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Italian cross-sectional growth charts for height, weight and BMI (6–20 y)

European Journal of Clinical Nutrition volume 56, pages 171–180 (2002)Cite this article

Abstract

Objective To trace growth charts for height, weight and body mass index (BMI) that apply to the whole Italian population. Different charts were drawn for central-north and south Italy since children in central-north regions are known to be taller and leaner.

Design: Cross-sectional study.

Setting: A sample of schoolchildren covering 16 of the 20 Italian regions, with data collected between 1994 and 2000.

Subjects: A total of 27 421 girls and 27 374 boys, aged 6–20 y.

Methods: Height and weight were measured using portable Harpenden stadiometers and properly calibrated scales, respectively. SIEDP references are presented both as centiles and as LMS curves for the calculation of standard deviation scores. According to International Obesity Task Force, SIEDP charts for BMI include the limits for overweight and obesity, ie the centiles having, at 18 y of age, the value of 25 and 30 kg/m2, respectively.

Results: The comparison between SIEDP and Tanner et al's charts for height, still in use among most Italian paediatricians, shows that before puberty Italian children are 2–4 cm taller than their English peers. Because of these differences, Tanner's charts fail to detect, when applied to Italian children, 50–90% of short children aged 6–11 y, ie with stature below the 3rd centile of their reference population. Rolland-Cachera et al's centiles for BMI are lower than those of SIEDP standards, mainly during adolescence (up to 6.6 kg/m2 for the 97th centile), and apply poorly to Italian children. The prevalence of overweight is 27 (boys) and 19% (girls) in south Italy vs 17 (boys) and 10% (girls) in central-north Italy.

Conclusions: These references intend to supply Italian paediatricians with a tool that avoids the use of outdated or inadequate charts, and thus should be suitable for monitoring their patients' growth.

Sponsorship: Italian Society for Pediatric Endocrinology and Diabetes (SIEDP).

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References

  • Bellizzi MC, Dietz WH . 1999 Workshop on childhood obesity: summary of the discussion Am. J. Clin. Nutr. 70 Suppl 1: 173–175S

    Article  Google Scholar 

  • Cameron N . 1986 The methods of auxological anthropometry In Human Growth. A Comprehensive Treatise, eds. F Falkner & JM Tanner, 2nd edn III: 3–46 New York: Plenum Press

    Google Scholar 

  • Clementi M, Milani S, Mammi I, Boni S, Monciotti C, Tenconi R . 1999 Neurofibromatosis type 1 growth charts Am. J. Med. Genet. 87: 317–323

    Article  CAS  Google Scholar 

  • Cole TJ . 1990 The LMS method for constructing normalised growth standards Eur. J Clin. Nutr. 44: 45–60

    CAS  PubMed  Google Scholar 

  • Cole TJ, Green PJ . 1992 Smoothing reference centile curves: the LMS method and penalized likelihood Stat. Med. 11: 1305–1319

    Article  CAS  Google Scholar 

  • Cole TJ, Bellizzi MC, Flegal KM, Dietz WH . 2000 Establishing a standard definition for child overweight and obesity worldwide: international survey Br. Med. J. 320: 1240–1243

    Article  CAS  Google Scholar 

  • Cortinovis I, Milani S . 2000 Smoothing reference centile curves: the EMGF method Acta Med. Auxol. 32: 41

    Google Scholar 

  • Cotterill AM, Mairowski WH, Hearn S, Jenkins S, Preece MA, Savage MO . 1996 The potential effect of the UK 1990 height centiles charts on community growth surveillance Arch. Dis. Child. 74: 452–454

    Article  CAS  Google Scholar 

  • Dietz WH, Robinson TN . 1998 Use of the body mass index (BMI) as a measure of overweight in children and adolescents J. Pediatr. 132: 91–93

    Google Scholar 

  • Draper NR, Smith H . 1981 Applied Regression Analysis 108–122 New York: Wiley

    Google Scholar 

  • Falorni A . 1998 Accrescimento e pubertà in età scolare di tre province dell' Italia Centrale Crescere Insteme III 2–3: 4–79

    Google Scholar 

  • Garrow JS, Webster J . 1985 Quetelet's index (Wt/Ht2) as a measure of fatness Int. J. Obes. 9: 147–153

    CAS  PubMed  Google Scholar 

  • Healy MJR, Rasbash J, Min Yang . 1988 Distribution-free estimation of age related centiles Ann. Hum. Biol. 15: 17–22

    Article  CAS  Google Scholar 

  • Luciano A, Bressan F, Zoppi G . 1997 Body mass index reference curves for children aged 3–19 y from Verona, Italy Eur. J. Clin. Nutr. 51: 6–10

    Article  CAS  Google Scholar 

  • Malina RM, Katzmarzyk PT . 1999 Validity of the body mass index as an indicator of the risk and presence of overweight in adolescents Am. J. Clin. Nutr. 70 Suppl 1: 131–136S

    Article  Google Scholar 

  • Merola B, Rossi E, Longobardi S, Longo G, Siglioccolo E, Esposito V, Ferone D, Di Somma C, D'Amore G, Orio F Jr, Mastrullo F, De Rosa M, Izzo M, Colao A, Lombardi G . 1998 Height, weight, height velocity of primary school population sample in Campania Region J. Endocrinol. Invest. 21: 142–147

    Article  CAS  Google Scholar 

  • Nicoletti I . 1992 La crescita del bambino italiano Firenze: Centro Studi Auxologici

    Google Scholar 

  • Nicoletti I, Pelissero G . 1994 Auxologia epidemiologica e sociale In: Auxologia normale e patologica, ed. I Nicoletti 611–632 Firenze: Edizioni Centro Studi Auxologici

    Google Scholar 

  • Preece MA, Baines MK . 1978 A new family of mathematical models describing the human growth curve Ann. Hum. Biol. 7: 507–528

    Google Scholar 

  • Rolland-Cachera MF, Sempé M, Guilloud-Bataille M, Patois E, Pequignot-Guggenbuhl F, Fautrad V . 1982 Adiposity indices in children Am. J. Clin. Nutr. 36: 178–184

    Article  CAS  Google Scholar 

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

    CAS  PubMed  Google Scholar 

  • Schwarzemberg TL, Loreti P, Buffone MR, Tiberi R, Acconcia P, Coltellacci M . 1998 I percentili del BMI (Body Mass Index) di bambini laziali da 6 al 11 anni Riv. Ital. Pediatr. 24: 262–271

    Google Scholar 

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

    Article  CAS  Google Scholar 

  • Tanner JM, Whitehouse RH, Takaishi M . 1966 Standards from birth to maturity for height, weight, height velocity and weight velocity: British children 1965 Arch. Dis. Child. 41: 454–471 (part I) 613–635 (part II).

    Article  CAS  Google Scholar 

  • Zoppi G, Bressan F, Luciano A . 1996 Height and weight reference charts for children aged 2-18 y from Verona, Italy Eur. J. Clin. Nutr. 50: 462–468

    CAS  PubMed  Google Scholar 

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Acknowledgements

The authors thank all the Local School Authorities for the permission to measure children and the personnel of the Local Health Units for their collaboration in the project. Copies of the height, weight and BMI charts will be capillary distributed in Italy; for further information, contract Professor E Cacciari.

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Author notes

  1. E Cacciari and M Vanelli: Guarantor: E Cacciari.

  2. E Cacciari, S Milani, A Balsamo, F Dammacco, F De Luca, F Chiarelli, AM Pasquino, G Tonini and M Vanelli: Contributors: EC originated and coordinated the study; SM designed the study and did data analysis; AB coordinated the study and organized data collection; FD, FDL, FC, AMP, GT and MV collaborated to the organization of regional data collection; the other coworkers contributed to local data measurements. EC wrote the paper with co-authors.

  3. In collaboration with: G Aicardi (GE), F Antoniazzi (VR), E Bartolotta (MC), L Benso (TO), S Bernasconi (PR), G Bona (NO), G Bonora (SO), N Bozzato (MI), M Bozzola (PV), G Bussi (AS), F Buzi (BS), M Cappa (ROMA), L Carcione (RC), M Caruso-Nicoletti (CT), L Ciacci (RN), V De Sanctis (FE), S Di Maio (NA), A Falorni (PG), L Gobio-Casali (MN), L Greco (NA), S Lauriola (VR), A Liotta (PA), S Loche (CA), R Longhi (CO), MC Maggio (PA), MF Messina (ME), A Naselli (GE), R Pecorari (FE), A Petri (NO), C Pintor (CA), G Pozzobon (MI), A Salvatoni (VA), M Scrivano (FI), S Seminara (FI), C Sgattoni (MC), L Tatò (VR), S Tumini (CH), E Urso (VR), M Valenzise (VV), V Vecchi (RN), G Viganò (MI), F Zappulla (BO).

  4. Directive Council of SIEDP for 1996–1997: FD, Bari; FDL, Messina; FC, Chieti; AMP, Roma; GT Trieste; MV, Parma. President: EC, Bologna.

Authors and Affiliations

  1. Directive Council of the Italian Society for Paediatric Endocrinology and Diabetes (SIEDP) for 1996–1997,

    E Cacciari, F Dammacco, F De Luca, F Chiarelli, AM Pasquino, G Tonini & M Vanelli

  2. Dipartimento di Scienze Pediatriche Mediche e Chirurgiche, University of Bologna, Italy

    E Cacciari & A Balsamo

  3. Istituto di Statistica Medica e Biometria, University of Milano, Italy

    S Milani

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  1. E Cacciari
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  2. S Milani
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  3. A Balsamo
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  9. M Vanelli
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Correspondence to E Cacciari.

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Cacciari, E., Milani, S., Balsamo, A. et al. Italian cross-sectional growth charts for height, weight and BMI (6–20 y). Eur J Clin Nutr 56, 171–180 (2002). https://doi.org/10.1038/sj.ejcn.1601314

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