Body mass index in 7–9-y-old French children: frequency of obesity, overweight and thinness

Rolland-Cachera, M. F.; Castetbon, Katia; Arnault, Nathalie; Bellisle, F.; Mc, Romano; Lehingue, Y; Frelut, M.-L.; Herçberg, Serge

doi:10.1038/sj.ijo.0802146

Cited by 189 publications

(134 citation statements)

References 16 publications

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“…However, according to Strauss (1999), calculations of BMI are less inaccurate in children since they tend to underestimate both weight and height. As our OW prevalence compares favourably with other studies cited above conducted at a national scale on narrower age ranges and using measured weight and height (Rolland-Cachera et al, 2002;Labeyrie and Niel, 2003;Labeyrie and Niel, 2004), we believe that any underestimation would be insignificant.…”

Section: Discussionsupporting

confidence: 81%

“…It confirms that childhood OW prevalence is high in France, as already suggested by three recent national surveys, each on a narrower age range. These showed prevalence rates of OW (including obesity) of 14.5% in children aged 5-6 years (1999-2000) (Labeyrie and Niel, 2003), 18.1% in children aged 7-9 years (2000) (Rolland-Cachera et al, 2002), 20.0% in preadolescents aged 10-11 years (2001-2002) (Labeyrie and Niel, 2004), and 11.6% in adolescents aged 11-16 years (2001-2002) (Janssen et al, 2005), with respect to the same IOTF definition (Cole et al, 2000). Lastly, the results of the ObEpi (Obesity Epidemiology), another national survey performed in 2000 on a larger sample of children aged 2-17 years, but which did not account for behavioural risk factors, gave 13.3% (Basdevant and Guy-Grand, 2004).…”

Section: Discussionmentioning

confidence: 99%

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Child overweight in France and its relationship with physical activity, sedentary behaviour and socioeconomic status

et al. 2006

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Objective: (1) To assess the prevalence of childhood overweight (OW) and obesity in France; (2) to examine how physical activity and sedentary behaviour are involved in the association between socioeconomic status (SES) and OW, while taking into account total energy intake. Design and subjects: Representative sample of French children aged 3-14 years (n ¼ 1016) taken from the 1998-1999 crosssectional French INCA (Enquête Individuelle et Nationale sur les Consommations Alimentaires) food consumption survey. Measurements: Weight and height, leisure-time physical activity (LTPA), sedentary behaviour (TV viewing and video-game use), and SES were reported by parents or children by answering questionnaires; total energy intake was assessed using a 7-day food record. Results: In total, 15.2% (95% CI: 13.0-17.6) of the children are OW (including obese), according to the IOTF (International Obesity Task Force) definition. OW is inversely associated with SES in children over 6 years of age. LTPA is negatively correlated to OW among the 3 to 5-year-old children only, whereas sedentary behaviour is positively related to OW in childhood and adolescence. From 6 years old on, SES is inversely associated with sedentary behaviour, which consequently may partly mediate the relationship between SES and OW. Conclusion: This study confirms the association between SES, sedentary behaviour and childhood OW in France. It was performed before the launching of the French Program of Nutrition and Health (PNNS) in 2001 and will be repeated in 2006. This will contribute to monitoring both childhood OW and its main determinants at the population scale.

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Section: Discussionsupporting

confidence: 81%

Section: Discussionmentioning

confidence: 99%

Child overweight in France and its relationship with physical activity, sedentary behaviour and socioeconomic status

et al. 2006

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“…BMI overweight (including obesity) frequency was higher using the Must et al reference (26.2%) than the IOTF reference (22.1%). The same trends were observed by Flegal et al (2001) in US children and by Rolland-Cachera et al (2002) in French children. The higher prevalence of overweight using the Must et al, as compared to the IOTF reference, was mainly accounted for by the contribution of obesity (5.5 and 10.6% respectively), while the prevalence of overweight-non-obese children did not differ markedly (16.6 and 15.6%, respectively).…”

Section: Discussionsupporting

confidence: 78%

“…As we used international definitions, and although age ranges can be slightly different, our results can be compared with other studies. In the year 2000, a survey following the ECOG protocol was conducted in France (Rolland-Cachera et al, 2002). Using the IOTF reference, obesity affected 3.8% of French children as compared with 5.5% in Florianopolis.…”

Section: Discussionmentioning

confidence: 99%

Obesity, overweight and thinness in schoolchildren of the city of Florianópolis, Southern Brazil

et al. 2005

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Objective: To assess the prevalence of obesity, overweight (including obesity) and thinness in children of the city of Florianopolis (southern Brazil). Design: Cross-sectional study. Subjects: Representative sample of 7-10-y-old schoolchildren of the first four grades of elementary schools (1432 girls, 1504 boys). Methods: Measurements of weight, height and triceps skinfold thickness (TSF) were taken following standard techniques. The body mass index (BMI) was computed as weight/height 2 . Nutritional status was defined using two references: (1) the Must et al reference for BMI and TSF to define thinness, overweight and obesity (5th, 85th and 95th percentiles, respectively); (2) the International Obesity Task Force (IOTF) BMI cutoffs to define overweight and obesity. Results: Using BMI, according to the Must et al, and IOTF references, the prevalence of obesity was 10.6 and 5.5%, respectively; overweight (including obesity) affected 26.2 and 22.1% of children, respectively. According to the Must et al reference, the prevalence of thinness was 3.2%. Using TSF rather than BMI, according to the Must et al references, fewer children were classified as obese (8.0%) or overweight (20.2%) and more children were classified as thin (4.9%). Conclusion: This study supports the previously reported high frequencies of childhood overweight and obesity in developing countries. The data allow comparisons with other studies carried out in Brazil and other parts of the world.

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“…However, the comparison of socioeconomic status in the 1950s to that in the 1980s is questionable: the environ- Growth charts of anthropometric indices in children B Heude et al mental and nutritional factors associated with socioeconomic statuses, and suspected to explain the trends observed, will have evolved anyway. In addition, there are other regional or national data confirming that today's children have higher fat mass or height than the 'Reference children' (Deheeger et al, 2002;Rolland-Cachera et al, 2002). Therefore, we do not think that the observed differences can only be attributed to a sample bias.…”

Section: Discussionmentioning

confidence: 74%

Growth curves of anthropometric indices in a general population of French children and comparison with reference data

et al. 2006

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Background: The description of growth patterns of the different anthropometric measurements mainly used in epidemiological studies is useful to better understand the development of obesity in children and its consequences. Objective: Our aim was to establish growth curves of anthropometric indices in a general population of French children born during the 1980s and to compare them with the French reference curves based on children born in the 1950s. Design: As part of the Fleurbaix Laventie Ville Santé Studies I and II (FLVS), 441 girls and 467 boys were examined at least twice between 1993 and 2001. Height, weight and four skinfold thicknesses were measured. Body mass index (BMI), sum of peripheral and truncal skinfolds and truncal-to-peripheral ratio were calculated. Mean growth curves from ages 5 to 17 years were assessed for these indices, calculating means and 95% confidence interval per 1 year age group and by gender. Results: Trajectories with age differed importantly according to the index considered; BMI was the one with the smallest difference between genders and the most linear shape with age. From the age of 5 years and after, the FLVS children were on average taller and had a higher subcutaneous adiposity than children born 30 years earlier. Truncal-to-peripheral ratio was higher in our population; this difference became more marked with puberty in girls. Discussion: This study suggests the existence of a secular trend towards a precocious accelerated growth, and a more truncal adiposity distribution, especially in girls. It is a disquieting trend considering its expected consequences on adult health.

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Body mass index in 7–9-y-old French children: frequency of obesity, overweight and thinness

Cited by 189 publications

References 16 publications

Child overweight in France and its relationship with physical activity, sedentary behaviour and socioeconomic status

Child overweight in France and its relationship with physical activity, sedentary behaviour and socioeconomic status

Obesity, overweight and thinness in schoolchildren of the city of Florianópolis, Southern Brazil

Growth curves of anthropometric indices in a general population of French children and comparison with reference data

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