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Prevalence of overweight and obesity in Irish school children, using four different definitions

Abstract

Objective:

To determine the prevalence of overweight and obesity in Irish children using four different weight-for-height methods and to examine secular trends from previous national data.

Design:

A cross-sectional survey. Weight and height were measured according to standard procedures and used to determine the prevalence of overweight and obesity using four weight-for-height methods of assessment, actual relative weight, the Centers for Disease Control and Prevention body mass index (BMI) for age charts for boys and girls, the BMI reference curves for the UK 1990 and the International Obesity Task Force age- and sex-specific BMI cutoffs.

Setting:

The survey was carried out between 2003 and 2004 in the Republic of Ireland.

Subjects:

Random representative sample of 596 children aged 5–12 years.

Results:

The prevalence of overweight and obesity in Irish children is high, but varies considerably with each method. The prevalence of obesity in boys ranged from 4.1 to 11.2 % and in girls from 9.3 to 16.3%. Between 1990 and 2005, depending on the method used, there was a two-to-fourfold increase in obesity in children aged 8–12 years.

Conclusion:

It is evident given the variation displayed in the prevalence of obesity when using the different methods, that there is a discernible need for a single definition to identify the obese child in Ireland. The findings show a high prevalence of overweight and obesity in Irish school children and the increase in the prevalence of obesity over the last 15 years highlights this growing public health issue.

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References

  • Bellizzi MC, Dietz WH (1999). Workshop on childhood obesity: summary of the discussion. Am J Clin Nutr 70 (Suppl), 173–175.

    Article  Google Scholar 

  • Bini V, Celi F, Berioli MG, Bacosi ML, Stella P, Giglio P et al. (2000). Body mass index in children and adolescents according to age and pubertal stage. Eur J Clin Nutr 54, 214–218.

    Article  CAS  Google Scholar 

  • Chinn S (2006). Definitions of childhood obesity: current practice. Eur J Clin Nutr 60, 1189–1194.

    Article  CAS  Google Scholar 

  • Chinn S, Rona RJ (2001). Prevalence and trends in overweight and obesity in three cross sectional studies of British children, 1974–1994. BMJ 322, 24–26.

    Article  CAS  Google Scholar 

  • Cole TJ (2002). A chart to link child centiles of body mass index, weight and height. Eur J Clin Nutr 56, 1194–1199.

    Article  CAS  Google Scholar 

  • Cole TJ, Bellizzi MC, Flegal KM, Dietz WH (2000). Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ 320, 1240–1243.

    Article  CAS  Google Scholar 

  • Cole TJ, Freeman JV, Preece MA (1995). Body mass index reference curves for the UK, 1990. Arch Dis Child 73, 25–29.

    Article  CAS  Google Scholar 

  • Department of Health (DOH) (1952). National Nutrition Survey Part VII. Department of Health Stationary Office: Ireland.

  • Dietz WH (1998). Health consequences of obesity in youth: childhood predictors of adult disease. Pediatrics 101, 518–525.

    CAS  PubMed  Google Scholar 

  • Dietz WH, Bellizzi MC (1999). Introduction: the use of body mass index to assess obesity in children. Am J Clin Nutr 70 (Suppl), 123–125.

    Article  Google Scholar 

  • Ebbeling CB, Pawlak DB, Ludwig DS (2002). Childhood obesity: public-health crisis, common sense cure. Lancet 360, 473–482.

    Article  Google Scholar 

  • Field AE, Laird N, Steinberg E, Fallon E, Semega-Janneh M, Yanovski JA (2003). Which metric of relative weight best captures body fatness in children? Obes Res 11, 1345–1352.

    Article  Google Scholar 

  • Flegal KM, Ogden CL, Wei R, Kuczmarski RL, Johnson CL (2001). 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 73, 1086–1093.

    Article  CAS  Google Scholar 

  • Flegal KM, Wei R, Ogden C (2002). Weight-for-stature compared with body mass index-for-age growth charts for the United States from the Centers for Disease Control and Prevention. Am J Clin Nutr 75, 761–766.

    Article  CAS  Google Scholar 

  • Griffin AC, Younger KM, Flynn MAT (2004). Assessment of obesity and fear of fatness among inner-city Dublin schoolchildren in a one-year follow-up study. Public Health Nutr 7, 729–735.

    Article  Google Scholar 

  • Guo SS, Huang C, Maynard LM, Demerath E, Towne B, Chumlea WC et al. (2000). Body mass index during childhood, adolescence and young adulthood in relation to adult overweight and adiposity: the Fels Longitudinal Study. Int J Obes Relat Metab Disord 24, 1628–1635.

    Article  CAS  Google Scholar 

  • Himes JH, Dietz WH (1994). Guidelines for overweight in adolescent preventive services – recommendations from an Expert Committee. Am J Clin Nutr 59, 307–316.

    Article  CAS  Google Scholar 

  • Hoey HMC, Tanner J, Cox LA (1987). Clinical growth standards for Irish children. Acta Paediatr Scand 338, 1–31.

    Article  CAS  Google Scholar 

  • Irish Universities Nutrition Alliance (IUNA) (2005). The National Children's Food Survey. www.iuna.net.

  • Jebb SA, Rennie KL, Cole TJ (2004). Prevalence of overweight and obesity among young people in Great Britain. Public Health Nutr 7, 461–465.

    Article  Google Scholar 

  • Jotangia D, Moody A, Stamatakis E, Wardle H (2005). Obesity Among Children Under 11. Department of Health: UK www.dh.gov.uk.

    Google Scholar 

  • Kain J, Uauy R, Vio F, Albala C (2002). Trends in overweight and obesity prevalence in Chilean children: comparison of three definitions. Eur J Clin Nutr 56, 200–204.

    Article  CAS  Google Scholar 

  • Kiess W, Marcus C, Wabitsch M (2004). Obesity in Childhood and Adolescence. Karger: Basel.

    Book  Google Scholar 

  • Kromeyer-Hauschild K, Zellner K, Jaeger U, Hoyer H (1999). Prevalence of overweight and obesity among school children in Jena (Germany). Int J Obes Relat Metab Disord 23, 1143–1150.

    Article  CAS  Google Scholar 

  • Kuczmarski RJ, Ogden CL, Grummer-Strawn LM, Flegal KM, Guo SS, Wei R et al. (2000). CDC Growth Charts: United States. Advance Data From vital and health statistics no 314. Hyattsville, National Center for Health Statistics: Maryland.

    Google Scholar 

  • Lee P, Cunningham K (1990). Irish National Nutrition Survey 1990. Irish Nutrition and Dietetic Institute: Dublin.

    Google Scholar 

  • Livingstone B (2000). Epidemiology of childhood obesity in Europe. Eur J Pediatr 159 (Suppl 1), 14–34.

    Article  Google Scholar 

  • Lobstein T, Baur L, Uauy R (2004). Obesity in children and young people: a crisis in public health. Obes Rev 5 (Suppl 1), 4–85.

    Article  Google Scholar 

  • McCarthy SN, Harrington KE, Kiely M, Flynn A, Robson PJ, Livingstone B et al. (2001). Analyses of the anthropometric data from the North/South Ireland Food Consumption Survey. Pub Health Nutr 4, 1099–1106.

    Article  CAS  Google Scholar 

  • McMaster C, Cullen L, Raymond N (2005). Overweight and obesity in Irish primary schools: retrospective cohort study. Child Care Health Dev 31, 499–506.

    Article  CAS  Google Scholar 

  • Must A, Strauss RS (1999). Risks and consequences of childhood and adolescent obesity. Int J Obes Relat Metab Disord 23 (Suppl), 2–11.

    Article  Google Scholar 

  • National Center for Health Statistics (NCHS) (1973). Height and Weight of Youths 12–17 Years, United States. US Department of Health, Education, and Welfare, Series 11, No.124. NCHS: Rockville, MD.

  • National Taskforce on Obesity (NTO) (2005). Obesity: The Policy Challenges. The Report of the National Taskforce on Obesity. Department of Health: Ireland www.dohc.ie.

  • Ogden CL, Flegal KM, Carroll MD, Johnson CL (2002). Prevalence and trends in overweight among US children and adolescents, 1999–2000. J Am Med Assoc 288, 1728–1732.

    Article  Google Scholar 

  • Padez C, Fernandes T, Mourao I, Moreira P, Rosado V (2004). Prevalence of overweight and obesity in 7–9-year-old Portuguese children: Trends in body mass index from 1970–2002. Am J Hum Biol 16, 670–678.

    Article  CAS  Google Scholar 

  • Power C, Lake JK, Cole TJ (1997). Measurement and long-term health risks of child and adolescent fatness. Int J Obes Relat Metab Disord 21, 507–526.

    Article  CAS  Google Scholar 

  • Reilly JJ (2002). Assessment of childhood obesity: national reference data or international approach? Obes Res 10, 838–840.

    Article  Google Scholar 

  • Reilly JJ, Dorosty AR, Emmett PM (2000). Identification of the obese child: adequacy of the body mass index for clinical practice and epidemiology. Int J Obes Relat Metab Disord 24, 1623–1627.

    Article  CAS  Google Scholar 

  • Rodriguez-Artalejo F, Garces C, Gorgojo L, Garcia EL, Martin-Moreno JM, Benavente M et al. (2002). Dietary patterns among children aged 6–7 y in four Spanish cities with widely differing cardiovascular mortality. Eur J Clin Nutr 56, 141–148.

    Article  CAS  Google Scholar 

  • Rudolf MCJ, Levine R, Feltbower R, Connor A, Robinson M (2006). The TRENDS project: development of a methodology to reliably monitor the obesity epidemic in childhood. Arch Dis Child 91, 309–311.

    Article  CAS  Google Scholar 

  • Savva SC, Kourides Y, Tornaritis M, Epiphaniou-Savva M, Chadjigeorgiou C, Kafatos A (2002). Obesity in children and adolescents in Cyprus. Prevalence and predisposing factors. Int J Obes Relat Metab Disord 26, 1036–1045.

    Article  CAS  Google Scholar 

  • Schaefer F, Georgi M, Wuhl E, Scharer K (1998). Body mass index and percentage fat mass in healthy German schoolchildren and adolescents. Int J Obes Relat Metab Disord 22, 461–469.

    Article  CAS  Google Scholar 

  • Wang YF, Monteiro C, Popkin BM (2002). Trends of obesity and underweight in older children and adolescents in the United States, Brazil, China, and Russia. Am J Clin Nutr 75, 971–977.

    Article  CAS  Google Scholar 

  • Widhalm K, Schonegger K, Huemer C, Auterith A (2001). Does the BMI reflect body fat in obese children and adolescents? A study using the TOBEC method. Int J Obes Relat Metab Disord 25, 279–285.

    Article  CAS  Google Scholar 

  • Willms JD, Tremblay MS, Katzmarzyk PT (2003). Geographic and demographic variation in the prevalence of overweight Canadian children. Obes Res 11, 668–673.

    Article  Google Scholar 

  • World Health Organization (WHO) (1998). Obesity: Preventing and Managing the Global Epidemic. Report of a WHO Consultation on Obesity, Geneva, 3–5 June 1997. WHO/NUT/NCD/98.1. WHO: Geneva.

  • Zimmermann MB, Gubeli C, Puntener C, Molinari L (2004). Detection of overweight and obesity in a national sample of 6–12-y-old Swiss children: accuracy and validity of reference values for body mass index from the US Centers for Disease Control and Prevention and the International Obesity Task Force. Am J Clin Nutr 79, 838–843.

    Article  CAS  Google Scholar 

  • Zimmermann MB, Hess SY, Hurrell RF (2000). A national study of the prevalence of overweight and obesity in 6–12 y-old Swiss children: body mass index, body-weight perceptions and goals. Eur J Clin Nutr 54, 568–572.

    Article  CAS  Google Scholar 

Download references

Acknowledgements

This project was funded by the Irish Government under the National Development Plan 2000–2006.

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Correspondence to M J Gibney.

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Guarantor: JL O'Neill.

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O'Neill, J., McCarthy, S., Burke, S. et al. Prevalence of overweight and obesity in Irish school children, using four different definitions. Eur J Clin Nutr 61, 743–751 (2007). https://doi.org/10.1038/sj.ejcn.1602580

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