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. 2000 May 6;320(7244):1240-3.
doi: 10.1136/bmj.320.7244.1240.

Establishing a standard definition for child overweight and obesity worldwide: international survey

T J Cole  1 , M C Bellizzi, K M Flegal, W H Dietz
Affiliations

"V体育ios版" Establishing a standard definition for child overweight and obesity worldwide: international survey

T J Cole et al. BMJ. .

Abstract

Objective: To develop an internationally acceptable definition of child overweight and obesity, specifying the measurement, the reference population, and the age and sex specific cut off points. VSports手机版.

Design: International survey of six large nationally representative cross sectional growth studies. V体育安卓版.

Setting: Brazil, Great Britain, Hong Kong, the Netherlands, Singapore, and the United States. V体育ios版.

Subjects: 97 876 males and 94 851 females from birth to 25 years of age VSports最新版本. .

Main outcome measure: Body mass index (weight/height(2)) V体育平台登录. .

Results: For each of the surveys, centile curves were drawn that at age 18 years passed through the widely used cut off points of 25 and 30 kg/m(2) for adult overweight and obesity. The resulting curves were averaged to provide age and sex specific cut off points from 2-18 years VSports注册入口. .

Conclusions: The proposed cut off points, which are less arbitrary and more internationally based than current alternatives, should help to provide internationally comparable prevalence rates of overweight and obesity in children. V体育官网入口.

PIP: This study aimed to develop an internationally acceptable definition of child overweight and obesity, specifying the measurement, reference population, and age and sex specific cut off points. Data on body mass index (weight/height) were obtained from 6 large nationally representative cross sectional surveys on growth from Brazil, Great Britain, Hong Kong, the Netherlands, Singapore, and the US. The study included 97,876 males and 94,851 females from birth to 25 years of age. For each of the surveys, centile curves were drawn that at age 18 years passed through the widely used cut-off points of 25 and 30 kg/sq VSports在线直播. m for adult weight and obesity. The resulting curves were averaged to provide age- and sex-specific cut-off points from 2 to 18 years. The proposed cut off points, which are less arbitrary and more internationally based than current alternatives, should help to provide internationally comparable prevalence rates of overweight and obesity in children. .

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Figures

Figure 1
Figure 1
Centiles for body mass index for British males and females. Centile curves are spaced two thirds of z score apart. Also shown are body mass index values of 25 and 30 kg/m2 at age 18, with extra centile curves drawn through them
Figure 2
Figure 2
Median body mass index by age and sex in six nationally representative datasets
Figure 3
Figure 3
Centiles for overweight by sex for each dataset, passing through body mass index of 25 kg/m2 at age 18
Figure 4
Figure 4
Centiles for obesity by sex for each dataset, passing through body mass index of 30 kg/m2 at age 18
Figure 5
Figure 5
Plots of coefficient of variation of body mass index by age and sex for each dataset
Figure 6
Figure 6
International cut off points for body mass index by sex for overweight and obesity, passing through body mass index 25 and 30 kg/m2 at age 18 (data from Brazil, Britain, Hong Kong, Netherlands, Singapore, and United States)
Figure 7
Figure 7
Centiles for overweight by sex for 11 datasets
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References

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    1. Mahoney LT, Burns TL, Stanford W. Coronary risk factors measured in childhood and young adult life are associated with coronary artery calcification in young adults: the Muscatine study. J Am Coll Cardiol. 1996;27:277–284. - "VSports app下载" PubMed
    1. Must A, Jacques PF, Dallal GE, Bajema CJ, Dietz WH. Long-term morbidity and mortality of overweight adolescents. A follow-up of the Harvard growth study of 1922 to 1935. New Engl J Med. 1992;327:1350–1355. - "V体育2025版" PubMed

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