Regulatory strategies for preventing obesity and improving public health

Gill, Timothy; Pomeranz, Jennifer L.; Roberto, Christina A.; Soo, Jackie

doi:10.1533/9781782420996.5.277

Managing and Preventing Obesity 2015

DOI: 10.1533/9781782420996.5.277

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Regulatory strategies for preventing obesity and improving public health

Timothy Gill

Jennifer L. Pomeranz²,

Christina A. Roberto

et al.

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2017

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Cited by 1 publication

References 67 publications

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Assessing the impact of adjusting for maturity in weight status classification in a cross-sectional sample of UK children

et al. 2017

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ObjectivesTo compare the weight categorisation of a cohort of UK children using standard procedures (ie, comparing body mass index (BMI) centiles to age-matched UK reference data) versus an approach adjusted for maturation status (ie, matching relative to biological age).DesignAnalysis of data collected from an observational study of UK primary school children.SettingSchools in South West England.ParticipantsFour hundred and seven 9–11 year-old children (98% white British).Main outcome measuresWeight status was classified using BMI centiles using (1) sex and chronological age-matched referents and (2) sex and biological age-matched referents (based on % of predicted adult stature) relative to UK 1990 reference growth charts. For both approaches, children were classified as a normal weight if >2nd centile and <85thcentile, overweight if 85th and <95thcentiles, and obese if ≥95thcentile.ResultsFifty-one children (12.5%) were overweight, and a further 51 obese (12.5%) according to standard chronological age-matched classifications. Adjustment for maturity resulted in 32% of overweight girls, and 15% of overweight boys being reclassified as a normal weight, and 11% and 8% of obese girls and boys, respectively, being reclassified as overweight. Early maturing children were 4.9 times more likely to be reclassified from overweight to normal weight than ‘on-time’ maturers (OR 95% CI 1.3 to 19).ConclusionsIncorporating assessments of maturational status into weight classification resulted in significant changes to the classification of early-maturing adolescents. Further research exploring the implications for objective health risk and well-being is needed.

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Assessing the impact of adjusting for maturity in weight status classification in a cross-sectional sample of UK children

et al. 2017

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Regulatory strategies for preventing obesity and improving public health

Cited by 1 publication

References 67 publications

Assessing the impact of adjusting for maturity in weight status classification in a cross-sectional sample of UK children

Assessing the impact of adjusting for maturity in weight status classification in a cross-sectional sample of UK children

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