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Height, weight and body mass index

distribution data for Queensland


schoolchildren aged ten to 18 years
Angela Vivanti and Jeanie Sheffield

Abstract research also suggests that the prevalence of overweight


Objective: To compare measured and perceived height and and obesity has been increasing and is continuing to
weight in a sample of Queensland primary and high school stu- increase (2). There is no consensus on the definition of
dents, calculate their body mass indexes (BMIs), and compare overweight (3). The exact prevalence of overweight
these with age- and sex-specific BMI percentiles developed by amongst children and adolescents is unclear. Although it
the Australian Council for Health, Physical Education and Rec- is often cited that 30% of Australian schoolchildren are
reation (ACHPER). overweight (4,5), this estimate seems to be based on only
Setting: The study was conducted in both public and private two small studies in New South Wales that may not be
primary and high schools in the West Moreton region in representative of the general Australian population. This
Queensland. figure seems high when compared to neighbouring New
Design: A cross-sectional survey of a sample of children Zealand, a country with a similar cultural mix, where
(n = 1822) in grades 6 to 12 (age ten to 18 years) attending a research has reported 9% of female and 4% of male chil-
compulsory or core curriculum class, in one of the selected dren were overweight (6).
schools on the day of the survey.
Methods: Students completed a range of standardised ques- Attempts have been made to obtain anthropometric
tions on measures of body image and eating attitudes as part of data on Australian children. For example, the Australian
the health survey. Students’ heights and weights were measured Council for Health, Physical Education and Recreation
(n = 1683) by the trained interviewers. (ACHPER) measured weights and heights of a sample of
Main outcome measures: BMI percentiles calculated from both school-aged children across the nation in 1985 (3). The
self-reported and measured heights and weights. results were published to make available comprehensive
Statistics: Chi-squared analyses were used to compare the sam- descriptive data on body mass index [BMI, weight (kg)/
ple group with the Australian census data, the demographic height (m)2] (7). A paper published more recently reported
characteristics of those who were measured and those who were anthropometric data for 480 adolescent students in a rural
not measured, and the differences between the current data and community in Queensland (3).
the ACHPER percentile data. Correlations between reported and
measured heights and weights were calculated, and ANOVA was The present study sought to add to the database on
used to assess significant differences between mean BMI values Australian children by collecting anthropometric data
for males and females and for menarche-related differences. from a large sample of primary and high school students
Results: Distribution occurred across all ACHPER percentile in Queensland. Relationships between self-reported
ranges, although a greater proportion of students was clustered at heights and weights and measured heights and weights
each extreme end of the distribution than would be expected. were investigated and perceptions of suitability of weight
However, only two age groups (14-year-old males and 12-year- were determined. This study also compared the BMIs of
old females) were found to be significantly different to the the students with the age- and sex-specific BMI percentile
ACHPER data (P < 0.001). Children tended to overestimate ranges reported for the ACHPER data in order to deter-
their height and underestimate their weight. The majority
mine whether the sample was consistent with the larger
thought that their weight was right for their height although a
quarter of males and one-third of females disagreed. Compared Australian sample.
with males, females significantly under-reported weight
(P < 0.006) and consequently BMI (P < 0.002).
Methods
Conclusion: The percentage of schoolchildren with a BMI, cal-
culated from accurate measurements, greater than the 95th
percentile exceeded the number in the ACHPER study of a dec- Participants
ade earlier in the 12-year-old female and 14-year-old male
groups. A study of body image and eating attitudes was conducted
with 1822 young people from school grades six to 12 (age
(Aust J Nutr Diet 2001;58:121–127)
ten to 18 years respectively). Surveys were completed by
Key words: body mass index, children, adolescents, overweight,
anthropometry
This study was completed as part of a body image needs assessment of
the West Moreton Regional Health Authority with funds from the
Introduction Queensland Health Promotion Council.
Princess Alexandra Hospital, Brisbane, Queensland
Over recent times overweight and obesity status have A. Vivanti, BSc, GradDipNutrDiet, MApplSc, Research and
been identified as major public health issues due to their Development Dietitian
association with increased risk of morbidity for certain School of Psychology, The University of Queensland, Brisbane
J. Sheffield, BA Hons, PhD(Clin), Postdoctoral Fellow
diseases. It is reported that the prevalence of adult over- Correspondence: A. Vivanti, Princess Alexandra Hospital, Ipswich
weight and obesity in Australia is high (1). Recent Road, Woolloongabba, Qld 4102

Australian Journal of Nutrition and Dietetics (2001) 58:2 121


Height, weight and BMI of schoolchildren

male and female students from all state and private high ANOVA and χ2 analyses on demographic and other
schools (n = 16) and a random sample of primary schools weight-related variables. The variables investigated
(25% of total, n = 27) in the West Moreton region in included age, gender, country of birth, parental country of
Queensland. The West Moreton region includes the major birth, parental occupation, living situation, birth order,
provincial city of Ipswich, located approximately 40 km whether or not they thought their weight was right for their
west of Brisbane central business district, and its sur- height, whether or not they had ever dieted, and whether or
rounding rural regions. not they were currently on a diet. The BMI percentile distri-
butions of the ACHPER data reported by Harvey and
Participants were selected from rural and urban, pri- Althaus (7) were used to calculate percentages of the sample
mary and secondary, public and private, coeducational and occurring in each percentile category. Chi-squared analyses
single sex schools. The schools drew from a wide range of compared the number of the current sample found at each
ethnic and socioeconomic backgrounds. Students attending ACHPER percentile category with that expected to be
compulsory or core classes across all grades from six to 12 found using the ACHPER data.
were selected to ensure representative sampling. Within
those classes, all students present on the day completed The relationships between self-reported and measured
the questionnaires within class time. Although participa- heights and weights and the respective calculated BMIs
tion was voluntary, no student present declined to were assessed for the total sample, total sample of males
participate in the questionnaire component, although some only, total sample of females only, and for each age cate-
did refuse to have height or weight measured. gory by gender. Mean differences between measured and
Ethics approval was obtained from the state education reported values were also calculated. ANOVA was used to
department and the regional health authority. Participation assess whether there were differences in mean BMI
was voluntary and individual school principals obtained between the genders, and between females who had com-
consent from staff and participants to be involved. menced menarche and those who had not.

Questionnaires
Results
Self-reported heights and weights were collected as part
of a standardised questionnaire package that included val-
idated measures related to eating behaviours and body Demographic and descriptive data
satisfaction as part of a health survey. Standardised audio-
taped instructions were used with all students. Trained The sample included in BMI analyses comprised 889
interviewers measured and recorded actual heights and male and 794 female respondents. Males ranged in age
weights after the students had completed the survey. from ten to 18 years (mean = 13.7, sd = 2.0) and females
ranged in age from ten to 18 (mean = 13.6, sd = 2.0). The
Students’ own and parental countries of birth were majority of students (91.2%) were born in Australia.
classified using Australian Bureau of Statistics groupings. Overseas-born students came from New Zealand (2.1%),
The Australian standard classification of occupations (8) United Kingdom and Ireland (2.0%), Asia (1.9%), other
was used to classify parental occupation. European countries (0.7%), Papua New Guinea (0.4%),
Oceania, Canada and USA, South and Central America
Measurements (0.3% each). Approximately 23% of parents were born
overseas. Again the majority originated from the United
A standard approach was used to take measurements of Kingdom and Ireland (8.3%), South and Central America
anthropometric data after completion of the questionnaire. (3.8%), Asia (3.3%), Europe (2.9%), New Zealand
Height was measured to the nearest 0.5 cm using a porta- (2.2%), with Oceania, Papua New Guinea, and Canada
ble height measure (Ke Wa, Stanley, France). and USA representing the remaining 2%.
Measurements were taken without shoes, with feet
together, heels against the wall with the top of ear and Only those students aged ten to 15 years were included
outer corner of the eye parallel to the floor (Frankfort in the comparisons with the ACHPER percentiles. How-
plane). Weight was measured in light clothing without ever, BMI data for 16- and 17-year-old students are
shoes to the nearest 0.1 kg using electronic digital scales included for information. The number of 18-year-olds was
(Tanita Corporation 1567, Tokyo). These scales are accu- small (n = 17) and data are not presented. Within the total
rate to 0.2 kg for weights between 0 and 100 kg. Scales sample, 78 boys (8.1%) and 61 girls (7.1%) declined or
were regularly calibrated throughout the survey to ensure were unavailable to have their height or weight recorded
accuracy of data collection. and were thus excluded from BMI analyses. Examination
BMI was calculated for each student who had meas- of differences by gender between those who were meas-
ured height and weight data. Students’ dates of birth were ured and those who were not measured revealed that there
recorded and their age at the time of measurement was were no significant differences in parental occupations,
determined. living arrangements, or current dieting status for either
gender. However, children of both genders who were not
measured were older, reported greater heights and
Statistical analyses
weights, and were less likely to report their weight was
Analyses were performed using SPSS (SPSS for Windows, correct for their height than those who were measured.
version 9.0, 1999, SPSS Inc, Chicago, IL). Comparisons of Further, more males who were not measured were born
the sample group demographics with the West Moreton overseas (New Zealand, Papua New Guinea, and Oceania)
population and the Australian population were completed and more females who were not measured reported having
using χ2 analyses. Differences between students who were been on a diet to lose weight than did those who were
measured and those who were not were examined using measured.

122 Australian Journal of Nutrition and Dietetics (2001) 58:2


Height, weight and BMI of schoolchildren

Comparison with Australian Bureau of Statistics popu- ACHPER data showed statistically significant differences
lation data (10) showed that the sample group was for males and females of all ages. The greatest differences
representative of both the West Moreton population and appear to occur above the 95th percentile with the current
the general Australian population in terms of participants’ sample having higher numbers of children at this percen-
gender, country of birth, fathers’ and mothers’ countries tile range and lower than expected numbers between the
of birth, parental employment, attendance at private or 50th and 95th percentiles.
public schools, and gender-specific age groupings.
BMIs ranged from 11.7 to 42.4. Given that the
Data on the students’ self-reported and measured ACHPER data are available only for ages ten to 15 years,
heights and weights are shown in Table 1. Some students BMIs for the 16- and 17-year-old students in the present
who were measured did not report their own heights and study were compared with adult BMI ranges. The overall
weights. Furthermore, more students (both males and means for the 16- and 17-year-old age groups were well
females) were able to report their weight than their height. within the healthy adult BMI range of 20 to 25. However,
Examination of group means for self-reported and meas- of this group 16.0% of males and 23.7% of females had a
ured heights and weights showed that students generally BMI greater than 25. Mean BMIs increased with age for
tended to overestimate their height and underestimate both males and females. The mean BMI for females as a
their weight. Crude means of actual versus self-reported group was higher than the mean for the males (P < 0.004).
height and weight indicated 11- to 17-year-old females
overestimated height by 0.26 cm (mean difference 0.21, A total of 59.4% of females had commenced menarche
sd 6.67) and underestimated weight by 2.42 kg (mean dif- according to self-reports. Females who had commenced
ference 2.10, sd 4.94). Crude means of actual versus self- menarche had higher BMIs than those females of the same
reported height and weight indicated 11- to 17-year-old age who had not commenced (P < 0.000). Significantly
males overestimated height by 1.11 cm (mean difference more females who had not commenced menarche
0.33, sd 7.51) and underestimated weight by 0.50 kg believed that their weight was correct for their height
(mean difference 1.01, sd 5.22). ANOVA showed that compared with those who had commenced (P < 0.000).
females significantly under-reported weight, (P < 0.006), For both males and females across all ages in the
and consequently BMI (P < 0.002), compared with males. present study, there was a greater percentage than
Students were asked ‘Do you think that your weight is expected who were above the 95th percentile. However,
right for your height?’ Of those students who reported with the exception of 14-year-old males (P <0.001) and
both their height and weight, 68.3% of males and 55.3% 12-year-old females (P <0.001), these differences were
of females stated that their weight was correct for their not statistically significant when compared with the
height (Table 1). Gender comparisons showed that signifi- expected percentage based on ACHPER data.
cantly more males than females perceived their weight as
correct for their height (P < 0.000). However, almost one-
quarter of the males and over one-third of the females Discussion
responded in the negative. A total of 17% of male and
female students with a BMI less than 20 reported that their Body mass index
weight was not correct for their height. For students with a
One of the aims of this study was to compare our findings
BMI between 20 and 25, 24% of males and 40% of
with other BMI-related data on Australian children. The
females reported that their weight was not correct for their
data were not intended as a means of classifying children
height. For students with a BMI greater than 25, 63% of
as underweight or overweight as BMI was not originally
males and 79% of females reported their weight was not
designed for use in people under 18 years of age. The use
correct for height. Although interpretation with caution is
of BMI in children is not widely accepted in Australia but
required, BMI can be a reasonable test of adiposity in
it is widely used for the classification of overweight and
children (11) being associated with total body fat (12) and
obesity in adults (13,14). However, recent research sug-
was used to assess gender differences. Chi-square analy-
gests that BMI can be used as a fatness measure in groups
ses showed significant gender differences for those with
of children and adolescents, although it should be inter-
BMI 20 to 25, (P < 0.000) and also over 25, (P < 0.008).
preted cautiously when comparing across different age
For both BMI groups, significantly fewer females per-
groups (12) and should not be used to classify
ceived their weight to be correct for their height.
individuals (9). Information about BMI of children allows
Correlations between reported and measured heights for comparisons to be made (8) as well as adding to
and weights were calculated for each age and gender. anthropometric data on Australian children. The present
Table 2 shows that reported and measured weights in gen- publication of age- and gender-specific percentile ranges
eral correlated more strongly than heights. Male and for BMI of Australian children (classified using ACHPER
female students aged 11 and 12 years were least accurate percentiles) attempts to provide reference data to facilitate
at estimating their heights. Overall, correlations were comparisons between groups of children.
moderate to high and all relationships were significant
(P < 0.01). Estimates of overweight are only possible if standard
measurement criteria are used. The 85th, 90th and 95th
ACHPER data were used as a reference point against percentiles have all been raised as potential ‘cut-offs’, but
which to report BMIs for the current sample. The percent- there is no consensus or standard approach to classifying
age of the current sample falling at each percentile overweight in children (15–17). Although there have been
reported by ACHPER was calculated. Table 3 shows the several attempts to assess weight distribution in children,
percentage of the current sample in each ACHPER per- there appears to be some variation in findings of earlier
centile band. Table 4 presents the same information for studies (3,11,18). Potential reasons for the variations may
females. Chi-squared analyses of the sample with include geographical location, ethnicity, physical activity,

Australian Journal of Nutrition and Dietetics (2001) 58:2 123


Height, weight and BMI of schoolchildren

Table 1. Reported and measured heights and weights, calculated body mass index [BMI, weight (kg) / height (m)2]
(mean ± sd) and perceptions of whether or not weight was correct for height by age and gender
Age in years
11 12 13 14 15 16 17

Males(a) (n = 183) (n = 221) (n = 110) (n = 105) (n = 90) (n = 79) (n = 66)


Height reported (cm) 147.7 ± 9.4 154.7 ± 12.1 158.7 ± 11.4 165.6 ± 10.7 173.5 ± 9.2 178.1 ± 10.0 177.6 ± 8.5
Height measured (cm) 146.8 ± 9.2 153.4 ± 9.1 160.0 ± 8.1 167.2 ± 9.4 173.1 ± 7.8 176.0 ± 8.2 176.2 ± 8.0
Weight reported (kg) 39.6 ± 8.7 45.2 ± 12.2 49.5 ± 10.1 57.0 ± 13.5 65.7 ± 14.2 68 ± 11.6 69.6 ± 11.8
Weight measured (kg) 41.2 ± 9.4 46.0 ± 11.9 50.7 ± 11.5 59.7 ± 14.5 65.4 ± 14.2 68.1 ± 12.1 70.1 ± 11.4
BMI measured 19.0 ± 3.4 19.4 ± 3.9 19.6 ± 3.5 21.2 ± 3.9 21.7 ± 3.9 22.0 ± 3.8 22.6 ± 3.5
Weight correct for height 76.9 69.8 65.9 73.3 60.2 59.4 58.7
(%)
Weight not correct for 17.9 25.2 26.4 18.9 27.7 31.9 31.7
height (%)
Females(a) (n = 183) (n = 188) (n = 101) (n = 92) (n = 78) (n = 76) (n = 53)
Height reported (cm) 149.2 ± 11.0 154.4 ± 10.2 161.0 ± 9.2 162.4 ± 9.1 164.3 ± 8.0 166.7 ± 6.6 166.4 ± 7.0
Height measured (cm) 149.3 ± 7.9 155.7 ± 7.2 160.0 ± 6.8 162.5 ± 6.5 164.0 ± 6.0 164.1 ± 6.5 163.8 ± 5.6
Weight reported (kg) 40.4 ± 9.1 45.1 ± 9.7 50.2 ± 9.4 54.75 ± 9.5 58.9 ± 11.7 63.1 ± 14.5 64.0 ± 15.2
Weight measured (kg) 43.3 ± 10.2 48.5 ± 11.2 53.5 ± 10.8 56.9 ± 11.2 60.0 ± 12.5 61.4 ± 14.2 64.9 ± 14.6
BMI measured 19.3 ± 3.6 19.9 ± 3.9 20.8 ± 3.7 21.4 ± 3.6 22.3 ± 3.9 22.8 ± 5.3 24.2 ± 5.0
Weight correct for height 68.6 59.1 46.3 50.0 41.8 53.2 43.8
(%)
Weight not correct for 25.6 29.3 36.3 32.1 49.3 37.1 39.6
height (%)
(a) n indicates students with measured heights and weights.

Table 2. Correlations (r) and mean differences ± sd between participants’ measured and reported heights (cm), weights (kg)
and body mass index [BMI, weight (kg) / height (m)2] by age and gender(a)
Age in years
11 12 13 14 15 16 17

Males(b) (n = 183) (n = 221) (n = 110) (n = 105) (n = 90) (n = 79) (n = 66)


Measured and reported height
Correlation 0.64** 0.57** 0.83** 0.86** 0.76** 0.85** 0.93**
Mean difference 0.56 ± 7.64 –1.51 ± 10.13 1.60 ± 6.28 0.36 ± 5.54 0.16 ± 5.97 –0.64 ± 5.30 –1.46 ± 3.09
Measured and reported weight
Correlation 0.87** 0.85** 0.94** 0.91** 0.95** 0.92** 0.98**
Mean difference 0.92 ± 4.55 0.86 ± 6.51 2.36 ± 3.66 2.91 ± 6.30 0.66 ± 4.80 –0.03 ± 4.48 –0.14 ± 2.28
Measured and reported BMI
Correlation 0.52** 0.58** 0.85** 0.84** 0.86** 0.82** 0.94**
Mean difference 0.20 ± 3.15 0.58 ± 4.11 0.35 ± 1.84 0.89 ± 2.59 0.31 ± 2.23 0.02 ± 2.22 0.32 ± 1.21
Females(b) (n = 183) (n = 188) (n = 101) (n = 92) (n = 78) (n = 76) (n = 53)
Measured and reported height
Correlation 0.63** 0.66** 0.80** 0.78** 0.83** 0.90** 0.89**
Mean difference 1.26 ± 8.57 1.44 ± 7.64 0.13 ± 5.51 0.24 ± 5.68 –0.31 ± 4.43 –2.02 ± 2.94 –2.56 ± 3.26
Measured and reported weight
Correlation 0.93** 0.91** 0.92** 0.92** 0.80** 0.86** 0.96**
Mean difference 2.54 ± 3.28 2.65 ± 4.35 2.38 ± 3.92 2.20 ± 4.46 0.86 ± 7.37 0.10 ± 7.93 2.30 ± 4.29
Measured and reported BMI
Correlation 0.64** 0.64** 0.83** 0.77** 0.93** 0.82** 0.94**
Mean difference 0.73 ± 3.00 0.66 ± 2.82 0.90 ± 1.94 0.66 ± 2.57 0.84 ± 1.77 0.63 ± 3.56 1.56 ± 1.83
** P < 0.01 (two-tailed).
(a) Positive values for mean differences between measured and reported height, weight, and BMI indicate that measured are larger than those self-
reported.
(b) n indicates students with measured heights and weights.

124 Australian Journal of Nutrition and Dietetics (2001) 58:2


Height, weight and BMI of schoolchildren

food availability, affordability and habits and other fac- BMI clearly increased with age in the current study and
tors. Ethnicity has been found to have an impact on others (3,9).
BMI (17,18). There is good convergence between the eth-
nic composition of the current study, the ACHPER Females had higher mean BMIs than males. Female
study (3) and the Harvey and Althaus study (9). For exam- range maximums were larger than for males and are con-
ple, 92% of the ACHPER sample and 91.2% of the sistent with patterns of weight and BMI distributions
current sample were born in Australia. Similarly, 97% of reported by Harvey, Bruggemann and Althaus (3). Post-
the Harvey and Althaus sample compared with 96.4% of menarcheal females have been shown to have higher
the current sample being of Caucasian origin. BMIs and were more likely to consider themselves to be
overweight (18). Given that 59.4% of female respondents
BMI data for about 7% of the total sample had to be had commenced menarche, this is one explanation for the
excluded because students declined or were unavailable to gender differences evident in the present study.
have their height and weight measured. Although those
who were not measured were older, had greater self- It has been more than ten years since the original
reported height, and were less likely to state their weight ACHPER data were collected. The present study data
was correct for their height, they were no different in showed a full spread of distribution across all ACHPER
terms of a range of demographic and social variables percentile ranges. Consistent with recent Australian
(gender, parental occupation, country of birth, living situ- research, the current study showed more of the children in
ation and attendance at state or private high school). this sample were clustered at the extreme end of the distri-
Given this pattern of similarities, the differences in stu- bution than would be expected (3). Consequently, there
dents who were not measured do not appear to introduce a were fewer children between the 50th and 95th percentiles
severe selection bias. compared with the ACHPER data. These differences were
significant for all age groups across both genders. This
The present study confirmed that the relationship apparent increase is consistent with recent data reported
between weight and height-squared varies with age, as for a rural Australian sample that showed greater than

Table 3. Comparison of body mass index [BMI, weight (kg) / height (m)2] with Australian Council for Health, Physical
Education and Recreation percentiles (7) for males. Values are cumulative percentage of sample in each percentile
category
Percentage of sample (completed data) in each accumulative percentile category
5 10 15 25 50 75 85 90 95(a) >95(a)
Age (years) n (%) (%) (%) (%) (%) (%) (%) (%) (%) (%)
10–15 733 6.3 ± 1.2 11.5 ± 2.8 15.3 ± 3.6 24.2 ± 5.4 45.7 ± 4.8 65.5 ± 5.3 73.8 ± 4.7 78.5 ± 4.7 87.1 ± 3.3 12.9 ± 3.3
(mean ± sd)
10 24 8.3 16.6 16.6 20.8 54.2 75.0 79.2 83.3 83.3 16.7
11 183*** 4.9 9.3 14.8 25.7 43.2 66.1 69.9 76.0 85.8 14.2
12 221** 6.3 11.8 14.9 28.1 45.7 65.6 74.7 81.9 91.4 8.6
13 110* 7.3 12.7 21.8 30.9 48.2 67.3 80.0 83.6 91.8 8.2
14 105*** 4.8 7.6 9.5 14.3 40.9 61.9 72.4 75.2 84.8 15.2
15 90*** 6.6 11.1 14.4 25.6 42.2 57.6 66.7 71.1 85.6 14.4
* P < 0.05; ** P < 0.01; *** P < 0.001, χ2 analysis comparing number of current sample found at each ACHPER percentile category with
that expected to be found.
(a) The percentage of students classified above the 95th percentile.

Table 4. Comparison of body mass index [BMI, weight (kg) / height (m)2] with Australian Council for Health, Physical
Education and Recreation percentiles (7) for females. Values are cumulative percentage of sample in each percentile
category
Percentage of sample (completed data) in each accumulative percentile category
5 10 15 25 50 75 85 90 95(a) >95(a)
Age (years) n (%) (%) (%) (%) (%) (%) (%) (%) (%) (%)
10–15 659 5.6 ± 2.4 9.6 ± 2.7 13.2 ± 2.4 20.5 ± 2.0 43.0 ± 2.2 61.8 ± 2.9 69.8 ± 2.7 77.9 ± 2.5 86.8 ± 1.1 13.4 ± 1.1
(mean ± sd)
10 17 5.9 11.8 11.8 17.7 41.2 64.7 64.7 76.5 88.2 11.8
11 183*** 3.3 6.0 9.8 18.0 43.2 63.8 71.6 81.4 87.4 12.7
12 188*** 9.6 13.3 15.9 21.8 40.4 58.0 68.6 75.0 84.6 15.4
13 101*** 5.9 8.9 11.9 21.8 43.6 62.4 70.3 80.2 86.1 13.9
14 92*** 2.2 6.5 13.0 20.7 42.4 64.1 70.7 75.0 87.0 13.0
15 78** 6.4 11.5 16.7 23.1 47.4 57.7 73.1 79.5 87.2 13.8
* P < 0.05; ** P < 0.01; *** P < 0.001, χ2 analysis comparing the number of current sample found at each ACHPER percentile category with
that expected to be found.
(a) The percentage of students classified above the 95th percentile.

Australian Journal of Nutrition and Dietetics (2001) 58:2 125


Height, weight and BMI of schoolchildren

expected numbers of children were classified as tions of overweight in the population. Although
overweight (3). Although these findings may reflect a overweight among children is a public health issue (26),
change in the physical profile of specific student popula- initiatives to impact upon excess weight should acknowl-
tions in Australia, the significance with respect to both edge early and strongly held gender-based differences in
adiposity and public health implications needs to be care- body shape aspiration so as to avoid promoting an
fully interpreted. Furthermore, the number of overweight unhealthy preoccupation with weight and pursuit for thin-
schoolchildren appears to be lower than the estimate of ness by both females and males (19,27).
30% frequently cited (4,5).
Acknowledgments
Correlations between self-reported and measured Margot Eyeson-Annan for her assistance with some aspects of
heights and weights the analysis.
More students were able to report their weight in compar-
ison to their height. Furthermore, there was a better References
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