PMID- 21756428
OWN - NLM
STAT- MEDLINE
DCOM- 20120214
LR  - 20220331
IS  - 1475-2727 (Electronic)
IS  - 1368-9800 (Linking)
VI  - 14
IP  - 11
DP  - 2011 Nov
TI  - Impact of using national v. international definitions of underweight, overweight 
      and obesity: an example from Kuwait.
PG  - 2074-8
LID - 10.1017/S1368980011001285 [doi]
AB  - OBJECTIVE: To compare the classification of overweight, obesity and underweight 
      using international v. national approaches in Kuwaiti adolescents. DESIGN: 
      Assessment of underweight, overweight and obesity using a national approach 
      (based on Kuwaiti reference data for BMI-for-age) was compared with assessments 
      obtained using three international approaches: the Cole et al. and International 
      Obesity Task Force (IOTF) definitions of thinness and of overweight and obesity 
      (Cole-IOTF); WHO 2007; and US Centers for Disease Control and Prevention (CDC) 
      2000 reference data and definitions. The degree of agreement between the 
      different methods was assessed using the weighted kappa statistic (kappaw). SETTING: Two 
      randomly selected public intermediate schools in Kuwait City. SUBJECTS: A total 
      of 499 10-14-year-old Kuwaiti adolescents. RESULTS: Prevalence of overweight and 
      obesity using Kuwaiti reference data (36.7 %; 95 % CI 32.4, 41.1) was 
      significantly lower than that obtained using international approaches - Cole-IOTF 
      (44.7 %; 95 % CI 40.3, 49.2), CDC 2000 (44.9 %; 95 % CI 40.5, 49.4) and WHO 2007 
      (50.5 %; 95 % CI 46.0, 55.0) (P < 0.01). All three international approaches 
      showed almost perfect agreement: IOTF v. WHO (kappaw = 0.82; 95 % CI 0.79, 0.85) and 
      IOTF v. CDC (kappaw = 0.90; 95 % CI 0.87, 0.92). However, Kuwaiti reference data 
      showed the lowest agreement with the three international approaches, the poorest 
      being with WHO 2007 (kappaw = 0.54; 95 % CI 0.49, 0.59). CONCLUSIONS: Caution should 
      be exercised when using recently collected national reference data and 
      definitions while assessing underweight, overweight and obesity for clinical and 
      public health applications.
FAU - El-Ghaziri, Mira
AU  - El-Ghaziri M
AD  - Life Course Nutrition and Health, Yorkhill Hospitals, University of Glasgow, 
      Glasgow, Scotland, UK.
FAU - Boodai, Shurooq
AU  - Boodai S
FAU - Young, David
AU  - Young D
FAU - Reilly, John J
AU  - Reilly JJ
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20110715
PL  - England
TA  - Public Health Nutr
JT  - Public health nutrition
JID - 9808463
SB  - IM
MH  - Adolescent
MH  - Body Mass Index
MH  - Body Weight
MH  - Centers for Disease Control and Prevention, U.S.
MH  - Child
MH  - Female
MH  - Guidelines as Topic
MH  - *Health Knowledge, Attitudes, Practice
MH  - Humans
MH  - Kuwait
MH  - Male
MH  - Obesity/*epidemiology
MH  - Overweight/*epidemiology
MH  - Reference Values
MH  - *Thinness
MH  - United States
EDAT- 2011/07/16 06:00
MHDA- 2012/02/15 06:00
CRDT- 2011/07/16 06:00
PHST- 2011/07/16 06:00 [entrez]
PHST- 2011/07/16 06:00 [pubmed]
PHST- 2012/02/15 06:00 [medline]
AID - S1368980011001285 [pii]
AID - 10.1017/S1368980011001285 [doi]
PST - ppublish
SO  - Public Health Nutr. 2011 Nov;14(11):2074-8. doi: 10.1017/S1368980011001285. Epub 
      2011 Jul 15.