ArticleFrontiers in pediatrics2025
Classification of overweight/obesity among Saudi adolescents relative to lifestyle behaviors using the IOTF or WHO reference standards.
Article in Frontiers in pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Prevalence of overweight and obesity and their associations with lifestyle habits among late adolescents in the Northern Border Region of Saudi Arabia: a cross‑sectional study.BMC public health · 2026Article
- Effectiveness of a school-based obesity control program among adolescents in Makkah: A pretest-posttest intervention study.Journal of Taibah University Medical Sciences · 2026Article
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3 authors.
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Abstract
Purpose: To compare two BMI classifications (the IOTF and WHO references) in assessing overweight/obesity prevalence among Saudi adolescents and to evaluate the ability of the two standards to detect risks of unhealthy lifestyle behaviors. Methods: Healthy Saudi adolescents (15-19 years) were drawn from two data sets ( Results: The proportions (%) of adolescents classified as underweight, normal weight, overweight, and with obesity varied according to the classification used. The IOTF system produces slightly lower overweight/obesity prevalence than the WHO standards (IOTF: 38.8%; WHO: 40.0%), with females exhibited lower overweight/obesity prevalence than males. The Kappa agreement between overweight/obesity in the two references was high (0.973), with high sensitivity (99.8%) and high specificity (98.0%). Kappa values between central obesity and both IOTF (0.691) and WHO (0.687) were moderate with moderate sensitivity and high specificity. In both classification system, intakes >4 days/week of French fries/potato chips, and chocolates/candy showed higher odds of overweight/obesity. Conclusion: Although overweight/obesity exhibited high Kappa agreement between the two classifications, variations were observed when estimating the prevalence of BMI classification using IOTF or WHO standards. Selected lifestyle behaviors showed significant associations with overweight/obesity in both classification standards.
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