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The Definition and Assessment of Childhood Overweight: A Developmental Perspective

  • Chermaine Tyler
  • Ginny Fullerton
Part of the Issues in Clinical Child Psychology book series (ICCP)

Overweight has become a serious public health problem not only in the United States but also in countries around the world. The problem has even begun to affect children and adolescents in recent years. This represents a change from the previous decade, when overweight was a health concern for adults. Given the scale of the problem, it is important to establish a clear definition of “overweight” in children as well as an understanding of the techniques used to assess the problem.

Though it does not seem a difficult endeavor, establishing an accurate definition of “overweight” for children is challenging. A number of concerns must be addressed, including arguments for delineating excess weight from excess adipose tissue when defining the problem. Morbidity and mortality are also important to consider before labeling a child as obese. Given that these issues are complex and will likely take considerable time and resources to resolve, it is important that those challenged with the task of classifying and assessing overweight in children have some understanding of how these factors relate to defining “overweight.”

Keywords

Overweight Child Bioelectrical Impedance Analysis Excess Adiposity Adolescent Overweight Bogalusa Heart Study 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. American Medical Association. (2007). Expert committee recommendations on the assessment, prevention, and treatment of child and adolescent overweight and obesity. Retrieved April 25, 2008 from http://www.ama-assn.org/ama1/pub/ upload/mm/433/ped_obesity_recs.pdf.
  2. Barlow, S. E., & Dietz, W. H. (1998). Obesity evaluation and treatment: Expert committee recommendations. Pediatrics, 102, Retrieved from http://pediatrics.aappublications. org/cgi/content/full/102/3/e29.
  3. Brambilla, P., Bedogni, G., Moreno, L. A., Goran, M. I, Gutin, B., Fox, K. R, et al. (2006). Crossvalidation of anthropometry against magnetic resonance imaging for the assessment of visceral and subcutaneous adipose tissue in children. International Journal of Obesity, 30, 23–30PubMedCrossRefGoogle Scholar
  4. Chinn, S. (2006). Definitions of childhood obesity: Current practice. European Journal of Clinical Nutrition, 60, 1189–1194PubMedCrossRefGoogle Scholar
  5. Cole, T. J., Bellizzi, M. C., Flegal, K. M., & Dietz, W. H. (2000). Establishing a standard definition for child overweight and obesity worldwide: International survey. British Medical Journal, 320, 1–6CrossRefGoogle Scholar
  6. Cole, T. J., Faith, M. S., Pietrobelli, A., & Heo, M. (2005). What is the best measure of adiposity change in growing children: BMI, BMI%, BMI z-score or BMI centile? European Journal of Clinical Nutrition, 59, 419–425PubMedCrossRefGoogle Scholar
  7. Daniels, S. R., Arnett, D. K., Eckel, R. H., Gidding, S. S., Hayman, L. L., Kumanyika, S., et al. (2005). Overweight in children and adolescents pathophysiology, consequences, prevention, and treatment. Circulation, 111, 1999–2012PubMedCrossRefGoogle Scholar
  8. Daniels, S. R., Khoury, P. R., & Morrison, J. A. (2000). Utility of different measures of body fat distribution in children and adolescents. American Journal of Epidemiology, 152, 1179–1184PubMedCrossRefGoogle Scholar
  9. Dietz, W. (1998). Health consequences of obesity in youth: Childhood predictors of adult disease. Pediatrics, 101(Suppl), 518–525PubMedGoogle Scholar
  10. Dietz, W. H., & Robinson, T. N. (2005). Overweight children and adolescents. The New England Journal of Medicine, 352, 2100–2109PubMedCrossRefGoogle Scholar
  11. Eisenmann, J. C., Heelan, K. A., & Welk, G. J. (2004). Assessing body composition among 3- to 8-year-old children: Anthropometry, BIA, and DXA. Obesity Research, 12, 1633–1640PubMedCrossRefGoogle Scholar
  12. Foreyt, J. P., & St. Jeor, S. T. (1997). Definitions of obesity and healthy weight. In S.T. St. Jeor (Ed.), Obesity assessment tools, methods, interpretations. A reference case: The RENO Diet-Heart Study (pp. 47–56). New York, NY: Chapman & HallGoogle Scholar
  13. Freedman, D. S., Khan, L. K., Serdula, M. K., Dietz, W. H., Srinivasan, S. R., & Berenson, G. S. (2005). The relation of childhood BMI to adult adiposity: The Bogalusa Heart Study. Pediatrics, 115, 22–27PubMedGoogle Scholar
  14. Freedman, D. S., Mei, A., Srinivasan, S. R., Berenson, G. S., & Dietz, W. H. (2007). Cardiovascular risk factors and excess adiposity among overweight children and adolescents: The Bogalusa Heart Study. The Journal of Pediatrics, 150, 12–17PubMedCrossRefGoogle Scholar
  15. Freedman, D. S., Ogden, C. L., Berenson, G. S., & Horlick, M. (2005). Body mass index and body fatness in childhood. Current Opinion in Clinical Nutrition and Metabolic Care, 8, 618–623PubMedCrossRefGoogle Scholar
  16. Fu, W. P. C., Lee, H. C., Ng, C. J., Tay, Y-K. D., Kau, C. Y., Seow, C. J., et al. (2003). Screening for childhood obesity: International vs population-specific definition. Which is more appropriate? International Journal of Obesity, 27, 1121–1126PubMedCrossRefGoogle Scholar
  17. Goran, M. I., & Gower, B. A. (1999). Relation between visceral fat and disease risk in children and adolescents. American Journal of Clinical Nutrition, 70 (Suppl.), 149–156Google Scholar
  18. Higgins, P. B., Gower, B. A., Hunter, G. R., & Goran, M. I. (2001). Defining health-related obesity in prepubertal children. Obesity Research, 9, 233–240PubMedCrossRefGoogle Scholar
  19. Himes, J. H., Obarzanek, E., Baranowski, T., Wilson, D. M., Rochon, J., & McClanahan, B. S. (2004). Early sexual maturation, body composition, and obesity in African-American girls. Obesity Research, 12, 64S–72SPubMedCrossRefGoogle Scholar
  20. Kuczmarski, R. J., Ogden, C. L., Guo, S. S., Grummer-Strawn, L. M., Flegal, K. M., Mei, Z., et.al. (2000). 2000 CDC Growth Charts for the United States: Methods and development. Vital Health Statistics, 11, 1–190Google Scholar
  21. McDowell, M. A., Fryar, C. D., Hirsch, R., & Ogden, C. L. (2005). Anthropometric reference data for children and adults: U.S. population, 1999–2002. Advance Data, 7, 1–5Google Scholar
  22. Muntner, P., He, J., Cutler, J. A., Wildman, R. P., & Whelton, P. K. (2004). Trends in blood pressure among children and adolescents. Journal of the American Medical Association, 291, 2107–2113PubMedCrossRefGoogle Scholar
  23. Must, A., Jacques, P. F., Dallal, G. E., Bajema, C. J., & Dietz, W. H. (1992). Long-term morbidity and mortality of overweight adolescents: A follow-up of the Harvard Growth Study of 1922 to 1935. The New England Journal of Medicine, 327, 1350–1355PubMedCrossRefGoogle Scholar
  24. National Center for Health Statistics. (2000). CDC Growth Charts: United States. Retrieved December 21, 2006, from http://www.cdc.gov/nchs/about/major/nhanes/growth-charts/datafiles.htm
  25. National Institutes of Health. (1998). Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults: The evidence report. Obesity Research, 6(Suppl.), 51–209Google Scholar
  26. Ogden, C. L., Flegal, K. M., Carroll, M. D., & Johnson, C. L. (2002). Prevalence and trends in obesity among US children and adolescents, 1999–2000. Journal of the American Medical Association, 288, 1728–1732PubMedCrossRefGoogle Scholar
  27. Pietrobelli, A. (2004). Outcome measurements in paediatric obesity prevention trials. International Journal of Obesity, 28, S86–S89PubMedCrossRefGoogle Scholar
  28. The World Health Organization. (1995). Physical status: The use and interpretation of anthropometry, report of the WHO expert committee. (WHO technical report series; 854). Geneva: World Health OrganizationGoogle Scholar
  29. Wang, D., & Dietz, G. H. (2002). Economic burden of obesity in youths aged 6 to 17 years: 1979–1999. Pediatrics, 10, Retrieved from 81-DOI: 10.1542/peds.109.5.e81Google Scholar
  30. Wang, Y., & Wang, J. Q. (2002). A comparison of international references for the assessment of child and adolescent overweight and obesity in different populations. European Journal of Clinical Nutrition, 56, 973–982PubMedCrossRefGoogle Scholar
  31. Zhu, S., Wang, Z., Heshka, S., Heo, M., Faith, M. S., & Heymsfield, S. B. (2002). Waist circumferance and obesity-associated risk factors among caucasians in NHANES III: Clinical action thresholds. American Journal of Clinical Nutrition 76, 743–749PubMedGoogle Scholar

Copyright information

© Springer Science + Business Media, LLC 2008

Authors and Affiliations

  • Chermaine Tyler
    • 1
  • Ginny Fullerton
    • 1
  1. 1.Baylor College of MedicineHouston

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