[High rates of overweight and obesity in Chilean children with Down syndrome]

Rev Med Chil. 2015 Apr;143(4):451-8. doi: 10.4067/S0034-98872015000400006.
[Article in Spanish]

Abstract

Background: Overweight and obesity in Down syndrome (DS) is a common problem. Chile has a high prevalence of DS.

Aim: To determine overweight and obesity rates in students with DS and evaluate the concordance of three different growth charts.

Material and methods: Seventy nine students with DS aged between 6 and 18 years (56% males), from three different schools, were included. Weight and height were measured and their body mass index (BMI) was calculated. The nutritional diagnosis was made according to BMI. Myrelid SDM/2002, National Center for Health Statistics (NCHS)/2000, World Health Organization (WHO)/2007 charts for people with DS were used.

Results: Thirty percent of participants had hypothyroidism, 22.8% congenital heart disease and 5% asthma. Overweight and obesity rates according to SDM/2002, NCHS/2000 and WHO/2007 were 43, 57 and 66% respectively. The concordance between WHO/2007 and NCHS/2000 was almost perfect, but not with SDM/2002.

Conclusions: A high rate of overweight and obesity was found in this group of children with DS, independent of the charts used or their comorbidities.

MeSH terms

  • Adolescent
  • Body Height
  • Body Mass Index
  • Child
  • Chile / epidemiology
  • Comorbidity
  • Cross-Sectional Studies
  • Down Syndrome / epidemiology*
  • Feeding Behavior
  • Female
  • Growth Charts
  • Heart Defects, Congenital / epidemiology
  • Humans
  • Hypothyroidism / epidemiology
  • Male
  • Nutrition Assessment
  • Overweight / epidemiology*
  • Pediatric Obesity / epidemiology*
  • Prevalence
  • Reference Values
  • Surveys and Questionnaires
  • World Health Organization