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Body Weight Statuses and Their Sociodemographic Correlates Among Adolescents in Southern Taiwan: Results Using Two Sets of Cutoff References
Authors:Cheng-Fang Yen  Ray C Hsiao  Ju-Yu Yen  Chih-Hung Ko  Shu-Chun Liu  Chi-Fen Huang  Shing-Yaw Wang
Institution:1. Department of Psychiatry, Faculty of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan, Republic of China;2. Department of Psychiatry, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan, Republic of China;3. Department of Psychiatry and Behavioral Sciences, School of Medicine, University of Washington, Seattle, Washington;4. Department of Psychiatry, Children''s Hospital and Regional Medical Center, Seattle, Washington;5. Department of Psychiatry, Kaohsiung Municipal Hsiao-Kang Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan, Republic of China;1. Faculty of Health and Nutrition, Yamanashi Gakuin University, Yamanashi, Japan;2. Department of Internal Medicine, Niigata University Faculty of Medicine, Niigata, Japan;3. Tanaka Women''s Clinic, Tokyo, Japan;4. Kawasaki City College of Nursing, Kawasaki, Japan;1. Laboratory for Earth Surface Processes, College of Urban and Environmental Sciences, Peking University, Beijing 100871, PR China;2. Department of Pathobiology & Diagnostic Investigation, Michigan State University, East Lansing, MI 48824, USA;1. National Research University Higher School of Economics, Department of Psychology, 109316, Volgogradsky Prospect, 46-B, Moscow, Russian Federation;2. American University of Sharjah, Department of International Studies, P.O. Box 26666, Sharjah, United Arab Emirates
Abstract:PurposeTo examine the differences in the prevalence of overweight and obesity based on the cutoff references established by the International Obesity Task Force (IOTF) and the Working Group on Obesity in China (WGOC), the prevalence of underweight on the IOTF reference, and the sociodemographic correlates of body weight statuses in Taiwanese adolescents.MethodsOverweight and obesity in 10,371 Taiwanese adolescents were determined by the IOTF and WGOC cutoff references for body mass index (BMI). Underweight was determined by the IOTF. The prevalence of overweight and obesity using the IOTF standard were compared to those using the WGOC standard. Associations of body weight statuses with gender, age, residential status, and parental education level were also examined.ResultsUsing the IOTF standard, 3.4% were underweight, 15.2% were overweight, and 6.1% obese, whereas 14.1% were considered overweight and 8.7% were obese by the WGOC standard. For both genders, more adolescents were classified as overweight by the IOTF standard and as obese by the WGOC standard. Although females were more likely to be underweight than males, males were more likely to be overweight or obese than females. For both genders, although older age increased the risk of being underweight, younger age increased the risk of being overweight or obese. For males, living in urban areas was associated with being overweight, and low paternal education level was associated with being obese.ConclusionsThe prevalence of overweight and obesity may differ depending on the reference standard consulted. Paternal education level and urbanicity were associated with gender differences in the proportion of adolescents who were overweight or obese.
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