Assessment of Nutritional Status in Sri Lankan Children: Validity of Current Anthropometry Cutoffs?
Autor: | Loretta S. Warnakulasuriya, Vithanage Pujitha Wickramasinghe, Manel A M Fernando, Peter Bergsten, Dulani Samaranayake, W M L Anurasiri, A V Nihal Adikaram, R Elisabet, A R M Thawfeek, K. D. Renuka Ruchira Silva |
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Rok vydání: | 2019 |
Předmět: |
Male
Pediatric Obesity Adolescent 030209 endocrinology & metabolism Ethnic origin Overweight Childhood obesity 03 medical and health sciences 0302 clinical medicine Reference Values Environmental health Medicine Humans 030212 general & internal medicine Child Wasting Sri Lanka Anthropometry business.industry Public Health Environmental and Occupational Health Reproducibility of Results medicine.disease Obesity Malnutrition Cross-Sectional Studies Nutrition Assessment Child Preschool Female medicine.symptom business Body mass index |
Zdroj: | Asia-Pacific journal of public health. 31(7) |
ISSN: | 1941-2479 |
Popis: | Despite socioeconomic improvement, undernutrition rates stagnate in Sri Lanka, while a slow rise in obesity and noncommunicable diseases (NCD) is seen. Inability to improve undernutrition and detection of NCD could be due to overdiagnosing stunting/wasting and underdiagnosing overweight/obesity. Obesity, being a risk factor for NCDs, needs correct tools for early diagnosis. Although body mass index (BMI) is a commonly used surrogate index, the validity of universal cutoffs is questioned. Evidence shows that body composition varies with ethnic origin and cutoff value reflecting fat mass (FM) varies in different ethnic groups. This study was conducted in 12 788, 5- to 15-year-old children from 8 schools in Negombo, Sri Lanka, to identify the validity of current anthropometric cutoffs. Obesity prevalence identified by body fat content was high. International BMI cutoffs had high specificity but varied sensitivity. Locally developed BMI cutoffs had high sensitivity and specificity. Validity of internationally developed anthropometric cutoffs in South Asian children is unsatisfactory; hence, locally/regionally developed anthropometric tools should be used for screening of obesity. |
Databáze: | OpenAIRE |
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