PMID- 18157341 OWN - NLM STAT- MEDLINE DCOM- 20080619 LR - 20190823 IS - 0102-311X (Print) IS - 0102-311X (Linking) VI - 23 IP - 12 DP - 2007 Dec TI - Diagnosis of overweight and obesity in adolescents from the 1993 Pelotas Birth Cohort Study, Rio Grande do Sul State, Brazil: comparison of two diagnostic criteria. PG - 2993-9 AB - Various cut-off points for body mass index have been proposed to assess nutritional status in adolescents. The aim of this study was to compare two methods for evaluating overweight and obesity. In 2004-5, 4,452 adolescents from the 1993 Pelotas (Brazil) birth cohort study were evaluated, representing 87.5% of the original cohort. Overweight and obesity were evaluated using the methods proposed by the World Health Organization (WHO) and International Obesity Task Force (IOTF). Prevalence of overweight was similar when comparing the two methods (WHO: 23.2%; IOTF: 21.6%). Prevalence of obesity was higher according to the WHO criterion (total sample: 11.6%; boys: 15.1%; girls: 8.2%) as compared to IOTF (total sample: 5.0%; boys: 5.6%; girls: 4.4%). The kappa statistic was around 0.9 for determining overweight and 0.4 for obesity. The IOTF classification showed high specificity in comparison to the WHO criterion for determining overweight and obesity. However, sensitivity was high for overweight but low for obesity. Our data show that the IOTF classification underestimates the prevalence of obesity in early adolescence. FAU - Vieira, Maria de Fatima Alves AU - Vieira Mde F AD - Faculdade de Nutricao, Universidade Federal de Pelotas, Pelotas, RS 96030, Brazil. fvieira@epidemio-ufpel.org.br FAU - Araujo, Cora Luiza Pavin AU - Araujo CL FAU - Neutzling, Marilda Borges AU - Neutzling MB FAU - Hallal, Pedro Curi AU - Hallal PC FAU - Menezes, Ana Maria Baptista AU - Menezes AM LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Brazil TA - Cad Saude Publica JT - Cadernos de saude publica JID - 8901573 SB - IM MH - Adolescent MH - *Body Mass Index MH - Brazil/epidemiology MH - Child MH - Cohort Studies MH - Female MH - Humans MH - Male MH - Mass Screening/*methods MH - *Models, Statistical MH - Nutritional Status MH - Obesity/*diagnosis/epidemiology MH - Observer Variation MH - Overweight/diagnosis MH - Prevalence MH - Sensitivity and Specificity MH - Sex Distribution MH - Sex Factors MH - Socioeconomic Factors EDAT- 2007/12/25 09:00 MHDA- 2008/06/20 09:00 CRDT- 2007/12/25 09:00 PHST- 2006/04/04 00:00 [received] PHST- 2007/02/23 00:00 [accepted] PHST- 2007/12/25 09:00 [pubmed] PHST- 2008/06/20 09:00 [medline] PHST- 2007/12/25 09:00 [entrez] AID - S0102-311X2007001200020 [pii] AID - 10.1590/s0102-311x2007001200020 [doi] PST - ppublish SO - Cad Saude Publica. 2007 Dec;23(12):2993-9. doi: 10.1590/s0102-311x2007001200020.