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Differences in Body Build in Children of Different Ethnic Groups and their Impact on the Prevalence of Stunting, Thinness, Overweight, and Obesity.
Food Nutr Bull. 2016 Mar; 37(1):3-13.FN

Abstract

BACKGROUND

The prevalence of stunting, thinness, overweight, and obesity among children differs by ethnicity. It is not known whether differences in body build across the ethnic groups influence the interpretation of nutritional parameters.

OBJECTIVE

To explore the differences in body build across the 5 main ethnic groups in Malaysia and to determine whether differences in body build have an impact on the interpretation of nutrition indicators.

METHODS

A total of 3227 children aged 2.0 to 12.9 years who participated in the South East Asian Nutrition Surveys (SEANUTS) in Malaysia were included in this analysis. Body weight, height, sitting height, wrist and knee breadths, and biceps and subscapular skinfolds were measured, and relative leg length, slenderness index, and sum of skinfolds were calculated. Z scores for height-for-age (HAZ) and body mass index-for-age (BAZ) were calculated using the World Health Organization (WHO) 2007 growth standards.

RESULTS

Differences in relative leg length and slenderness across the ethnic groups were correlated with HAZ and BAZ. Correction for differences in body build did, in some ethnic groups, have significant impact on the prevalence of stunting, thinness, overweight, and obesity, and the pattern of prevalence across ethnic groups changed.

CONCLUSION

At the population level, corrections for body build had only minor and mostly nonsignificant effects on prevalence, but at an individual level, corrections for body build placed a substantial number of children in different height or weight categories. Whether these misclassifications warrant additional assessment of body build in clinical practice will need further investigation.

Authors+Show Affiliations

Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia pbkoon@ukm.edu.my.Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.Lighthouse Training and Consultancy, Langkawi, Malaysia.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

26769039

Citation

Poh, Bee Koon, et al. "Differences in Body Build in Children of Different Ethnic Groups and Their Impact On the Prevalence of Stunting, Thinness, Overweight, and Obesity." Food and Nutrition Bulletin, vol. 37, no. 1, 2016, pp. 3-13.
Poh BK, Wong JE, Norimah AK, et al. Differences in Body Build in Children of Different Ethnic Groups and their Impact on the Prevalence of Stunting, Thinness, Overweight, and Obesity. Food Nutr Bull. 2016;37(1):3-13.
Poh, B. K., Wong, J. E., Norimah, A. K., & Deurenberg, P. (2016). Differences in Body Build in Children of Different Ethnic Groups and their Impact on the Prevalence of Stunting, Thinness, Overweight, and Obesity. Food and Nutrition Bulletin, 37(1), 3-13. https://doi.org/10.1177/0379572115626025
Poh BK, et al. Differences in Body Build in Children of Different Ethnic Groups and Their Impact On the Prevalence of Stunting, Thinness, Overweight, and Obesity. Food Nutr Bull. 2016;37(1):3-13. PubMed PMID: 26769039.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Differences in Body Build in Children of Different Ethnic Groups and their Impact on the Prevalence of Stunting, Thinness, Overweight, and Obesity. AU - Poh,Bee Koon, AU - Wong,Jyh Eiin, AU - Norimah,A Karim, AU - Deurenberg,Paul, Y1 - 2016/01/14/ PY - 2016/1/16/entrez PY - 2016/1/16/pubmed PY - 2016/5/26/medline KW - body build KW - body mass index KW - children KW - ethnicity KW - nutrition KW - obesity KW - stunting KW - thinness SP - 3 EP - 13 JF - Food and nutrition bulletin JO - Food Nutr Bull VL - 37 IS - 1 N2 - BACKGROUND: The prevalence of stunting, thinness, overweight, and obesity among children differs by ethnicity. It is not known whether differences in body build across the ethnic groups influence the interpretation of nutritional parameters. OBJECTIVE: To explore the differences in body build across the 5 main ethnic groups in Malaysia and to determine whether differences in body build have an impact on the interpretation of nutrition indicators. METHODS: A total of 3227 children aged 2.0 to 12.9 years who participated in the South East Asian Nutrition Surveys (SEANUTS) in Malaysia were included in this analysis. Body weight, height, sitting height, wrist and knee breadths, and biceps and subscapular skinfolds were measured, and relative leg length, slenderness index, and sum of skinfolds were calculated. Z scores for height-for-age (HAZ) and body mass index-for-age (BAZ) were calculated using the World Health Organization (WHO) 2007 growth standards. RESULTS: Differences in relative leg length and slenderness across the ethnic groups were correlated with HAZ and BAZ. Correction for differences in body build did, in some ethnic groups, have significant impact on the prevalence of stunting, thinness, overweight, and obesity, and the pattern of prevalence across ethnic groups changed. CONCLUSION: At the population level, corrections for body build had only minor and mostly nonsignificant effects on prevalence, but at an individual level, corrections for body build placed a substantial number of children in different height or weight categories. Whether these misclassifications warrant additional assessment of body build in clinical practice will need further investigation. SN - 0379-5721 UR - https://www.unboundmedicine.com/medline/citation/26769039/Differences_in_Body_Build_in_Children_of_Different_Ethnic_Groups_and_their_Impact_on_the_Prevalence_of_Stunting_Thinness_Overweight_and_Obesity_ L2 - https://journals.sagepub.com/doi/10.1177/0379572115626025?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -