L Bervoets1, G Massa. 1. Faculty of Medicine and Life Sciences, Hasselt University, Diepenbeek, Belgium.
Abstract
BACKGROUND: Studies have reported that children who are obese are becoming more severely obese. OBJECTIVE: We aimed to classify obese children based on age- and gender-specific centile curves passing through body mass index (BMI) 30, 35 and 40 at age 18 as 'class I', 'class II' or severe, and 'class III' or morbid obesity. METHODS: In addition to the International Obesity Task Force BMI cut-offs corresponding to BMI 30 and 35, we calculated the BMI cut-offs corresponding to BMI 40 using the LMS method proposed by Cole and Lobstein. We classified 217 obese children according to these criteria. RESULTS: Fifty-six (25.8%) children had class III obesity, 73 (33.6%) class II obesity and 88 (40.6%) class I obesity. Class III obese children had a higher waist circumference, systolic blood pressure and fasting insulinaemia compared with less obese children. CONCLUSION: It is clinically important to classify obese children in different classes of obesity severity.
BACKGROUND: Studies have reported that children who are obese are becoming more severely obese. OBJECTIVE: We aimed to classify obesechildren based on age- and gender-specific centile curves passing through body mass index (BMI) 30, 35 and 40 at age 18 as 'class I', 'class II' or severe, and 'class III' or morbid obesity. METHODS: In addition to the International Obesity Task Force BMI cut-offs corresponding to BMI 30 and 35, we calculated the BMI cut-offs corresponding to BMI 40 using the LMS method proposed by Cole and Lobstein. We classified 217 obesechildren according to these criteria. RESULTS: Fifty-six (25.8%) children had class III obesity, 73 (33.6%) class II obesity and 88 (40.6%) class I obesity. Class III obesechildren had a higher waist circumference, systolic blood pressure and fasting insulinaemia compared with less obesechildren. CONCLUSION: It is clinically important to classify obesechildren in different classes of obesity severity.
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