Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Original Communication
  • Published:

Prevalence of overweight and obesity among Bahraini adolescents: a comparison between three different sets of criteria

Abstract

Objective: The aim of this study is to determine the prevalence of overweight and obesity among Bahraini adolescents using three different sets of criteria/standards.

Design: Cross-sectional prevalence study.

Setting: Intermediate and secondary schools in Bahrain.

Subjects: The study included a population-representative sample of 506 Bahraini students (249 males and 257 females) between 12 and 17 y of age. The sample was selected using multistage stratified random sampling technique.

Measurment: Anthropometric measurements including weight, height and triceps and subscapular skinfolds were taken on the adolescents. Age was verified against school records. To minimize inter-observer error, weight and height were taken by one person while skinfold was taken by two trained persons (one for each sex).

Results: The overall prevalence of obesity among Bahraini boys and girls was high, especially in girls. Obesity was highest (21% in males and 35% in females) when the WHO recommended criteria of BMI for age and skinfolds for age percentiles were applied and lowest (15% in boys and 18% in girls) when the age and sex specific BMI cut-off values of Cole et al were used. Compared with those of WHO criteria, estimates of overweight and obesity prevalence obtained with Must et al and Cole et al were generally close.

Conclusions: Our data revealed a much higher prevalence rate of obesity in the Bahraini adolescent population than was previously reported, especially among girls. The BMI reference values of Must et al and that of Cole et al gave relatively similar estimates and appear to be more practical for use in surveys aimed at estimating the prevalence of overweight and obesity among adolescents than the WHO recommended composite criteria.

Sponsorship: Ministry of Health, Bahrain.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Similar content being viewed by others

References

  • Al-Nuaim, AR, Bamgboye, EA & Al-Herbish, A (1996). The pattern of growth in Saudi Arabian male school children. Int. J. Obes. Relat. Metab. Disord., 20, 1000–1005.

    CAS  PubMed  Google Scholar 

  • Amine, EK (1980). Bahrain Nutrition Status Survey, Abu-Dubi: UNICEF, Gulf Area Office

    Google Scholar 

  • Bini, V, Celi, F, Berioli, MG, Bacosi, ML, Stella, P, Giglio, P, TosTi, L & Falorni, A (2000). Body mass index in children and adolescents according to age and pubertal stage. Eur. J. Clin. Nutr., 54, 214–218.

    Article  CAS  Google Scholar 

  • Blair, D & Gregory, WB (1985). The Nutrition Status of Bahraini Girls aged 7–18 years, Bahrain: Bahrain Sport Institute

    Google Scholar 

  • Cole, TJ, Bellizzi, MC & Flegal, KM (2000). Establishing standard definition for child overweight and obesity worldwide: International survey. Br. Med. J., 320, 1240–1243.

    Article  CAS  Google Scholar 

  • Daniels, SR, Khoury, PR & Morrison, JA (1997). The utility of body mass index as a measure of body fatness in children and adolescents: differences by race and gender. Pediatric, 99, 804–807.

    Article  CAS  Google Scholar 

  • Eid, N, Al-Hotti, S, Bourishly, N & Khalafawi, M (1986). Nutritional anthropometry of school children in Kuwait. Nutr. Report. Int., 33, 253–260.

    Google Scholar 

  • Fidanza, F (1991). Nutritional Assessment: a Manual for Population Studies, ed. F Fidanza London: Chapman & Hall

    Book  Google Scholar 

  • Flegal, KM, Ogden, CL, Wei, R, Kuczmarski, RL & Johnson, CL (2001). Prevalence of overweight in US children: comparison of US growth charts from the Centers for Disease Control and Prevention with other reference values for body mass index. Am. J. Clin. Nutr., 73, 1086–1093.

    Article  CAS  Google Scholar 

  • Himes, JH (1989). Reliability of anthropometric methods and replicate measurements. Am. J. Anthropol., 79, 77–80.

    Article  CAS  Google Scholar 

  • Himes, JH & Dietz, WH (1994). Guidelines for overweight in adolescent preventative services: recommendations from and expert committee. Am. J. Clin. Nutr., 59, 307–316.

    Article  CAS  Google Scholar 

  • Ministry of Health (2000). Health Statistics, Bahrain, Manama

  • Musaiger, AO, Matter, AM, Alekri, SA & Mahdi, A (1993). Obesity among secondary school students in Bahrain. Nutr. Health, 9, 25–32.

    Article  CAS  Google Scholar 

  • Musaiger, AO, Al-Ansari, M & Al-Mannai, M (2000). Anthropometry of adolescent girls in Bahrain, including body fat distribution. Ann. Hum. Biol., 27, 507–515.

    Article  CAS  Google Scholar 

  • Must, A & Strauss, RS (1999). Risks and consequences of childhood and adolescent obesity. Int. J. Obes. Relat. Metab. Disord., 23, (Suppl 2) S2–S11.

    Article  Google Scholar 

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

    Article  CAS  Google Scholar 

  • Rolland-Cachera, MF, Deheger, M & Bellisle, F (2001). Definition actuelle et evolution de la frequence de l'obesite' chez l'enfant. Cah. Nutr. Diet., 36, 108–112.

    Google Scholar 

  • WHO (1995). Physical status: the use and interpretation of anthropometry, WHO Technical Report Series no. 854, p271 Geneva: World Health Organization

Download references

Author information

Authors and Affiliations

Authors

Contributions

Guarantor: AM Al-Sendi

Contributors: AM Al-Sendi, P Shetty, AO Musiager

Corresponding author

Correspondence to A O Musaiger.

Additional information

College of Health Science, Ministry of Health, Bahrain

Rights and permissions

Reprints and permissions

About this article

Cite this article

Al-Sendi, A., Shetty, P. & Musaiger, A. Prevalence of overweight and obesity among Bahraini adolescents: a comparison between three different sets of criteria. Eur J Clin Nutr 57, 471–474 (2003). https://doi.org/10.1038/sj.ejcn.1601560

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/sj.ejcn.1601560

Keywords

This article is cited by

Search

Quick links