Center for Health Sciences and Sports, Study Group in Kinanthropometry, State University of Santa Catarina, Florianópolis, Santa Catarina, Brazil.
Nutr J. 2013 Jan 7;12:5. doi: 10.1186/1475-2891-12-5.
To describe and compare the nutritional status of adolescents using three criteria for nutritional status classification (Conde & Monteiro, International Obesity Task Force - IOTF and Word Health Organization - WHO), to analyze the correlation between these three criteria as for the overweight proportion, and to investigate whether factors associated with overweight and obesity differ among the three criteria.
Demographic (gender, age, geographic area) and anthropometric (body weight, height) variables were measured in 33.728 adolescents aged 11 to 17 years. The following criteria were investigated: IOTF (2000); Conde & Monteiro (2006); and WHO (2007).
The overall overweight prevalence was 20.6% for the Conde & Monteiro criteria; 15.3% for the IOTF criteria and 20.1% for the WHO criteria. Both for boys and girls, the estimated overweight prevalence using the Conde & Monteiro and WHO criteria were higher than that using the IOTF criteria. Higher concordance was found between the Conde & Monteiro (2006) and WHO (2007) criteria for all age groups. Regarding associated factors, similar associations were found for the three criteria for higher BMI classification: being male, 11-12 and 13-14 years of age and living in the Midwestern, Southeastern and Southern regions of Brazil.
The criteria for BMI classification estimate overweight prevalence in a different way, and the criteria proposed by Conde & Monteiro resulted in higher prevalence in both sexes. Higher concordance between the Conde & Monteiro and WHO criteria was found for all age groups. The groups most vulnerable to showing overweight and obesity for the three criteria for BMI classification were males, age 11-12 and 13-14 years, and living in the Midwestern, Southeastern and Southern regions of Brazil. Overweight and obesity are considered a public health problem prevalent among adolescents in Brazil, regardless of the criteria adopted.
描述和比较使用三种营养状况分类标准（Conde & Monteiro、国际肥胖特别工作组 - IOTF 和世界卫生组织 - WHO）的青少年营养状况，并分析这三种标准之间的相关性，超重比例，并调查这些标准之间与超重和肥胖相关的因素是否存在差异。
在 33728 名 11 至 17 岁的青少年中测量了人口统计学（性别、年龄、地理区域）和人体测量学（体重、身高）变量。研究了以下标准：IOTF（2000）；Conde & Monteiro（2006）；和世界卫生组织（2007）。
根据 Conde & Monteiro 标准，总体超重率为 20.6%；IOTF 标准为 15.3%，WHO 标准为 20.1%。对于男孩和女孩，使用 Conde & Monteiro 和 WHO 标准估计的超重率均高于使用 IOTF 标准。对于所有年龄组，Conde & Monteiro（2006）和 WHO（2007）标准之间的一致性更高。关于相关因素，对于 BMI 分类的所有三个标准，较高的 BMI 分类与男性、11-12 岁和 13-14 岁以及生活在巴西中西部、东南部和南部地区相关。
BMI 分类标准以不同的方式估计超重率，Conde & Monteiro 提出的标准在男女中均导致更高的患病率。对于所有年龄组，Conde & Monteiro 和 WHO 标准之间的一致性更高。对于 BMI 分类的所有三个标准，最容易出现超重和肥胖的人群是男性、11-12 岁和 13-14 岁，以及生活在巴西中西部、东南部和南部地区的人群。超重和肥胖被认为是巴西青少年普遍存在的公共卫生问题，无论采用何种标准。
