PMID- 16945285
OWN - NLM
STAT- MEDLINE
DCOM- 20061017
LR  - 20190917
IS  - 1695-4033 (Print)
IS  - 1695-4033 (Linking)
VI  - 65
IP  - 1
DP  - 2006 Jul
TI  - [Obesity screening: updated criteria and their clinical and populational 
      validity].
PG  - 5-14
AB  - OBJECTIVES: The primary aim of this study was to compare the frequency of 
      overweight and obesity in Spanish children and teenagers by using national and 
      international standards for the body mass index (BMI). The second aim was to 
      establish the association between criteria based on BMI and body composition. The 
      third aim was to propose new standards of fat percentages in order to increase 
      diagnostic accuracy in patients with excess weight. MATERIAL AND METHODS: The 
      sample was composed of 7,228 boys and girls aged between 6 and 20 years. 
      Anthropometric measurements were taken (height, weight and subcutaneous 
      skinfolds), and BMI and the percentage of fat were obtained using the methods of 
      Durnin and Womersley, Siri and Slaughter et al. To classify obesity and 
      overweight, the national standards of Hernandez et al and the international 
      standards published by Cole et al were used. The correlation between BMI and 
      percentage of fat was established using Spearman's method and the variability fat 
      percentage was estimated in relation to the BMI cut-off points proposed by the 
      International Obesity Task Force (IOTF). RESULTS AND CONCLUSIONS: Overweight and 
      obesity were more frequent in boys than in girls and in the youngest individuals. 
      According to national standards, between 9.6 % (6-12 years) and 9.5 % (13-20 
      years) of girls and between 10.62 % (13-20 years) and 12.50 % (6-12 years) of 
      boys were overweight. According to international standards, between 4.68 % (13-20 
      years) and 6 % (6-12 years) of boys were obese and between 18.83 % (13-20 years) 
      and 21.6 % (6-12 years) were overweight. The proportion of obesity in girls 
      ranged from 2.81 % (13-20 years) to 5.9 % (6-12 years); the prevalence of 
      overweight was 25.99 % in the group aged 6-12 years and was 14.55 % in that aged 
      13-20 years. The analysis carried out shows that the association between BMI and 
      adiposity differs in normal individuals and in those with excess weight. The 
      international standards of Cole et al tend to underestimate obesity and to 
      overestimate overweight. Therefore, their usefulness is limited to comparative 
      studies and their use cannot be recommended in clinical diagnosis, where it would 
      be more effective to use of specific population standards, especially those for 
      fat percentage.
FAU - Marrodan Serrano, Maria D
AU  - Marrodan Serrano MD
AD  - Departamento de Zoologia y Antropologia Fisica, Facultad de Biologia, Universidad 
      Complutense de Madrid, Espana. marrodan@bio.ucm.es
FAU - Mesa Santurino, Maria S
AU  - Mesa Santurino MS
FAU - Alba Diaz, J A
AU  - Alba Diaz JA
FAU - Ambrosio Soblechero, B
AU  - Ambrosio Soblechero B
FAU - Barrio Caballero, P A
AU  - Barrio Caballero PA
FAU - Drak Hernandez, L
AU  - Drak Hernandez L
FAU - Gallardo Yepes, M
AU  - Gallardo Yepes M
FAU - Lermo Castelar, J
AU  - Lermo Castelar J
FAU - Rosa Rosa, J M
AU  - Rosa Rosa JM
FAU - Gonzalez-Montero de Espinosa, M
AU  - Gonzalez-Montero de Espinosa M
LA  - spa
PT  - English Abstract
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
TT  - Diagnosis de la obesidad: actualizacion de criterios y su validez clinica y 
      poblacional.
PL  - Spain
TA  - An Pediatr (Barc)
JT  - Anales de pediatria (Barcelona, Spain : 2003)
JID - 101162596
SB  - IM
MH  - Adolescent
MH  - Body Fat Distribution
MH  - Body Mass Index
MH  - Child
MH  - Female
MH  - Humans
MH  - Male
MH  - Mass Screening
MH  - Obesity/diagnosis/*epidemiology
MH  - *Overweight
MH  - Reference Values
MH  - Spain/epidemiology
EDAT- 2006/09/02 09:00
MHDA- 2006/10/18 09:00
CRDT- 2006/09/02 09:00
PHST- 2006/09/02 09:00 [pubmed]
PHST- 2006/10/18 09:00 [medline]
PHST- 2006/09/02 09:00 [entrez]
AID - 13090892 [pii]
AID - 10.1157/13090892 [doi]
PST - ppublish
SO  - An Pediatr (Barc). 2006 Jul;65(1):5-14. doi: 10.1157/13090892.