PMID- 23764666
OWN - NLM
STAT- MEDLINE
DCOM- 20140425
LR  - 20191210
IS  - 1680-5348 (Electronic)
IS  - 1020-4989 (Linking)
VI  - 33
IP  - 5
DP  - 2013 May
TI  - Comparing three body mass index classification systems to assess overweight and 
      obesity in children and adolescents.
PG  - 349-55
LID - S1020-49892013000500006 [pii]
AB  - OBJECTIVE: To compare the International Obesity Task Force (IOTF) 2005, Centers 
      for Disease Control and Prevention (CDC) 2000, and World Health Organization 
      (WHO) 2007 body mass index (BMI) classification systems in terms of prevalence 
      estimation and association with demographic factors. METHODS: The 18 265 children 
      and adolescents ages 5 to 18 years (mean = 11.2 years, standard deviation = 3.9 
      years) in the nationally representative Colombian National Nutrition Survey of 
      2005 were classified as overweight or obese according to IOTF, CDC, and WHO 
      criteria. Prevalence estimates were compared according to each system and 
      associations with age, sex, socioeconomic status, and population density were 
      tested. RESULTS: Prevalence estimates of combined overweight and obesity differed 
      by system (males: IOTF = 8.5%, CDC = 10.8%, WHO = 14.1%; females: IOTF = 14.6%, 
      CDC = 13.8%, WHO = 17.1%; P < 0.001). The association between combined overweight 
      and obesity and age and sex varied by system. The odds of having overweight and 
      obesity in children (5 to 10 years) compared with adolescents (11 to 18 years) 
      were: IOTF, odds ratio (OR) = 0.87 and 95% confidence interval (CI) = 0.77-0.98; 
      CDC, OR = 1.27 and CI = 1.14-1.42; WHO, OR = 1.21 and CI = 1.08-1.35. The values 
      for females compared with males were: IOTF, OR = 1.84 and CI = 1.6-2.10; CDC, OR 
      = 1.33 and CI = 1.17-1.51; WHO, OR = 1.25 and CI = 1.12-1.41. CONCLUSIONS: There 
      is a lack of consistency among the three main international systems in assessing 
      overweight and obesity in children and adolescents. Appreciably different 
      estimates of prevalence and associations with age and sex are obtained depending 
      on which system is used. Future studies should assess how well each system 
      reflects valid measures of body composition.
FAU - Gonzalez-Casanova, Ines
AU  - Gonzalez-Casanova I
AD  - Graduate Division of Biological, Biomedical Sciences, Emory University, Atlanta, 
      GA 30322, United States of America. igonza2@emory.edu
FAU - Sarmiento, Olga L
AU  - Sarmiento OL
FAU - Gazmararian, Julie A
AU  - Gazmararian JA
FAU - Cunningham, Solveig A
AU  - Cunningham SA
FAU - Martorell, Reynaldo
AU  - Martorell R
FAU - Pratt, Michael
AU  - Pratt M
FAU - Stein, Aryeh D
AU  - Stein AD
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PT  - Research Support, U.S. Gov't, Non-P.H.S.
PL  - United States
TA  - Rev Panam Salud Publica
JT  - Revista panamericana de salud publica = Pan American journal of public health
JID - 9705400
SB  - IM
MH  - Adolescent
MH  - *Body Mass Index
MH  - Centers for Disease Control and Prevention, U.S.
MH  - Child
MH  - Child, Preschool
MH  - Female
MH  - Humans
MH  - Male
MH  - Obesity/*classification/*epidemiology
MH  - Overweight/*classification/*epidemiology
MH  - Prevalence
MH  - United States
MH  - World Health Organization
EDAT- 2013/06/15 06:00
MHDA- 2014/04/26 06:00
CRDT- 2013/06/15 06:00
PHST- 2012/07/23 00:00 [received]
PHST- 2012/12/13 00:00 [accepted]
PHST- 2013/06/15 06:00 [entrez]
PHST- 2013/06/15 06:00 [pubmed]
PHST- 2014/04/26 06:00 [medline]
AID - S1020-49892013000500006 [pii]
AID - 10.1590/s1020-49892013000500006 [doi]
PST - ppublish
SO  - Rev Panam Salud Publica. 2013 May;33(5):349-55. doi: 
      10.1590/s1020-49892013000500006.