ANTHROPOMETRIC INDICES FOR ESTIMATING OVERWEIGHT AND OBESITY IN SCHOOL-AGED CHILDREN FROM NORTH MACEDONIA

  • Biljana Zafirova Institute of Anatomy, Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, R. North Macedonia http://orcid.org/0000-0002-9776-6664
  • Elizabeta Chadikovska Institute of Anatomy, Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, R.North Macedonia
  • Biljana Trpkovska Institute of Anatomy, Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, R. North Macedonia http://orcid.org/0000-0003-3509-0264
  • Biljana Bojadzieva Stojanoska Institute of Anatomy, Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, R. North Macedonia

Abstract

Anthropometrics are a set of non-invasive, quantitative body measurements used to assess growth, development and health parameters. Waist circumference (WC) and waist -to-hip ratio (WHR) are the measurements most commonly used to estimate abdominal obesity while BMI used to determine general obesity. Our goal in this study was to find cut-off points of selected anthropometric indices for estimating overweight and obesity in school-aged children aged 6 to 8 years from North Macedonia. In this study, a total of 603 children (300 boys and 303 girls) were investigated. Anthropometric indicators were measured using a standard protocol. We selected four parameters to measure (weight, height,) and two circumferences (waist WC and hip HC). The following indices were taken into consideration: Body mass index (BMI), WC and waist-to-hip-ratio (WHR). Percentile distribution of the tested variables was done by age and sex.Some of anthropometric parameters have shown significant age- and sex-specific differences in favour of boys, with exception of WHR. The prevalence of overweight and obesity across BMI cut-off points was 16% in boys and 15, 1% in girls. Girls had the prevalence of abdominal obesity of 12 % WC and WHR 13,2%. Both cut-off points for the boys were 11% WC and 10% WHR. However, the Macedonian cut-off points for WC and WHR showed a slightly elevated prevalence of abdominal obesity among girls.These results and determination of BMI, WC, WHR cut-off values can be used for estimating overweight and obesity and consequences associated with it in school-aged children aged 6 to 8 years from North Macedonia.


Kew words: BMI, WC, WHR, school-age children, anthropometry


https://doi.org/10.55302/JMS2142147z


 

References

1. Zafirova B, Todorovska L. Anthropometric parameters of growth and nutritional status in children aged 6 to
7 years in R. Macedonia. Adv med Sci 2009;54(20):289-95.
2. Fryar CD, Carroll MD, Afful J. Prevalence of overweight, obesity, and severe obesity among children and
adolescents aged 2–19 years: United States, 1963–1965 through 2017–2018. NCHS Health E-Stats. 2020.
3. Lobstein T. Prevalence And Trends Across The World. In M.L. Frelut (Ed.), The ECOG’s eBook on Child and
Adolescent Obesity. 2015; Retrieved from ebook.ecog-obesity.eu
4. Valerio, G., Balsamo, A., Baroni, M.G. et al. Childhood obesity classification systems and cardiometabolic risk
factors: a comparison of the Italian, World Health Organization and International Obesity Task Force
references. Ital J Pediatr 2017; (43):19.
5. Zafirova B et all. Evaluation of Sex-Specific Differences of Anthropometric Variables That Were Used as
Indicators of Nutritional Status in Macedonian Children. JMS. 2018; 1 (1): 25-30.
6. Chen, G., Yan, H., Hao, Y. et al. Comparison of various anthropometric indices in predicting abdominal
obesity in Chinese children: a cross-sectional study. BMC Pediatr 2019; (19): 127.
7. World Health Organization [WHO]. (2017). Obesity and Overweight. Available at:
http://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight
8. Avalos C, Díaz C, Martínez A, Bancalari R, Zamorano J, Harbin F, Cerda V, Fernández M, Cavada G, Arteaga J,
Valenzuela M, Toro M, García H. Waist circumference percentiles in children and adolescents between 6 and
14 years from Santiago, Chile. Endocrinol Nutr. 2012; 59(5):296-303.
9. Kristen Cashin and Lesley Oot. Guide to anthropometry. A Practical Tool for Program Planners, Managers,
and Implementers. 2018. https://www.fantaproject.org/sites/default/files/resources/FANTA-Anthropometry-
Guide-May2018.pdf
10. California Department of Health Care Services, Systems of Care Division Child Health and Disability
Prevention Program, Health Assessment Anthropometric mesaurements Guidelines Mar 2016
https://www.dhcs.ca.gov/services/chdp/Documents/HAG/4AnthropometricMeasure.pdf
11. de Onis M, Onyango AW, Borghi E, Nishida AS, Siekman J. Development of a WHO growth reference for
school-aged children and adolescents. Bull WHO. 2007;85(9):649-732.
12. World Health Organisation. Obesity. In: World Health Organisation; 2016.
http://www.who.int/topics/obesity/en.
13. Using the BMI-for-Age Growth Charts CDC https://www.cdc.gov/nccdphp/ dnpa/growthcharts/ t
training/modules/module1/text/module1print.pdf.
14. Zimmet P, Alberti G, Kaufman F, et al. ; International Diabetes Federation Task Force on Epidemiology and
Prevention of Diabetes. The metabolic syndrome in children and adolescents. Lancet. 2007;369(9579):2059–
2061.
15. Olcay Neyzi Ruvede Bundak Gublin Gokcay et all. Reference Values for Weight, Height, Head Circumference,
and Body Mass Index in Turkish Children. J Clin Res Endocrinol 2015D; 7(4):280-293.
16. Vaman Khadilkar, Sangeeta Yadav et all. IAP Growth Charts for Height, Weight and Body Mass Index for 5- to
18-year-old Indian Children.Indian Pediatr 2015; 20 (52): 47-55.
17. CDC table for calculated BMI values for selected heights and weights for ages 2–20 years. National Health
and Nutrition Examination Survey. 2000; Available from: http://www.cdc.gov/
18. Ma J, Wang Z, Song Y, Hu P, Zhang B. BMI percentile curves for Chinese children aged 7-18 years, in
comparison with the WHO and the US Centers for Disease Control and Prevention references. Public Health
Nutr. 2010 Dec;13(12):1990-6.
19. Body Composition in Children and Adolescents Residing in Southern Europe: Prevalence of Overweight and
Obesity According to Different International References. Available from:
https://www.researchgate.net/publication/330811755_Body_Composition_in_Children_and Adolescents
_Residing_in_Southern_Europe_Prevalence_of_Overweight_and_Obesity_According_to_Different_International
References
20. Cole TJ, Bellizzi CM, Flegal MK, Dietz HW. Establishing a standard definition for child overweight and obesity
worldwide: international survey. BMJ. 2000;320:1240-6.
21. Unalan D, Senol V, Bayat M, Mazicioglu MM, Ozturk A, Kurtoglu S, Hatipoglu N, Ustunbas HB. Change in waist
circumference over 3 years in Turkish children and adolescents. Ann Hum Biol. 2013 Sep-Oct;40(5):419-25.
22. Santos JLF, Valério VP, Fernandes RN, Duarte L, Assumpção AC, Guerreiro J, Sickler AL, Lemos ÁAR, Goulart
Filho JG, Cesar LAM, Pinto IM, Magalhães C, Hussid MF, Camacho C, Avezum A, Sangaleti CT, Consolim-C
Colombo FM. Waist Circumference Percentiles and Cut-Off Values for Obesity in a Large Sample of Students
from 6 To 10 Years Old Of The São Paulo State, Brazil. Arq Bras Cardiol. 2020 May-Jun;114(3):530-537.
23. Xi B, Zong X, Kelishadi R, Litwin M, Hong YM, Poh BK, Steffen LM, Galcheva SV, Herter-Aeberli I, Nawarycz T,
Krzywińska-Wiewiorowska M, Khadilkar A, Schmidt MD, Neuhauser H, Schienkiewitz A, Kułaga Z, Kim HS,
Stawińska-Witoszyńska B, Motlagh ME, Ruzita AT, Iotova VM, Grajda A, Ismail MN, Krzyżaniak A, Heshmat R,
Stratev V, Różdżyńska-Świątkowska A, Ardalan G, Qorbani M, Świąder-Leśniak A, Ostrowska-Nawarycz L, Yotov
Y, Ekbote V, Khadilkar V, Venn AJ, Dwyer T, Zhao M, Magnussen CG, Bovet P. International Waist
Circumference Percentile Cutoffs for Central Obesity in Children and Adolescents Aged 6 to 18 Years. J Clin
Endocrinol Metab. 2020 Apr 1;105(4):e1569–83.
24. Asif M, Aslam M, Altaf S, Mustafa S. Developing waist circumference, waist-to-height ratio percentile curves
for Pakistani children and adolescents aged 2-18 years using Lambda-Mu-Sigma (LMS) method. J Pediatr
Endocrinol Metab. 2020 Jul 6:/j/jpem.ahead-of-print/jpem-2019-0527/jpem-2019-0527.xml.
25. Poh BK, Jannah AN, Chong LK, Ruzita AT, Ismail MN, McCarthy D. Waist circumference percentile curves for
Malaysian children and adolescents aged 6.0-16.9 years. Int J Pediatr Obes. 2011 Aug;6(3-4):229-35.
26. Mukherjee S, Leong HF, Wong XX. Waist circumference percentiles for Singaporean children and adolescents
aged 6-17 years. Obes Res Clin Pract. 2016 Sep;10 Suppl 1:S17-S25.
Published
2021-07-26
How to Cite
ZAFIROVA, Biljana et al. ANTHROPOMETRIC INDICES FOR ESTIMATING OVERWEIGHT AND OBESITY IN SCHOOL-AGED CHILDREN FROM NORTH MACEDONIA. Journal of Morphological Sciences, [S.l.], v. 4, n. 2, p. 147-155, july 2021. ISSN 2545-4706. Available at: <http://jms.mk/jms/article/view/vol4no2-20>. Date accessed: 19 apr. 2024.
Section
Articles