PMID- 14758345
OWN - NLM
STAT- MEDLINE
DCOM- 20041014
LR  - 20140603
VI  - 28
IP  - 7
DP  - 2004 Jul
TI  - Association between stunting and overweight among 10-15-y-old children in the 
      North West Province of South Africa: the THUSA BANA Study.
PG  - 842-51
AB  - OBJECTIVE: To investigate the relationship between stunting and overweight among 
      10-15-y-old children of the North West Province in South Africa. DESIGN: A single 
      cross-sectional study design was used. The study formed part of the THUSA BANA 
      project. SUBJECTS: The total study population of the THUSA BANA project comprised 
      of 1257 randomly selected subjects, aged 10-15 y. MEASUREMENTS: Stunting was 
      described as the height below the 5th percentile for age using the CDC standard 
      percentiles. Furthermore, the definitions of overweight and obesity according to 
      the International Obesity Task Force (IOTF) were used, where the cutoff points 
      for body mass index (BMI) corresponds with the adult BMI of 25 and 30, 
      respectively. Anthropometrical variables namely triceps (TSF) and subscapular 
      skinfolds (SSF), waist circumference, weight, height and BMI of the 10-15-y-old 
      subjects were analysed. RESULTS: Stunting was most prevalent in the rural areas 
      (girls 23.7% and boys 26.7%) compared with urban areas (girls 11.6%, boys 17.1%). 
      The odds ratio and the 95% CI for the association between stunting and overweight 
      in boys and girls were 0.45 (CI 0.16, 1.30) and 0.50 (CI 0.21, 1.19) 
      respectively. Stunted children, 10-14-y-old and living in rural areas and 
      informal settlements, had significantly lower mean BMI and skinfold thicknesses 
      than nonstunted children. The mean BMI and sum of TSF and SSF (TSF+SSF) were 
      similar in stunted and nonstunted children living in urban areas. CONCLUSION: 
      There is no significant association between stunting and overweight in 
      10-15-y-old children in the North West Province. However, there is a tendency for 
      girls older than 14 y to start to gain subcutaneous fat, even though at these 
      ages they were still stunted and underweight. Stunted girls in established urban 
      areas had a higher mean TSF+SSF than stunted girls in informal townships. This 
      tendency in urban stunted girls is evident at the onset of menarche and could 
      predict possible problems of overweight as they get older.
FAU - Mukuddem-Petersen, J
AU  - Mukuddem-Petersen J
AD  - School of Physiology, Nutrition and Consumer Science, Potchefstroom University, 
      Potchefstroom, South Africa. vgejmp@puknet.puk.ac.za
FAU - Kruger, H Salome
AU  - Kruger HS
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - England
TA  - Int J Obes Relat Metab Disord
JT  - International journal of obesity and related metabolic disorders : journal of the 
      International Association for the Study of Obesity
JID - 9313169
SB  - IM
MH  - Adolescent
MH  - Age Distribution
MH  - Anthropometry
MH  - *Body Height
MH  - Body Mass Index
MH  - Child
MH  - Cross-Sectional Studies
MH  - Female
MH  - Growth Disorders/*complications
MH  - Humans
MH  - Male
MH  - Menarche
MH  - Obesity/*complications/ethnology
MH  - Prevalence
MH  - Sex Distribution
MH  - South Africa/epidemiology
MH  - Urban Health
EDAT- 2004/02/06 05:00
MHDA- 2004/10/16 09:00
CRDT- 2004/02/06 05:00
PHST- 2004/02/06 05:00 [pubmed]
PHST- 2004/10/16 09:00 [medline]
PHST- 2004/02/06 05:00 [entrez]
AID - 0802586 [pii]
AID - 10.1038/sj.ijo.0802586 [doi]
PST - ppublish
SO  - Int J Obes Relat Metab Disord. 2004 Jul;28(7):842-51. doi: 
      10.1038/sj.ijo.0802586.