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http://dx.doi.org/10.4082/kjfm.2009.30.9.688

The Relationship between Relative BMI Change and Height Growth among Overweight Children  

Son, Young-Woo (Department of Family Medicine, Inje University College of Medicine, Busan Paik Hospital)
Lee, Ka-Young (Department of Family Medicine, Inje University College of Medicine, Busan Paik Hospital)
Jeon, Young-Bae (Department of Family Medicine, Inje University College of Medicine, Busan Paik Hospital)
Publication Information
Korean Journal of Family Medicine / v.30, no.9, 2009 , pp. 688-694 More about this Journal
Abstract
Background: Many parents of overweight children have believed that their children's weight may be lost with the increase of their height. The purpose of this 2-year prospective study was to examine whether such belief is valid. Methods: A total of 190 children (113 boys and 77 girls) aged 6-11 years who were overweight (BMI > 85th percentile of age and gender-specific 1999 Korean children standard) from two elementary schools were the subjects. Their height and weight were measured again after 2 years. Children and their parents completed questionnaires on eating habits and physical activity, and their attitude on weight in the beginning of study. Children's weight status was evaluated using relative BMI. Results: Children's baseline relative BMI was 134.9 $\pm$ 13.8%. About 60% of the children reported weight loss attempt and 49% of their parents tried to persuade their child to lose weight. Children's BMI increased by 1.6 $\pm$ 2.1 $kg/m^2$ and their relative BMI decreased by 1.2 $\pm$ 12.1% over 2 years. While children's eating habits and physical activity, and their attitude on the child's weight were not related to the 2-year relative BMI change, the child's age, gender, baseline relative BMI, and the 2-year height change were associated with the 2-year relative BMI change ($R^2$ = 0.15, P < 0.001). The 2-year relative BMI increased with the 2-year height increase after controlling for the three predictors (B = 0.86, SE = 0.28, P = 0.002). Conclusion: We found the 2-year height change positively associated with the 2-year relative BMI change among school-aged overweight children. Then, the belief that children's weight status may be improved with the increase of their height should be denied.
Keywords
Overweight Children; Parent; Height Increase; Relative BMI; Prospective Study;
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1 Wang Y, Monteiro C, Popkin BM. Trends of obesity and underweight in older children and adolescents in the United States, Brazil, China, and Russia. Am J Clin Nutr 2002;75:971-7   PUBMED
2 Yanovski JA, Yanovski SZ. Treatment of pediatric and adolescent obesity. JAMA 2003;289:1851-3   DOI   PUBMED   ScienceOn
3 Schwimmer JB, Burwinkle TM, Varni JW. Health-related quality of life of severely obese children and adolescents. JAMA 2003;289:1813-9   DOI   PUBMED   ScienceOn
4 Maynard LM, Galuska DA, Blanck HM, Serdular MK. Maternal perceptions of weight status of children. Pediatrics 2003;111:1226-31   PUBMED
5 Kweon ER, Choi HJ, Lee SR, Paik ES, Lee KY, Park TJ. Parental perception on childhood obesity according to weight status in children of elementary school in Busan. J Korean Acad Fam Med 2002;23:68-79
6 Wang Y, Ge K, Popkin BM. Tracking of body mass index from childhood to adolescence: a 6-y follow-up study in China. Am J Clin Nutr 2000;72:1018-24   PUBMED
7 Epstein LH, Valoski A, Wing RR, McCurley J. Ten-year followup of behavioral family-based treatment for obese children. JAMA 1990;264:2519-23   DOI   PUBMED
8 Kotani K, Nishida M, Yamashita S, Funahashi T, Fujioka S, Tokunaga K, et al. Two decades of annual medical examinations in Japanese obese children: do obese children grow into obese adults? Int J Obes Relat Metab Disord 1997;21:912-21   DOI   PUBMED
9 Rees JM, Management of obesity in adolescence. Med Clin North Am 1990;74:1275-92   DOI   PUBMED
10 Golan M, Fainaru M, Weizman A. Role of behaviour modification in the treatment of childhood obesity with the parents as the exclusive agent of change. Int J Obes Relat Metab Disord 1998;22:1217-24   DOI   PUBMED   ScienceOn
11 Golan M, Crow S. Targeting parents exclusively in the treatment of childhood obesity: long-term results. Obes Res 2004;12:357-61   DOI   PUBMED   ScienceOn
12 Lee K, Kweon ER. The accuracy of children's height and weight reported by parents and parental perception for children's weight status among 7-12 years old children. Korean J Health Promot Dis Prev 2002;2:1-9
13 Ong KK, Ahmed ML, Emmett PM, Preece MA, Dunger DB. Association between postnatal catch-up growth and obesity in childhood: prospective cohort study. BMJ 2000;320:967-71   DOI   PUBMED
14 Serdula MK, Ivery D, Coates RJ, Freedman DS, Williamson DF, Byers T. Do obese children become obese adults? A review of the literature. Prev Med 1993;22:167-77   DOI   PUBMED   ScienceOn
15 Guo SS, Wu W, Chumlea WC, Roche AF. Predicting overweight and obesity in adulthood from body mass imdex values in childhood and adolescence. Am J Clin Nutr 2002;76:653-8   PUBMED
16 Fogelholm M, Nuutinen O, Pasanen H, Myohanen E, Saatela T. Parent-child relationship of physical activity pattern and obesity. Int J Obes Relat Metab Disord 1999;23:1262-8   DOI   PUBMED
17 Robinson TN. Behavioral treatment of childhood and adolescent obesity. Int J Obes Relat Metab Disord 1999;23(Suppl 2):S52-7   DOI   PUBMED
18 Eliakim A, Friedland O, Kowen G, Wolach B, Nemet D. Parental obesity and higher pre-intervention BMI reduce the like-lihood of a multidisciplinary childhood obesity program to succeed: a clinical observation. J Pediatr Endocrinol Metab 2004;17:1055-61   PUBMED
19 Kang YJ, Hong CH, Hong YJ. The prevalence of childhood and adolescent obesity over the last 18 years in Seoul area. Korean J Nutr 1997;30:832-9   과학기술학회마을
20 Goldfield GS, Raynor HA, Epstein LH. Treatment of pediatric obesity. In: Wadden TA, Stunkard AJ. Handbook of obesity treatment. New York: Guiltford Press; 2002. p. 532-5
21 Lee K, Park K, Park T. The influence of parents' obesity on persistently normal weight over 2 years among 10 year-old child. Korean J Health Promot Dis Prev 2003;3:27-33
22 Power C, Lake JK, Cole TJ. Measurement and long-term health risks of child and adolescent fatness. Int J Obes Relat Metab Disord 1997;21:507-26   DOI   PUBMED
23 Monteiro PO, Victora CG. Rapid growth in infancy and childhood and obesity in later life: a systematic review. Obes Rev 2005;6:143-54   DOI   PUBMED   ScienceOn
24 Hong C. Pediatrics. 7th ed. Seoul: Korean Textbook Co; 2002. p.1243-5
25 Coutant R, Boux de Casson F, Rouleau S, Douay O, Mathieu E, Audran M, et al. Body composition, fasting leptin, and sex steroid administration determine GH sensitivity in peripubertal short children. J Clin Endocrinol Metab 2001;86:5805-12   DOI   PUBMED