PMID- 20179728
OWN - NLM
STAT- MEDLINE
DCOM- 20101007
LR  - 20220311
IS  - 1476-5640 (Electronic)
IS  - 0954-3007 (Linking)
VI  - 64
IP  - 4
DP  - 2010 Apr
TI  - Body mass index percentiles for children and adolescents in Germany based on a 
      nationally representative sample (KiGGS 2003-2006).
PG  - 341-9
LID - 10.1038/ejcn.2010.8 [doi]
AB  - OBJECTIVE: To present body mass index (BMI) percentiles representative for 
      children in Germany and to compare them with the currently used percentiles by 
      Kromeyer-Hauschild (KH) and international percentiles of the World Health 
      Organisation (WHO) and the International Obesity Task Force (IOTF). METHODS: 
      Representative examination survey of 17 641 children and adolescents aged 0-17 
      years living in Germany (KiGGS 2003-2006 study, response rate 67%) with 
      standardized measurement of height and weight. RESULTS: Generally, BMI in KiGGS 
      was higher than in the reference populations from previous decades. KiGGS shows 
      an asymmetric upward shift of the BMI distribution from about age 6 years and an 
      earlier adiposity rebound compared with KH. The BMI peak in the first year of 
      life is shown by KiGGS and WHO, but much less by KH. The cut-offs for overweight 
      and obesity determined with the IOTF methodology in KiGGS (percentiles 
      corresponding to BMI 25 and 30 kg/m(2) at 18 years of age) were similar to IOTF 
      cut-offs from age 18 to 10 years but systematically lower for younger children. 
      CONCLUSIONS: The KiGGS BMI percentiles appear more valid for Germany than present 
      alternatives and should be used for population monitoring. Despite their 
      methodological limitations, the general shape of the older German KH references 
      is confirmed by KiGGS for the ages 2-17 years. In order not to obscure the 
      increase in obesity rates in the last decades, we therefore propose to continue 
      using KH for individual diagnosis and estimation of the prevalence of overweight 
      and obesity in this age range.
FAU - Rosario, A Schaffrath
AU  - Rosario AS
AD  - Robert Koch Institute, Department of Epidemiology and Health Reporting, Berlin, 
      Germany.
FAU - Kurth, B-M
AU  - Kurth BM
FAU - Stolzenberg, H
AU  - Stolzenberg H
FAU - Ellert, U
AU  - Ellert U
FAU - Neuhauser, H
AU  - Neuhauser H
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PT  - Validation Study
DEP - 20100224
PL  - England
TA  - Eur J Clin Nutr
JT  - European journal of clinical nutrition
JID - 8804070
SB  - IM
MH  - Adiposity
MH  - Adolescent
MH  - Advisory Committees
MH  - *Body Mass Index
MH  - *Body Weight
MH  - Child
MH  - Child, Preschool
MH  - Female
MH  - Germany/epidemiology
MH  - Health Surveys
MH  - Humans
MH  - Infant
MH  - Male
MH  - Obesity/*diagnosis/epidemiology
MH  - Prevalence
MH  - Reference Values
MH  - World Health Organization
EDAT- 2010/02/25 06:00
MHDA- 2010/10/12 06:00
CRDT- 2010/02/25 06:00
PHST- 2010/02/25 06:00 [entrez]
PHST- 2010/02/25 06:00 [pubmed]
PHST- 2010/10/12 06:00 [medline]
AID - ejcn20108 [pii]
AID - 10.1038/ejcn.2010.8 [doi]
PST - ppublish
SO  - Eur J Clin Nutr. 2010 Apr;64(4):341-9. doi: 10.1038/ejcn.2010.8. Epub 2010 Feb 
      24.