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BMI centile curves for Japanese children aged 5-17 years in 2000-2005
1Juntendo School of Medicine, 2-1-1 Hongo, Bunkyo, Tokyo 113-8421, Japan. sakana@med.juntendo.ac.jp
Insights
Childhood obesity prevalence in Japan decreased between 2000 and 2005. This study highlights the need for regular updates to international growth charts based on current data.
Area of Science:
- Pediatric endocrinology
- Public health nutrition
- Growth and development studies
Background:
- Childhood overweight and obesity rates have been a growing global concern.
- International growth charts are essential for monitoring child development but may require updates.
Purpose of the Study:
- To analyze trends in age-specific overweight and obesity prevalence among Japanese children from 2000 to 2005.
- To compare Japanese child growth centile curves with existing international standards.
Main Methods:
- A large-scale, representative, cross-sectional growth study conducted in Japan.
- Analysis of body mass index (BMI) data from 668,000 to 670,000 Japanese children aged 5-17 years annually between 2000 and 2005.
Main Results:
- A decline in the prevalence of overweight and obesity was observed in Japanese children (males and females) aged 5-17 years from 2000 to 2005.
- Japanese centile curves were generated, aligning with international reference curves at age 17.
Conclusions:
- Centile curves for child growth can evolve over time, necessitating periodic revisions.
- International reference curves should incorporate data from diverse countries to maintain relevance and accuracy.
Objectives:
To examine changes in the age-specific prevalence of overweight and obesity in Japanese children between 2000 and 2005 and compare Japanese centile curves with international ones.
Design:
A large, Japanese, representative cross-sectional growth study.
Setting:
Japan.
Subjects:
Japanese children aged 5-17 years, including 669,986 subjects in 2000, 670,143 in 2001, 668,760 in 2002, 670,785 in 2003, 669,120 in 2004 and 668,234 in 2005.
Main Outcome Measure:
BMI (weight/height2).
Results:
The prevalence of overweight and obesity in children aged 5-17 years decreased from 2000 to 2005 in both males and females, according to the definitions of the Centers for Disease Control and Prevention and the International Obesity Taskforce. For each year, the centile curves were drawn so that at age 17 years they passed through respectively 24.46 kg/m2 and 24.70 kg/m2 for males, and 29.41 kg/m2 and 29.69 kg/m2 for females, which are the BMI values at age 17 years from the international reference curves.
Conclusions:
The study results indicate that centile curves can change according to the time of observation, thus suggesting that international reference curves therefore need to be regularly revised while including more data from a larger range of countries.
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