Cutoff values of body mass index for severe obesity in Korean children and adolescents: the 99th percentile versus 120% of the 95th percentile
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Purpose: Several definitions for severe obesity have been used, primarily the 99th percentile of the body mass index (BMI) and 120% of the 95th BMI percentile. This study aimed to establish a standardized definition for severe obesity in children and adolescents in Korea. Methods: The 99th BMI percentile line and 120% of the 95th BMI percentile line were constructed using 2017 Korean National Growth Charts. To compare these 2 cutoff points for severe obesity, we included 9,984 individuals (5,289 males and 4,695 females) aged 10–18 years with anthropometric data available from the Korean National Health and Nutrition Examination Survey 2007–2018. Results: Although 120% of the 95th percentile of BMI is widely used as a definition of severe obesity, the 99th percentile is almost identical to 110% of the 95th percentile in Korea, according to the latest national BMI growth chart for children and adolescents. The prevalence rates of high blood pressure, high triglycerides, low high-density lipoprotein cholesterol, and high alanine aminotransferase in the participants whose BMI was ≥120% of the 95th percentile were higher than in those whose BMI was ≥99th percentile (P<0.001). Conclusion: A cutoff value for severe obesity of ≥120% of the 95th percentile is appropriate in children and adolescents in Korea. To provide follow-up care for severely obese children and adolescents, it is necessary to add a new line at 120% of the 95th percentile to the national BMI growth chart.
Abstract
Purpose: Several definitions for severe obesity have been used, primarily the 99th percentile of the body mass index (BMI) and 120% of the 95th BMI percentile. This study aimed to establish a standardized definition for severe obesity in children and adolescents in Korea. Methods: The 99th BMI percentile line and 120% of the 95th BMI percentile line were constructed using 2017 Korean National Growth Charts. To compare these 2 cutoff points for severe obesity, we included 9,984 individuals (5,289 males and 4,695 females) aged 10–18 years with anthropometric data available from the Korean National Health and Nutrition Examination Survey 2007–2018. Results: Although 120% of the 95th percentile of BMI is widely used as a definition of severe obesity, the 99th percentile is almost identical to 110% of the 95th percentile in Korea, according to the latest national BMI growth chart for children and adolescents. The prevalence rates of high blood pressure, high triglycerides, low high-density lipoprotein cholesterol, and high alanine aminotransferase in the participants whose BMI was ≥120% of the 95th percentile were higher than in those whose BMI was ≥99th percentile (P<0.001). Conclusion: A cutoff value for severe obesity of ≥120% of the 95th percentile is appropriate in children and adolescents in Korea. To provide follow-up care for severely obese children and adolescents, it is necessary to add a new line at 120% of the 95th percentile to the national BMI growth chart.
참고문헌 (36)
- NCD Risk Factor Collaboration(NCD-RisC), "Worldwide trends in body-mass index, underweight, overweight, and obesity from 1975 to 2016 : a pooled analysis of 2416population-based measurement studies in 128. 9 million children, adolescents, and adults", Lancet, 390, pp.2627~2642 (2017)
- 김재현, "Secular Trends in Pediatric Overweight and Obesity in Korea", Journal of Obesity & Metabolic Syndrome, 29(1), pp.12~17 (2020), 대한비만학회[DOI]
- Styne DM, "Pediatric obesity-assessment, treatment, and prevention : an endocrine society clinical practice guideline", J Clin Endocrinol Metab, 102, pp.709~757 (2017)
- 김재현, "The 2017 Korean National Growth Charts for children and adolescents: development, improvement, and prospects", Clinical and Experimental Pediatrics, 61(5), pp.135~149 (2018), 대한소아청소년과학회
- Skinner AC, "Prevalence of obesity and severe obesity in US children, 1999-2016", Pediatrics, 141, pp.e20173459~ (2018)
- Nam HK, "Trends in the prevalence of extreme obesity among Korean children and adolescents from 2001 to 2014", J Pediatr Endocrinol Metab, 30, pp.517~523 (2017)
- Freedman DS, "Cardiovascular risk factors and excess adiposity among overweight children and adolescents : the Bogalusa Heart Study", J Pediatr, 150, pp.12~17 (2007)
- Calcaterra V, "Prevalence of metabolic syndrome(MS)in children and adolescents with varying degrees of obesity", Clin Endocrinol(Oxf), 68, pp.868~872 (2008)
- Gidding SS, "Severe obesity associated with cardiovascular deconditioning, high prevalence of cardiovascular risk factors, diabetes mellitus", hyperinsulinemia, and respiratory compromise, 2004, pp.144, 766~769
- Ice CL, "Morbidly obese diagnosis as an indicator of cardiovascular disease risk in children : results from the CARDIAC Project", Int J Pediatr Obes, 6, pp.113~119 (2011)
- Kapiotis S, "A proinflammatory state is detectable in obese children and is accompanied by functional and morphological vascular changes", Arterioscler Thromb Vasc Biol, 26, pp.2541~2546 (2006)
- Skinner AC, "Cardiometabolic risks and severity of obesity in children and young adults", N Engl J Med, 373, pp.1307~1317 (2015)
- Kim Minseung, "Cardiometabolic risk factors and metabolic syndrome based on severity of obesity in Korean children and adolescents: data from the Korea National Health and Nutrition Examination Survey 2007–2018", Annals of Pediatric Endocrinology & Metabolism, 27(4), pp.289~299 (2022), 대한소아내분비학회[DOI]
- 김보연, "2020 Korean Society for the Study of Obesity Guidelines for the Management of Obesity in Korea", Journal of Obesity & Metabolic Syndrome, 30(2), pp.81~92 (2021), 대한비만학회[DOI]
- Dae Yong Yi, "Clinical Practice Guideline for the Diagnosis and Treatment of Pediatric Obesity: Recommendations from the Committee on Pediatric Obesity of the Korean Society of Pediatric Gastroenterology Hepatology and Nutrition", Pediatric Gastroenterology, Hepatology & Nutrition, 22(1), pp.1~27 (2019), 대한소아소화기영양학회[DOI]
- Kweon S, "Data resource profile : the Korea National Health and Nutrition Examination Survey(KNHANES)", Int J Epidemiol, 43, pp.69~77 (2014)
- Vos MB, "NASPGHAN clinical practice guideline for the diagnosis and treatment of nonalcoholic fatty liver disease in children : recommendations from the Expert Committee on NAFLD(ECON)and the North American Society of Pediatric Gastroenterology, Hepatology and Nutrition(NASPGHAN)", J Pediatr Gastroenterol Nutr, 64, pp.319~334 (2017)
- 김성혜, "Blood Pressure Reference Values for Normal Weight Korean Children and Adolescents: Data from The Korea National Health and Nutrition Examination Survey 1998–2016: The Korean Working Group of Pediatric Hypertension", Korean Circulation Journal, 49(12), pp.1167~1180 (2019), 대한심장학회[DOI]
- Flegal KM, "Characterizing extreme values of body mass index-for-age by using the 2000 Centers for Disease Control and Prevention growth charts", Am J Clin Nutr, 90, pp.1314~1320 (2009)
- Skelton JA, "Prevalence and trends of severe obesity among US children and adolescents", Acad Pediatr, 9, pp.322~329 (2009)
- Claire Wang Y, "Trends and racial", ethnic disparities in severe obesity among US children and adolescents, 1976-2006, 2011, pp.6, 12~20
- Koebnick C, "Prevalence of extreme obesity in a multiethnic cohort of children and adolescents", J Pediatr, 157, pp.26~31 (2010)
- Baker JL, "Childhood body-mass index and the risk of coronary heart disease in adulthood", N Engl J Med, 357, pp.2329~2337 (2007)
- Bessonova L, "The association of body mass index with mortality in the California Teachers Study", Int J Cancer, 129, pp.2492~2501 (2011)
- Franks PW, "Childhood obesity, other cardiovascular risk factors, and premature death", N Engl J Med, 362, pp.485~493 (2010)
- Ma J, "Body mass index in young adulthood and premature death : analyses of the US National Health Interview Survey linked mortality files", Am J Epidemiol, 174, pp.934~944 (2011)
- Park MH, "The impact of childhood obesity on morbidity and mortality in adulthood : a systematic review", Obes Rev, 13, pp.985~1000 (2012)
- Tirosh A, "Adolescent BMI trajectory and risk of diabetes versus coronary disease", N Engl J Med, 364, pp.1315~1325 (2011)
- Johnston CA, "Smaller weight changes in standardized body mass index in response to treatment as weight classification increases", J Pediatr, 158, pp.624~627 (2011)
- Savoye M, "Long-term results of an obesity program in an ethnically diverse pediatric population", Pediatrics, 127, pp.402~410 (2011)
- Danielsson P, "Response of severely obese children and adolescents to behavioral treatment", Arch Pediatr Adolesc Med, 166, pp.1103~1108 (2012)
- Kelly AS, "Severe obesity in children and adolescents : identification, associated health risks, and treatment approaches : a scientific statement from the American Heart Association", Circulation, 128, pp.1689~1712 (2013)
- Barlow SE, "Expert committee recommendations regarding the prevention, assessment, and treatment of child and adolescent overweight and obesity: summary report", Pediatrics, 120(Suppl 4), pp.S164~S192 (2007)
- Ogden CL, "Centers for Disease Control and Prevention 2000 growth charts for the United States : improvements to the 1977 National Center for Health Statistics version", Pediatrics, 109, pp.45~60 (2002)
- Kuczmarski RJ, "2000 CDC Growth Charts for the United States : methods and development", Vital Health Stat 11, (246), pp.1~190 (2002)
- Gulati AK, "Clinical tracking of severely obese children : a new growth chart", Pediatrics, 130, pp.1136~1140 (2012)