title: Changes in adiposity indicators of Ho Chi Minh City adolescents in a 5-year prospective cohort study.
abstract: OBJECTIVE
  The aim of this study was to examine changes over 5 years in body mass index (BMI) and waist circumference (WC) of adolescents from Ho Chi Minh City by age, gender and household economic status.
  
  
  METHODS
  Anthropometry including height, weight and WC measurements of 759 secondary high school students were collected 1-year apart in a prospective cohort study, between 2004 and 2009. BMI was calculated and overweight/obesity was defined using International Obesity Task Force (IOTF) BMI cutoffs. Abdominal 'overweight' and 'obesity' were defined as WC >91st-97th and 98th centile, respectively. BMI z-scores were also created.
  
  
  RESULTS
  Over the 5-year period, the absolute changes in mean BMI and WC were statistically significant (P<0.001). Boys had higher BMI and WC values than girls (P<0.001). The prevalence of overweight and obesity defined by IOTF BMI cutoff values increased gradually from 12.5% and 1.7% in the first year to 16.7% and 5.1% in the last year. Using WC cutoff values, the prevalence of abdominal overweight and obesity increased from 12.9% and 1.8% to 18.5% and 6.6%, respectively. BMI z-score curves shifted towards the right-hand side of the distribution (that is, towards overweight and obesity).
  
  
  CONCLUSIONS
  Overweight and obesity, as measured by BMI or WC, continued to increase among adolescents of Ho Chi Minh City over the 5-year period.
authors: Department of Community Health, Pham Ngoc Thach University of Medicine, Ho Chi Minh City, Vietnam.
authors: T K
authors: TK
authors: Hong
authors: N H H D
authors: NH
authors: Trang
authors: M J
authors: MJ
authors: Dibley
mesh_terms: D050154:Adiposity; D000293:Adolescent; D017195:Adolescent Nutritional Physiological Phenomena; D015992:Body Mass Index; D002318:Cardiovascular Diseases / Q000453:epidemiology* / Q000209:etiology; D002648:Child; D015331:Cohort Studies; D005191:Family Characteristics; D005260:Female; D006801:Humans; D008297:Male; D009765:Obesity / Q000150:complications / Q000453:epidemiology*; D015995:Prevalence; D011446:Prospective Studies; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D013851:Thinness / Q000453:epidemiology*; D014504:Urban Health; D014744:Vietnam / Q000453:epidemiology; D055105:Waist Circumference