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Updated: Mar 2, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Prevalence and factors associated with body mass index in children aged 9-11 years
Gerson Luis de Moraes Ferrari1, Victor Matsudo2, Peter T Katzmarzyk3
1Centro de estudos do Laboratório de Aptidão Física de São Caetano do Sul (CELAFISCS), São Caetano do Sul, SP, Brazil; Universidade Federal de São Paulo (UNIFESP), Departamento de Pediatria, Centro de Atendimento e Apoio ao Adolescente, São Paulo, SP, Brazil.
Insights
Over half of 9-11 year olds in São Caetano do Sul are overweight or obese. Body fat percentage and screen time were key factors associated with body mass index (BMI).
Area of Science:
- Pediatrics
- Public Health
- Childhood Obesity Research
Background:
- Childhood obesity is a growing global health concern.
- Understanding prevalence and associated factors is crucial for intervention.
Purpose of the Study:
- To determine the prevalence of overweight/obesity in 9-11 year olds.
- To identify factors associated with body mass index (BMI) in this age group.
Main Methods:
- Utilized data from the International Study of Childhood Obesity Lifestyle and the Environment (ISCOLE).
- Assessed body composition via bipolar bioimpedance and physical activity/sedentary behavior using accelerometers.
- Analyzed individual, family, and environmental factors using multilevel linear regression.
Main Results:
- The mean BMI was 20.1 kg/m², with 51.8% of children classified as overweight/obese.
- Body fat percentage (BF%) and screen time (ST) were significantly associated with BMI in the overall cohort.
- Gender-specific analyses revealed BF% and ST associated with BMI in boys, while only BF% was associated in girls.
Conclusions:
- A high prevalence of overweight/obesity exists in children from São Caetano do Sul.
- Associated factors for BMI differ between genders, with body fat percentage being a common factor for both.
Objective:
This study aimed to identify the prevalence and factors associated with body mass index (BMI) in children aged 9-11 years.
Methods:
The study is part of the International Study of Childhood Obesity Lifestyle and the Environment (ISCOLE). Body composition was determined using the bipolar bioimpedance technique. The mean BMI value was categorized as recommended by the World Health Organization. For seven consecutive days, participants used an accelerometer to objectively monitor sedentary behavior (SB) and moderate to vigorous physical activity. Individual factors (anthropometric and behavioral), family aspects, and family and school environment were provided by participants and parents and were analyzed by multilevel linear regression adjusted for gender, ethnicity, school, number of siblings, and total annual family income.
Results:
The mean BMI was 20.1kg/m2, and 51.8% of the children were overweight/obese (50.3% boys, 53.4% girls, p=0.014). Considering all participants, the associated factors of BMI were body fat percentage (BF%, β=0.0216, p<0.001) and screen time (ST, β=0.0050, p=0.006). In boys, the associated factors were BF% (β=0.0209, p<0.001), ST (β=0.006, p=0.036), and healthy eating policies or practices (β=0.0276, p=0.025). In girls, only BF% was associated (β=0.0221, p<0.001) with BMI.
Conclusions:
High prevalence of overweight/obesity was observed in children from São Caetano do Sul. Different associated factors were identified between the genders, with only BF% being common in both genders.
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