Methodological limitations in measuring childhood and adolescent obesity and overweight in epidemiological studies: does overweight fare better than obesity?

Public Health Nutrition

Joy Ngo¹  Lluís Serra-Majem¹  Lourdes Ribas-Barba¹  Carmen Pérez-Rodrigo¹  Javier Aranceta¹ 

关键词: Obesity;    Overweight;    Children;    Adolescent;    Spain;   

DOI  :  10.1017/S1368980007000584

学科分类：卫生学

来源: Cambridge University Press

【 摘 要 】

ObjectivesInternational definitions of childhood obesity based on body mass index (BMI) are intended to be used for international comparisons of obesity prevalence. In general, they are not appropriate to be used in clinical practice. The objective of this study is to compare international-ecological vs. national-clinical reference data of obesity in Spain, as well as to describe trends.DesignCross-sectional study from a representative national random sample of Spanish children and youth conducted between 1998 and 2000. Prevalence estimates of obesity in a national random sample of Spanish children and youth are presented in this paper, defined by age- and sex-specific BMI national reference standards for the 85th percentile (overweight) and 95th percentile (obesity), as well as by Cole et al. criteria. The study protocol included personal data, data on education and socio-economic status for the family and anthropometric measurements.SettingPopulation-based study set in Spain.SubjectsA random sample of 3534 individuals, aged 2–24 years.ResultsPrevalence of obesity using national reference data was higher (15.3%) than using international data (5.8%), but overweight rates were similar. Agreement observed for both definitions was low for obesity but higher for overweight. Obesity trends among children and adolescents in Spain show increasing patterns in boys but not in girls.ConclusionsResults indicate the need to standardise the definitions of obesity and overweight in childhood and recommend the use of overweight due to the greater degree of agreement observed among the different methods used. The IOTF reference method underestimates obesity rates in Spanish schoolchildren.

【 授权许可】

Unknown