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 BMI !" #$ %& BMI -1
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'6 \ '6 \ '6 \ '6 \ (E 2)>2
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Khaodhiar L., Mc Cowen K.C. and Blackburn 0 ! 6 %&( ) 2 .(1382) \ 1AF
G.L. (1999) Obesity and its comorbid
condition. Clin. Cornerstone. 2:17-31. x 6 ;5B ' '6 cR/
Kuczmarski R.G., Ogden C.L., Grummer * 2B < , \ .1381 $) \ +/ x \
L.M., Flegal K.M., Gua S.S. and Jonson
C.L. (2000) CDC growth chart : United 1 *+ * ,-./ ' *+ @ 8! '
state. Advance data 314: 180-198.
. +/ ' *+ *6 $\ @ 8! v
Mokdad A.H., Serdula M.K., Dietz W.H.,
Bowman B.A., Marks J.S. and Koplan J.P. Cole T.J., Bellizzi M.C., Flegal K.M. and Dietz
(1999) The spread of the obesity epidemic W.H. (2000) Establishing a standard
in the United States, 1991-1998. J.A.M.A. definition for child overweight and obesity
282:1519-1522. worldwide. B.M.J. 320 : 1240-1243.
Ogden C.L., Flegal K.G., Carrol M.D. and Delpeuch F. and Marine B. (1997) Obesity
Jonson C.L. (2002) Prevalence and trends in and developing countries of the south. Med.
overweight among US children and Trop. 57 : 380-388.
adolescence, 1999-2000. J.A.M.A. Dietz W.H. (1998a) Childhood weight affects

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288:1728-1732.
Parizcova J. and Hills A.P. (2001) Physical adult morbidity and mortality. J. Nutr.
characteristics of the obesechild and 128(2 Suppl):411S-414S.
Dietz W.H. (1998b) Health consequences of
adolescent. IN: Childhood obesity:
Prevention and Treatment. CRC Press. U.S.
Reilly J.J. and Dorosty A.R.(1999) Epidemic
of obesity in UK children. Lancet. 354:
1874-1875.
SI obesity in youth: childhood predictors of
adult disease. Pediatrics. 101:518-25.
Dorosty A.R., Siassi F. and Reilly J.J. (2002)
Obesity in Iranian children. Arch. Diord.
of
Rolland-Cachera M.F., Castetbon K., Child 87: 388-391.
Arnault N., Bellisle F., Romano M.C., El-Hazmi A.F. and Warsey A.S. (2002) A
Lehingue Y. and Frelut M.L. (2002) Body comparative study of prevalence of
mass index in 7-9 years old French overweight and obesity in different province
children: frequency of obesity , overweight of Saudi Arabia. J. Trop. Pediatr.
ive

and thinness. Int. J. Obes. Relat. Metab. 48:172-177.

Disord. 26: 1610-1616. Flegal K.M., Carrol M.D., Kuczmarski R.G.
and Jonson C.L. (1998) Overweight and
obesity in the United state : prevalence and
trend 1960-1994. Int. J. Obes. Relat. Metab.
ch

Disord. 22 : 39- 47.

Freedman D.S., Dietz W.H., Srinivasan S.R.
and Berenson G.S. (1999) The relation of
overweight to cardiovascular risk factor
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among children and adolescence : The

Bogalusa Heart study. Pediatrics 103: 1175-
1182.
Hosseini M., Carpenter R.G., Mohammad K.
and Jones M.E. (1999) Standard percentile
curves of body mass index of Iranian
children compared to US population
reference. Int. J. Obes. Relat. Metab.
Disord. 23: 783-786.
James P.T., Leach R., Kalamara E. and
Shayeghi M. (2001) The wordwide obesity
epidemic. Obes. Res. 9: 228s-233s.

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 USING DIFFERENT REFERENCE VALUES TO
DETERMINE PREVALENCE OF OBESITY AMONG
SCHOOLCHILDREN IN AHWAZ

Tabatabaei M.,*2 BSc; Dorosty A.R.,1 PhD; Siassi F., 1 PhD; Rahimi A.,2 PhD

The increasing prevalence of adult obesity, and its individual as well as public
consequences has always been a major concern for nutrition and health specialists.
The last decade has also witnessed a sharp rise in childhood obesity rates worldwide.
There is little reliable information on childhood obesity rates in Iran, hence the need
for prevalence studies in different parts of this country. These studies are complicated

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by a paucity of baseline (reference) data on obesity in Iranian children.
This study aims to determine the prevalence of obesity in Ahwaz primary school
pupils by using three different sets of baseline values, namely IOTF, CDC and local
data from Iran.

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Using two-stage cluster sampling, a total of 3482 students aged 6-12y (1843 boys &
1639 girls) were randomly selected from Ahwaz primary schools. Weight and height
were measured and BMI calculated. Obesity was defined as having a BMI H 95th
percentile of each of the three sets of reference values.
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Prevalence rates according to Iranian reference data, CDC 2000, and IOTF 2000 were
%10/9, %5/2, and %3/6 respectively.
Obesity is quite common among school children in Ahwaz and further studies are
required to determine risk factors. In addition, different reference data produce
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different prevalence estimates.

Keywords: BMI, percentile, obesity, pupil, Prevalence, Reference

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* Author to whom all correspondence should be addressed.

1.Department of Nutrition and Biochemistry, School of Public Health and Institute of Public Health
Research Terhan University of Medical Sciences.
2. Department of Epidemiology and Biostatistices, School of Public Health and Institute of Public
Health
Research Terhan University of Medical Sciences.

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