PMID- 32611456 OWN - NLM STAT- MEDLINE DCOM- 20210810 LR - 20230619 IS - 1475-2727 (Electronic) IS - 1368-9800 (Print) IS - 1368-9800 (Linking) VI - 23 IP - 15 DP - 2020 Oct TI - Measuring overweight and obesity in Chinese American children using US, international and ethnic-specific growth charts. PG - 2663-2670 LID - 10.1017/S1368980020000919 [doi] AB - OBJECTIVE: The aim is to determine the disparity between the overweight and obesity prevalence of Chinese American school-aged children and adolescents as measured by the Centers for Disease Control and Prevention (CDC) growth reference and the prevalence as measured by international and ethnic-specific-growth references. DESIGN: This retrospective, cross-sectional study measured overweight and obesity prevalence among a paediatric population using the CDC, International Obesity Task Force (IOTF), World Health Organization (WHO) and an ethnic Chinese growth curve. SETTING: A community health centre in New York City, USA. PARTICIPANTS: Chinese American children aged 6-17 years in 2017 (N 9160). RESULTS: The overweight prevalence was 24 % (CDC), 23 % (IOTF), 30 % (WHO) and 31 % (China). The obesity prevalence was 10 % (CDC), 5 % (IOTF), 10 % (WHO) and 10 % (China). When disaggregated by age and sex, the difference was the most prominent in girls; using the China reference compared with using the CDC reference almost doubles the overweight prevalence (school-aged: 31 v. 17 %, P < 0.001, adolescent: 27 v. 14 %, P < 0.001) and the obesity prevalence (school-aged: 11 v. 5 %, P < 0.001, adolescent: 7 v. 4 %, P < 0.001). CONCLUSIONS: Use of the CDC reference compared with the Chinese ethnic-specific reference results in lower overweight and obesity prevalence in Chinese American girls. Almost half of the girls who were overweight and half of the girls who were obese were not identified using the CDC reference. Using ethnic-specific references or ethnic-specific cut-points may help improve overweight identification for Chinese American children. FAU - Lau, Jennifer D AU - Lau JD AUID- ORCID: 0000-0002-8362-1309 AD - Research and Evaluation Department, Charles B. Wang Community Health Center, New York, NY10013, USA. FAU - Elbaar, Laminasti AU - Elbaar L AD - Clinical Informatics Department, Charles B. Wang Community Health Center, New York, NY, USA. FAU - Chao, Eda AU - Chao E AD - Department of Pediatrics, Charles B. Wang Community Health Center, New York, NY, USA. FAU - Zhong, Olivia AU - Zhong O AD - Department of Pediatrics, Charles B. Wang Community Health Center, New York, NY, USA. AD - CUNY School of Medicine/Sophie Davis School of Biomedical Education, New York, NY, USA. FAU - Yu, Chihang Ray AU - Yu CR AD - Information Technology Department, Charles B. Wang Community Health Center, New York, NY, USA. FAU - Tse, Raymond AU - Tse R AD - Department of Pediatrics, Charles B. Wang Community Health Center, New York, NY, USA. FAU - Au, Loretta AU - Au L AD - Department of Pediatrics, Charles B. Wang Community Health Center, New York, NY, USA. LA - eng PT - Journal Article DEP - 20200702 PL - England TA - Public Health Nutr JT - Public health nutrition JID - 9808463 SB - IM MH - Adolescent MH - *Asian MH - Body Mass Index MH - Child MH - China/ethnology MH - Cross-Sectional Studies MH - Female MH - *Growth Charts MH - Humans MH - Male MH - New York City/epidemiology MH - Overweight/*epidemiology MH - Pediatric Obesity/*epidemiology MH - Prevalence MH - Reference Values MH - Retrospective Studies PMC - PMC10200563 OTO - NOTNLM OT - Chinese American OT - Growth reference OT - Paediatric obesity OT - Paediatric overweight EDAT- 2020/07/03 06:00 MHDA- 2021/08/11 06:00 PMCR- 2020/10/01 CRDT- 2020/07/03 06:00 PHST- 2020/07/03 06:00 [pubmed] PHST- 2021/08/11 06:00 [medline] PHST- 2020/07/03 06:00 [entrez] PHST- 2020/10/01 00:00 [pmc-release] AID - S1368980020000919 [pii] AID - 10.1017/S1368980020000919 [doi] PST - ppublish SO - Public Health Nutr. 2020 Oct;23(15):2663-2670. doi: 10.1017/S1368980020000919. Epub 2020 Jul 2.