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Updated: Jul 12, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Obesity in a provincial population of Canadian preschool children: differences between 1984 and 1997 birth cohorts
Patricia Canning1, Mary L Courage, Lynn M Frizzell
1Centre of Excellence for Children and Adolescents with Special Needs and the Faculty of Education, Memorial University, St. John's, NL, Canada. pcanning@mun.ca
Insights
Overweight and obesity rates significantly increased in Canadian preschoolers between 1984 and 2000. This trend highlights the urgent need for monitoring and interventions for childhood obesity.
Area of Science:
- Pediatric Health
- Public Health Nutrition
- Epidemiology
Background:
- Childhood overweight and obesity are growing public health concerns globally.
- Previous research indicated rising trends in older children and adults.
- The prevalence in preschool-aged children in Canada remained less understood.
Purpose of the Study:
- To investigate the prevalence of overweight and obesity in Canadian preschoolers.
- To determine if trends observed in older populations are also present in younger children.
- To compare prevalence rates between two birth cohorts.
Main Methods:
- Utilized archival government and health authority records for two cohorts of preschoolers in Newfoundland and Labrador.
- Included 3857 children born in 1984 (measured 1987-1989) and 4161 children born in 1997 (measured 2000-2002).
- Calculated Body Mass Index (BMI) from nurse-measured heights and weights, applying International Obesity Task Force (IOTF) and Centres for Disease Control (CDC) criteria.
Main Results:
- Combined overweight and obesity rates were significantly higher in the 1997 birth cohort (25.6% IOTF, 36.0% CDC) compared to the 1984 cohort (16.9% IOTF, 25.1% CDC).
- Prevalence rates were already considered high in the earlier cohort.
- Minor variations observed between sexes and classification systems.
Conclusions:
- A rapid increase in overweight and obesity was observed in preschoolers over a decade.
- This trend underscores the critical need for ongoing monitoring and effective public health interventions.
- Population-based strategies are essential to address the rising prevalence of preschool overweight and obesity.
Objective:
To determine whether trends of increasing overweight and obesity reported for older children and adults are evident in Canadian preschoolers.
Methods:
A sample of 3857 preschool-aged children (51.1% boys) in the Province of Newfoundland and Labrador, born in 1984 and measured in 1987-1989, was selected from government archival records. The sample of 4161 children (50.1% boys), born in 1997 and measured in 2000-2002, was obtained from regional health authority records. Body mass index (BMI) was calculated using heights and weights measured by nurses. Overweight and obesity prevalence was estimated according to the International Obesity Task Force (IOTF) and the Centres for Disease Control (CDC) methods.
Results:
Combined rates of overweight and obesity were significantly higher in preschoolers born in 1997 (25.6% IOTF and 36.0% CDC) than in 1984 (16.9% IOTF and 25.1% CDC), when levels were already high. There were some differences between sexes and classification systems.
Conclusion:
The relatively rapid rise in overweight and obesity in children as young as 3.5 years, in little more than a decade, underscores the immediate need for monitoring, and implementation of effective interventions. Overweight and obesity in preschool children is not new, but has become increasingly prevalent, and requires population-based strategies.
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