PERSPECTIVE
Obesity
Tackling the obesity epidemic: new approaches
Correspondence to:
Correspondence to:
Dr J J Reilly
University Division of Developmental Medicine, 1st Floor Tower QMH, Yorkhill Hospitals, Glasgow G3 8SJ, UK; jjr2y@clinmed.gla.ac.uk
Perspective on the paper by Rudolf et al (see page 736)
Keywords: adolescence; overweight; prevention
| The first 150 words of the full text of this article appear below. |
The epidemic of obesity in UK children and adolescents began in the mid to late 1980s.1 As in other parts of the world, overweight and obesity have become very common, and prevalence continues to increase. The most recent nationally available data from within the UK come from the Health Survey for England 2004:2 in 210 year olds 16% of boys and 12% of girls were obese (BMI
95th centile), and in 1115 year olds a staggering 24% of English boys and 26% of English girls were obese in 2004.
Though high, these estimates of obesity prevalence are probably conservative: a high BMI for age is a good simple means of diagnosing obesity in that it is characterised by high specificity (low false positive rate), but it is also characterised by modest sensitivity, a moderate false negative rate.3,4 This means that there are many children with an excessively high body
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