Italy’s child obesity time-bomb

意大利儿童肥胖的定时炸弹

The Documentary Podcast

2026-07-21

27 分钟
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Children who are so obese they’re banned from their local gyms. Two and three year olds who are so used to juice and fizzy drinks they find it difficult to drink water. This is the child obesity epidemic hitting Italy. The country is often considered the spiritual home of the fabled mediterranean diet, celebrated as the secret to a long, healthy life. But Italy’s children are now the second most overweight in the EU. The reasons for this change in a generation are complex and hotly disputed. Experts are putting it down to a daily diet heavy in pasta, pizza, potatoes, bread and meat proteins. Parents say their teenage children are eating a family dinner then going out to binge on fast food. Others accuse the parents themselves of overindulging their children from an early age. Italy is acting. It recently became one of the first countries in the world to formally recognise obesity as a chronic disease. Twenty five secondary schools in the Campania region of Southern Italy, including Naples, will take part in an ambitious clinical trial to try and get their pupils to eat more healthily in a bid to prevent a looming health crisis. Can Italy turn its child obesity crisis around? And what lessons does its experiment hold for other countries struggling with the same problem? Sofia Bettiza reports from Naples. Producer: Bob Howard Sound engineer: James Beard Production coordinator: Gemma Ashman Editor: Penny Murphy (Image: Medical assistant weighing young girl at the university hospital in Naples, Italy. Credit: Sofia Bettiza/BBC).
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  • I'm Sofia Bettica and you're listening to the documentary from the BBC World Service.

  • In this edition of Assignment, I'm in Naples, the biggest city in southern Italy.

  • This whole area is suffering from an obesity crisis, with children here amongst the most overweight in Europe.

  • What's gone wrong and can it be fixed?

  • This is the Betania Hospital, a busy health facility in a suburb of Naples, the largest city in southern Italy.

  • It's at the forefront of dealing with an obesity epidemic for Italian children.

  • Salvatore is 16 and is here at the hospital with his mum, Anna.

  • He's morbidly obese.

  • That means, without change, his weight poses a significant risk to his health and life expectancy.

  • I can't even sign him up for the gym because he's so obese.