National Growth Charts for BMI among Iranian Children and Adolescents in Comparison with the WHO and CDC Curves. 2020

Mohammad Reza Mohammadi, and Seyed-Ali Mostafavi, and Zahra Hooshyari, and Ali Khaleghi, and Nastaran Ahmadi, and Koorosh Kamali, and Ameneh Ahmadi, and Hadi Zarafshan
Psychiatry and Psychology Research Center, Tehran University of Medical Sciences, Tehran, Iran.

Previous attempts to create national BMI curves for Iranian children and adolescents were limited to local databases. The objective of this study was to build national BMI growth charts for children and adolescents and to report the key percentiles and national cutoff points based on the data obtained from all provinces of Iran. We also aimed to compare our BMI curves to WHO and CDC curves. In each province, about 1000 children and adolescents (6-18 years) were randomly selected from the urban and rural areas by the multistage stratified cluster sampling method. Across the entire country, 240 trained researchers visited the participants' homes. After obtaining consent forms, these researchers gathered the demographic data, accurate anthropometrics, and BMI measurements. In the data screening and data cleaning levels, the outliers were removed. Then the data sets were smoothed using the log-transformation method. After this, they were converted to Z-scores based on normal distribution and then transformed back to the original scale. Finally, these data sets were used to determine each percentile. A total of 22,718 final cleaned data were analyzed, including 10,921 (48.1%) boys and 11,797 (51.9%) girls. The normal BMI curves of Iranian children and adolescents and comparison to the WHO and CDC curves are presented here. This study introduces the new cutoff points for categorizing Iranian children and adolescents as underweight, normal, overweight, or obese, based on a large-scale national survey. The fifth BMI percentiles in Iranian boys and girls were significantly lower compared to WHO and CDC fifth percentile. Also, the 95th percentile curve in our study was significantly lower than the CDC 95th percentile curves in boys and girls.

UI MeSH Term Description Entries
D007492 Iran A country bordering the Gulf of Oman, the Persian Gulf, and the Caspian Sea, between Iraq and Pakistan. The capital is Tehran. Islamic Republic of Iran
D008297 Male Males
D001835 Body Weight The mass or quantity of heaviness of an individual. It is expressed by units of pounds or kilograms. Body Weights,Weight, Body,Weights, Body
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D003430 Cross-Sectional Studies Studies in which the presence or absence of disease or other health-related variables are determined in each member of the study population or in a representative sample at one particular time. This contrasts with LONGITUDINAL STUDIES which are followed over a period of time. Disease Frequency Surveys,Prevalence Studies,Analysis, Cross-Sectional,Cross Sectional Analysis,Cross-Sectional Survey,Surveys, Disease Frequency,Analyses, Cross Sectional,Analyses, Cross-Sectional,Analysis, Cross Sectional,Cross Sectional Analyses,Cross Sectional Studies,Cross Sectional Survey,Cross-Sectional Analyses,Cross-Sectional Analysis,Cross-Sectional Study,Cross-Sectional Surveys,Disease Frequency Survey,Prevalence Study,Studies, Cross-Sectional,Studies, Prevalence,Study, Cross-Sectional,Study, Prevalence,Survey, Cross-Sectional,Survey, Disease Frequency,Surveys, Cross-Sectional
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000293 Adolescent A person 13 to 18 years of age. Adolescence,Youth,Adolescents,Adolescents, Female,Adolescents, Male,Teenagers,Teens,Adolescent, Female,Adolescent, Male,Female Adolescent,Female Adolescents,Male Adolescent,Male Adolescents,Teen,Teenager,Youths
D013851 Thinness A state of insufficient flesh on the body usually defined as having a body weight less than skeletal and physical standards, such as BODY MASS INDEX, and dependent on age, sex, and genetic background. Leanness,Underweight
D015992 Body Mass Index An indicator of body density as determined by the relationship of BODY WEIGHT to BODY HEIGHT. BMI Quetelet Index,Quetelet's Index,Index, Body Mass,Index, Quetelet,Quetelets Index

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