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Updated: Aug 15, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Childhood obesity: different definition criteria, different prevalence rate
A Luciano1, F Bressan, M Bolognani
1University Chair of Pediatrics, Division of Pediatrics, Verona City Hospital, Verona, Italy. antonio.luciano@univr.it
Insights
Childhood obesity prevalence varies significantly based on the growth charts and indicators used. Standardizing these factors is crucial for accurate epidemiological studies on pediatric obesity.
Area of Science:
- Pediatric Endocrinology
- Public Health
- Biostatistics
Background:
- Childhood obesity is a significant public health concern.
- Accurate prevalence data is essential for intervention strategies.
- Existing methods for determining childhood obesity prevalence lack standardization.
Purpose of the Study:
- To evaluate how different reference growth curves influence childhood obesity prevalence estimates.
- To compare the commonly used overweight (OW%) and body mass index (BMI) centile indicators.
- To assess the impact of indicator choice on obesity prevalence in children aged 3-17 years.
Main Methods:
- Cross-sectional study design.
- Inclusion of 40,068 children (19,892 males, 20,176 females) aged 3 to 17 years.
- Comparison of obesity prevalence using Tanner-Whitehouse curves versus custom-derived curves and BMI 90th percentile cut-off versus OW%.
Main Results:
- Prevalence rates differed based on the obesity indicator and reference curves employed.
- Tanner-Whitehouse curves showed peak prevalence up to 18% in specific age groups.
- Custom curves and BMI 90th percentile yielded varying prevalence rates, with greater discrepancies in younger children (3-8 years).
Conclusions:
- The choice of reference curves and obesity indicators significantly impacts childhood obesity prevalence findings.
- Epidemiological studies should aim for consistent indicators, cut-offs, and population-specific, recent reference curves.
- Standardization is recommended for reliable and comparable data on pediatric obesity.
Background:
Evaluate the influence of reference growth curves on determination of prevalence of obesity in children and particularly compare two indicators most commonly used, overweight (OW%) and body mass index (BMI centile), measured in the same population.
Design:
cross-sectional study.
Subjects:
40,068 children (19,892 males, 20,176 females) aged from 3 to 17 years.
Results:
The results obtained in this study show different prevalence rates according to the indicators used to define childhood obesity and according to the reference curves adopted. When Tanner-Whitehouse curves were used, prevalence peaked at age 9-13 years in males and age 8-14 years in females, with rates of up to 18%. When using our own curves to calculate ideal weight, the peak prevalence of obesity was at 12 years in males and 10 years in females, with prevalence rates of 11.8 and 13.7%, respectively. The prevalence of obesity, calculated using the BMI 90th percentile as the cut-off, ranged from 8 to 12%, with rates similar to those observed with OW% in children aged from 8 to 17 years, whereas the differences were greater in children aged from 3 to 8 (2.1% with OW% and 10.24% with BMI centile at 3 years).
Conclusions:
Prevalence rates are influenced by the reference curves used and the obesity indicator adopted. It would be desirable for epidemiological studies to use the same indicator, the same cut-off and, whenever possible, recent reference curves suitable for the particular population surveyed.
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