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Temporal trends in overweight and obesity in Canada, 1981–1996

International Journal of Obesity volume 26, pages 538–543 (2002)Cite this article

Abstract

OBJECTIVE: To assess changes in the prevalence of overweight and obesity among Canadian children and adults between 1981 and 1996 using recent recommendations for the classification of overweight and obesity.

DESIGN: Epidemiological study comparing the prevalence of overweight and obesity from the 1981 Canada Fitness Survey (CFS) to the 1996 National Longitudinal Survey of Children and Youth (NLSCY) and the 1996 National Population Health Survey (NPHS).

SUBJECTS: Adults 20–64 y of age and children 7–13 y of age from the CFS, NLSCY and NPHS.

MEASUREMENTS: BMI was calculated from directly measured or self-reported body mass and height. For adults 20–64 y of age, overweight and obesity were defined as BMI≥25 kg/m2 and BMI≥30 kg/m2, respectively. Age- and sex-specific cut-off points for children that correspond to the adulthood categories were used to define overweight and obesity for children 7–13 y of age.

RESULTS: The prevalence of overweight increased from 48 to 57% among men and from 30 to 35% among women, while the prevalence of obesity increased from 9 to 14% in men and from 8 to 12% in women. The corresponding increases were from 11 to 33% in boys and from 13 to 27% in girls for overweight and from 2 to 10% in boys and from 2 to 9% in girls for obesity.

CONCLUSION: The results indicate dramatic increases in the prevalence of both overweight and obesity in Canada over the last 15 y, and the problem is particularly pronounced among children.

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References

  1. World Health Organization Obesity: preventing and managing the global epidemic Report of a WHO Consultation on Obesity, Geneva, June 3–5 1997. World Health Organization: Geneva 1998.

  2. Tremblay MS, Willms JD . Secular trends in the body mass index of Canadian children Can Med Assoc J 2000 163: 1429–1433 (Erratum appears in Can Med Assoc J 2001; 164: 970)

    CAS  Google Scholar 

  3. Troiano RP, Flegal KM . Overweight children and adolescents: description, epidemiology, and demographics Pediatrics 1998 101: 497–505.

    CAS  PubMed  Google Scholar 

  4. Troiano RP, Flegal KM, Kuczmarski RJ, Campbell SM, Johnson CL . Overweight prevalence and trends for children and adolescents Arch Pediatr Adolesc Med 1995 149: 1085–1091.

    Article  CAS  PubMed  Google Scholar 

  5. Millar WJ, Stephens T . Social status and health risks in Canadian adults: 1985 and 1991 Health Rep 1993 5: 143–156.

    CAS  PubMed  Google Scholar 

  6. Flegal KM, Carroll MD, Kuczmarski RJ, Johnson CL . Overweight and obesity in the United States: prevalence and trends, 1960–1994 Int J Obes Relat Metab Disord 1998 22: 39–47.

    Article  CAS  PubMed  Google Scholar 

  7. Troiano RP, Flegal KM . Overweight prevalence among youth in the United States: why so many different numbers? Int J Obes Relat Metab Disord 1999 23(Suppl 2): S22–27.

    Article  PubMed  Google Scholar 

  8. Himes JH, Dietz WH . Guidelines for overweight in adolescent preventive services: recommendations from an expert committee Am J Clin Nutr 1994 59: 307–316.

    Article  CAS  PubMed  Google Scholar 

  9. Must A, Dallal GE, Dietz WH . Reference data for obesity: 85th and 95th percentiles of body mass index (wt/ht2) and triceps skinfold thickness Am J Clin Nutr 1991 53: 839–846 54: 773.

    Article  CAS  PubMed  Google Scholar 

  10. Birmingham CL, Muller JL, Palepu A, Spinelli JJ, Anis AH . The cost of obesity in Canada Can Med Assoc J 1999 160: 483–488.

    CAS  Google Scholar 

  11. Wolf AM, Colditz GA . Current estimates of the economic cost of obesity in the United States Obes Res 1998 6: 97–106.

    Article  CAS  PubMed  Google Scholar 

  12. United States National Institutes of Health . Clinical guidelines for the identification, evaluation, and treatment of overweight and obesity in adults National Institutes of Health: Bethesda, MD 1998.

    Google Scholar 

  13. Bellizzi MC, Dietz, WH . Workshop on childhood obesity: summary of the discussion Am J Clin Nutr 1999 70: 173S–175S.

    Article  CAS  PubMed  Google Scholar 

  14. Cole TJ, Bellizzi MC, Flegal KM, Dietz WH . Establishing a standard definition for child overweight and obesity worldwide: International survey Br Med J 2000 320: 1–6.

    Article  Google Scholar 

  15. Chinn S, Rona RJ . Prevalence and trends in overweight and obesity in three cross sectional studies of British children, 1974–1994 Br Med J 2001 322: 24–26.

    Article  CAS  Google Scholar 

  16. Villeneuve PJ, Morrison HI, Craig CL, Schaubel DE . Physical activity, physical fitness, and risk of dying Epidemiology 1998 9: 626–631.

    Article  CAS  PubMed  Google Scholar 

  17. Canada Fitness Survey . Fitness and lifestyle in Canada Fitness and Amateur Sport Canada: Ottawa, ON 1983.

    Google Scholar 

  18. Fitness Canada . Canadian standardized test of fitness operations manual, 3rd edn Government of Canada, Fitness and Amateur Sport: Ottawa, ON 1986.

    Google Scholar 

  19. Statistics Canada and Human Resources Development Canada . National Longitudinal Survey of Children: overview of survey instruments for 1994–1995, data collection 1. Statistics Canada Catalogue no. 95-02. Minister of Industry: Ottawa, ON 1995.

    Google Scholar 

  20. Statistics Canada . 1996-97 NPHS public use microdata documentation and user guide Statistics Canada: Ottawa, ON 1997.

    Google Scholar 

  21. SAS Institute . SAS/STAT users guide SAS Institute: Cary, NC 1988.

    Google Scholar 

  22. Malina RM, Katzmarzyk PT . Validity of the body mass index as an indicator of the risk and presence of overweight in adolescents Am J Clin Nutr 1999 70(Suppl): 131S–136S.

    Article  CAS  PubMed  Google Scholar 

  23. Strauss RS . Comparison of measured and self-reported weight and height in a cross-sectional sample of young adolescents Int J Obes Relat Metab Disord 1999 23: 904–908.

    Article  CAS  PubMed  Google Scholar 

  24. Paccaud F, Wietlisbach V, Rickenbach M . Body mass index: comparing mean values and prevalence rates from telephone and examination surveys Rev Epidemiol Sante Publique 2001 49: 33–40.

    CAS  PubMed  Google Scholar 

  25. Mokdad AH, Serdula MK, Dietz WH, Bowman BA, Marks JS, Koplan JP . The spread of the obesity epidemic in the United States, 1991–1998 JAMA 1999 282: 1519–1522.

    Article  CAS  PubMed  Google Scholar 

  26. Macdonald SM, Reeder BA, Chen Y, Després J-P . Obesity in Canada: a descriptive analysis Can Med Assoc J 1997 157(Suppl 1): S3–S9.

    Google Scholar 

  27. Seidell JC . Time trends in obesity: an epidemiological perspective Horm Metab Res 1997 29: 155–158.

    Article  CAS  PubMed  Google Scholar 

  28. Flegal KM . The obesity epidemic in children and adults: current evidence and research issues Med Sci Sports Exerc 1999 31(Suppl 11): S509–S514.

    Article  CAS  PubMed  Google Scholar 

  29. Moreno LA, Fleta J, Sarria A, Bueno M . Prevalence and trends in childhood obesity in Zaragoza (Spain) Br Med J 2001 letter, 2 Feb

    Google Scholar 

  30. Dollman J, Olds T, Norton K, Stuart D . The evolution of fitness and fatness in 10–11-year-old Australian schoolchildren: changes in distributional characteristics between 1985 and 1997 Pediatr Exerc Sci 1999 11: 108–121.

    Article  Google Scholar 

  31. Power C, Lake JK, Cole TJ . Body mass index and height from childhood to adulthood in the 1958 British birth cohort Am J Clin Nutr 1997 66: 1094–1101.

    Article  CAS  PubMed  Google Scholar 

  32. Whitaker RC, Wright JA, Pepe MS, Seidel KD, Dietz WH . Predicting obesity in young adulthood from childhood and parental obesity New Engl J Med 1997 337: 869–873.

    Article  CAS  PubMed  Google Scholar 

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Acknowledgements

This project was supported by the Canadian Population Health Initiative of the Canadian Institute for Health Information. We would like to thank the Canadian Fitness and Lifestyle Research Institute for the use of data from the Canada Fitness Survey, Human Resources Development Canada for the use of data from the 1996 National Longitudinal Survey of Children and Youth, and Statistics Canada for the use of the data from the 1996 National Population Health Survey. The results presented and views expressed in this paper are those of the authors.

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Authors and Affiliations

  1. College of Kinesiology, University of Saskatchewan, Saskatoon, Saskatchewan, Canada

    MS Tremblay

  2. School of Kinesiology and Health Science, York University, North York, Ontario, Canada

    PT Katzmarzyk

  3. Canadian Research Institute for Social Policy, University of New Brunswick, Fredericton, New Brunswick, Canada

    JD Willms

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  1. MS Tremblay
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  2. PT Katzmarzyk
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  3. JD Willms
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Correspondence to MS Tremblay.

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Tremblay, M., Katzmarzyk, P. & Willms, J. Temporal trends in overweight and obesity in Canada, 1981–1996. Int J Obes 26, 538–543 (2002). https://doi.org/10.1038/sj.ijo.0801923

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