Premium
Swedish references for weight, weight‐for‐height and body mass index: The GrowUp 1990 Gothenburg study
Author(s) -
AlbertssonWikland Kerstin,
Niklasson Aimon,
Gelander Lars,
Holmgren Anton,
Sjöberg Agneta,
Aronson A. Stefan,
Nierop Andreas F. M.
Publication year - 2021
Publication title -
acta paediatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/apa.15477
Subject(s) - medicine , underweight , body mass index , cohort , pediatrics , obesity , demography , cohort study , childhood obesity , body weight , reference values , overweight , sociology
Aim To update the Swedish references for weight, weight‐for‐height and body mass index (BMI) considering the secular trend for height but not including that for weight. Methods Longitudinal measures of height and weight were obtained (0‐18 years) from 1418 (698 girls) healthy children from the GrowUp 1990 Gothenburg cohort born at term to non‐smoking mothers and Nordic parents. A total of 145 individuals with extreme BMI value vs GrowUp 1974 BMI SDS reference were excluded (0‐2 years: ±4SDS, 2 < years: −3SDS, +2.3SDS). References were constructed using the LMS method. Results The updated weight reference became similar to the GrowUp 1974 Gothenburg reference: BMI increased rapidly up to lower levels in the 1990 cohort during infancy/early childhood, similar in both groups in late childhood/adolescence, despite lower values at +2SDS. Compared with the WHO weight standard, median and −2SDS weight values were higher for the 1990 cohort, whereas +2SDS values were lower, resulting in narrower normal range. Median values were greater and ±2SDS narrower for the 1990 vs the WHO weight‐for‐height reference. International Obesity Task force (IOTF) BMI lines for definitions for over‐ and underweight were added. Conclusion We present updated references for weight, weight‐for‐height and BMI, providing a healthy goal for weight development when monitoring growth within healthcare settings.