PMID- 18212485
OWN - NLM
STAT- MEDLINE
DCOM- 20080325
LR  - 20190727
IS  - 0040-8727 (Print)
IS  - 0040-8727 (Linking)
VI  - 214
IP  - 1
DP  - 2008 Jan
TI  - The validity of body mass index criteria in obese school-aged children.
PG  - 27-37
AB  - Childhood obesity is a medical and social problem in Japan. The number of obese 
      children has been increasing steadily since 1980 according to a survey on school 
      health statistics. However, more simple and reliable criteria for assessment of 
      obesity in children are required. The aim of this study was to establish gender- 
      and age-specific body mass index (BMI) cutoff values for evaluation of obesity in 
      school-aged children. A total of 100,587 elementary school, junior and senior 
      high school students, aged 6 to 17 years, comprised the study population, in whom 
      BMI was measured. The BMI cutoff values were calculated by using the receiver 
      operating characteristic (ROC) analysis in the degree of obesity of 20% or 
      greater as definition of obesity. The validity of the determined cutoff values of 
      BMI was then compared with the Rohrer index, the International Obesity Task Force 
      (IOTF) data and the percentile method. The sensitivity and specificity of the BMI 
      cutoff values were over 93% in both boys and girls of all ages, thereby providing 
      criteria that are highly diagnostic in all ages. The Rohrer Index and BMI 95th 
      percentile values tended to underestimate obesity, while the IOTF criteria tended 
      to overestimate it. In conclusion, the BMI cutoff values determined in the 
      present study enable us to detect obese individuals with extremely high 
      precision, and thus may represent an instrument with superior diagnostic 
      capabilities to those of the existing instruments currently being used for 
      assessment of pediatric obesity.
FAU - Komiya, Hideaki
AU  - Komiya H
AD  - Department of Exercise Physiology, Utsunomiya University, Utsunomiya, Japan. 
      komiya@cc.utsunomiya-u.ac.jp
FAU - Masubuchi, Yuko
AU  - Masubuchi Y
FAU - Mori, Yutaka
AU  - Mori Y
FAU - Tajima, Naoko
AU  - Tajima N
LA  - eng
PT  - Journal Article
PL  - Japan
TA  - Tohoku J Exp Med
JT  - The Tohoku journal of experimental medicine
JID - 0417355
SB  - IM
MH  - Adolescent
MH  - Age Factors
MH  - *Body Mass Index
MH  - Body Weight
MH  - Child
MH  - False Negative Reactions
MH  - False Positive Reactions
MH  - Female
MH  - Humans
MH  - Japan/epidemiology
MH  - Male
MH  - Obesity/*diagnosis/*epidemiology
MH  - ROC Curve
MH  - Reference Values
MH  - Reproducibility of Results
MH  - Sex Factors
EDAT- 2008/01/24 09:00
MHDA- 2008/03/26 09:00
CRDT- 2008/01/24 09:00
PHST- 2008/01/24 09:00 [pubmed]
PHST- 2008/03/26 09:00 [medline]
PHST- 2008/01/24 09:00 [entrez]
AID - JST.JSTAGE/tjem/214.27 [pii]
AID - 10.1620/tjem.214.27 [doi]
PST - ppublish
SO  - Tohoku J Exp Med. 2008 Jan;214(1):27-37. doi: 10.1620/tjem.214.27.