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Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Descriptive epidemiology and health consequences of childhood obesity
1Division of Developmental Medicine, Human Nutrition, 1st Floor Tower Block QMH, Yorkhill Hospitals, Dalnair Street, Glasgow, Scotland G3 8SJ, UK. jjr2y@clinmed.gla.ac.uk
Insights
Childhood obesity is a growing public health crisis, best defined by body mass index (BMI) percentile. This definition identifies excessive fatness and associated health risks, necessitating effective monitoring strategies.
Area of Science:
- Pediatrics
- Public Health
- Epidemiology
Background:
- Childhood obesity is the most prevalent disorder in developed nations, with continuously rising rates.
- A significant body of evidence supports using body mass index (BMI) percentile against national references for accurate obesity definition.
- This established definition effectively identifies excessive fatness and associated health risks.
Purpose of the Study:
- To highlight the current definition of childhood obesity using BMI percentile.
- To underscore the public health crisis posed by the increasing prevalence and adverse consequences of paediatric obesity.
- To identify areas for future research in obesity definition and long-term effects.
Main Methods:
- Review of existing high-quality evidence on childhood obesity definition.
- Analysis of the utility of BMI percentile for diagnosing excessive fatness.
- Assessment of current knowledge on health outcomes and research gaps.
Main Results:
- Body mass index (BMI) percentile is the recommended metric for defining childhood obesity.
- This definition accurately diagnoses excessive fatness and indicates increased health risks.
- Paediatric obesity leads to significant ill health in childhood and adulthood.
Conclusions:
- The current definition of childhood obesity using BMI percentile is adequate for epidemiological surveillance.
- Further research is needed to refine obesity definitions and understand long-term economic and health consequences.
- The escalating epidemic of childhood obesity constitutes a major public health crisis requiring effective monitoring and intervention.
Abstract:
Obesity is now the most common disorder of childhood in the developed world, and its prevalence is still increasing. A large body of high-quality and consistent evidence shows that it is best defined using the body mass index (BMI) percentile relative to national BMI reference data. This definition diagnoses excessive fatness adequately, and denotes increased risk of adverse health outcomes. Future research may provide improved obesity definitions for epidemiological use, so that the obesity epidemic can be monitored more effectively. Paediatric obesity causes ill health in both childhood and adulthood, though further research is required on the economic consequences, on some of the co-morbidities in childhood (notably psychological morbidity), and in adulthood where the amount of empirical evidence on long-term effects is limited. The combination of high prevalence with adverse consequences has created a public health crisis.
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