PMID- 26095406
OWN - NLM
STAT- MEDLINE
DCOM- 20160310
LR  - 20221207
IS  - 1879-1972 (Electronic)
IS  - 1054-139X (Print)
IS  - 1054-139X (Linking)
VI  - 57
IP  - 1
DP  - 2015 Jul
TI  - Overweight and Obesity Prevalence Among School-Aged Nunavik Inuit Children 
      According to Three Body Mass Index Classification Systems.
PG  - 31-6
LID - S1054-139X(15)00129-9 [pii]
LID - 10.1016/j.jadohealth.2015.03.022 [doi]
AB  - PURPOSE: Little is known about the suitability of three commonly used body mass 
      index (BMI) classification system for Indigenous children. This study aims to 
      estimate overweight and obesity prevalence among school-aged Nunavik Inuit 
      children according to International Obesity Task Force (IOTF), Centers for 
      Disease Control and Prevention (CDC), and World Health Organization (WHO) BMI 
      classification systems, to measure agreement between those classification 
      systems, and to investigate whether BMI status as defined by these classification 
      systems is associated with levels of metabolic and inflammatory biomarkers. 
      METHODS: Data were collected on 290 school-aged children (aged 8-14 years; 50.7% 
      girls) from the Nunavik Child Development Study with data collected in 2005-2010. 
      Anthropometric parameters were measured and blood sampled. Participants were 
      classified as normal weight, overweight, and obese according to BMI 
      classification systems. Weighted kappa (kappaw) statistics assessed agreement between 
      different BMI classification systems, and multivariate analysis of variance 
      ascertained their relationship with metabolic and inflammatory biomarkers. 
      RESULTS: The combined prevalence rate of overweight/obesity was 26.9% (with 6.6% 
      obesity) with IOTF, 24.1% (11.0%) with CDC, and 40.4% (12.8%) with WHO 
      classification systems. Agreement was the highest between IOTF and CDC (kappaw = .87) 
      classifications, and substantial for IOTF and WHO (kappaw = .69) and for CDC and WHO 
      (kappaw = .73). Insulin and high-sensitivity C-reactive protein plasma levels were 
      significantly higher from normal weight to obesity, regardless of classification 
      system. Among obese subjects, higher insulin level was observed with IOTF. 
      CONCLUSIONS: Compared with other systems, IOTF classification appears to be more 
      specific to identify overweight and obesity in Inuit children.
CI  - Copyright (c) 2015 Society for Adolescent Health and Medicine. Published by 
      Elsevier Inc. All rights reserved.
FAU - Medehouenou, Thierry Comlan Marc
AU  - Medehouenou TC
AD  - Population Health and Optimal Health Practices Research Unit, Centre hospitalier 
      universitaire de Quebec Research Center, Quebec, Canada.
FAU - Ayotte, Pierre
AU  - Ayotte P
AD  - Population Health and Optimal Health Practices Research Unit, Centre hospitalier 
      universitaire de Quebec Research Center, Quebec, Canada; Institut national de 
      sante publique du Quebec, Quebec, Canada; Department of Social and Preventive 
      Medicine, Universite Laval, Quebec, Canada.
FAU - St-Jean, Audray
AU  - St-Jean A
AD  - Population Health and Optimal Health Practices Research Unit, Centre hospitalier 
      universitaire de Quebec Research Center, Quebec, Canada.
FAU - Meziou, Salma
AU  - Meziou S
AD  - Population Health and Optimal Health Practices Research Unit, Centre hospitalier 
      universitaire de Quebec Research Center, Quebec, Canada.
FAU - Roy, Cynthia
AU  - Roy C
AD  - Institut national de sante publique du Quebec, Quebec, Canada.
FAU - Muckle, Gina
AU  - Muckle G
AD  - Population Health and Optimal Health Practices Research Unit, Centre hospitalier 
      universitaire de Quebec Research Center, Quebec, Canada; School of Psychology, 
      Universite Laval, Quebec, Canada.
FAU - Lucas, Michel
AU  - Lucas M
AD  - Population Health and Optimal Health Practices Research Unit, Centre hospitalier 
      universitaire de Quebec Research Center, Quebec, Canada; Department of Social and 
      Preventive Medicine, Universite Laval, Quebec, Canada. Electronic address: 
      michel.lucas@crchuq.ulaval.ca.
LA  - eng
GR  - R01 ES007902/ES/NIEHS NIH HHS/United States
GR  - R01-ES007902/ES/NIEHS NIH HHS/United States
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - J Adolesc Health
JT  - The Journal of adolescent health : official publication of the Society for 
      Adolescent Medicine
JID - 9102136
SB  - IM
MH  - Adolescent
MH  - Anthropometry/methods
MH  - *Body Mass Index
MH  - Child
MH  - Female
MH  - Humans
MH  - *Inuit/ethnology
MH  - Male
MH  - Overweight/classification/*ethnology
MH  - Pediatric Obesity/classification/*ethnology
MH  - Prevalence
MH  - Quebec/epidemiology
PMC - PMC4477285
MID - NIHMS678096
OTO - NOTNLM
OT  - Body mass index
OT  - Centers for Disease Control and Prevention
OT  - Children
OT  - Excess weight
OT  - International Obesity Task Force
OT  - Inuit
OT  - Obese
OT  - Overweight
OT  - World Health Organization
EDAT- 2015/06/23 06:00
MHDA- 2016/03/11 06:00
PMCR- 2016/07/01
CRDT- 2015/06/23 06:00
PHST- 2015/01/07 00:00 [received]
PHST- 2015/03/30 00:00 [revised]
PHST- 2015/03/30 00:00 [accepted]
PHST- 2015/06/23 06:00 [entrez]
PHST- 2015/06/23 06:00 [pubmed]
PHST- 2016/03/11 06:00 [medline]
PHST- 2016/07/01 00:00 [pmc-release]
AID - S1054-139X(15)00129-9 [pii]
AID - 10.1016/j.jadohealth.2015.03.022 [doi]
PST - ppublish
SO  - J Adolesc Health. 2015 Jul;57(1):31-6. doi: 10.1016/j.jadohealth.2015.03.022.