bmi-for-age less than the 5 th percentile means underweight bmi-for-age 85 th to 95 th percentile...

BMI-for-age less than theBMI-for-age less than the55thth percentile means percentile means UNDERWEIGHTUNDERWEIGHT

BMI-for-age 85BMI-for-age 85thth to 95 to 95thth percentile percentilemeans the child is at risk formeans the child is at risk forOVERWEIGHTOVERWEIGHT

BMI-for-age greater than 95BMI-for-age greater than 95thth percentile means the child ispercentile means the child isOBESEOBESE

Bundak R, Furman A, Gunoz H, Darendeliler F, Bas F, Neyzi O.Body mass index references for Turkish children.Acta Paediatr. 2006 Feb;95(2):194-8.

Using BMI in adults

In adults, the weight status based on the BMI is as follows:

BMI less than 18.5 = Underweight BMI 18.5 - 24.9 = Normal BMI 25 - 29 = Overweight

BMI over 30 = Obese

Body Mass Index PercentilesBody Mass Index Percentiles

Percentile chartsPercentile charts

Percentile chartsPercentile charts

Prevalence of obesityPrevalence of obesity

In the past 30 years, the incidence of obesity in children In the past 30 years, the incidence of obesity in children has increased from less than 5% to approximately 20% has increased from less than 5% to approximately 20% in the United States.in the United States. Ogden CL, Carroll MD, Curtin LR, et al. Prevalence of high body mass index in US children and adolescents, 2007–2008. JAMA 2010;303(3):242–9.

 As of 2010, Nearly 43 million children under the age of As of 2010, Nearly 43 million children under the age of 5 years are overweight according to the estimates of the 5 years are overweight according to the estimates of the World Health Organization (WHO 2006).World Health Organization (WHO 2006).

Prevalence of obesityPrevalence of obesity

In 2007, it was estimated that globally 22 million In 2007, it was estimated that globally 22 million children under 5 years were overweight, withchildren under 5 years were overweight, withmore than 75% of overweight and obese childrenmore than 75% of overweight and obese childrenliving in low- and middle-income countries.living in low- and middle-income countries. R. R. Kipping, R. Jago, and D. A. Lawlor, “Obesity in children. Part 1: epidemiology, measurement, risk factors, and screening, ”British Medical Journal, vol. 337, p. a1824, 2008.

 According to the World Health Organization (2006), According to the World Health Organization (2006), approximately 155 million school-aged children are approximately 155 million school-aged children are currently overweight or obese worldwide.currently overweight or obese worldwide.

Prevalence of obesity in TurkeyPrevalence of obesity in Turkey

Obesity trends of adults in Turkey clearly demonstrate Obesity trends of adults in Turkey clearly demonstrate a significant increase, from 16.4% in year 1990 to a significant increase, from 16.4% in year 1990 to 32% in year 2000.32% in year 2000. Yumuk VD. Prevalence of obesity in Turkey. Obes Rev 2005;6:9-10.

Prevalence of obesity in TurkeyPrevalence of obesity in Turkey

There is no nationwide systematic study investigating There is no nationwide systematic study investigating the obesity trends in Turkish children. However, it has the obesity trends in Turkish children. However, it has been reported that in 6-16-year-old girls living in Istanbul, been reported that in 6-16-year-old girls living in Istanbul, the overweight+obesity rate was 17.9% in 2001 andthe overweight+obesity rate was 17.9% in 2001 andincreased to 23.4% in 2009.increased to 23.4% in 2009. Atay Z, Turan S, Guran T, Haliloglu B, Bereket A. The change in obesity prevalence in 8 year- interval in 6-16 years old girls living in Istanbul. Proceedings of XIV. National Pediatric Endocrinology Congress. P54,Sarigerme-Mugla 2010.

Prevalence of obesity in TurkeyPrevalence of obesity in Turkey

These figures represent a 2- 2.5- fold increase as These figures represent a 2- 2.5- fold increase as compared to the frequency reported by Neyzi et alcompared to the frequency reported by Neyzi et alin girls in Istanbul in 1966in girls in Istanbul in 1966 Neyzi O, Yalcindag A, Alp H. Heights and weights of Turkish children. J Trop Pediatr & Environ Child Health 1973;19:5-13.

Prevalence of obesity in TurkeyPrevalence of obesity in Turkey

In the below study the overall prevalence of obesity in In the below study the overall prevalence of obesity in secondary school children aged 11 to 14 years was secondary school children aged 11 to 14 years was Found to be 10.3% and the prevalence of overweight Found to be 10.3% and the prevalence of overweight was 22.4%.was 22.4%. Dündar C, Öz H. Obesity-related factors in Turkish school children. The Scientific World Journal 2012; 2012: 353485.

By comparison, in 1998, the prevalence of obesity in By comparison, in 1998, the prevalence of obesity in school children aged 12 to 15 years was found to school children aged 12 to 15 years was found to be 5.1% in the province of Samsun.be 5.1% in the province of Samsun. R. Sancak, C. Dundar, M. Totan et al., “The prevalence of obesity and predisposal factors in students of secondary school and lycee,” Journal of Experimental and Clinical Medicine, vol. 16, no. 1, pp. 19–24, 1999.

Prevalence of obesity in TurkeyPrevalence of obesity in Turkey

It is estimated that today, 13.8% of Turkish children It is estimated that today, 13.8% of Turkish children are overweight or obese.are overweight or obese. Cinaz, P., & Bideci, A. (2003). Obesity. In H. Gunoz, G. Ocal, N. Yordam, & S. Kurtoglu (Eds.), Paediatric endocrinology (pp. 14). Kayseri, Turkey: The Association of Paediatric Endocrinology Publishing (in Turkish).

Oner, N., Vatansever, U., Sari, A., Ekuklu, E., Güzel, A., Karasalihoğlu, S., et al. (2004). Prevalence of underweight, overweight and obesity in Turkish adolescents. Swiss Medical Weekly, 134, 529−533.

Prevalence of obesity in TurkeyPrevalence of obesity in Turkey

Overall prevalence of obesity among adolescents Overall prevalence of obesity among adolescents was 7.7% (8.4% for females and 7.0% for maleswas 7.7% (8.4% for females and 7.0% for males

Ercan S, Dallar YB, Onen S, Engiz O. Prevalence of obesity andAssociated risk factors among adolescents in Ankara, Turkey.J Clin Res Pediatr Endocrinol 2012 Nov 12. doi 10.4274/jcrpe.714.[Epub ahead of print]

Until we know how to prevent it, treating obesity is our only choice.  —Barbara Moore & Louis Martin

 Moore BJ, Martin LF. Why should obesity be treated? In: Martin LF, editor.Obesity surgery. New York: McGraw-Hill; 2004. p. 1–15.