PMID- 18457279
OWN - NLM
STAT- MEDLINE
DCOM- 20080604
LR  - 20211020
IS  - 0008-4263 (Print)
IS  - 1920-7476 (Electronic)
IS  - 0008-4263 (Linking)
VI  - 99
IP  - 2
DP  - 2008 Mar-Apr
TI  - Using routine growth data to determine overweight and obesity prevalence 
      estimates in preschool children in the Capital Health Region of Alberta.
PG  - 91-4
AB  - BACKGROUND: Overweight and obesity prevalence is increasing in Canadian children. 
      In the Capital Health region of Alberta, there is a need to examine this public 
      health issue and implement strategies to overcome it. Two growth references, one 
      provided by the US Centers for Disease Control and Prevention (CDC), and the 
      other by the International Obesity Task Force (IOTF), are available to assess 
      individuals and screen populations for overweight and obesity. The prevalence can 
      vary as a function of the reference used. The primary objective of this study is 
      to determine prevalence estimates of overweight and obesity in 4-6 year olds in 
      the Capital Health region. The secondary objective is to explore differences in 
      estimates using both classification systems. METHODS: Anthropometric measurements 
      were incorporated into regular preschool immunization visits. Body Mass Index 
      (BMI), defined as the bodyweight in kilograms divided by height in metres squared 
      was calculated for each record and percentiles for age and sex were determined 
      using cut-offs from the IOTF and CDC. The prevalence estimates of overweight and 
      obesity using both classification systems were determined and compared. RESULTS: 
      Out of 7,369 children, 13.8% were overweight and 11.4% were obese according to 
      the CDC reference. The IOTF reference classified 11.5% as overweight and 6.8% as 
      obese. The two reference systems had moderate agreement (kappa 0.69, p<0.01). 
      CONCLUSION: The results indicate a lower prevalence estimate of overweight and 
      obesity among young children in the Capital Health region compared to other parts 
      of Canada. The IOTF reference provides more conservative estimates than the CDC 
      reference, accounted for more by the difference in estimates of obesity than by 
      the difference in estimates for overweight.
FAU - Edwards, Joy
AU  - Edwards J
AD  - Public Health, Capital Health, Edmonton, AB. joy.edwards@capitalhealth.ca
FAU - Evans, Judy
AU  - Evans J
FAU - Brown, Angela D
AU  - Brown AD
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - Switzerland
TA  - Can J Public Health
JT  - Canadian journal of public health = Revue canadienne de sante publique
JID - 0372714
SB  - IM
MH  - Alberta/epidemiology
MH  - Anthropometry
MH  - Body Mass Index
MH  - Body Weight
MH  - Child
MH  - Child Welfare
MH  - Child, Preschool
MH  - Female
MH  - Health Status
MH  - Humans
MH  - Male
MH  - Obesity/*epidemiology
MH  - Overweight/*epidemiology
MH  - Prevalence
MH  - Public Health
MH  - Risk Factors
PMC - PMC6975785
EDAT- 2008/05/07 09:00
MHDA- 2008/06/05 09:00
PMCR- 2009/03/01
CRDT- 2008/05/07 09:00
PHST- 2008/05/07 09:00 [pubmed]
PHST- 2008/06/05 09:00 [medline]
PHST- 2008/05/07 09:00 [entrez]
PHST- 2009/03/01 00:00 [pmc-release]
AID - BF03405451 [pii]
AID - 10.1007/BF03405451 [doi]
PST - ppublish
SO  - Can J Public Health. 2008 Mar-Apr;99(2):91-4. doi: 10.1007/BF03405451.