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Assessment of Child Anthropometry in a Large Epidemiologic Study
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Defining morbid obesity in children based on BMI 40 at age 18 using the extended international (IOTF) cut-offs

L Bervoets1, G Massa

  • 1Faculty of Medicine and Life Sciences, Hasselt University, Diepenbeek, Belgium.

Pediatric Obesity
|March 1, 2014
PubMed

Insights

Classifying obese children by severity is crucial. This study categorized pediatric obesity into classes I, II, and III, finding significant health differences in severe (class III) cases.

Area of Science:

  • Pediatric Endocrinology
  • Obesity Research
  • Public Health

Background:

  • Increasing rates of severe obesity in children are a growing concern.
  • Existing classifications may not adequately capture the spectrum of pediatric obesity.

Purpose of the Study:

  • To classify obese children into severity classes (I, II, III) using age- and gender-specific BMI centile curves.
  • To define cut-offs for class I, II (severe), and III (morbid) obesity at age 18.

Main Methods:

  • Utilized the LMS method to calculate BMI cut-offs for BMI 30, 35, and 40.
  • Classified 217 obese children based on established and calculated BMI criteria.

Main Results:

  • 25.8% of children were classified with class III obesity, 33.6% with class II, and 40.6% with class I.
  • Class III obese children exhibited higher waist circumference, systolic blood pressure, and fasting insulin levels.

Conclusions:

  • Clinical classification of pediatric obesity by severity is essential.
  • Differentiated classes of obesity severity correlate with distinct physiological markers.
Abstract

Keywords:
BMIchildrenmorbid obesityreference values

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