010.
101.
go back to reference Plachta-Danielzik S, Pust S, Asbeck I, Czerwinski-Mast M, Langnase K, Fischer C, et al. Four-year follow-up of school-based intervention on overweight children: the KOPS study. Obesity (Silver Spring). 2007;15(12):3159–69.CrossRef Plachta-Danielzik S, Pust S, Asbeck I, Czerwinski-Mast M, Langnase K, Fischer C, et al. Four-year follow-up of school-based intervention on overweight children: the KOPS study. Obesity (Silver Spring). 2007;15(12):3159–69.CrossRef
102.
go back to reference Borup I, Holstein B. Social class variations in schoolchildren’s self-reported outcome of the health dialogue with the school health nurse. Scand J Caring Sci. 2004;18:343–50.PubMedCrossRef Borup I, Holstein B. Social class variations in schoolchildren’s self-reported outcome of the health dialogue with the school health nurse. Scand J Caring Sci. 2004;18:343–50.PubMedCrossRef
103.
go back to reference Economos CD, Hyatt RR, Must A, Goldberg JP, Kuder J, Naumova EN, et al. Shape up Somerville 2-year results: a community-based environmental change intervention sustains a BMI z-score decrease in children. Prev Med. 2013. doi:10.1016/j.ypmed.2013.06.001.PubMed Economos CD, Hyatt RR, Must A, Goldberg JP, Kuder J, Naumova EN, et al. Shape up Somerville 2-year results: a community-based environmental change intervention sustains a BMI z-score decrease in children. Prev Med. 2013. doi:10.​1016/​j.​ypmed.​2013.​06.​001.PubMed
Metadata
Title
Social Inequalities in Obesity Persist in the Nordic Region Despite Its Relative Affluence and Equity
Authors
Maria Magnusson
Thorkild I. A. Sørensen
Steingerdur Olafsdottir
Susanna Lehtinen-Jacks
Turid Lingaas Holmen
Berit Lilienthal Heitmann
Lauren Lissner
Publication date
01-03-2014
Publisher
Springer US
Published in
Current Obesity Reports / Issue 1/2014
Electronic ISSN: 2162-4968
DOI
https://doi.org/10.1007/s13679-013-0087-2

Other articles of this Issue 1/2014

Current Obesity Reports 1/2014 Go to the issue

Psychological Issues (M Hetherington and V Drapeau, Section Editors)

Personality Traits in Obesity Associated with Binge Eating and/or Night Eating

Psychological Issues (M Hetherington and V Drapeau, Section Editors)

Neuroendocrine Profile in the Night Eating Syndrome

Psychological Issues (M Hetherington and V Drapeau, Section Editors)

Delayed Timing of Eating: Impact on Weight and Metabolism

Psychological Issues (M Hetherington and V Drapeau, Section Editors)

Nutritional Aspects of Late Eating and Night Eating

Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.