PMID- 24934068
OWN - NLM
STAT- MEDLINE
DCOM- 20150522
LR  - 20161026
IS  - 0004-0622 (Print)
IS  - 0004-0622 (Linking)
VI  - 63
IP  - 2
DP  - 2013 Jun
TI  - At risk or not: comparing normative and criterion-referenced body mass index 
      standards among Mexican American children.
PG  - 126-33
AB  - Most childhood obesity research has classified participants by normative 
      standards for Body Mass Index (BMI) through population percentiles or values 
      corresponding to overweight adults (World Health Organization (WHO), Centers for 
      Disease Control and Prevention (CDC) and the International Obesity Task Force 
      (IOTF)). In 2006, criterion-referenced standards (FitnessGram) were developed 
      (revised in 2010) which directly associate BMI values with adverse health 
      outcomes. This study assessed agreement between normative and 
      criterion-referenced standards. Participants included 653 Mexican American 3rd to 
      5th graders living in the U.S.-Mexico border area who participated in a health 
      promotion project. At baseline, agreement was compared between normative and 
      criterion-referenced classifications. At follow-up, agreement between 
      classifications on changes (e.g., from overweight to healthy weight) was 
      assessed. According to FitnessGram standards, 53.0% of participants were 
      overweight or obese at baseline. Compared to FitnessGram, the IOTF and CDC 
      standards classified 15% fewer participants as obese/high risk. The WHO standards 
      were closely related to FitnessGram (kappa=.925) and showed significantly greater 
      agreement with FitnessGram than the CDC (kappa=.925 versus 0.722, p < .001) and 
      IOTF standards (kappa=.925 versus .682, p < .001). Compared to the FitnessGram 
      (8.9%), the WHO and CDC (8.6%) were similar, but IOTF standards lower (6.5%) in 
      how many children improved following the health program. Despite acceptable 
      agreement between the different indices, several normative classifications may 
      underestimate the proportion of children who are at risk for BMI-related adverse 
      health consequences.
FAU - de Heer, F
AU  - de Heer F
FAU - Morera, O
AU  - Morera O
FAU - Warren, M
AU  - Warren M
FAU - Chaudhari, L
AU  - Chaudhari L
FAU - de Heer, H D
AU  - de Heer HD
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - Venezuela
TA  - Arch Latinoam Nutr
JT  - Archivos latinoamericanos de nutricion
JID - 0067507
SB  - IM
MH  - Body Mass Index
MH  - Child
MH  - Cross-Sectional Studies
MH  - Female
MH  - Humans
MH  - Male
MH  - Mexican Americans/*statistics & numerical data
MH  - Obesity/*epidemiology
MH  - Reference Values
EDAT- 2014/06/18 06:00
MHDA- 2015/05/23 06:00
CRDT- 2014/06/18 06:00
PHST- 2014/06/18 06:00 [entrez]
PHST- 2014/06/18 06:00 [pubmed]
PHST- 2015/05/23 06:00 [medline]
PST - ppublish
SO  - Arch Latinoam Nutr. 2013 Jun;63(2):126-33.