PMID- 29166889
OWN - NLM
STAT- MEDLINE
DCOM- 20180601
LR  - 20181113
IS  - 1471-2431 (Electronic)
IS  - 1471-2431 (Linking)
VI  - 17
IP  - 1
DP  - 2017 Nov 22
TI  - Overweight and obesity prevalence among Cree youth of Eeyou Istchee according to 
      three body mass index classification systems.
PG  - 196
LID - 10.1186/s12887-017-0951-4 [doi]
LID - 196
AB  - BACKGROUND: Little is known about the suitability of three commonly used body 
      mass index (BMI) classification systems for Indigenous youth. We estimated 
      overweight and obesity prevalence among Cree youth of Eeyou Istchee according to 
      three BMI classification systems, assessed the level of agreement between them, 
      and evaluated their accuracy through body fat and cardiometabolic risk factors. 
      METHODS: Data on 288 youth (aged 8-17 years) were collected. Overweight and 
      obesity prevalence were estimated with Centers for Disease Control and Prevention 
      (CDC), International Obesity Task Force (IOTF) and World Health Organization 
      (WHO) criteria. Agreement was measured with weighted kappa (kappaw). Associations 
      with body fat and cardiometabolic risk factors were evaluated by analysis of 
      variance. RESULTS: Obesity prevalence was 42.7% with IOTF, 47.2% with CDC, and 
      49.3% with WHO criteria. Agreement was almost perfect between IOTF and CDC 
      (kappaw = 0.93), IOTF and WHO (kappaw = 0.91), and WHO and CDC (kappaw = 0.94). Means of body 
      fat and cardiometabolic risk factors were significantly higher (P 
      (trend) < 0.001) from normal weight to obesity, regardless of the system used. 
      Youth considered overweight by IOTF but obese by CDC or WHO exhibited less severe 
      clinical obesity. CONCLUSIONS: IOTF seems to be more accurate in identifying 
      obesity in Cree youth.
FAU - St-Jean, Audray
AU  - St-Jean A
AD  - Population Health and Optimal Health Practices Research Unit, CHU de Quebec - 
      Universite Laval, Hopital du Saint-Sacrement, 1050 Chemin Sainte-Foy, Quebec, QC, 
      G1S 4L8, Canada.
FAU - Meziou, Salma
AU  - Meziou S
AD  - Population Health and Optimal Health Practices Research Unit, CHU de Quebec - 
      Universite Laval, Hopital du Saint-Sacrement, 1050 Chemin Sainte-Foy, Quebec, QC, 
      G1S 4L8, Canada.
FAU - Ayotte, Pierre
AU  - Ayotte P
AD  - Population Health and Optimal Health Practices Research Unit, CHU de Quebec - 
      Universite Laval, Hopital du Saint-Sacrement, 1050 Chemin Sainte-Foy, Quebec, QC, 
      G1S 4L8, Canada.
AD  - Institut National de Sante Publique du Quebec (INSPQ), 945 Avenue Wolfe, Quebec, 
      QC, G1V 5B3, Canada.
AD  - Department of Social and Preventive Medicine, Faculty of Medecine, Universite 
      Laval, 1050 Avenue de la Medecine, Local 2428, Quebec, QC, G1V 06A, Canada.
FAU - Lucas, Michel
AU  - Lucas M
AUID- ORCID: 0000-0001-6629-5612
AD  - Population Health and Optimal Health Practices Research Unit, CHU de Quebec - 
      Universite Laval, Hopital du Saint-Sacrement, 1050 Chemin Sainte-Foy, Quebec, QC, 
      G1S 4L8, Canada. michel.lucas@crchuq.ulaval.ca.
AD  - Department of Social and Preventive Medicine, Faculty of Medecine, Universite 
      Laval, 1050 Avenue de la Medecine, Local 2428, Quebec, QC, G1V 06A, Canada. 
      michel.lucas@crchuq.ulaval.ca.
LA  - eng
GR  - 2005.06/Niskamoon Corporation/
PT  - Journal Article
DEP - 20171122
PL  - England
TA  - BMC Pediatr
JT  - BMC pediatrics
JID - 100967804
SB  - IM
MH  - Adolescent
MH  - *Body Mass Index
MH  - Child
MH  - Cross-Sectional Studies
MH  - Female
MH  - Health Surveys
MH  - Humans
MH  - *Indians, North American
MH  - Male
MH  - Pediatric Obesity/classification/*diagnosis/*ethnology
MH  - Prevalence
MH  - Quebec
PMC - PMC5700524
OTO - NOTNLM
OT  - Body mass index
OT  - Eeeyou Istchee Cree
OT  - Obesity
OT  - Overweight
OT  - Youth
COIS- COMPETING INTEREST: The authors declare that they have no competing interests. 
      ETHICS APPROVAL AND CONSENT TO PARTICIPATE: Participation was voluntary, and 
      written informed consent was given by one of the child's parents or guardian. 
      Ethics approval was obtained from Cree Board of Health and Social Services of 
      James Bay and Laval, McGill and McMaster Universities. CONSENT FOR PUBLICATION: 
      Not applicable PUBLISHER'S NOTE: Springer Nature remains neutral with regard to 
      jurisdictional claims in published maps and institutional affiliations.
EDAT- 2017/11/24 06:00
MHDA- 2018/06/02 06:00
PMCR- 2017/11/22
CRDT- 2017/11/24 06:00
PHST- 2016/11/30 00:00 [received]
PHST- 2017/11/15 00:00 [accepted]
PHST- 2017/11/24 06:00 [entrez]
PHST- 2017/11/24 06:00 [pubmed]
PHST- 2018/06/02 06:00 [medline]
PHST- 2017/11/22 00:00 [pmc-release]
AID - 10.1186/s12887-017-0951-4 [pii]
AID - 951 [pii]
AID - 10.1186/s12887-017-0951-4 [doi]
PST - epublish
SO  - BMC Pediatr. 2017 Nov 22;17(1):196. doi: 10.1186/s12887-017-0951-4.