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Assessment of Nutritional Status in Sri Lankan Children: Validity of Current Anthropometry Cutoffs?
Univ Colombo, Colombo, Sri Lanka.
Colombo North Teaching Hosp, Ragama, Sri Lanka.
Bandaranayake Int Airport, Hlth Unit, Katunayake, Sri Lanka.
Colombo North Teaching Hosp, Ragama, Sri Lanka.
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2019 (English)In: Asia-Pacific journal of public health, ISSN 1010-5395, Vol. 31, no 7, p. 633-642Article in journal (Refereed) Published
Abstract [en]

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.

Place, publisher, year, edition, pages
SAGE PUBLICATIONS INC , 2019. Vol. 31, no 7, p. 633-642
Keywords [en]
body fat mass, body mass index, childhood obesity, Sri Lankan children, NCD risk
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:uu:diva-400428DOI: 10.1177/1010539519872061ISI: 000500833000007PubMedID: 31529983OAI: oai:DiVA.org:uu-400428DiVA, id: diva2:1381266
Available from: 2019-12-20 Created: 2019-12-20 Last updated: 2019-12-20Bibliographically approved

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Rytter, ElisabetBergsten, Peter

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