When people think of Italy, they often imagine delicious pasta, fresh tomatoes, and sunny days by the sea. Italy is renowned for its Mediterranean diet, which is rich in healthy foods such as olive oil, vegetables, and fish. That’s why many people are surprised to learn that obesity is becoming a big problem in Italy.
In recent years, more and more Italians are becoming overweight or obese. About 1 in 10 adults in Italy is obese, and nearly half are overweight. Even more worrying is that many children are affected too. Around 1 in 5 children aged 6 to 9 years old is overweight or obese. This makes Italy one of the top countries in Europe for childhood obesity.
So, how did this happen in a country famous for healthy food? This blog will explain:
By the end, you'll see how old traditions and modern lifestyles are clashing—and what we can all learn from Italy's experience.
Even though Italy is known for healthy meals, many adults are now overweight or obese. Studies show that around 45% of adults are overweight, and 10% to 22% are obese. This is lower than in countries like the UK or the USA, but it’s still a big problem.
Doctors say that being overweight means a person is more likely to have health issues like heart disease, type 2 diabetes, or high blood pressure. This is why it’s essential to understand these numbers and work on ways to reduce them.
The numbers are even more concerning when we examine young children. According to a study, about 1 in 5 children in Italy is overweight or obese. In some southern parts of the country, such as Campania, the numbers are even higher, with over 35% of children affected.
Between 2008 and 2016, there was some improvement. The number of overweight children dropped by about 5%, thanks to health campaigns and school programmes. However, many families continue to struggle to make healthy choices every day.
Obesity in Italy varies from region to region. In northern Italy, cities like Milan or Bologna have lower numbers. However, in the south, particularly in places like Naples or Sicily, obesity is significantly more prevalent.
Why? One reason is money. Families with lower incomes often purchase cheaper, processed foods instead of fresh fruits and vegetables. Additionally, parents with lower levels of education may not always be aware of which foods are healthy or how to prepare balanced meals.
Further geographical differences can also be observed: in the South of Italy and the islands, the problem of excess weight has become more widespread, especially among young people. The percentage of overweight children and adolescents in the South and islands, respectively, has been reported to be 31.9% and 26.1%. As you move north, those numbers decline by 22% in Central Italy, 22.1% in the Northeast, and 18.9% in the Northwest.
A less significant geographic difference can be observed among adults: 11.8% are overweight in the South and islands, 10.6% in the North East, 10.2% in the North West, and only 8.8% in Central Italy. There is a significant difference between urban and rural areas in Italy, in addition to the gap between the North and South. As many as 12% of people in small towns (fewer than 2,000 people) are obese, while 8.8% of people in big cities are obese. However, it has been the suburbs (8.2% to 10.9%) and metro areas (6.8% to 8.8%) that have seen the most significant increases in obesity in recent years (2001-2017).
According to the report, there are two other critical trends. In the first case, sedentary lifestyles are prevalent in the North, while in the South, there is a significant divide between them. In general, there is a statistically significant decline in physical activity and sports participation among young adults in southern Italy and on the islands (except for Sardinia), as well as in Sicily and Campania, with particularly notable declines in Sicily (42%), Campania (41.3%), and Calabria (40.1%). Furthermore, it appears that education also plays a significant role in determining obesity rates. A degree in higher education is a safeguard against obesity, particularly in preventing it. The number of obese people with college diplomas stands at 6.6%, while the number rises to as much as 14.2% for those with only a middle school diploma. In addition, 18.5% of parents with college degrees are obese in comparison to 29.5% of the children of parents with little formal education. Likewise, 29.5% of parents with children who have no college degrees are obese.
In the past, Italians were renowned for their healthy eating habits and ability to stay slim. This is because many followed the Mediterranean diet. This way of eating includes a variety of vegetables, fruits, olive oil, fish, beans, and whole grains, such as pasta and rice.
Italians also eat smaller portions than people in countries like the United States. On average, they consume around 200 fewer calories a day than Americans (source). And even though pasta is a big part of Italian meals, a study shows that eating pasta does not make people fat. It can be part of a healthy diet when consumed in moderation.
Italians don’t just stay healthy by eating well; they also engage in physical activity throughout the day. Many people walk or ride bikes to school, work, or the shops. In cities and small towns, walking is a common and regular activity. Even older people walk regularly instead of driving or taking buses. This everyday movement helps keep people active and prevent weight gain.
In many Italian families, mealtime is a special occasion. People eat together at the table, talk, and enjoy their food. They don’t rush or eat in front of the TV. Eating slowly helps people feel full without overeating. Children also learn good eating habits from their parents.
This tradition of slow, shared meals has helped Italians maintain their health for many years.
These healthy habits helped Italy stay slim in the past. But now, things are changing. In the next part, we’ll look at why more people in Italy are becoming overweight.
Even though Italians used to eat very healthily, more people in the country are now becoming overweight or obese. Let’s look at some of the main reasons why this is happening:
Today, many people in Italy eat more junk food than they did in the past. Junk food includes items such as chips, sweets, fast food, and sugary beverages like cola and lemonade. These foods may taste good, but they contain excessive amounts of fat, sugar, and salt—and offer little nutritional value.
Big companies often show adverts on TV and online to get children to want these foods. This makes it harder for families to say no.
In some parts of Italy, especially in the south, families don’t always have enough money to buy fresh fruit, vegetables, and fish. These healthy foods can be more expensive than frozen meals or packaged snacks. When people are on a tight budget, they often choose cheaper food, even if it isn’t good for their health.
Many children today spend excessive time on screens, such as watching television, playing video games, or using tablets. This means they are not moving enough or playing outside as much as they used to.
When children sit for hours and also eat unhealthy snacks, they are more likely to gain weight.
In southern Italy, traditional foodways are evolving. Many families now eat fast food, such as pizza with chips or hot dogs. Some children don’t eat home-cooked meals at all. This is quite different from the healthy foods that Italian families used to enjoy on a daily basis.
As you can see, modern life is making it increasingly difficult for Italians to maintain their health. In the next section, we’ll examine the impact of obesity on individuals' health and its associated economic costs to the country.
Being overweight isn’t just about how someone looks. It can make people sick and also cost the country a significant amount of money. Let’s examine the impact of obesity on health and its effects on Italy’s hospitals and budget.
People who are overweight or obese can get serious health problems, such as:
Obesity can also make it difficult to sleep, breathe, or perform simple tasks like walking or climbing stairs. Many people feel tired or sad and may not feel good about themselves. These problems can make life more complex and less enjoyable.
Children who are overweight can also have health problems, both now and when they grow up. That’s why it’s so important to eat well and stay active.
Obesity doesn’t just affect people’s health; it also affects the whole country. In 2020, obesity and the diseases it causes cost Italy over €13 billion. This includes money spent on:
When more people are sick, the country has to spend more money on healthcare. It also means that doctors and nurses have less time to attend to other patients.
Obesity is not just a personal problem; it’s a significant health issue for the whole country. That’s why Italy is working on ways to help people maintain their health. In the next section, we’ll examine the government's response to this issue.
Why is childhood obesity increasing in Italy?
Childhood obesity in Italy is rising due to more junk food, less physical activity, and too much screen time. In some areas, especially in southern Italy, children are eating more fast food and fewer home-cooked meals.
What are the leading causes of obesity in Italy?
The leading causes of obesity in Italy include poor diet choices, lack of exercise, and increased screen time. Economic factors and the decline of traditional eating habits also contribute to Italy's growing obesity crisis.
How does the Mediterranean diet help prevent obesity?
The Mediterranean diet helps prevent obesity because it’s rich in vegetables, fruits, whole grains, and healthy fats. Italians who follow traditional Mediterranean food habits typically eat smaller portions and tend to stay healthier.
Is obesity worse in southern Italy?
Yes, obesity in southern Italy is more common than in the north. This is often linked to lower income, less education about healthy eating, and fewer local health programs focused on preventing childhood obesity in southern Italy.
What is the Italian government doing to stop obesity?
The Italian government is utilizing national health programs, such as OKkio alla Salute and the National Prevention Plan, to monitor and reduce obesity. These programmes focus on education, healthy school meals, and promoting physical activity.
How much does obesity cost the Italian healthcare system?
Obesity costs Italy’s healthcare system over €13 billion each year. This includes the cost of treating diseases linked to obesity, such as diabetes and heart problems, and also money lost when people are too sick to work.
Can pasta be part of a healthy diet in Italy?
Yes, pasta can be part of a healthy Italian diet if eaten in small portions with vegetables and olive oil. Studies have shown that traditional pasta meals are not associated with weight gain and can be incorporated into a balanced Mediterranean-style diet.
Obesity in Italy is a growing problem that affects both children and adults. Even in a country known for its healthy Mediterranean diet, modern habits such as consuming more junk food, sitting for too long, and being less active are contributing to weight gain. The good news is that by making small changes, like eating balanced meals, walking more, and spending less time on screens, families can build healthier lifestyles. If you or someone you know is struggling to lose weight or just needs support to stay on track, Weight Loss Coach can help. Our expert team offers personalised advice and simple steps to guide you towards a healthier, happier life.