Nutritional Status Of Indonesian Children From Urban Community: Comparison Of Two International Growth Reference
This investigative study was undertaken to assess nutritional status of children from an urban community using
2 reference growth cut-offs. This cross sectional survey involved 1202 children, aged 5-15 years, selected randomly from
private and public elementary school in Depok, Indonesia. The estimation of the prevalence of thinness, overweight and
obesity was based on age and sex-specific BMI cut-offs by 2007 WHO and IOTF references in only overweight and obesity.
The body mass index (BMI) in boys was increasing with age from ages 6-9 years and then slightly decreased in age 10 years,
while girls tend to escalate perpetually from age 6 to 10 years old and then decreasing subsequently. While WHO 2007 cutoffs
defined WAZ which boys was increasing in boys from age 6 to 9 years old then start to decrease, unlike girls with
decreasing from age 6 to 9 years old and start to increase afterwards, BAZ adhered the same patterns as WAZ, while BMIfor-
age Z score (BAZ) randomly fluctuate. Obesity in boys and girls using both cut-offs start to rise in age 6 and in boys
stops at 9 while in girls stops at age 8, in the year after in both sexes and cut-offs’ begin to decrease. The prevalence of
overweight and obesity based on WHO 2007 cut-offs’ was higher than the prevalence of underweight and severelyunderweight,
respectively, which indicates double burden malnutrition. The prevalence of malnutrition both underweight
and overweight were tended to change according to the children’s age. While the comparison between WHO 2007 and IOTF
cut offs show that the latter cut-offs was lower in defining overweight and obesity in girls but higher in boys.
Index Terms— Children, IOTF, Nutritional Status, WHO 2007.