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Growth curves of anthropometric indices in a general population of French children and comparison with reference data

Abstract

Background:

The description of growth patterns of the different anthropometric measurements mainly used in epidemiological studies is useful to better understand the development of obesity in children and its consequences.

Objective:

Our aim was to establish growth curves of anthropometric indices in a general population of French children born during the 1980s and to compare them with the French reference curves based on children born in the 1950s.

Design:

As part of the Fleurbaix Laventie Ville Santé Studies I and II (FLVS), 441 girls and 467 boys were examined at least twice between 1993 and 2001. Height, weight and four skinfold thicknesses were measured. Body mass index (BMI), sum of peripheral and truncal skinfolds and truncal-to-peripheral ratio were calculated. Mean growth curves from ages 5 to 17 years were assessed for these indices, calculating means and 95% confidence interval per 1 year age group and by gender.

Results:

Trajectories with age differed importantly according to the index considered; BMI was the one with the smallest difference between genders and the most linear shape with age. From the age of 5 years and after, the FLVS children were on average taller and had a higher subcutaneous adiposity than children born 30 years earlier. Truncal-to-peripheral ratio was higher in our population; this difference became more marked with puberty in girls.

Discussion:

This study suggests the existence of a secular trend towards a precocious accelerated growth, and a more truncal adiposity distribution, especially in girls. It is a disquieting trend considering its expected consequences on adult health.

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References

  • Asayama K, Hayashibe H, Dobashi K, Uchida N, Kawada Y, Nakazawa S (1995). Relationships between biochemical abnormalities and anthropometric indices of overweight, adiposity and body fat distribution in Japanese elementary school children. Int J Obes Relat Metab Disord 19, 253–259.

    CAS  PubMed  Google Scholar 

  • Baskin ML, Ard J, Franklin F, Allison DB (2005). Prevalence of obesity in the United States. Obes Rev 6, 5–7.

    Article  CAS  PubMed  Google Scholar 

  • Bertrais S, Balkau B, Vol S, Forhan A, Calvet C, Marre M et al. (1999). Relationships between abdominal body fat distribution and cardiovascular risk factors: an explanation for women's healthier cardiovascular risk profile. The DESIR Study. Int J Obes Relat Metab Disord 23, 1085–1094.

    Article  CAS  PubMed  Google Scholar 

  • Brown H, Prescott R (1999). Applied Mixed Models in Medecine. Wiley: New York.

    Google Scholar 

  • Chinn S, Rona RJ (2001). Prevalence and trends in overweight and obesity in three cross sectional studies of British Children, 1974–94. BMJ 322, 24–26.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Cowell CT, Briody J, Lloyd-Jones S, Smith C, Moore B, Howman-Giles R (1997). Fat distribution in children and adolescents – the influence of sex and hormones. Horm Res 48 (Suppl 5), 93–100.

    Article  CAS  PubMed  Google Scholar 

  • Dai S, Labarthe DR, Grunbaum JA, Harrist RB, Mueller WH (2002). Longitudinal analysis of changes in indices of obesity from age 8 years to age 18 years. Project HeartBeat!. Am J Epidemiol 156, 720–729.

    Article  PubMed  Google Scholar 

  • de Onis M, Blossner M (2000). Prevalence and trends of overweight among preschool children in developing countries. Am J Clin Nutr 72, 1032–1039.

    Article  CAS  PubMed  Google Scholar 

  • Deheeger M, Bellisle F, Rolland-Cachera MF (2002). The French longitudinal study of growth and nutrition: data in adolescent males and females. J Hum Nutr Diet 15, 429–438.

    Article  CAS  PubMed  Google Scholar 

  • Elrick H, Samaras TT, Demas A (2002). Missing links in the obesity epidemic. Nutr Res 22, 1101–1123.

    Article  CAS  Google Scholar 

  • Eriksson JG, Forsen T, Tuomilehto J, Osmond C, Barker DJ (2000). Early growth, adult income, and risk of stroke. Stroke 31, 869–874.

    Article  CAS  PubMed  Google Scholar 

  • Fomom SJ, Haschke F, Ziegler EE, Nelson SE (1982). Body composition of reference children from birth to age 10 years. Am J Clin Nutr 35, 1169–1175.

    Article  Google Scholar 

  • Freedman DS, Kettel Khan L, Serdula MK, Srinivasan SR, Berenson GS (2001). BMI rebound, childhood height and obesity among adults: the Bogalusa Heart Study. Int J Obes Relat Metab Disord 25, 543–549.

    Article  CAS  PubMed  Google Scholar 

  • Freedman DS, Srinivasan SR, Burke GL, Shear CL, Smoak CG, Harsha DW et al. (1987). Relation of body fat distribution to hyperinsulinemia in children and adolescents: the Bogalusa Heart Study. Am J Clin Nutr 46, 403–410.

    Article  CAS  PubMed  Google Scholar 

  • Freedman DS, Srinivasan SR, Harsha DW, Webber LS, Berenson GS (1989). Relation of body fat patterning to lipid and lipoprotein concentrations in children and adolescents: the Bogalusa Heart Study. Am J Clin Nutr 50, 930–939.

    Article  CAS  PubMed  Google Scholar 

  • Garnett SP, Cowell CT, Baur LA, Shrewsbury VA, Chan A, Crawford D et al. (2005). Increasing central adiposity: the Nepean longitudinal study of young people aged 7–8 to 12–13 y. Int J Obes (London) 29, 1353–1360.

    Article  CAS  Google Scholar 

  • Goran MI, Gower BA (1999). Relation between visceral fat and disease risk in children and adolescents. Am J Clin Nutr 70, 149S–156S.

    Article  CAS  PubMed  Google Scholar 

  • Goulding A, Taylor RW, Gold E, Lewis-Barned NJ (1996). Regional body fat distribution in relation to pubertal stage: a dual-energy X-ray absorptiometry study of New Zealand girls and young women. Am J Clin Nutr 64, 546–551.

    Article  CAS  PubMed  Google Scholar 

  • Gower BA, Nagy TR, Goran MI (1999). Visceral fat, insulin sensitivity, and lipids in prepubertal children. Diabetes 48, 1515–1521.

    Article  CAS  PubMed  Google Scholar 

  • Heude B, Lafay L, Borys J, Thibult N, Lommez A, Romon M et al. (2003). Time trend in height, weight, and obesity prevalence in school children from Northern France, 1992–2000. Diabetes Metab 29, 235–240.

    Article  CAS  PubMed  Google Scholar 

  • Kahn HS, Imperatore G, Cheng YJ (2005). A population-based comparison of BMI percentiles and waist-to-height ratio for identifying cardiovascular risk in youth. J Pediatr 146, 482–488.

    Article  PubMed  Google Scholar 

  • Kral JG (2004). Preventing and treating obesity in girls and young women to curb the epidemic. Obes Res 12, 1539–1546.

    Article  PubMed  Google Scholar 

  • Lever AF, Harrap SB (1992). Essential hypertension: a disorder of growth with origins in childhood? J Hypertens 10, 101–120.

    Article  CAS  PubMed  Google Scholar 

  • McCarthy HD, Ellis SM, Cole TJ (2003). Central overweight and obesity in British youth aged 11–16 years: cross sectional surveys of waist circumference. BMJ 326, 624.

    Article  PubMed  PubMed Central  Google Scholar 

  • McCarthy HD, Jarrett KV, Emmett PM, Rogers I (2005). Trends in waist circumferences in young British children: a comparative study. Int J Obes Relat Metab Disord 29, 157–162.

    Article  CAS  Google Scholar 

  • Moreno LA, Fleta J, Sarria A, Rodriguez G, Gil C, Bueno M (2001). Secular changes in body fat patterning in children and adolescents of Zaragoza (Spain), 1980–1995. Int J Obes Relat Metab Disord 25, 1656–1660.

    Article  CAS  PubMed  Google Scholar 

  • Olds TS, Harten NR (2001). One hundred years of growth: the evolution of height, mass, and body composition in Australian children, 1899–1999. Hum Biol 73, 727–738.

    Article  CAS  PubMed  Google Scholar 

  • Price JF, Fowkes FG (1997). Risk factors and the sex differential in coronary artery disease. Epidemiology 8, 584–591.

    Article  CAS  PubMed  Google Scholar 

  • Rolland-Cachera MF, Bellisle F, Deheeger M, Pequignot F, Sempe M (1990). Influence of body fat distribution during childhood on body fat distribution in adulthood: a two-decade follow-up study. Int J Obes 14, 473–481.

    CAS  PubMed  Google Scholar 

  • Rolland-Cachera MF, Castetbon K, Arnault N, Bellisle F, Romano MC, Lehingue Y et al. (2002). Body mass index in 7–9-y-old French children: frequency of obesity, overweight and thinness. Int J Obes Relat Metab Disord 26, 1610–1616.

    Article  PubMed  Google Scholar 

  • Rolland-Cachera MF, Cole TJ, Sempe M, Tichet J, Rossignol C, Charraud A (1991). Body mass index variations: centiles from birth to 87 years. Eur J Clin Nutr 45, 13–21.

    CAS  PubMed  Google Scholar 

  • Sangi H, Mueller WH, Harrist RB, Rodriguez B, Grunbaum JG, Labarthe DR (1992). Is body fat distribution associated with cardiovascular risk factors in childhood? Ann Hum Biol 19, 559–578.

    Article  CAS  PubMed  Google Scholar 

  • Savva SC, Tornaritis M, Savva ME, Kourides Y, Panagi A, Silikiotou N et al. (2000). Waist circumference and waist-to-height ratio are better predictors of cardiovascular disease risk factors in children than body mass index. Int J Obes Relat Metab Disord 24, 1453–1458.

    Article  CAS  PubMed  Google Scholar 

  • Sempé M, Pédron G, Roy-Pernot M-P (1979). Auxologie, méthode et séquences. Theraplix: Paris, pp 1–205.

  • Singhal A, Lucas A (2004). Early origins of cardiovascular disease: is there a unifying hypothesis? Lancet 363, 1642–1645.

    Article  PubMed  Google Scholar 

  • Tanner JM (1986). Normal growth and techniques of growth assessment. Clin Endocrinol Metab 15, 411–451.

    Article  CAS  PubMed  Google Scholar 

  • Tanner JM, Whitehouse RH (1976). Clinical longitudinal standards for height, weight, height velocity, weight velocity, and stages of puberty. Arch Dis Child 51, 170–179.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Vignolo M, Naselli A, Di Battista E, Mostert M, Aicardi G (1988). Growth and development in simple obesity. Eur J Pediatr 147, 242–244.

    Article  CAS  PubMed  Google Scholar 

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Acknowledgements

We thank directors and teachers of the schools who made the study possible. This study was sponsored by Knoll, CEDUS, Groupe Fournier, Lesieur, Nestlé France, Produits Roche and TEPRAL. This work was supported by a grant from the Fondation pour la Recherche Médicale (FRM). MAC was the recipient of grants from the MGEN and the ALFEDIAM.

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Correspondence to B Heude.

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Guarantors: B Heude and MA Charles.

Contributors: BH was responsible for data analysis and interpretation and for drafting the paper. AK and BdL participated in the data analysis process and discussion of the results and revised the paper. PD and MAC were responsible for the study design, supervised data analyses and revised the paper. AL and JMB were responsible for data collection and coordination of the follow-up and revised the paper. None of the authors had a personal or financial conflict of interest.

Supplementary Information accompanies the paper on European Journal of Clinical Nutrition website (http://www.nature.com/ejcn)

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Heude, B., Kettaneh, A., de Lauzon Guillain, B. et al. Growth curves of anthropometric indices in a general population of French children and comparison with reference data. Eur J Clin Nutr 60, 1430–1436 (2006). https://doi.org/10.1038/sj.ejcn.1602474

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