Early detection of childhood obesity through extended routine growth monitoring of children below two years of age in the Asia Pacific region.

World Nutrition Journal

Leilani Muhardi²  Hamid Jan b. Jan Mohamed⁴  Eline M van der Beek⁶  Ngee Lek⁷  Marieke Abrahamse-Berkeveld⁸  V P Wickramasinghe⁹  Wendy oddy^1,10 

[1] and Assistant Professor, Duke-NUS Medical School, National University of Singapore;Danone Nutricia Early Life Nutrition-Indonesia;Department of Paediatrics, University of Colombo, Sri Lanka.;Nutrition and Dietetics Program, School of Health Sciences, Universiti Sains Malaysia, Malaysia;Professorial Research Fellow, Nutritional Epidemiology, Menzies Institute for Medical Research, University of Tasmania, Australia;Research Director, Nutricia Research, Utrecht, The Netherlands. Professor, Nutritional Programming, Department of Pediatrics, University Medical Center Groningen, The Netherlands.;Senior Consultant, Department of Paediatrics, KK Women'Senior Team Leader, Developmental and Physiology, Nutricia Research, Utrecht, The Netherlands.;s Hospital, Singapore;s and Children'

关键词: early life;    children;    obesity;    four skinfold thickness;   

DOI  :  10.25220/WNJ.V02.i1.0004

学科分类：卫生学

来源: Indonesian Nutrition Association

【 摘 要 】

IntroductionIncreased body fat deposition during early life predisposes to higher obesity and metabolic disorder risks in later life. This is particularly relevant in the Asia Pacific region where historically prevalent under-nutrition is now been paralleled or even overruled by over-nutrition over the last few decades. This overview aims to evaluate the potential of early detection of obesity (risk) among experts through addition of specific growth monitoring assessments in children during the first two years of life.MethodsA discussion among experts from Malaysia, Singapore, Sri Lanka and Australia on infant growth and a qualitative evaluation of current practice highlighted the need to measure body composition to assess the quality of growth. Current tools are mainly directed towards simple anthropometric measures such as body weight, length and head circumference which do not adequately reflect concurrent changes in body composition to detect early life adiposity development. Recent findings have shown benefits of measurement such as the sum of four skinfold thickness (S4SFT) during the first two years of life for risk assessment of later overweight/obesity. We recommend this assessment for routine practice as a proxy for fat deposition in young children. Further studies to understand implementation hurdles and cost-effectiveness of S4SFT and health outcomes in young children in the Asia Pacific region are necessary.ConclusionInclusion of four skinfold thickness measurements as part of routine growth monitoring assessment, in addition to weight and height, could be recommended to assess adiposity development in early life allowing identification of infants at risk for obesity.

【 授权许可】

CC BY-NC-SA