Pizza, pasta, potatoes, protein - how Italian children became so overweight
Daily life is not easy for Salvatore. At 17, he weighs 170kg (26st 10lb) and struggles to walk. He can't tie his own shoelaces and
Daily life is not easy for Salvatore. At 17, he weighs 170kg (26st 10lb) and struggles to walk. He can't tie his own shoelaces and his Vespa scooter strains to bear his weight - in one week, its wheels broke seven times. "He eats constantly," says his mother Anna. Salvatore is among a growing number of Italian children and teenagers living with obesity. The problem is particularly acute in the south: in parts of the Campania region, more than 40% of eight and nine-year-olds are overweight.
The town of Ponticelli, on the outskirts of Naples, has earned the unenviable reputation as one of the world's child obesity capitals. It is a striking development in a country long regarded as the spiritual home of the Mediterranean diet. Yet today, Italian children are among the most overweight in Europe, according to the World Health Organization (WHO). Salvatore is waiting for life-changing surgery at the Betania Hospital in Ponticelli, where Dr Sonja Chiappetta has spent 15 years treating patients with severe obesity.
Until recently, she says, most of her patients were in their fifties. "Now I see those same patients when they're teenagers, as young as 16. They are getting younger, and it's frightening." The surgery she carries out removes up to 90% of the stomach - meaning people are unable to eat large quantities of food. Demand has risen sharply in this part of Italy. But Salvatore has been told he cannot get the operation.
His weight is so excessive it makes the surgery too dangerous. Instead, Dr Chiappetta has prescribed him a GLP-1 weight-loss injection to reduce his appetite and help him lose enough weight for the operation.
