Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on sleep in brain health

LIVE: Thursday 2nd May 2024, 18:00-19:30 (CEST)

Quality sleep is essential for health. But what happens to our brains when sleep patterns are disturbed? Join our experts to explore the interplay between sleep disruption and neurological diseases, and the questions that you need to be asking your patients to help you prevent the harmful effects of sleep deprivation.
ADVANCED SEARCH
Log in
Top
BMC Pediatrics
Published in: BMC Pediatrics 1/2017

Open Access 01-12-2017 | Research article

Overweight and obesity prevalence among Cree youth of Eeyou Istchee according to three body mass index classification systems

Authors: Audray St-Jean, Salma Meziou, Pierre Ayotte, Michel Lucas

Published in: BMC Pediatrics | Issue 1/2017

Login to get access

Abstract

Background

Little is known about the suitability of three commonly used body mass index (BMI) classification systems for Indigenous youth. We estimated overweight and obesity prevalence among Cree youth of Eeyou Istchee according to three BMI classification systems, assessed the level of agreement between them, and evaluated their accuracy through body fat and cardiometabolic risk factors.

Methods

Data on 288 youth (aged 8–17 years) were collected. Overweight and obesity prevalence were estimated with Centers for Disease Control and Prevention (CDC), International Obesity Task Force (IOTF) and World Health Organization (WHO) criteria. Agreement was measured with weighted kappa (κw). Associations with body fat and cardiometabolic risk factors were evaluated by analysis of variance.

Results

Obesity prevalence was 42.7% with IOTF, 47.2% with CDC, and 49.3% with WHO criteria. Agreement was almost perfect between IOTF and CDC (κw = 0.93), IOTF and WHO (κw = 0.91), and WHO and CDC (κw = 0.94). Means of body fat and cardiometabolic risk factors were significantly higher (P trend < 0.001) from normal weight to obesity, regardless of the system used. Youth considered overweight by IOTF but obese by CDC or WHO exhibited less severe clinical obesity.

Conclusions

IOTF seems to be more accurate in identifying obesity in Cree youth.
Literature
1.
World Health Organization. Obesity: preventing and managing the global epidemic report of a WHO consultation. Geneva: World Health Organization; 2000.
2.
3.
Reilly JJ, Kelly J. Long-term impact of overweight and obesity in childhood and adolescence on morbidity and premature mortality in adulthood: systematic review. Int J Obes. 2011;35(7):891–8.CrossRef
4.
Wang Y, Lobstein T. Worldwide trends in childhood overweight and obesity. Int J Pediatr Obes. 2006;1(1):11–25.CrossRefPubMed
5.
Katzmarzyk PT. Obesity and physical activity among aboriginal Canadians. Obesity (Silver Spring). 2008;16(1):184–90.CrossRef
6.
Shields M. Overweight and obesity among children and youth. Health Rep. 2006;17(3):27–42.PubMed
7.
Cole TJ, Bellizzi MC, Flegal KM, Dietz WH. Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ. 2000;320(7244):1240–3.CrossRefPubMedPubMedCentral
8.
Kuczmarski RJ, Ogden CL, Guo SS, et al. CDC growth charts for the United States: methods and development. Vital Health Stat 11. 2000;2002(246):1–190.
9.
de Onis M, Onyango AW, Borghi E, et al. Development of a WHO growth reference for school-aged children and adolescents. Bull World Health Organ. 2007;85(09):660–7.CrossRefPubMedPubMedCentral
10.
Edwards J, Evans J, Brown AD. Using routine growth data to determine overweight and obesity prevalence estimates in preschool children in the Capital Health region of Alberta. Can J Public Health. 2008;99(2):91–4.PubMed
11.
Flegal KM, Ogden CL, Wei R, et al. Prevalence of overweight in US children: comparison of US growth charts from the Centers for Disease Control and Prevention with other reference values for body mass index. Am J Clin Nutr. 2001;73(6):1086–93.PubMed
12.
Keke LM, Samouda H, Jacobs J, et al. Body mass index and childhood obesity classification systems: a comparison of the French, international obesity task force (IOTF) and World Health Organization (WHO) references. Rev Epidemiol Sante Publique. 2015;63(3):173–82.CrossRefPubMed
13.
Twells LK, Newhook LA. Obesity prevalence estimates in a Canadian regional population of preschool children using variant growth references. BMC Pediatr. 2011;11:21.CrossRefPubMedPubMedCentral
14.
Medehouenou TC, Ayotte P, St-Jean A, et al. Overweight and obesity prevalence among school-aged Nunavik Inuit children according to three body mass index classification systems. J Adolesc Health. 2015;57(1):31–6.CrossRefPubMedPubMedCentral
15.
Nieboer E, Dewailly E, Johnson-Down L, et al. Nituuchischaayihtitaau Aschii multi-community environment-and-health study in Eyou Istchee, 2005–2009: final technical report. Chisabi: Cree Board of Health and Social Services of James Bay; 2013.
16.
17.
Hemmelgarn BR, McAllister FA, Myers MG, et al. The 2005 Canadian hypertension education program recommendations for the management of hypertension: part I - blood pressure measurement, diagnosis and assessment of risk. Can J Cardiol. 2005;21(8):645–56.PubMed
18.
Levy JC, Matthews DR, Hermans MP. Correct homeostasis model assessment (HOMA) evaluation uses the computer program. Diabetes Care. 1998;21(12):2191–2.CrossRefPubMed
19.
Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics. 1977;33(1):159–74.CrossRefPubMed
20.
Al-Sendi AM, Shetty P, Musaiger AO. Prevalence of overweight and obesity among Bahraini adolescents: a comparison between three different sets of criteria. Eur J Clin Nutr. 2003;57(3):471–4.CrossRefPubMed
21.
Gonzalez-Casanova I, Sarmiento OL, Gazmararian JA, et al. Comparing three body mass index classification systems to assess overweight and obesity in children and adolescents. Rev Panam Salud Publica. 2013;33(5):349–55.CrossRefPubMed
22.
Kelishadi R, Ardalan G, Gheiratmand R, et al. Thinness, overweight and obesity in a national sample of Iranian children and adolescents: CASPIAN study. Child Care Health Dev. 2008;34(1):44–54.PubMed
23.
Ma YN, Chen T, Wang D, et al. Prevalence of overweight and obesity among preschool children from six cities of northeast China. Arch Med Res. 2011;42(7):633–40.CrossRefPubMed
24.
Minghelli B, Nunes C, Oliveira R. Body mass index and waist circumference to define thinness, overweight and obesity in Portuguese adolescents: comparison between CDC, IOTF, WHO references. Pediatr Endocrinol Rev. 2014;12(1):35–41.PubMed
25.
Ramirez E, Grijalva-Haro MI, Ponce JA, Valencia ME. Prevalence of overweight and obesity in northwest Mexico by three references of body mass index: differences in classification. Arch Latinoam Nutr. 2006;56(3):251–6.PubMed
26.
Shields M, Tremblay MS. Canadian childhood obesity estimates based on WHO, IOTF and CDC cut-points. Int J Pediatr Obes. 2010;5(3):265–73.CrossRefPubMed
27.
Roberts KC, Shields M, de Groh M, et al. Overweight and obesity in children and adolescents: results from the 2009 to 2011 Canadian health measures survey. Health Rep. 2012;23(3):37–41.PubMed
28.
Daniels SR. Complications of obesity in children and adolescents. Int J Obes. 2009;33(Suppl 1):S60–5.CrossRef
29.
Serdula MK, Ivery D, Coates RJ, et al. Do obese children become obese adults? A review of the literature. Prev Med. 1993;22(2):167–77.CrossRefPubMed
30.
Whitaker RC, Wright JA, Pepe MS, et al. Predicting obesity in young adulthood from childhood and parental obesity. N Engl J Med. 1997;337(13):869–73.CrossRefPubMed
Metadata
Title
Overweight and obesity prevalence among Cree youth of Eeyou Istchee according to three body mass index classification systems
Authors
Audray St-Jean
Salma Meziou
Pierre Ayotte
Michel Lucas
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Pediatrics / Issue 1/2017
Electronic ISSN: 1471-2431
DOI
https://doi.org/10.1186/s12887-017-0951-4

Other articles of this Issue 1/2017

BMC Pediatrics 1/2017 Go to the issue

Research article

Performance and reproducibility on shuttle run test between obese and non-obese children: a cross-sectional study

Research article

Prevention of neonatal late-onset sepsis: a randomised controlled trial

Research article

Assessing health-related quality of life in young Japanese children with chronic conditions: Preliminary validation of the DISABKIDS smiley measure

Research article

Neonatal respiratory morbidity following exposure to chorioamnionitis

Technical advance

Simultaneous detection of respiratory syncytial virus and human metapneumovirus by one-step multiplex real-time RT-PCR in patients with respiratory symptoms

Research article

Important factors to consider when treating children with chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ME): perspectives of health professionals from specialist services.