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.

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