Rising obesity and expanding waistlines in schoolchildren: a cohort study

Rudolf, Mary; Greenwood, Darren C.; Cole, Tim; Levine, Robert L.; Sahota, Pinki; Walker, J. D.; Holland, Paula; Cade, Janet; Truscott, J G

doi:10.1136/adc.2002.020552

Cited by 44 publications

(35 citation statements)

References 8 publications

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“…The only parameters associated with the degree of zBMI reduction were waist circumference and its z-score. This was an expected finding because BMI and waist circumference are correlated, 11 both being measures of body composition. Overall, the results suggest that regardless of the magnitude and direction of change in zBMI, the intervention had beneficial effects on important health outcomes.…”

Section: Discussionmentioning

confidence: 56%

Is BMI Alone a Sufficient Outcome To Evaluate Interventions for Child Obesity?

Kolotourou¹,

Radley²,

Chadwick³

et al. 2013

Childhood Obesity

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Background: BMI is often used to evaluate the effectiveness of childhood obesity interventions, but such interventions may have additional benefits independent of effects on adiposity. We investigated whether benefits to health outcomes following the Mind, Exercise, Nutrition.Do It! (MEND) childhood obesity intervention were independent of or associated with changes in zBMI.Methods: A total of 79 obese children were measured at baseline; 71 and 42 participants were followed-up at 6 and 12 months respectively, and split into four groups depending on magnitude of change in zBMI. Differences between groups for waist circumference, cardiovascular fitness, physical and sedentary activities, and self-esteem were investigated.Results: Apart from waist circumference and its z-score, there were no differences or trends across zBMI subgroups for any outcome. Independent of the degree of zBMI change, benefits in several parameters were observed in children participating in this obesity intervention.Conclusion: We concluded that isolating a single parameter like zBMI change and neglecting other important outcomes is restrictive and may undermine the evaluation of childhood obesity intervention effectiveness.

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Section: Discussionmentioning

confidence: 56%

Is BMI Alone a Sufficient Outcome To Evaluate Interventions for Child Obesity?

Kolotourou¹,

Radley²,

Chadwick³

et al. 2013

Childhood Obesity

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“…The measurements of behavioral risk factors for health were self-reported, and there is a possibility of bias in the classification of exposure. There is also the possibility of reverse causality, which is an inherent characteristic of the Internationally, the available studies have focused mainly on the analysis of trends in relation to the absolute measurement of waist circumference 18,19 or on verifying trends regarding other anthropometric indicators such as the waist/height ratio 17 . Few studies have reported the prevalence of abdominal obesity in adolescents 16,30,31 , and all references employed evaluation procedures different from those used in this study.…”

Section: Discussionmentioning

confidence: 99%

“…In recent decades, studies with different population subgroups showed that there has been a significant increase in mean waist circumference values or in the prevalence of abdominal obesity in adolescents of both genders [16][17][18][19] . Despite the upward trend, there is still considerable lack of information and conflicting results regarding the factors associated with obesity among adolescents.…”

Section: Introductionmentioning

confidence: 99%

Obesidade abdominal em adolescentes: prevalência e associação com atividade física e hábitos alimentares

Cavalcanti¹,

Barros²,

Menêses³

et al. 2010

Arq. Bras. Cardiol.

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“…1,2 Obesity in childhood is associated with short-term morbidity such as asthma and psychological problems, and with an increased risk for chronic morbidity and mortality in adulthood. 3,4 Childhood obesity tends to track into adulthood, meaning that subjects keep their ranking position in body mass index (BMI) distribution over time.…”

Section: Introductionmentioning

confidence: 99%

Tracking and determinants of subcutaneous fat mass in early childhood: the Generation R Study

Hokken-Koelega

Mook‐Kanamori

et al. 2008

Int J Obes

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Objectives: To examine the development and tracking of subcutaneous fat mass in the first 2 years of life and to examine which parental, fetal and postnatal characteristics are associated with subcutaneous fat mass. Design: This study was embedded in the Generation R Study, a prospective cohort study from early fetal life onward. Subcutaneous fat mass was measured by skinfold thickness (biceps, triceps, suprailiacal, subscapular) at the ages of 1.5, 6 and 24 months in 1012 children. Information about parental, fetal and postnatal growth characteristics was collected by physical and fetal ultrasound examinations and questionnaires. Results: Normal values of subcutaneous fat mass are presented. Total subcutaneous fat mass was higher in girls than in boys at the age of 24 months (P ¼ 0.01). Subjects in the lowest and highest quartiles at the age of 6 months tended to keep their position in the same quartile at the age of 24 months (odds ratios 1.86 (95% confidence interval (CI) 1.3, 2.7)) and 1.84 (95% CI: 1.3, 2.6), respectively). Maternal height and weight, paternal weight, fetal weight at 30 weeks, birth weight and weight at the age of 6 weeks were each inversely associated with subcutaneous fat mass at the age of 24 months after adjustment for current weight at 24 months. Conclusion: This study shows for the first time that subcutaneous fat mass tends to track in the first 2 years of life. Furthermore, the results suggest that an adverse fetal environment and growth are associated with increased subcutaneous fat mass at the age of 24 months. Further studies are needed to examine whether these associations persist in later life.

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Rising obesity and expanding waistlines in schoolchildren: a cohort study

Cited by 44 publications

References 8 publications

Is BMI Alone a Sufficient Outcome To Evaluate Interventions for Child Obesity?

Is BMI Alone a Sufficient Outcome To Evaluate Interventions for Child Obesity?

Obesidade abdominal em adolescentes: prevalência e associação com atividade física e hábitos alimentares

Tracking and determinants of subcutaneous fat mass in early childhood: the Generation R Study

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