Defining obesity in children and adolescents: Epidemiologic approaches
- 1 January 1993
- journal article
- review article
- Published by Informa UK Limited in Critical Reviews in Food Science and Nutrition
- Vol. 33 (4-5), 307-312
- https://doi.org/10.1080/10408399309527625
Abstract
This article discusses the use of epidemiologic and statistical approaches in developing definitions of obesity for children and adolescents. Definitions of adult obesity have been derived from mortality data or from statistical data on reference populations. Both approaches pose problems when applied to children and adolescents. The choice of appropriate measurements can be difficult. Data on childhood weight and adult outcomes are sparse and hard to interpret. Statistical definitions based on reference populations are more straightforward, but require arbitrary assumptions that limit their usefulness for prevalence estimates or comparisons across age, sex, or race/ethnic groups. Examples illustrate some issues in defining childhood obesity, including a case study of two groups of researchers who used the same data sets, but arrived at different conclusions. At present there is no generally accepted objective definition of obesity for children or adolescents.Keywords
This publication has 10 references indexed in Scilit:
- New weight guidelines for AmericansThe American Journal of Clinical Nutrition, 1991
- New weight guidelines for Americans: justified or injudicious?The American Journal of Clinical Nutrition, 1991
- THE AUTHORS REPLYAmerican Journal of Epidemiology, 1990
- RE: “SECULAR TRENDS IN BODY MASS IN THE UNITED STATES, 1960–1980”American Journal of Epidemiology, 1990
- Ratio of actual to predicted weight as an alternative to a power-type weight-height index (Benn index)The American Journal of Clinical Nutrition, 1990
- Reliability of anthropometric methods and replicate measurementsAmerican Journal of Physical Anthropology, 1989
- Adiposity indices and clinical opinionAnnals of Human Biology, 1988
- Health Implications of ObesityAnnals of Internal Medicine, 1985
- Impact of Age on Weight GoalsAnnals of Internal Medicine, 1985
- Racial differences in subcutaneous fat patterns in children aged 7–15 yearsAmerican Journal of Physical Anthropology, 1980