Trends in body mass index distribution and prevalence of thinness, overweight and obesity in two cohorts of Surinamese South Asian children in The Netherlands

Wilde, J.A. de; Zandbergen-Harlaar, S.; Buuren, Stef van; Middelkoop, Barend J C

doi:10.1136/archdischild-2012-303045

Cited by 20 publications

(21 citation statements)

References 28 publications

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“…In the current study, the mean BMI z-score of Surinamese South Asian children was even the lowest of all ethnic groups, and overweight (including obesity) prevalence was at 17% only slightly higher than in Dutch children. Nonetheless, the prevalence rates in Surinamese South Asian children may not represent the true prevalence in this group, as we recently showed that current universal cut-offs to determine overweight and obesity are likely to be too high for South Asian children 14. Consequently, the current overweight and obesity rates in South Asian children expectedly underestimate the true prevalence in this group.…”

Section: Discussionmentioning

confidence: 86%

Declining and stabilising trends in prevalence of overweight and obesity in Dutch, Turkish, Moroccan and South Asian children 3-16 years of age between 1999 and 2011 in the Netherlands

Wilde

Verkerk

Middelkoop

2013

Archives of Disease in Childhood

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Section: Discussionmentioning

confidence: 86%

Declining and stabilising trends in prevalence of overweight and obesity in Dutch, Turkish, Moroccan and South Asian children 3-16 years of age between 1999 and 2011 in the Netherlands

Wilde

Verkerk

Middelkoop

2013

Archives of Disease in Childhood

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“…However, the under-five mortality is almost half that of Sub-Saharian Africa [24]. Furthermore, in affluent Surinamese South Asian children living in the Netherlands, a disproportionately high prevalence of thinness was found [25]. This is likely to be a consequence of the high body fat percentage at low BMI, resulting in many ‘underweight’ children being misclassified.…”

Section: Introductionmentioning

confidence: 99%

Appropriate Body Mass Index Cut-Offs to Determine Thinness, Overweight and Obesity in South Asian Children in The Netherlands

2013

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BackgroundAsian populations have an increased risk of developing cardiometabolic disorders at a lower body mass index (BMI) than other ethnic groups. Therefore, lower adult BMI cut-offs to determine overweight and obesity are recommended to assess the associated health risks for Asian (23 and 27.5 kg/m2 respectively) and Asian Indian (23, 25 kg/m2) populations. The objective of this study was to develop BMI cut-offs for thinness, overweight, and obesity for South Asian children in the Netherlands, and to compare the BMI cut-offs and distribution with an Asian Indian reference, the WHO Child Growth Reference, and universal BMI cut-offs.MethodsA reference cohort of 546 Surinamese South Asian boys and 521 girls, born between 1974–1976 (during the pre-obesity era) with 3408 and 3267 BMI measurements respectively, was retrospectively analysed. BMI-for-age charts were created with the LMS method. BMI centile curves passing through the cut-off points of 15 (thinness), 23 (overweight), 25 and 27.5 kg/m2 (obesity) at 18y were drawn as cut-off levels.ResultsThe BMI of Surinamese South Asian children had a similar distribution to the Asian Indian reference, apart from a lower mean and less variation. The BMI distribution differed considerably from the WHO reference and universal BMI criteria. The calculated BMI cut-offs corresponding to a BMI of 15, 23, 25, and 27.5 kg/m2 at 18y were at the 7.1, 81.1, 89.8, and 95.5 percentile respectively in boys, and at the 2.7, 79.5, 89.2, and 95.2 percentile in girls.ConclusionsThis is the first study proposing BMI cut-offs for South Asian children based on measurements from a prosperous population unaffected by the obesity epidemic. We recommend the use of these cut-offs in South Asian children in the Netherlands as these better reflect the health risks associated with thinness, overweight and obesity, and therefore may prevent the development of cardiometabolic disorders.

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“…For children, between 5-17 years in this regional prevalence data on overweight and obesity are currently unavailable [3]. However, data for overweight and obesity prevalence among children in different countries in South Asia are available: 25.0% among children from 2 to 15 years in Bangladesh and 22.0% among children from 5 to 19 years in India.…”

Section: Introductionmentioning

confidence: 99%

Childhood Obesity: Epidemiology, Determinants, and Prevention

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2015

J Nutr Disorders Ther

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Recently, high prevalence of overweight and obesity has been reported in children and adolescents both in developed and in developing countries and these figures have been projected to increase further in coming years. Childhood obesity increases the risk of adulthood obesity and obesity related diseases such as hypertension, diabetes mellitus, and dyslipidemia. Several studies highlight recent evidence regarding the role of genetics, age, gender, birth weight, dietary pattern: eating fast foods and snacks and skipping breakfast and behavioral characteristics: sedentary activities, physical activity pattern, and sleeping hours related to occurrence of obesity in children and adolescents. Interventions related to changing dietary practices and maintenance of regular physical activity among children through parental initiative and social support in natural settings such as at home and in schools, or afterschool care services are the most important to prevent childhood obesity.

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Trends in body mass index distribution and prevalence of thinness, overweight and obesity in two cohorts of Surinamese South Asian children in The Netherlands

Cited by 20 publications

References 28 publications

Declining and stabilising trends in prevalence of overweight and obesity in Dutch, Turkish, Moroccan and South Asian children 3-16 years of age between 1999 and 2011 in the Netherlands

Declining and stabilising trends in prevalence of overweight and obesity in Dutch, Turkish, Moroccan and South Asian children 3-16 years of age between 1999 and 2011 in the Netherlands

Appropriate Body Mass Index Cut-Offs to Determine Thinness, Overweight and Obesity in South Asian Children in The Netherlands

Childhood Obesity: Epidemiology, Determinants, and Prevention

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