Abstract
| Original language | English |
|---|---|
| Journal | Italian Journal of Pediatrics |
| Volume | 43 |
| DOIs | |
| Publication status | Published - Feb 4 2017 |
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Keywords
- Adolescents
- Body mass index
- Cardiometabolic risk factors
- Children
- Classification
- Cut-offs
- Obesity
- Overweight
Cite this
Childhood obesity classification systems and cardiometabolic risk factors. / Valerio, Giuliana; Balsamo, Antonio; Baroni, Marco Giorgio; Brufani, Claudia; Forziato, Claudia; Grugni, Graziano; Licenziati, Maria Rosaria; Maffeis, Claudio; Miraglia Del Giudice, Emanuele; Morandi, Anita; Pacifico, Lucia; Sartorio, Alessandro; Manco, Melania.
In: Italian Journal of Pediatrics, Vol. 43, 04.02.2017.Research output: Contribution to journal › Article
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TY - JOUR
T1 - Childhood obesity classification systems and cardiometabolic risk factors
AU - Valerio, Giuliana
AU - Balsamo, Antonio
AU - Baroni, Marco Giorgio
AU - Brufani, Claudia
AU - Forziato, Claudia
AU - Grugni, Graziano
AU - Licenziati, Maria Rosaria
AU - Maffeis, Claudio
AU - Miraglia Del Giudice, Emanuele
AU - Morandi, Anita
AU - Pacifico, Lucia
AU - Sartorio, Alessandro
AU - Manco, Melania
N1 - M1 - 19
PY - 2017/2/4
Y1 - 2017/2/4
N2 - Background: Body Mass Index Italian reference data are available for clinical and/or epidemiological use, but no study compared the ability of this system to classify overweight and obesity and detect subjects with clustered cardiometabolic risk factors with international standards. Therefore our aim was to assess 1) the agreement among the Italian Society for Pediatric Endocrinology and Diabetology (ISPED), the World Health Organisation (WHO) and the International Obesity Task Force (IOTF) Body Mass Index cut-offs in estimating overweight or obesity in children and adolescents; 2) the ability of each above-mentioned set of cut-points to detect subjects with cardiometabolic risk factors. Methods: Data of 6070 Italian subjects aged 5-17 years were collected. Prevalence of normal-weight, overweight and obesity was determined using three classification systems: ISPED, WHO and IOTF. High blood pressure, hypertriglyceridemia, low high density lipoprotein-cholesterol and impaired fasting glucose were considered as cardiometabolic risk factors. Results: ISPED and IOTF classified more subjects as normal-weight or overweight and less subjects as obese as compared to WHO (p 0.900), while it differed for obesity definition, ranging from the highest agreement between ISPED and IOTF (k 0.875) to the lowest between ISPED and WHO (k 0.664). WHO had the highest sensitivity, while ISPED and IOTF systems had the highest specificity, in identifying obese subjects with clustered cardiometabolic risk factors. Analogous results were found in subjects stratified by gender or age. Conclusions: ISPED and IOTF systems performed similarly in assessing overweight and obesity, and were more specific in identifying obese children/adolescents with clustered cardiometabolic risk factors; on the contrary, the WHO system was more sensitive. Given the seriousness of the obesity epidemic, we wonder whether the WHO system should be preferable to the national standards for clinical practice and/or obesity screening.
AB - Background: Body Mass Index Italian reference data are available for clinical and/or epidemiological use, but no study compared the ability of this system to classify overweight and obesity and detect subjects with clustered cardiometabolic risk factors with international standards. Therefore our aim was to assess 1) the agreement among the Italian Society for Pediatric Endocrinology and Diabetology (ISPED), the World Health Organisation (WHO) and the International Obesity Task Force (IOTF) Body Mass Index cut-offs in estimating overweight or obesity in children and adolescents; 2) the ability of each above-mentioned set of cut-points to detect subjects with cardiometabolic risk factors. Methods: Data of 6070 Italian subjects aged 5-17 years were collected. Prevalence of normal-weight, overweight and obesity was determined using three classification systems: ISPED, WHO and IOTF. High blood pressure, hypertriglyceridemia, low high density lipoprotein-cholesterol and impaired fasting glucose were considered as cardiometabolic risk factors. Results: ISPED and IOTF classified more subjects as normal-weight or overweight and less subjects as obese as compared to WHO (p 0.900), while it differed for obesity definition, ranging from the highest agreement between ISPED and IOTF (k 0.875) to the lowest between ISPED and WHO (k 0.664). WHO had the highest sensitivity, while ISPED and IOTF systems had the highest specificity, in identifying obese subjects with clustered cardiometabolic risk factors. Analogous results were found in subjects stratified by gender or age. Conclusions: ISPED and IOTF systems performed similarly in assessing overweight and obesity, and were more specific in identifying obese children/adolescents with clustered cardiometabolic risk factors; on the contrary, the WHO system was more sensitive. Given the seriousness of the obesity epidemic, we wonder whether the WHO system should be preferable to the national standards for clinical practice and/or obesity screening.
KW - Adolescents
KW - Body mass index
KW - Cardiometabolic risk factors
KW - Children
KW - Classification
KW - Cut-offs
KW - Obesity
KW - Overweight
U2 - 10.1186/s13052-017-0338-z
DO - 10.1186/s13052-017-0338-z
M3 - Article
VL - 43
JO - Italian Journal of Pediatrics
JF - Italian Journal of Pediatrics
SN - 1720-8424
ER -