Prevalence of overweight and obesity among 7–9-year-old children in Aveiro, Portugal: comparison between IOTF and CDC references

摘要

ObjectiveTo estimate the prevalence of overweight and obesity in schoolchildren from Aveiro, Portugal, according to two criteria: the International Obesity Task Force (IOTF) and the US Centers for Disease Control and Prevention (CDC) cut-offs.DesignWeight, height and waist circumference were measured. Using the BMI, gender- and age-specific prevalences of overweight and obesity were determined according to the IOTF cut-offs extrapolated from an adult BMI of 25 and 30 kg/m2 and the CDC cut-off values of 85th and 95th BMI percentile.SettingAveiro, Portugal.SubjectsA random representative sample of 905 children (457 boys; 448 girls) aged 7a€“9 years.ResultsThe prevalence of excess weight (overweight and obesity) was lowest according to IOTF cut-offs compared to CDC (28?·1 % v. 31?·2 %), especially obesity (8?·1 % v. 14?·0 %). However, the CDC and IOTF criteria have a strong agreement (Cohena€?s k = 0?·755; P < 0?·001). There were significant differences in excess weight between boys and girls according to the CDC (26?·9 % v. 35?·7 %; P = 0?·003). Obese children are younger and the majority present abdominal obesity.ConclusionsThe present study shows a high prevalence of excess weight in Aveiro children, similar to other Portuguese regions and among the highest in Europe, especially in the female gender. The IOTF cut-off values give a lower prevalence of excess weight, namely obesity.