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BMI for age references for Japanese children--based on the 2000 growth survey
Noriko Kato1, Kayoko Sato, Hidemi Takimoto
1Department of Health Promotion and Research, National Institute of Public Health, 2-3-6 Minami, Wako-shi, Saitama 351-0197 Japan. kato@niph.go.jp
Insights
This study establishes age and sex-specific body mass index (BMI) standards for Japanese children. These new BMI cut-offs help accurately identify overweight and obesity in this population.
Area of Science:
- Pediatrics
- Public Health
- Anthropometry
Background:
- Childhood obesity is a growing global concern.
- Accurate assessment requires population-specific growth standards.
- Existing standards may not reflect ethnic variations in body composition.
Purpose of the Study:
- To develop age- and sex-specific Body Mass Index (BMI) standards for Japanese children.
- To establish precise cut-off points for overweight and obesity in Japanese youth.
- To provide a culturally relevant tool for pediatric health assessment.
Main Methods:
- Population-based analysis of national BMI data from 2000.
- Inclusion of a large cohort across all school levels (preschool to upper secondary).
- Application of Cole's method for determining BMI centile curves and cut-off points.
Main Results:
- Developed age- and sex-specific BMI centile curves for Japanese children.
- Identified distinct overweight and obesity cut-off points compared to international standards (e.g., CDC 2000).
- Observed differences attributed to ethnic variations in body composition.
Conclusions:
- The developed BMI standards are crucial for accurate overweight and obesity assessment in Japanese children.
- These findings highlight the importance of ethnicity in pediatric BMI evaluations.
- The study provides a vital resource for public health initiatives targeting childhood obesity in Japan.
Abstract:
This study is done to develop an age and sex-specific BMI standard for Japanese children, and to determine the age and sex specific cut off points for overweight and obesity. A population-based analysis of BMI data from a national survey conducted in the year 2000; 14,113 preschool children, 72,380 children attending kindergartens, 270,720 attending elementary schools, 225,600 attending lower secondary schools and 126,900 attending upper secondary schools. BMI centile curves and cut-off points for overweight and obesity were determined following Cole's method. Compared with the BMI reference in the CDC 2000 standards, the reference for boys was almost the same, while for girls the width of percentile curves was larger in the CDC reference. The cut-off points for overweight or obesity were different from that of Cole's (2000) because of the difference in ethnicity. The results can be used for the assessment of overweight or obesity in Japanese children.
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