Hungary – Lowest life expectancy linked with high CVD mortality – prevention essential

The low life expectancy is mainly due to high mortality rate from cardiovascular diseases. The development of cardiovascular diseases start in childhood especially in an obesogenic environment. The early manifestation of vascular disease has been recently reported in a 2-year-old morbidly obese boy (Eur J Pediatr 166: 37, 2007)

The prevalence of childhood obesity has been increasing all over the world and Hungary is not an exception either. The prevalence of overweight in Hungary is between 9 and 19 percent depending on age and gender. This means that the prevalence has doubled in some age categories since the eighties. Lifestyle changes are to be blamed for this steep increase (see Table below).

Lifestyle changes in Hungary between 1987 and 2000

Factor 1987 2000
Watching TV 35-45 min per day 69-84 min per day
Regular meals per day 4-5 2-3
Phys act classes in a week 3-5 2
Weekly physical activity out of school 3-3.8 hr 1-1.5 hr
Budapest: Hungarian Central Office of Statistics; 2002. p 58-94
Childhood obesity can be prevented on a population level with the concerted action of the family, educational system, governments, food industry, mass media and civil society. There is an urgent need for specific actions both at national and European levels in regard to succeed in fighting childhood obesity and preventing later consequences. Prevention has to start as early as intrauterine life and continue throughout childhood and adolescence.