Using different growth references to measure thinness and overweight among Swedish primary school children showed considerable variations

Nilsen, Bente B.; Yngve, Agneta; Sjöberg, Agneta; Moraeus, Lotta; Lissner, Lauren; Werner, Bo

doi:10.1111/apa.13400

Cited by 12 publications

(15 citation statements)

References 21 publications

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“…22.5% of children were identified as overweight or obese according to the IOTF classification, compared with 28.4% according to the WHO definition. Similar to the results reported herein, other studies also showed variations in the prevalence of overweight or obesity when using different weight classifications [16,17,18,19]. In this study, the prevalence of overweight was by 2.8% higher in girls and by 0.8% higher in boys according to the WHO definition, while the rate of obesity was by 2% higher in girls and by 6.1% higher in boys compared to the IOTF criteria.…”

Section: Discussionsupporting

confidence: 88%

Weight Status of 7-Year-Old Hungarian Children between 2010 and 2016 Using Different Classifications (COSI Hungary)

Kovács¹,

Bakacs²,

Kaposvári³

et al. 2018

Obes Facts

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Aims: To describe the prevalence of thinness, overweight, and obesity in Hungarian children (age 7.0-7.9 years) according to different classifications, to assess the progress between 2010 and 2016, and to investigate whether tendencies differ according to gender. Methods: A national representative sample was generated by two-stage cluster sampling, and a total of 2,651 children (50.9% boys; age 7.49 ± 0.3 years) were measured (weight and height) in October 2016. Population estimates were calculated using the WHO, IOTF, and national cut-offs. Results: Prevalence of thinness (including grade 1 and 2) was 12.6% based on the IOTF criteria and 15.6% based on the WHO definition. 22.5% of children were identified as overweight or obese according to the IOTF classification, compared with 28.4% according to the WHO definition. Between 2010 and 2016, each classiﬁcation indicated possible stability in overweight and obesity prevalence. In contrast, the prevalence of thinness grade 2 almost doubled in 6 years according to all definitions (p < 0.05). No significant gender difference was observed in the progress. Conclusion: Overweight and obesity appeared to be stable over 6 years, but we detected growing thinness rates. Routine collection of high-quality data that are based on standardized and comparable methods is essential to monitor the childhood obesity problem.

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Section: Discussionsupporting

confidence: 88%

Weight Status of 7-Year-Old Hungarian Children between 2010 and 2016 Using Different Classifications (COSI Hungary)

Kovács¹,

Bakacs²,

Kaposvári³

et al. 2018

Obes Facts

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“…Recent studies from high and middle-income countries such as Sweden (16.5–25.7%) [24], India (11.7%) [25], China (14.3–20%) [26] and Nigeria (15.5%) [27] clearly shows an alarmingly high percentage of obesity among pre-adolescent age group. However, more children in the same age group are reported as having low BMI for age in studies from low income countries such as Sudan [28], Tanzania and Burma [29].…”

Section: Discussionmentioning

confidence: 99%

Nutritional status among primary school children in rural Sri Lanka; a public health challenge for a country with high child health standards

et al. 2017

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BackgroundNutritional status of pre adolescent children is not widely studied in Sri Lanka. The purpose of this study was to determine the nutritional status among pre-adolescent school children in a rural province of Sri Lanka.MethodsA school based cross sectional study was carried out in North Central Province in 100 rural schools, selected using multi stage cluster sampling with probability proportionate to size. Children in grade one to five were enrolled with a maximum cluster size of fifty. Anthropometric measurements were done by trained data collectors and venesection was done at site by trained nurses. WHO AnthoPlus was used to calculate the BMI, height for age and weight for age Z scores. Survey design adjusted prevalence estimates with linearized standard errors were generated using svy function of STATA. Mean haemoglobin concentration (Hb) was calculated using methaeamoglobin method. Screening for iron deficiency and thalassemia trait was done using peripheral blood films.ResultsHeight and weight measurements were done for 4469 of children and the Hb data was available for 4398 children. Based on the survey design adjusted estimates, prevalence of severe thinness, thinness, overweight and obesity in this population was 8.60% (SE 0.94), 2.91%(SE 0.74), 2.95%(0.26) and 2.43%(SE 0.92) respectively. Similarly, survey design adjusted prevalence of underweight and stunting were, 25.93% (95% CI 24.07–27.89%) and 43.92%(95% CI 40.55–47.56%). Adjusted mean estimates for hemoglobin was 12.20 (95% CI 12.16–12.24) g/dL. Prevalence of anemia was 17.3% (n = 749). Prevalence of mild and moderate anemia was 9.4 and 7.6% respectively.ConclusionThis study confirms that malnutrition is still a major problem in North Central Province, Sri Lanka.

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“…However, it was not until 2007 that Cole and co-workers proposed international cut-offs for childhood overweight, obesity and thinness (International Obesity Task Force (IOTF)) (9) , thus providing a criterion that makes thinness prevalence countable and comparable. According to national studies using the original or revised IOTF reference system (10) , thinness prevalence in young school-aged children in European countries ranges from 1-4 % in Portugal, France and Ireland (11)(12)(13) , to 6-9 % in England, Sweden, the Netherlands and Lithuania (14)(15)(16)(17)(18) . As reported by the IDEFICS study (19) , thinness prevalence in children aged 2•0-9•9 years from eight European countries (Sweden, Germany, Hungary, Italy, Cyprus, Spain, Belgium, Estonia) varied from 5•7 % in Italian boys to 16•6 % in Hungarian girls.…”

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confidence: 99%

Thinness in young schoolchildren in Serbia: another case of the double burden of malnutrition?

Djordjic¹,

Jorga²,

Radisavljević³

et al. 2017

Public Health Nutr.

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Using different growth references to measure thinness and overweight among Swedish primary school children showed considerable variations

Abstract: Using four different growth references, two international and two Swedish, produced wide variations in the prevalence of thinness and overweight, together with significant gender differences. In the absence of a global definition, we need both national and international growth references.

Cited by 12 publications

References 21 publications

Weight Status of 7-Year-Old Hungarian Children between 2010 and 2016 Using Different Classifications (COSI Hungary)

Weight Status of 7-Year-Old Hungarian Children between 2010 and 2016 Using Different Classifications (COSI Hungary)

Nutritional status among primary school children in rural Sri Lanka; a public health challenge for a country with high child health standards

Thinness in young schoolchildren in Serbia: another case of the double burden of malnutrition?

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