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[Body-mass index cut-off values for underweight in Dutch children]
1TNO Preventie en Gezondheid, Postbus 2215, 2301 CE Leiden. s.vanbuuren@pg.tno.nl
Insights
The prevalence of serious underweight in Dutch children aged 2-6 increased between 1980 and 1997. However, older children (7-18 years) saw a decrease in serious underweight prevalence during the same period.
Area of Science:
- Pediatric Nutrition
- Growth Standards
- Public Health
Context:
- The Dutch growth standards from 1980 provide a baseline for child development.
- Changes in population weight and weight variation can indicate shifts in health status.
- Understanding trends in underweight is crucial for public health interventions.
Purpose:
- To establish body-mass index (BMI) cut-off values for underweight and serious underweight in children up to 18 years, using 1980 Dutch growth standards.
- To analyze the prevalence of underweight and serious underweight in children based on 1997 Dutch growth study data.
Summary:
- A secondary data analysis was conducted to determine BMI cut-offs for underweight (BMI < 18.5 kg/m2 at 18 years) and serious underweight (BMI < 17.0 kg/m2 at 18 years).
- Prevalence of serious underweight increased in younger children (2-6 years) from 1.5% to 3.6% (boys) and 2.9% to 3.3% (girls) between 1980 and 1997.
- In older children (7-18 years), serious underweight prevalence decreased from 1.5% to 1.4% (boys) and 2.9% to 1.7% (girls) over the same period.
Impact:
- The study highlights a divergence in underweight trends between younger and older children in the Netherlands.
- Increased weight variation suggests potentially more pronounced health disparities within the population.
- Findings underscore the need for continued monitoring of child growth and nutritional status.
Objective:
To determine the cut-off values for the body-mass index (BMI) for underweight and serious underweight in children up to 18 years of age based on the Dutch growth standards of 1980, and to determine the prevalence of underweight and serious underweight in the 1997 Dutch growth-study figures.
Design:
Secondary data analysis.
Method:
Cut-off values for underweight were determined by first calculating the percentage of 18-years old with a BMI < 18.5 kg/m2 in 1980, followed by a calculation of the BMI at younger ages under which the same percentage fell. Serious underweight in 18-year olds was defined as a BMI < 17.0 kg/m2.
Results:
Between 1980 and 1997 the prevalence of serious underweight increased in children aged between 2 and 6 years from 1.5% to 3.6% and from 2.9% to 3.3%, in boys and girls respectively. In older children (7-18 years) the prevalence decreased from 1.5% to 1.4% for boys and from 2.9% to 1.7% for girls.
Conclusion:
Not only did the median weight of the population increase between 1980 and 1997, but there was also a rise in the variation of the weights at any given age. The latter could reflect more marked health differences.
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