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A lot of factors lead to the development of overweight and obesity in children. This article highlights that in this context, preventing childhood obesity must be at the core of the various agencies’ priorities such as food industry, stores, parents, schools, authorities as well as advertising agencies.

A critical examination of the existing literature led to a considered evaluation of the EPODE programme.

Preventing childhood obesity needs collaboration between all the concerned parts through a common project.

The evaluation of the programme would benefit from a systematic analysis of investment and measurable outcomes. There are important implications for planning public policy in local communities as identification of relevant stakeholders should be considered from the outset.

The EPODE case is a uniquely French programme that included almost all the town community (government, school, children, parents, food and drink manufactures, etc) through a common objective: preventing childhood obesity.

The purpose of this paper is to assess the association between socioeconomic status and child overweight/obesity in Portugal and to evaluate income-related inequalities in its distribution.

Data come from the last Portuguese National Health Survey (2005/2006) – sample of 6,903 observations. To define child overweight/obesity, the International Obesity Task Force cut-offs for body mass index (BMI) were used; the logistic regression analysis was adopted to explain the risk of overweight/obesity and inequality was measured by means of concentration curve and index.

The evidence obtained points to income-related inequalities in child overweight/obesity favourable to the better-off. The probability of child overweight/obesity was lower for higher income households, but up to a certain point a positive association between income and caloric food intake was found. The concentration index obtained was −0.072 (p-value<0.001).

Some data limitations, no information on: physical exercise; sleeping habits; parents’ education and BMI; age is coded in groups. Although the data are from 2005/2006, the current analysis is useful to future works aiming to discuss the impact of the economic and financial crisis which occurred after these data were collected.

It is important to tailor policies targeting child obesity/overweight in order to tackle not only the prevalence of this disease but also its distribution.

Drawing attention on inequalities in child obesity/overweight in Portugal as the vast majority of studies have focussed on prevalence. The middle income effect is an issue raised in this work which deserves further investigation.

This paper aims to provide a summary of current policy and research related to pre‐school overweight and obesity, and to provide a rationale for why early years settings are being placed at the forefront of strategies to address the problem.

The paper is based on a narrative review of current research, policy and practice.

Today 22.9 per cent of four and five year olds are overweight or obese. The Healthy Weight, Healthy Lives strategy is a cross‐government initiative, which aims to make England the first major country to reverse the obesity epidemic. The pre‐school period represents a critical time for interventions, which could prevent excess weight gain and its associated physical and psychological damage to health.

Practitioners in early years settings have a significant contribution to make to promoting the healthy weight of children.

Concerns about overweight in childhood have received much attention. This paper seeks to raise awareness of the importance of the pre‐school period, and to provide a useful review of current research, policy and sources of support for those who are best placed to address the issue.

Obesity in children in many developing countries has increased substantially over the last several decades. This change has implications for population health and human capital due to the strong persistence in weight through adulthood and the large social costs of a growing number of unhealthy individuals. As suggested by many educational interventions, targeting health status during early childhood may be more efficient and equitable due to accumulation of effects. Thus, examining the primary sources of obesity and obesity disparities is important, including focuses on school, family, and community factors, among others. Recent evidence has suggested that racial differences in obesity status occur before school age and are difficult to explain. However, this chapter shows that with nationally representative data, the differences can be explained and point to poverty, family structure, and home language rather than race as focal factors for future interventions. Suggestive evidence is also provided that parental investments in physical activities are associated with early-childhood weight status.

The aim of this paper is to qualitatively examine the ways in which primary school children, aged between 7 and 12, perceive various facets of obesity as defined by the common sense model of illness representation (CCM).

The study was qualitative in nature. Semi‐structured interviews were conducted with 33 children on all dimensions of the CSM. Twenty four children were normal weight and nine were overweight. A drawing task formed the methodology for the “identity” section of the interview.

Although children identified food intake as a main cause of obesity, almost half did not name sedentary behaviours as a cause of obesity. Duration (timeline) of obesity was regarded by most children as reliant on a person's undertaking of positive health behaviours. Normal weight children were found to list more severe consequences of obesity than the overweight group. It was found that experience contributed to the detailed knowledge of overweight children's perceptions of cures of obesity. Overweight children also spoke of personal incidents of barriers to cures.

The findings suggest that the CSMs can be used to classify children's perceptions of obesity. Future childhood obesity interventions can utilise these findings to create campaigns and strategies that are more consistent with children's understandings of this condition.

To the authors' knowledge, no previous study has examined children's perceptions of obesity beyond perceived causes.

The purpose of this paper is to examine the prevalence of obesity/overweight using higher body mass index (BMI), assess racial/ethnic variance in overweight/obese prevalence, and to determine whether or not insurance status explains the variance.

A cross-sectional design was used to assess medical records of children in Nemours Healthcare System during 2011. The authors reviewed the records and extracted information on normal BMI, BMI percent, higher BMI, prevalence of overweight/obese and other variables as well as race and ethnicity. χ2 statistic, Fischer's exact and logistic regression model were used to examine the data.

Overall, the prevalence of higher BMI as overweight/obese was comparable to that of the US pediatric population, 33.4 percent. Compared to Caucasian/white, Asians were less likely to have higher BMI, prevalence odd ratio (POR)=0.79, 95 percent CI=0.70-0.90, but Blacks/African Americans (POR=1.22, 95 percent CI=1.18-1.27) and Some other Race were more likely to have higher BMI, POR=1.61, 95 percent CI=1.92-1.71. After controlling for insurance status, the racial disparities in higher BMI persisted; p<0.0001.

Racial/ethnic disparities exist in childhood higher BMI, which were not removed after controlling for insurance coverage as a surrogate for socioeconomic status. These findings are indicative of assessing sex, religious, dietary patterns, physical activities level, environmental resources, social media resources; and geographic locale as confounders in race/ethnicity and higher BMI association.

Understanding the predisposing factors to obesity/overweight among diverse populations is essential in developing and implementing intervention programs in addressing this epidemic in our nation.

The purpose of this paper is to show that, as a factor in the socialization of children, school can play a major mediating role in the reduction of the prevalence of childhood obesity through school programs aimed at promoting healthy and well‐balanced food intake.

The paper is an exploratory study with children and parents, using semi‐directive interviews.

The findings indicate that parents modified their own eating habits – and consequently that of all the family – by taking into account information acquired by the children in their school context. This change in the family food habits operated through a learning mechanism called “reverse socialization” where children transmit knowledge and consumption skills to their parents.

A small sample size was used and results should be considered as indicative.

The paper provides suggestions for public and private agencies and actors to better target their messages in order to reduce child obesity prevalence by promoting school programmes aimed at reducing child obesity.

The paper shows that reverse socialization is a sociological concept not often included in consumer behaviour research and has not yet been applied to food habits.

Looks at the important health issue of obesity, focusing on the often‐neglected scientific evidence on its causes, and possible links between obesity and advertising. Covers attitudes to physical activity and diet, the failure of Europeans to match recommended levels of activity, family eating habits and their effects on children, the importance of habit regarding fat consumption, the role of genetics, socio‐economic status in developed and developing countries, and the role of advertising. Concludes that the literature confirms that obesity is multi‐factorial, and that there is no direct evidence of a causal relationship between food advertising and obesity levels.

The aim of this literature review is to summarise and synthesise the research base concerning childhood obesity and physical activity, particularly in relation to teachers and schools and within a policy context of the UK. The review investigates childhood obesity, physical activity, physical education, the role of teachers, the role of schools and physical activity in the classroom.

A literature review was undertaken involving selection of primary research and other systematic reviews. A computer search was performed using a combination of keywords including: obesity, prevention, intervention, preventive, teachers, schools, healthy schools, role models, physical activity, physical education, active school, active classroom. The review also includes samples of media coverage of the issue.

This review highlights the complex and ambiguous nature of the evidence in relation to this important contemporary issue.

A limited understanding of childhood obesity is evident from the review and this precludes definitive conclusions in relation to almost all aspects of the agenda. More quality research is needed in almost all areas of the topic, including areas such as the engagement of schools and teachers.

The purpose of this paper is to investigate excess body weight and abdominal obesity in relation to selected psychosocial characteristics such as self-perception, self-esteem and anxiety, in primary school children.

A school-based cross-sectional study was conducted with a total of 528 students 10-12 years of age, randomly selected, from the area of Athens, Greece. The Greek versions of the self-perception profile for children (SPPC) and the state-trait anxiety inventory for children (STAI-C) questionnaires have been used to determine the children’s self-perception/self-esteem and the status of anxiety, respectively. Standard anthropometric measurements were also taken. Pearson correlation coefficient was used to test for possible linear correlations between data variables. One-way ANOVA and independent t-test were used to determine statistically significant differences between the means of children’s body mass index (BMI) – abdominal obesity groups. For multiple comparisons, Bonferroni post-tests were run.

Overweight and obese children and children with abdominal obesity had lower scores in all of the domains of SPPC self-perception, the SPPC global self-esteem and the STAI-C anxiety levels in comparison to normal weight children. BMI and abdominal obesity correlated negatively with each one of the five domains of the SPPC self-perception (p < 0.001) and the SPPC global self-esteem (p < 0.001) and positively with the STAI-C anxiety levels (p < 0.005). One-way ANOVA and independent t-test revealed statistically significant differences between the means of children’s BMI and abdominal obesity groups in all the domains of SPPC self-perception (p < 0.001), the SPPC global self-esteem (p < 0.001) and the STAI-C anxiety levels (p < 0.005). There were no gender differences in the psychometric characteristics assessed in this study.

Primary school children with excess body weight and abdominal obesity have increased anxiety levels and they score lower in key psychosocial characteristics, in comparison to normal weight children.