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Reassessing Ethnic Differences in Mean BMI and Changes Between 2007 and 2013 in English Children.

Hudda, MT; Nightingale, CM; Donin, AS; Owen, CG; Rudnicka, AR; Wells, JCK; Rutter, H; Cook, DG; Whincup, PH (2018) Reassessing Ethnic Differences in Mean BMI and Changes Between 2007 and 2013 in English Children. Obesity (Silver Spring), 26 (2). pp. 412-419. ISSN 1930-739X https://doi.org/10.1002/oby.22091
SGUL Authors: Nightingale, Claire Owen, Christopher Grant Rudnicka, Alicja Regina Whincup, Peter Hynes Hudda, Mohammed Taqui

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Abstract

OBJECTIVE: National body fatness (BF) data for English South Asian and Black children use BMI, which provides inaccurate ethnic comparisons. BF levels and time trends in the English National Child Measurement Programme (NCMP) between 2007 and 2013 were assessed by using ethnic-specific adjusted BMI (aBMI) for South Asian and Black children. METHODS: Analyses were based on 3,195,323 children aged 4 to 5 years and 2,962,673 children aged 10 to 11 years. aBMI values for South Asian and Black children (relating to BF as in White children) were derived independently. Mean aBMI levels and 5-year aBMI changes were obtained by using linear regression. RESULTS: In the 2007-2008 NCMP, mean aBMIs in 10- to 11-year-old children (boys, girls) were higher in South Asian children (20.1, 19.9 kg/m2 ) and Black girls, but not in Black boys (18.4, 19.2 kg/m2 ) when compared with White children (18.6, 19.0 kg/m2 ; all P < 0.001). Mean 5-year changes (boys, girls) were higher in South Asian children (0.16, 0.32 kg/m2 per 5 y; both P < 0.001) and Black boys but not girls (0.13, 0.15 kg/m2 per 5 y; P = 0.01, P = 0.41) compared with White children (0.02, 0.11 kg/m2 per 5 y). Ethnic differences at 4 to 5 years were similar. Unadjusted BMI showed similar 5-year changes but different mean BMI patterns. CONCLUSIONS: BF levels were higher in South Asian children than in other groups in 2007 and diverged from those in White children until 2013, a pattern not apparent from unadjusted BMI data.

Item Type: Article
Additional Information: © 2017 The Authors. Obesity published by Wiley Periodicals, Inc. on behalf of The Obesity Society (TOS) This is an open access article under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
Keywords: Endocrinology & Metabolism, MD Multidisciplinary
SGUL Research Institute / Research Centre: Academic Structure > Population Health Research Institute (INPH)
Journal or Publication Title: Obesity (Silver Spring)
ISSN: 1930-739X
Language: eng
Dates:
DateEvent
February 2018Published
17 December 2017Published Online
13 November 2017Accepted
Publisher License: Creative Commons: Attribution 4.0
Projects:
Project IDFunderFunder ID
PG/15/19/31336British Heart Foundationhttp://dx.doi.org/10.13039/501100000274
204809/Z/16/ZWellcome Trusthttp://dx.doi.org/10.13039/100004440
PubMed ID: 29249086
Go to PubMed abstract
URI: https://openaccess.sgul.ac.uk/id/eprint/109317
Publisher's version: https://doi.org/10.1002/oby.22091

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