PMID- 28992355
OWN - NLM
STAT- MEDLINE
DCOM- 20190812
LR  - 20190812
IS  - 1651-2227 (Electronic)
IS  - 0803-5253 (Linking)
VI  - 107
IP  - 2
DP  - 2018 Feb
TI  - Severe obesity is a limitation for the use of body mass index standard deviation 
      scores in children and adolescents.
PG  - 307-314
LID - 10.1111/apa.14113 [doi]
AB  - AIM: We analysed the distribution of the body mass index standard deviation 
      scores (BMI-SDS) in children and adolescents seeking treatment for severe 
      obesity, according to the International Obesity Task Force (IOTF), World Health 
      Organization (WHO) and the national Norwegian Bergen Growth Study (BGS) BMI 
      reference charts and the percentage above the International Obesity Task Force 25 
      cut-off (IOTF-25). METHODS: This was a cross-sectional study of 396 children aged 
      four to 17 years, who attended a tertiary care obesity centre in Norway from 2009 
      to 2015. Their BMI was converted to SDS using the three growth references and 
      expressed as the percentage above IOTF-25. The percentage of body fat was 
      assessed by bioelectrical impedance analysis. RESULTS: Regardless of which BMI 
      reference chart was used, the BMI-SDS was significantly different between the age 
      groups, with a wider range of higher values up to 10 years of age and a more 
      narrow range of lower values thereafter. The distributions of the percentage 
      above IOTF-25 and percentage of body fat were more consistent across age groups. 
      CONCLUSIONS: Our findings suggest that it may be more appropriate to use the 
      percentage above a particular BMI cut-off, such as the percentage above IOTF-25, 
      than the IOTF, WHO and BGS BMI-SDS in paediatric patients with severe obesity.
CI  - (c)2017 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd.
FAU - Juliusson, Petur B
AU  - Juliusson PB
AD  - Morbid Obesity Centre, Vestfold Hospital Trust, Tonsberg, Norway.
AD  - Department of Clinical Science, University of Bergen, Bergen, Norway.
FAU - Roelants, Mathieu
AU  - Roelants M
AD  - Environment and Health, Department of Public Health and Primary Care, KU Leuven - 
      University of Leuven, Leuven, Belgium.
FAU - Benestad, Beate
AU  - Benestad B
AD  - Morbid Obesity Centre, Vestfold Hospital Trust, Tonsberg, Norway.
AD  - Faculty of Medicine, University of Oslo, Oslo, Norway.
FAU - Lekhal, Samira
AU  - Lekhal S
AD  - Morbid Obesity Centre, Vestfold Hospital Trust, Tonsberg, Norway.
FAU - Danielsen, Yngvild
AU  - Danielsen Y
AD  - Department of Clinical Psychology, University of Bergen, Bergen, Norway.
FAU - Hjelmesaeth, Joran
AU  - Hjelmesaeth J
AD  - Morbid Obesity Centre, Vestfold Hospital Trust, Tonsberg, Norway.
AD  - Department of Endocrinology, Morbid Obesity and Preventive Medicine, Institute of 
      Clinical Medicine, University of Oslo, Oslo, Norway.
FAU - Hertel, Jens K
AU  - Hertel JK
AD  - Morbid Obesity Centre, Vestfold Hospital Trust, Tonsberg, Norway.
LA  - eng
PT  - Journal Article
DEP - 20171027
PL  - Norway
TA  - Acta Paediatr
JT  - Acta paediatrica (Oslo, Norway : 1992)
JID - 9205968
MH  - Adolescent
MH  - *Body Mass Index
MH  - Child
MH  - Child, Preschool
MH  - Cross-Sectional Studies
MH  - Female
MH  - Growth Charts
MH  - Humans
MH  - Male
MH  - Obesity, Morbid
MH  - *Pediatric Obesity
MH  - Reference Values
OTO - NOTNLM
OT  - Body mass index
OT  - International Obesity Task Force
OT  - Reference charts
OT  - Severe obesity standard deviation scores
EDAT- 2017/10/11 06:00
MHDA- 2019/08/14 06:00
CRDT- 2017/10/10 06:00
PHST- 2017/06/12 00:00 [received]
PHST- 2017/08/30 00:00 [revised]
PHST- 2017/10/05 00:00 [accepted]
PHST- 2017/10/11 06:00 [pubmed]
PHST- 2019/08/14 06:00 [medline]
PHST- 2017/10/10 06:00 [entrez]
AID - 10.1111/apa.14113 [doi]
PST - ppublish
SO  - Acta Paediatr. 2018 Feb;107(2):307-314. doi: 10.1111/apa.14113. Epub 2017 Oct 27.