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Using different growth references to measure thinness and overweight among Swedish primary school children showed considerable variations
Örebro University, School of Hospitality, Culinary Arts & Meal Science. Department of Nursing and Health Promotion, Oslo and Akershus University College of Applied Science, Oslo, Norway.ORCID iD: 0000-0002-8675-6284
Örebro University, School of Hospitality, Culinary Arts & Meal Science. Sophiahemmet University, Stockholm, Sweden. (Mat på tvärs)ORCID iD: 0000-0002-7165-279X
Department of Food and Nutrition, and Sport Science, University of Gothenburg, Gothenburg, Sweden.
Department of Food and Nutrition, and Sport Science, University of Gothenburg, Gothenburg, Sweden.
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2016 (English)In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 105, no 10, 1158-1165 p.Article in journal (Refereed) Published
Abstract [en]

Aim: The study compared how four different growth references determined the prevalence of thinness and overweight, based on height and weight measurements from a nationally representative sample of Swedish children from seven to nine years of age.

Methods: The height and weight measurements of 4,518 Swedish schoolchildren aged seven to nine years were carried out in 2008 using a standardised protocol. The prevalence of different degrees of thinness and overweight were calculated using international growth references from the World Health Organization, the International Obesity Task Force and two Swedish growth references from Werner and Karlberg.

Results: Depending on which growth reference we used, the prevalence of different degrees of thinness varied from 7.5%-16.9% for the boys and 6.9%-13.7% for the girls, while for the prevalence of overweight, including obesity and severe obesity, varied from 16.5%-25.7% for the boys and 18.2-25.2% for the girls. There were also significant gender differences depending on the growth reference we used.

Conclusion: Using four different growth references, two international and two Swedish, produced wide variations in the prevalence of thinness and overweight, together with significant gender differences. In the absence of a global definition, we need both national and international growth references.

Place, publisher, year, edition, pages
Wiley-Blackwell Publishing Inc., 2016. Vol. 105, no 10, 1158-1165 p.
Keyword [en]
Body mass index cut-off levels, childhood, crowth surveillance, obesity, underweight
National Category
Nutrition and Dietetics Pediatrics
Research subject
Culinary Arts and Meal Science; Nutrition; Pediatrics
Identifiers
URN: urn:nbn:se:oru:diva-50027DOI: 10.1111/apa.13400ISI: 000383619400022PubMedID: 26991338Scopus ID: 2-s2.0-84987846807OAI: oai:DiVA.org:oru-50027DiVA: diva2:924666
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2006-1624, 2006-1506Swedish Research Council, 7509, 2006-7777
Note

Funding Agencies:

Örebro University, Sweden

Oslo and Akershus University College, Norway

The Swedish University Hospital (ALF)

Karolinska Institut

Region Västra Götaland

Available from: 2016-04-28 Created: 2016-04-28 Last updated: 2017-10-17Bibliographically approved

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Nilsen, Bente B.Yngve, AgnetaWerner, Bo
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