ArticleInternational journal of environmental research and public health2016
BMI, Waist Circumference Reference Values for Chinese School-Aged Children and Adolescents.
Article in International journal of environmental research and public health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.
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33 citing papers in PubMed.
- The Impact of a School-Based Weight Management Program Involving Parents via mHealth for Overweight and Obese Children and Adolescents with Intellectual Disability: A Randomized Controlled Trial.International journal of environmental research and public health · 2017Trial
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- Sex difference in nocturnal blood pressure dipping in adolescents with varying degrees of adiposity.BMC pediatrics · 2024Article
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- The association between alcohol consumption and blood lipids in Chinese children and adolescent: findings from the China Health and Nutrition Survey.BMC pediatrics · 2024Article
- Associations between High Protein Intake, Linear Growth, and Stunting in Children and Adolescents: A Cross-Sectional Study.Nutrients · 2023Article
- The rate of orthokeratology lens use and associated factors in 33,280 children and adolescents with myopia: a cross-sectional study from Shanghai.Eye (London, England) · 2023Article
- Dietary diversity and nutritional status of adolescents in Lagos, Nigeria.Journal of family medicine and primary care · 2023Article
- Incident cardiovascular-kidney disease, diabetic ketoacidosis, hypoglycaemia and mortality in adult-onset type 1 diabetes: a population-based retrospective cohort study in Hong Kong.The Lancet regional health. Western Pacific · 2023Article
- Physical Fitness of Chinese Primary School Students across the Coronavirus (COVID-19) Outbreak: A Retrospective Repeated Cross-Sectional Study.International journal of environmental research and public health · 2022Article
- Multilevel Analysis of the Nutritional and Health Status among Children and Adolescents in Eastern China.Nutrients · 2022Article
- Associations between Serum Vitamin A and Metabolic Risk Factors among Eastern Chinese Children and Adolescents.Nutrients · 2022Article
- Seasonal variation of ambulatory blood pressure in Chinese hypertensive adolescents.Frontiers in pediatrics · 2022Article
- Reference Curves of Selected Circumferential Parameters for Czech Children Aged 6 to 11 Years.Children (Basel, Switzerland) · 2021Article
- Waist circumference, waist-to-height ratio and BMI percentiles in children aged 5 to 19 years in India: A population-based study.Obesity science & practice · 2021Article
- Clinical characteristics and risk factors of nonalcoholic fatty liver disease in children with obesity.BMC pediatrics · 2021Article
- Association of Vitamin D Receptor Gene Polymorphisms with Metabolic Syndrome in Chinese Children.International journal of general medicine · 2021Article
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5 authors.
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Abstract
backgroundChildhood obesity has become one of the most serious public health challenges in the 21st century in most developing countries. The percentile curve tool is useful for monitoring and screening obesity at population level, however, in China, no official recommendations on childhood body mass index (BMI) and waist circumference (WC) reference percentiles have been made in practice.
aimsto construct the percentile reference values for BMI and WC, and then to calculate the prevalence of overall and abdominal obesity for Chinese children and adolescents.
methodsA total of 5062 anthropometric records for children and adolescents aged from 7 to 18 years (2679 boys and 2383 girls) were included for analysis. The participants were recruited as part of the national representative "China Health and Nutrition Survey" (CHNS). Age, gender, weight, height, and WC were assessed. Smoothed BMI and WC percentile curves and values for the 3rd, 5th, 10th, 15th, 25th, 50th, 75th, 85th, 90th, 95th and 97th percentiles were constructed by using the Lambda-Mu-Sigma (LMS) method. The prevalence estimates of the overall and abdominal obesity were calculated by using the cut-offs from our CHNS study and the previous "Chinese National Survey on Students' Constitution and Health" (CNSSCH) study, respectively. The difference between prevalence estimates was tested by a McNemar test, and the agreement between these prevalence estimates was calculated by using the Cohen's kappa coefficient.
resultsThe prevalence values of overall obesity based on the cut-offs from CHNS and CNSSCH studies were at an almost perfect agreement level in boys (κ = 0.93). However, among girls, the overall obesity prevalence differed between the studies (p < 0.001) and the agreement was weaker (κ = 0.76). The abdominal obesity prevalence estimates were significant different according to the two systems both in boys and girls, although the agreement reached to 0.88, which represented an almost perfect agreement level.
conclusionsThis study provided new BMI and WC percentile curves and reference values for Chinese children and adolescents aged 7-18 years, which can be adopted in future researches. Large longitudinal study is still needed to reveal the childhood growth pattern and validate the inconsistence between different percentile studies.
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