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The use of anthropometry in the prevention of childhood overweight and obesity

International Journal of Obesity volume 28, pages S81–S85 (2004)Cite this article

Abstract

OBJECTIVE: To review concepts and propose measures related to the use of anthropometry for early identification of excessive weight gain in children.

METHODS: Review of results from national and international studies focusing on the assessment of childhood growth, and evaluation of the weight-for-height z-scores of individual children using the 1977 National Center for Health Statistics and the 2000 Centers for Disease Control and Prevention growth charts.

RESULTS: At present, few countries (23%) use indicators based on weight and height measurements to classify child body weight status. Less than one-third of growth monitoring programmes assess the growth of children beyond 6 y of age. Growth charts based on descriptive samples of populations undergoing increasing trends of childhood overweight and obesity result in substantial underestimation of true rates of these conditions.

CONCLUSION: Early recognition of excessive weight gain relative to linear growth should become standard clinical practice by the following: (a) the routine collection of height measurements to enable monitoring weight-for-height and body mass index (BMI); (b) the expansion of existing monitoring programmes to include the assessment of all children up to 18 y at least once a year; (c) the interpretation of weight-for-height and BMI indices based on prescriptive reference data; and (d) the early intervention after an increase in weight-for-height or BMI percentiles has been observed.

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  1. Department of Nutrition, World Health Organization, Geneva, Switzerland

    M de Onis

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de Onis, M. The use of anthropometry in the prevention of childhood overweight and obesity. Int J Obes 28 (Suppl 3), S81–S85 (2004). https://doi.org/10.1038/sj.ijo.0802810

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