دورية أكاديمية

Assessment of Nutritional Status in Sri Lankan Children: Validity of Current Anthropometry Cutoffs?

التفاصيل البيبلوغرافية
العنوان: Assessment of Nutritional Status in Sri Lankan Children: Validity of Current Anthropometry Cutoffs?
المؤلفون: Warnakulasuriya, Loretta S., Fernando, Manel A. M., Adikaram, A. V. Nihal, Thawfeek, A. R. M., Anurasiri, W. M. L., Elisabet, R., Bergsten, Peter, Silva, K. D. Renuka Ruchira, Samaranayake, Dulani L., Wickramasinghe, Vithanage Pujitha
المصدر: Asia-Pacific Journal of Public Health; Oct2019, Vol. 31 Issue 7, p633-642, 10p
مصطلحات موضوعية: PREVENTION of childhood obesity, OBESITY complications, ADIPOSE tissues, ANTHROPOMETRY, BODY composition, STATISTICAL correlation, MEDICAL screening, QUESTIONNAIRES, RESEARCH funding, STATISTICAL sampling, SOCIOECONOMIC factors, BODY mass index, CROSS-sectional method, RECEIVER operating characteristic curves, DESCRIPTIVE statistics, NON-communicable diseases, NUTRITIONAL status, DISEASE risk factors
مصطلحات جغرافية: SRI Lanka
مستخلص: 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. [ABSTRACT FROM AUTHOR]
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قاعدة البيانات: Complementary Index
الوصف
تدمد:10105395
DOI:10.1177/1010539519872061