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Early detection of childhood obesity through extended routine growth monitoring of children below two years of age in Asia Pacific region

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Muhardi, L, van der Beek, EM, Abrahamse-Berkeveld, M, Mohamed, HJbJ, Lek, N, Oddy, WH ORCID: 0000-0002-6119-7017 and Wikramasinghe, VP 2018 , 'Early detection of childhood obesity through extended routine growth monitoring of children below two years of age in Asia Pacific region' , World Nutrition Journal , pp. 22-25 , doi: 10.25220/WNJ.V02.i1.0004.

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Abstract

Introduction: Increased body fat deposition during early life predisposes to higher obesity and metabolicdisorder risks in later life. This is particularly relevant in the Asia Pacific region where historically prevalentunder-nutrition is now been paralleled or even overruled by over-nutrition over the last few decades. Thisoverview aims to evaluate the potential of early detection of obesity (risk) among experts through additionof specific growth monitoring assessments in children during the first two years of life.Methods: A discussionamong experts from Malaysia, Singapore, Sri Lanka and Australia on infant growth and a qualitativeevaluation of current practice highlighted the need to measure body composition to assess the quality ofgrowth. Current tools are mainly directed towards simple anthropometric measures such as body weight,length and head circumference which do not adequately reflect concurrent changes in body composition todetect early life adiposity development. Recent findings have shown benefits of measurement such as thesum of four skinfold thickness (S4SFT) during the first two years of life for risk assessment of lateroverweight/obesity. We recommend this assessment for routine practice as a proxy for fat deposition inyoung children. Further studies to understand implementation hurdles and cost-effectiveness of S4SFT andhealth outcomes in young children in the Asia Pacific region are necessary.Conclusion: Inclusion of fourskinfold thickness measurements as part of routine growth monitoring assessment, in addition to weight andheight, could be recommended to assess adiposity development in early life allowing identification of infantsat risk for obesity.

Item Type: Article
Authors/Creators:Muhardi, L and van der Beek, EM and Abrahamse-Berkeveld, M and Mohamed, HJbJ and Lek, N and Oddy, WH and Wikramasinghe, VP
Keywords: early life, children, obesity, four skinfold thickness
Journal or Publication Title: World Nutrition Journal
Publisher: Perhimpunan Nutrisi Indonesia
ISSN: 2580-7013
DOI / ID Number: 10.25220/WNJ.V02.i1.0004
Copyright Information:

Copyright 2018 The Authors. Licensed under Creative Commons Attribution 4.0 International (CC BY 4.0) https://creativecommons.org/licenses/by/4.0/

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