PMID- 26002984
OWN - NLM
STAT- MEDLINE
DCOM- 20160317
LR  - 20220408
IS  - 0398-7620 (Print)
IS  - 0398-7620 (Linking)
VI  - 63
IP  - 3
DP  - 2015 Jun
TI  - Body mass index and childhood obesity classification systems: A comparison of the 
      French, International Obesity Task Force (IOTF) and World Health Organization 
      (WHO) references.
PG  - 173-82
LID - S0398-7620(15)00308-9 [pii]
LID - 10.1016/j.respe.2014.11.003 [doi]
AB  - AIM: This study aims to compare three body mass index (BMI)-based classification 
      systems of childhood obesity: the French, the International Obesity Task Force 
      (IOTF) and the World Health Organization (WHO) references. METHODS: The study 
      involved 1382 schoolchildren, recruited from the Lille Academic District in 
      France in May 2009 aged 8.4+/-1.7 years (4.0-12.0 years). Their mean height and 
      body mass were 131.5+/-10.9cm and 30.7+/-9.2kg, respectively, resulting in a BMI of 
      17.4+/-3.2kg/m(2). The weight status was defined according to the three systems 
      considered in this study. The agreement between these references was tested using 
      the Cohen's kappa coefficient. RESULTS: The prevalence of overweight was higher 
      with the WHO references (20.0%) in comparison with the French references (13.8%; 
      P<0.0001) and the IOTF (16.2%; P</=0.01). A similar result was found with obesity 
      (WHO: 11.6% vs. IOTF: 6.7%; or French references: 6.7%; P<0.0001). Agreement 
      between the three references ranged from "moderate" to "perfect" (0.43</=kappa</=1.00; 
      P<0.0001). Kappa coefficients were higher when the three references were used to 
      classify children as obese (0.63</=kappa</=1.00; P<0.0001) as compared to classification 
      in the overweight (obesity excluded) category (0.43</=kappa</=0.94; P<0.0001). When sex 
      and age categories (4-6 years vs. 7-12 years) were considered to define the 
      overweight status, the lowest kappa coefficient was found between the French and 
      WHO references in boys aged 7-12 years (kappa=0.28; P<0.0001), and the highest one in 
      girls aged 7-12 years between the French references and IOTF (kappa=0.97; P<0.0001). 
      As for obesity, agreement between the three references ranged from 0.60 to 1.00 
      (P<0.0001), with the lowest values obtained in the comparison of the WHO 
      references against French references or IOTF among boys aged 7-12 years (kappa=0.60; 
      P<0.0001). CONCLUSION: Overall, the WHO references yield an overestimation in 
      overweight and/or obesity within this sample of schoolchildren as compared to the 
      French references and the IOTF. The magnitude of agreement coefficients between 
      the three references depends on of both sex and age categories. The French 
      references seem to be in rather close agreement with the IOTF in defining 
      overweight, especially in 7-12-year-old children.
CI  - Copyright (c) 2015 Elsevier Masson SAS. All rights reserved.
FAU - Keke, L M
AU  - Keke LM
AD  - UFR ingenierie et management de la sante, universite de Lille, Loos 59120, 
      France; Luxembourg Institute of Health (LIH), CIEC, Strassen, Luxembourg.
FAU - Samouda, H
AU  - Samouda H
AD  - Luxembourg Institute of Health (LIH), Population Health Department, 1445 
      Strassen, Luxembourg.
FAU - Jacobs, J
AU  - Jacobs J
AD  - Luxembourg Institute of Health (LIH), Population Health Department, 1445 
      Strassen, Luxembourg.
FAU - di Pompeo, C
AU  - di Pompeo C
AD  - UFR ingenierie et management de la sante, universite de Lille, Loos 59120, 
      France; EA 2694, sante publique : epidemiologie et qualite des soins, universite 
      de Lille, 59000 Lille, France; Service de sante publique, agglomeration de 
      Maubeuge-Val-de-Sambre, 59600 Maubeuge, France.
FAU - Lemdani, M
AU  - Lemdani M
AD  - EA 2694, sante publique : epidemiologie et qualite des soins, universite de 
      Lille, 59000 Lille, France; Departement de biomathematiques, faculte des sciences 
      biologiques et pharmaceutiques, universite Lille, Lille, France.
FAU - Hubert, H
AU  - Hubert H
AD  - UFR ingenierie et management de la sante, universite de Lille, Loos 59120, 
      France; EA 2694, sante publique : epidemiologie et qualite des soins, universite 
      de Lille, 59000 Lille, France.
FAU - Zitouni, D
AU  - Zitouni D
AD  - EA 2694, sante publique : epidemiologie et qualite des soins, universite de 
      Lille, 59000 Lille, France; Departement de biomathematiques, faculte des sciences 
      biologiques et pharmaceutiques, universite Lille, Lille, France.
FAU - Guinhouya, B C
AU  - Guinhouya BC
AD  - UFR ingenierie et management de la sante, universite de Lille, Loos 59120, 
      France; EA 2694, sante publique : epidemiologie et qualite des soins, universite 
      de Lille, 59000 Lille, France. Electronic address: 
      benjamin.guinhouya@univ-lille2.fr.
LA  - eng
PT  - Comparative Study
PT  - Journal Article
DEP - 20150521
PL  - France
TA  - Rev Epidemiol Sante Publique
JT  - Revue d'epidemiologie et de sante publique
JID - 7608039
SB  - IM
MH  - Advisory Committees
MH  - *Body Mass Index
MH  - Child
MH  - Female
MH  - France
MH  - Humans
MH  - Male
MH  - Overweight/diagnosis
MH  - Pediatric Obesity/*classification/diagnosis
MH  - Reference Values
MH  - World Health Organization
OTO - NOTNLM
OT  - Childhood obesity
OT  - Classification systems
OT  - Enfants
OT  - French references
OT  - IOTF
OT  - OMS
OT  - Obesite
OT  - Systemes de classification
OT  - WHO
EDAT- 2015/05/25 06:00
MHDA- 2016/03/18 06:00
CRDT- 2015/05/25 06:00
PHST- 2013/01/30 00:00 [received]
PHST- 2014/08/05 00:00 [revised]
PHST- 2014/11/14 00:00 [accepted]
PHST- 2015/05/25 06:00 [entrez]
PHST- 2015/05/25 06:00 [pubmed]
PHST- 2016/03/18 06:00 [medline]
AID - S0398-7620(15)00308-9 [pii]
AID - 10.1016/j.respe.2014.11.003 [doi]
PST - ppublish
SO  - Rev Epidemiol Sante Publique. 2015 Jun;63(3):173-82. doi: 
      10.1016/j.respe.2014.11.003. Epub 2015 May 21.