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The Use of Different International References to Assess Child Anthropometric Status in a Malaysian Population

OBJECTIVE: To assess the prevalence of child underweight, overweight, and obesity in a Malaysian population according to 3 international references because classification of anthropometric status may differ according to the reference used to express body mass index (BMI). STUDY DESIGN: We assessed d...

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Autores principales: Partap, Uttara, Young, Elizabeth H., Allotey, Pascale, Sandhu, Manjinder S., Reidpath, Daniel D.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Mosby 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5667719/
https://www.ncbi.nlm.nih.gov/pubmed/29144273
http://dx.doi.org/10.1016/j.jpeds.2017.07.049
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author Partap, Uttara
Young, Elizabeth H.
Allotey, Pascale
Sandhu, Manjinder S.
Reidpath, Daniel D.
author_facet Partap, Uttara
Young, Elizabeth H.
Allotey, Pascale
Sandhu, Manjinder S.
Reidpath, Daniel D.
author_sort Partap, Uttara
collection PubMed
description OBJECTIVE: To assess the prevalence of child underweight, overweight, and obesity in a Malaysian population according to 3 international references because classification of anthropometric status may differ according to the reference used to express body mass index (BMI). STUDY DESIGN: We assessed data from 6414 children aged 6-18 years, collected by the South East Asia Community Observatory. Child underweight, overweight, and obesity were expressed according to 3 internationally used BMI references: World Health Organization 2007, International Obesity Task Force 2012, and Centers for Disease Control and Prevention 2000. We assessed agreement in classification of anthropometric status among the references using Cohen's kappa statistic and estimated underweight, overweight, and obesity prevalence according to each reference using mixed effects Poisson regression. RESULTS: There was poor to moderate agreement between references when classifying underweight, but generally good agreement when classifying overweight and obesity. Underweight, overweight, and obesity prevalence estimates generated using the 3 references were notably inconsistent. Overweight and obesity prevalence estimates were higher using the World Health Organization reference vs the other 2, and underweight prevalence was up to 8.5% higher and obesity prevalence was about 4% lower when using the International Obesity Task Force reference. CONCLUSIONS: The choice of reference to express BMI may influence conclusions about child anthropometric status and malnutrition prevalence. This has implications regarding strategies for clinical management and public health interventions.
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spelling pubmed-56677192017-11-09 The Use of Different International References to Assess Child Anthropometric Status in a Malaysian Population Partap, Uttara Young, Elizabeth H. Allotey, Pascale Sandhu, Manjinder S. Reidpath, Daniel D. J Pediatr Article OBJECTIVE: To assess the prevalence of child underweight, overweight, and obesity in a Malaysian population according to 3 international references because classification of anthropometric status may differ according to the reference used to express body mass index (BMI). STUDY DESIGN: We assessed data from 6414 children aged 6-18 years, collected by the South East Asia Community Observatory. Child underweight, overweight, and obesity were expressed according to 3 internationally used BMI references: World Health Organization 2007, International Obesity Task Force 2012, and Centers for Disease Control and Prevention 2000. We assessed agreement in classification of anthropometric status among the references using Cohen's kappa statistic and estimated underweight, overweight, and obesity prevalence according to each reference using mixed effects Poisson regression. RESULTS: There was poor to moderate agreement between references when classifying underweight, but generally good agreement when classifying overweight and obesity. Underweight, overweight, and obesity prevalence estimates generated using the 3 references were notably inconsistent. Overweight and obesity prevalence estimates were higher using the World Health Organization reference vs the other 2, and underweight prevalence was up to 8.5% higher and obesity prevalence was about 4% lower when using the International Obesity Task Force reference. CONCLUSIONS: The choice of reference to express BMI may influence conclusions about child anthropometric status and malnutrition prevalence. This has implications regarding strategies for clinical management and public health interventions. Mosby 2017-11 /pmc/articles/PMC5667719/ /pubmed/29144273 http://dx.doi.org/10.1016/j.jpeds.2017.07.049 Text en © 2017 The Authors http://creativecommons.org/licenses/by/4.0/ This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Partap, Uttara
Young, Elizabeth H.
Allotey, Pascale
Sandhu, Manjinder S.
Reidpath, Daniel D.
The Use of Different International References to Assess Child Anthropometric Status in a Malaysian Population
title The Use of Different International References to Assess Child Anthropometric Status in a Malaysian Population
title_full The Use of Different International References to Assess Child Anthropometric Status in a Malaysian Population
title_fullStr The Use of Different International References to Assess Child Anthropometric Status in a Malaysian Population
title_full_unstemmed The Use of Different International References to Assess Child Anthropometric Status in a Malaysian Population
title_short The Use of Different International References to Assess Child Anthropometric Status in a Malaysian Population
title_sort use of different international references to assess child anthropometric status in a malaysian population
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5667719/
https://www.ncbi.nlm.nih.gov/pubmed/29144273
http://dx.doi.org/10.1016/j.jpeds.2017.07.049
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