Development of Body Mass Index Growth Standard Chart for Chinese Preschool Children
Abstract
Background: We aimed to establish a reference standard of Body Mass Index (BMI) for the growth of preschool children in China.
Methods: We monitored and obtained the height and weight of 50702 children aged 3-6 yr in 31 provinces in mainland China in 2014. The reference standard and percentile curve of BMI preschool children aged 3-6 yr old were formulated by using Lambda-Median-Sigma (LMS) method in China.
Results: The common grounds of the male and female children were as follows: the percentile maps were similar in shape; the graphs of children aged 4-6 were approximately horn shaped. The differences between male and female children were as follows: the BMI values of male children in the same age group and the same percentile were higher than those of the female children. The change pattern of male children was larger than that of female children. BMI of 3 yr old and 6 yr old children was larger than those of 4 yr old and 5 yr old. During the change from low percentile to high percentile, the BMI values of Chinese male children exceeded WHO to a larger extent, and the BMI values of Chinese female children were substantially consistent with WHO, but the high percentile greater than P95 exceeded WHO.
Conclusion: The BMI growth chart developed can be applied in monitoring the growth and nutrition of preschool children in China. We recommend the promotion of the results in the field of preventive health care.
2. Caroline Brogan (2017). Tenfold increase in childhood and adolescent obesity in four decades. http://www.imperial.ac.uk/news/182276/tenfold-increase-childhood-adolescent-obesity-four/
3. Liu JM, Ye R, Li S, et al (2007). Prevalence of overweight/obesity in Chinese chil-dren. Arch Med Res, 38(8):882-886.
4. Luo J, Hu F B (2002). Time trends of obesi-ty in pre-school children in China from 1989 to 1997. Int J Obes Relat Metab Disord, 26(4):553-558.
5. World Health Organ Tech Rep Ser (2000). Obesity: preventing and managing the global epidemic. Report of a WHO con-sultation. World Health Organization, Geneva.
6. Kuczmarski RJ, Ogden CL, Guo SS, et al (2002). 2000 CDC Growth Charts for the United States: methods and devel-opment. Vital Health Stat 11, (246):1-190.
7. Cole TJ, Bellizzi MC, Flegal KM, Dietz WH (2000). Establishing a standard definition for child overweight and obesity world-wide: international survey. BMJ, 320(7244):1240-1243.
8. Li H, Ji CY, Zong XN, Zhang YQ (2009). Body mass index growth curves for Chi-nese children and adolescents aged 0 to 18 years. Zhonghua Er Ke Za Zhi, 47(7):493-8.
9. Li H, Ji CY, Zong XN, Zhang YQ (2009). Height and weight standardized growth charts for Chinese children and adoles-cents aged 0 to 18 years. Zhonghua Er Ke Za Zhi, 47(7):487-492.
10. Leshan Zhou, Sisi Chen, Guoping He (2013). Construction of weight centile curve for children from 3 to 11 years of age in Changsha based on LMS meth-ods. China Journal of Modern Medicine, 23(20):94-98.
11. Yucheng He. The growth curves of height, weight, body mass index and internation-al standards of children aged 3-6 in Nan-jing were established based on LMS methods (PHD thesis). Yangzhou: Yang-zhou University, 2016.
12. Zong Xin-nan, Li H (2010). Comparison of the China child growth standards and the WHO child growth standards from 0 to 7 years old. Chinese Journal of Child Health Care, 18 (03):195-198.
13. Jiang YF, Cole T, HQ P (2004). Construct body mass index centile curves and cut off points for overweight and obesity for Shanghai children. Chinese Journal of Child Health Care, 15 (6):461-464.
14. Cole TJ (1990). The LMS method for con-structing normalized growth tandards. Eur J Clin Nutr, 44(1):45-60.
15. Cole TJ, Roede MJ (1996). Centiles of body mass index for Dutch children aged 0-20 years in 1980--a baseline to assess recent trends in obesity. Ann Hum Biol, 26(4):303-308.
16. WHO. The WHO Child Growth Standards (EB/OL). http://www.who.int/childgrowth/zh/
17. WHO. Growth reference data for 5-19 year (EB/OL). http://www.who.int/growthref/en/
18. Cole TJ, Lobstein T (2012). Extended inter-national (IOTF) body mass index cut-offs for thinness, overweight and obesity. Pediatr Obes, 7(4):284-294.
19. Mei J (2013). LMS method: a method for establishing normal reference curve of lung function at all ages. Chinese Journal of Health Statistics, 30(5):766-768.
20. Yang Yang, WU Yan-qiang, Xiang-jun W (2018). Percentile normal values of BMI for children and adolescents in Shanghai. Preventive Medicine, 30(6):574-577.
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Issue | Vol 48 No 9 (2019) | |
Section | Original Article(s) | |
DOI | https://doi.org/10.18502/ijph.v48i9.3021 | |
Keywords | ||
Preschool children Lambda-median-sigma method Body mass index Growth chart Growth standards China |
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