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Автор Hesketh, Kylie
Автор Wake, Melissa
Автор Waters, Elizabeth
Автор Carlin, John
Автор Crawford, David
Дата выпуска 2004
dc.description AbstractObjective:To investigate the prevalence and incidence of overweight and obesity, the frequency of overweight resolution and the influence of parental adiposity during middle childhood.Design:As part of a prospective cohort study, height and weight were measured in 1997 and 2000/2001. Children were classified as non-overweight, overweight or obese based on standard international definitions. Body mass index (BMI) was transformed into age- and gender-specific Z-scores employing the LMS method and 2000 growth chart data of the Centers for Disease Control and Prevention. Parents self-reported height and weight, and were classified as underweight, healthy weight, overweight or obese based on World Health Organization definitions.Setting:Primary schools in Victoria, Australia.Subjects:In total, 1438 children aged 5–10 years at baseline.Results:The prevalence of overweight and obesity increased between baseline (15.0 and 4.3%, respectively) and follow-up (19.7 and 4.8%, respectively; P < 0.001 for increase in overweight and obesity combined). There were 140 incident cases of overweight (9.7% of the cohort) and 24 of obesity (1.7% of the cohort); only 3.8% of the cohort (19.8% of overweight/obese children) resolved to a healthy weight. The stability of child adiposity as measured by BMI category (84.8% remained in the same category) and BMI Z-score (r = 0.84; mean change = −0.05) was extremely high. Mean change in BMI Z-score decreased with age (linear trend β = 0.03, 95% confidence interval 0.01–0.05). The influence of parental adiposity largely disappeared when children's baseline BMI was adjusted for.Conclusions:During middle childhood, the incidence of overweight/obesity exceeds the proportion of children resolving to non-overweight. However, for most children adiposity remains stable, and stability appears to increase with age. Prevention strategies targeting children in early childhood are required.
Формат application.pdf
Издатель Cambridge University Press
Копирайт Copyright © CAB International 2004
Тема Body mass index
Тема Adiposity
Тема Tracking
Тема Longitudinal study
Тема Children
Название Stability of body mass index in Australian children: a prospective cohort study across the middle childhood years
Тип research-article
DOI 10.1079/PHN2003537
Electronic ISSN 1475-2727
Print ISSN 1368-9800
Журнал Public Health Nutrition
Том 7
Первая страница 303
Последняя страница 309
Аффилиация Hesketh Kylie; University of Melbourne
Аффилиация Wake Melissa; University of Melbourne
Аффилиация Waters Elizabeth; University of Melbourne
Аффилиация Carlin John; University of Melbourne
Аффилиация Crawford David; Deakin University
Выпуск 2

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