PMID- 23372060
OWN - NLM
STAT- MEDLINE
DCOM- 20130501
LR  - 20221207
IS  - 1468-2044 (Electronic)
IS  - 0003-9888 (Linking)
VI  - 98
IP  - 4
DP  - 2013 Apr
TI  - Trends in body mass index distribution and prevalence of thinness, overweight and 
      obesity in two cohorts of Surinamese South Asian children in The Netherlands.
PG  - 280-5
LID - 10.1136/archdischild-2012-303045 [doi]
AB  - OBJECTIVES: Asians have a smaller muscle mass and a larger fat mass at the same 
      body mass index (BMI) than most other ethnic groups. Due to a resulting higher 
      cardiometabolic risk, the BMI cut-offs for overweight and obesity were lowered 
      for adults. For Asian children universal criteria apply. The objectives of this 
      study were to determine the normal BMI distribution and assess the BMI class 
      distribution in a reference cohort of affluent South Asian children born before 
      the obesity epidemic and to assess the influence of the obesity epidemic on the 
      distributions. METHODS: Historical cohort study with 4350 measurements of height 
      and weight of two cohorts (born 1974-1976 and 1991-1993) of Surinamese South 
      Asian children living in The Netherlands, analysed with WHO Child Growth 
      References and International Obesity Task Force (IOTF) BMI cut-offs. RESULTS: The 
      reference cohort 1974-1976 was significantly lighter (BMI Z-score=-0.63; 95% CI 
      -0.69 to -0.58) and more variable (SD=1.19) than WHO reference. Total thinness 
      prevalence was exceptionally high, both in cohort 1974-1976 (WHO 38.3%; IOTF 
      36.4%) and 1991-1993 (WHO 23.6%; IOTF 23.9%). Overweight and obesity prevalences 
      were low in the reference cohort (WHO respectively 6.0% and 2.1%; IOTF 5.3%, 
      0.9%), but much higher in cohort 1991-1993 (WHO 13.6%, 9.1%; IOTF 11.7%, 6.0%). 
      CONCLUSIONS: The low mean BMI Z-score and high prevalence of thinness are likely 
      expressions of the characteristic body composition of South Asians. Universal BMI 
      cut-offs should be applied carefully in South Asian populations as thinness 
      prevalence is likely to be overestimated and obesity underestimated. The 
      development of ethnic specific cut-offs is recommended.
FAU - de Wilde, Jeroen Alexander
AU  - de Wilde JA
AD  - Department of Youth Health Care, Municipal Health Service The Hague (GGD Den 
      Haag), PO Box 12652, The Hague 2500 DP, The Netherlands. 
      Jeroen.deWilde@denhaag.nl
FAU - Zandbergen-Harlaar, Silvia
AU  - Zandbergen-Harlaar S
FAU - van Buuren, Stef
AU  - van Buuren S
FAU - Middelkoop, Barend J C
AU  - Middelkoop BJ
LA  - eng
PT  - Comparative Study
PT  - Journal Article
DEP - 20130131
PL  - England
TA  - Arch Dis Child
JT  - Archives of disease in childhood
JID - 0372434
SB  - IM
MH  - Asian People
MH  - Body Mass Index
MH  - Body Weight/ethnology
MH  - Child
MH  - Cohort Studies
MH  - Female
MH  - Humans
MH  - Male
MH  - Netherlands/epidemiology
MH  - Obesity/*ethnology
MH  - Overweight/*ethnology
MH  - Prevalence
MH  - Reference Standards
MH  - Regression Analysis
MH  - Suriname/ethnology
MH  - Thinness/*ethnology
EDAT- 2013/02/02 06:00
MHDA- 2013/05/02 06:00
CRDT- 2013/02/02 06:00
PHST- 2013/02/02 06:00 [entrez]
PHST- 2013/02/02 06:00 [pubmed]
PHST- 2013/05/02 06:00 [medline]
AID - archdischild-2012-303045 [pii]
AID - 10.1136/archdischild-2012-303045 [doi]
PST - ppublish
SO  - Arch Dis Child. 2013 Apr;98(4):280-5. doi: 10.1136/archdischild-2012-303045. Epub 
      2013 Jan 31.