An epidemiological transition is occurring in Tunisia. Prevalence of diabetes has increased from 2.3% in 1977 to 6.4% in 1990 and reached 10 to 15% in 2000. Increased diabetes prevalence is rising hand-in-hand with obesity, which represents an important risk factor of type 2 diabetes.
The prevalence of childhood obesity has increased worldwide during recent decades. Current prevalence of overweight and obese children was respectively 23.7% and 5.1% among girls and 21.1% and 7% among boys in the region of Sousse, Tunisia. Additionally, a cohort study demonstrated the stability of obesity among these children in the region.1 The importance of prevention and management of excess of weight at an early age before chronic problems develop are critical.