Izvorni znanstveni članak
https://doi.org/10.3325/cmj.2018.59.313
Comparison of Slovak reference values for anthropometric parameters in children and adolescents with international growth standards: implications for the assessment of overweight and obesity
Valéria Regecová
; Slovak Academy of Sciences Center of Experimental Medicine Institute of Normal and Pathological Physiology, Bratislava,Slovakia
Jana Hamade
; Department of Children and Youth Hygiene, Public Health Authority of the Slovak Republic, Bratislava, Slovakia
Hana Janechová
; Department of Children and Youth Hygiene, Public Health Authority of the Slovak Republic, Bratislava, Slovakia
Ľudmila Ševčíková
; Faculty of Medicine, Comenius University, Institute of Hygiene, Bratislava, Slovakia
Sažetak
Aim To compare the national reference percentile values
for body height, weight, and body mass index (BMI) of children
and adolescents in Slovakia with international standards
and to analyze growth trends in this population.
Methods The study was designed as a repeated crosssectional
survey. Two nationwide anthropometric surveys
(NAS) performed in 2001 and 2011 assessed body weight,
height, and BMI of 38 692 children aged 7 to 18 years.
Age- and sex-specifıc smoothed percentiles were generated
with the lambda-mu-sigma method. Slovak standards
were compared with World Health Organization (WHO)
2007 z-scores and International Obesity Task Force (IOTF)
standards.Results Medians of body height corresponded to the
75th-85th percentile of the WHO 2007 standards. The secular
trend of height increase was attenuated, and the final
body height did not change between NAS 2001 and NAS
2011. The cut-off BMI values for obesity, set at the 97th percentile
for age <14 years, were higher across age ranges
than WHO 2007 standards but lower than IOTF standards.
Obesity prevalence, relatively low in 2001 (<3%), doubled
during the following decade (P < 0.001), with the highest
values (4.8%-7.6%) observed in children aged up to 13
years.
Conclusion NAS 2001 data were chosen as national
growth standards, as these data were not influenced by
the obesity rates increase in the period between the surveys.
BMI cut-offs were lower than those in most European
countries. Obesity proportions in prepubertal and pubertal
boys might be overestimated when WHO 2007 cut-offs
are used.
Ključne riječi
Hrčak ID:
239726
URI
Datum izdavanja:
16.12.2018.
Posjeta: 645 *