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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.
Arch Dis Child. 2013 Apr; 98(4):280-5.AD

Abstract

OBJECTIVES

Asians have a smaller muscle mass and a larger fat mass at the same body mass index (BMI) than most other ethnic groups. Due to a resulting higher cardiometabolic risk, the BMI cut-offs for overweight and obesity were lowered for adults. For Asian children universal criteria apply. The objectives of this study were to determine the normal BMI distribution and assess the BMI class distribution in a reference cohort of affluent South Asian children born before the obesity epidemic and to assess the influence of the obesity epidemic on the distributions.

METHODS

Historical cohort study with 4350 measurements of height and weight of two cohorts (born 1974-1976 and 1991-1993) of Surinamese South Asian children living in The Netherlands, analysed with WHO Child Growth References and International Obesity Task Force (IOTF) BMI cut-offs.

RESULTS

The reference cohort 1974-1976 was significantly lighter (BMI Z-score=-0.63; 95% CI -0.69 to -0.58) and more variable (SD=1.19) than WHO reference. Total thinness prevalence was exceptionally high, both in cohort 1974-1976 (WHO 38.3%; IOTF 36.4%) and 1991-1993 (WHO 23.6%; IOTF 23.9%). Overweight and obesity prevalences were low in the reference cohort (WHO respectively 6.0% and 2.1%; IOTF 5.3%, 0.9%), but much higher in cohort 1991-1993 (WHO 13.6%, 9.1%; IOTF 11.7%, 6.0%).

CONCLUSIONS

The low mean BMI Z-score and high prevalence of thinness are likely expressions of the characteristic body composition of South Asians. Universal BMI cut-offs should be applied carefully in South Asian populations as thinness prevalence is likely to be overestimated and obesity underestimated. The development of ethnic specific cut-offs is recommended.

Authors+Show Affiliations

Department of Youth Health Care, Municipal Health Service The Hague (GGD Den Haag), PO Box 12652, The Hague 2500 DP, The Netherlands. Jeroen.deWilde@denhaag.nlNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

23372060

Citation

de Wilde, Jeroen Alexander, et al. "Trends in Body Mass Index Distribution and Prevalence of Thinness, Overweight and Obesity in Two Cohorts of Surinamese South Asian Children in the Netherlands." Archives of Disease in Childhood, vol. 98, no. 4, 2013, pp. 280-5.
de Wilde JA, Zandbergen-Harlaar S, van Buuren S, et al. Trends in body mass index distribution and prevalence of thinness, overweight and obesity in two cohorts of Surinamese South Asian children in The Netherlands. Arch Dis Child. 2013;98(4):280-5.
de Wilde, J. A., Zandbergen-Harlaar, S., van Buuren, S., & Middelkoop, B. J. (2013). Trends in body mass index distribution and prevalence of thinness, overweight and obesity in two cohorts of Surinamese South Asian children in The Netherlands. Archives of Disease in Childhood, 98(4), 280-5. https://doi.org/10.1136/archdischild-2012-303045
de Wilde JA, et al. Trends in Body Mass Index Distribution and Prevalence of Thinness, Overweight and Obesity in Two Cohorts of Surinamese South Asian Children in the Netherlands. Arch Dis Child. 2013;98(4):280-5. PubMed PMID: 23372060.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Trends in body mass index distribution and prevalence of thinness, overweight and obesity in two cohorts of Surinamese South Asian children in The Netherlands. AU - de Wilde,Jeroen Alexander, AU - Zandbergen-Harlaar,Silvia, AU - van Buuren,Stef, AU - Middelkoop,Barend J C, Y1 - 2013/01/31/ PY - 2013/2/2/entrez PY - 2013/2/2/pubmed PY - 2013/5/2/medline SP - 280 EP - 5 JF - Archives of disease in childhood JO - Arch Dis Child VL - 98 IS - 4 N2 - OBJECTIVES: Asians have a smaller muscle mass and a larger fat mass at the same body mass index (BMI) than most other ethnic groups. Due to a resulting higher cardiometabolic risk, the BMI cut-offs for overweight and obesity were lowered for adults. For Asian children universal criteria apply. The objectives of this study were to determine the normal BMI distribution and assess the BMI class distribution in a reference cohort of affluent South Asian children born before the obesity epidemic and to assess the influence of the obesity epidemic on the distributions. METHODS: Historical cohort study with 4350 measurements of height and weight of two cohorts (born 1974-1976 and 1991-1993) of Surinamese South Asian children living in The Netherlands, analysed with WHO Child Growth References and International Obesity Task Force (IOTF) BMI cut-offs. RESULTS: The reference cohort 1974-1976 was significantly lighter (BMI Z-score=-0.63; 95% CI -0.69 to -0.58) and more variable (SD=1.19) than WHO reference. Total thinness prevalence was exceptionally high, both in cohort 1974-1976 (WHO 38.3%; IOTF 36.4%) and 1991-1993 (WHO 23.6%; IOTF 23.9%). Overweight and obesity prevalences were low in the reference cohort (WHO respectively 6.0% and 2.1%; IOTF 5.3%, 0.9%), but much higher in cohort 1991-1993 (WHO 13.6%, 9.1%; IOTF 11.7%, 6.0%). CONCLUSIONS: The low mean BMI Z-score and high prevalence of thinness are likely expressions of the characteristic body composition of South Asians. Universal BMI cut-offs should be applied carefully in South Asian populations as thinness prevalence is likely to be overestimated and obesity underestimated. The development of ethnic specific cut-offs is recommended. SN - 1468-2044 UR - https://www.unboundmedicine.com/medline/citation/23372060/Trends_in_body_mass_index_distribution_and_prevalence_of_thinness_overweight_and_obesity_in_two_cohorts_of_Surinamese_South_Asian_children_in_The_Netherlands_ L2 - https://adc.bmj.com/lookup/pmidlookup?view=long&pmid=23372060 DB - PRIME DP - Unbound Medicine ER -