Document Detail

Comparison of body mass index values proposed by Cole et al. (2000) and Must et al. (1991) for identifying obese children with weight-for-height index recommended by the World Health Organization.
MedLine Citation:
PMID:  12740080     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: To calculate the sensitivity, specificity and agreement of body mass index (BMI) values proposed by Cole et al. (Br. Med. J. 2000; 320: 1) and Must et al. (Am. J. Clin. Nutr. 1991; 53: 839 & 54: 773) with weight-for-height index in the nutritional evaluation of children. DESIGN: Criterion standards for diagnostic tests. SETTING:: North-east and south-east Brazil. SUBJECTS: Two thousand nine hundred and twenty children studied in Life Pattern Research performed by the Brazilian Institute of Geography and Statistics in 1997. Main outcome measures are the sensitivity, specificity and agreement of BMI values proposed by Must et al. (1991) and Cole et al. (2000). RESULTS: Sensitivity of values proposed by both authors was around 90%. Specificity was almost 100% considering weight-for-height index as the gold standard. The agreement of both values with weight-for-height index, based on kappa results, was good and in pre-school children it was excellent. CONCLUSIONS: Values proposed by Cole et al. (2000) and Must et al. (1991) should be used carefully to screen obesity in childhood but can be used to "diagnose" overweight children with a very low chance of having false-positive results. Although the values proposed by both authors performed similarly, use of Cole et al.'s values should be encouraged. The latter cover children from 2 to 6 years old; their values are presented for six-month age intervals; they are based on a larger sample from six different countries; and they are related to the definition of adult obesity.
Marcelo Militão Abrantes; Joel Alves Lamounier; Enrico Antônio Colosimo
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Public health nutrition     Volume:  6     ISSN:  1368-9800     ISO Abbreviation:  Public Health Nutr     Publication Date:  2003 May 
Date Detail:
Created Date:  2003-05-12     Completed Date:  2003-10-30     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9808463     Medline TA:  Public Health Nutr     Country:  England    
Other Details:
Languages:  eng     Pagination:  307-11     Citation Subset:  IM    
Military Police Hospital of Minas Gerais (HPM-MG), Brazil.
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MeSH Terms
Body Height
Body Mass Index*
Body Weight
Child, Preschool
False Positive Reactions
Nutrition Assessment
Obesity / classification,  diagnosis*
Reference Values
Sensitivity and Specificity
World Health Organization

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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