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Title: Prevalence of severe/morbid obesity and other weight status and anthropometric reference standards in Spanish preschool children: The PREFIT project
Authors: Cadenas-Sanchez, Cristina
Intemann, Timm
Labayen, Idoia
Artero, Enrique G.
Alvarez-Bueno, Celia
Sanchis-Moysi, Joaquin 
Benito, Pedro J.
Beltran-Valls, María Reyes
Pérez-Bey, Alejandro
Sanchez-Delgado, Guillermo
Palou, Pere
Vicente-Rodríguez, Germán
Moreno, Luis A.
Ortega, Francisco B.
UNESCO Clasification: 241106 Fisiología del ejercicio
Keywords: Obesidad
Issue Date: 2019
Journal: Pediatric Research 
Abstract: Background Childhood obesity has become a major health problem in children under the age of 5 years. Providing reference standards would help paediatricians to detect and/or prevent health problems related to both low and high levels of body mass and to central adiposity later in life. Therefore, the aim of this study was to examine the prevalence of different weight status categories and to provide sex- and age-specific anthropometry reference standards for Spanish preschool children. Methods A total of 3178 preschool children (4.59 +/- 0.87 years old) participated in this study. Prevalence of different degrees of obesity (mild, severe, and morbid) and other weight status categories were determined. Results Reference standards were obtained. Prevalence of overweight and obese preschool children in the Spanish population ranged from 21.4 to 34.8%. Specifically, the obesity prevalence was 3.5, 1.2, and 1.3% of these subjects were categorized as mild, severe, and morbid obese. Sex- and age-specific reference standards for anthropometric parameters are provided for every 0.25 years (i.e. every trimester of life). Conclusion Our results show a high prevalence of overweight/obese preschoolers. The provided sex- and age-specific anthropometric reference standards could help paediatricians to track and monitor anthropometric changes at this early stage in order to prevent overweight/obesity.
ISSN: 0031-3998
DOI: 10.1038/s41390-019-0325-8
Source: Pediatric Research [ISSN 0031-3998], v. 87, p. 501–510
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