{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T22:21:18Z","timestamp":1782426078398,"version":"3.54.5"},"reference-count":36,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2025,2,6]],"date-time":"2025-02-06T00:00:00Z","timestamp":1738800000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>(1) Background: Obesity and overweight are defined as an abnormal or excessive accumulation of fat that can be harmful to health. These are conditions that can lead to a lifetime of diseases, including cancer, diabetes, and heart disease. The diagnosis of overweight and obesity in children and adolescents depends on the international reference used. (2) Objectives: In this study aimed to determine the level of concordance of the prevalence of underweight, normal weight, overweight, and obesity were estimated with three international references in Mexican children and adolescents between 2 and 18 years of age. (3) Methods: We used specific the body mass index (BMI) cut-off points of the ENSANUT Continua 2022 database. The weight category was measured using the World Health Organization (WHO) criteria (&lt;\u22122 standard deviation (SD), underweight; \u22122 and +0.99 SD, normal weight; +1 and +1.99 SD, overweight; and \u2265+2 SD, obesity); Centers for Disease Control and Prevention (CDC) criteria (&lt;percentile 5, underweight; percentile 5 and &lt;percentile 85, normal weight; \u2265percentile 85, overweight; and \u2265percentile 95, obesity); and the Obesity Task Force (IOTF) criteria (specific limit values). To determine agreement among these three criteria, Cohen\u2019s Kappa index was used. (4) Results: There were differences in the estimation of weight categories according to the international reference used. Substantial (WHO-IOTF: 0.639; CDC-IOTF: 0.785) and almost perfect (WHO-CDC: 0.806) levels of agreement were found between the references used; however, agreement varied according to age. (5) Conclusions: The weight category depends on the reference used, so each one should be used with caution since the results inform our actions of prevention, surveillance, and the control of nutrition in childhood and adolescence for the timely detection of chronic health problems and effects of social deficiencies.<\/jats:p>","DOI":"10.3390\/nu17030587","type":"journal-article","created":{"date-parts":[[2025,2,6]],"date-time":"2025-02-06T08:53:41Z","timestamp":1738832021000},"page":"587","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Agreement on the Prevalence of Body Mass Index (BMI) in Mexican Children and Adolescents Using Different International References"],"prefix":"10.3390","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5949-424X","authenticated-orcid":false,"given":"Marisol","family":"Santiago-Arango","sequence":"first","affiliation":[{"name":"UNAM-UABJO Faculty of Medicine Research Centre, Faculty of Medicine and Surgery, Benito Ju\u00e1rez Autonomous University of Oaxaca, Oaxaca 68120, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6720-7952","authenticated-orcid":false,"given":"Eduardo","family":"P\u00e9rez-Campos","sequence":"additional","affiliation":[{"name":"National Technological of Mexico, ITOaxaca, Oaxaca 68033, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ivan","family":"Porras-Chaparro","sequence":"additional","affiliation":[{"name":"Faculty of Economics, Benito Ju\u00e1rez Autonomous University of Oaxaca, Oaxaca 68120, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6429-9086","authenticated-orcid":false,"given":"Juan","family":"Ruiz-Rosado","sequence":"additional","affiliation":[{"name":"Kidney and Urinary Tract Research Center, Abigail Wexner Research Institute, Nationwide Children\u2019s Hospital, Columbus, OH 43215, USA"},{"name":"Division of Nephrology and Hypertension, Nationwide Children\u2019s Hospital, Columbus, OH 43205, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2508-4194","authenticated-orcid":false,"given":"H\u00e9ctor","family":"Mart\u00ednez Ruiz","sequence":"additional","affiliation":[{"name":"UNAM-UABJO Faculty of Medicine Research Centre, Faculty of Medicine and Surgery, Benito Ju\u00e1rez Autonomous University of Oaxaca, Oaxaca 68120, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8502-7098","authenticated-orcid":false,"given":"H\u00e9ctor","family":"Cabrera-Fuentes","sequence":"additional","affiliation":[{"name":"R&D Group, Office of the Vice President for Scientific Research and Innovation, Imam Abdulrahman Bin Faisal University Dammam, Dammam 31441, Saudi Arabia"},{"name":"Interdisciplinary Centre for Biological and Human Research, Benito Ju\u00e1rez Autonomous University of Oaxaca, Oaxaca 68000, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eduardo","family":"Mayoral","sequence":"additional","affiliation":[{"name":"UNAM-UABJO Faculty of Medicine Research Centre, Faculty of Medicine and Surgery, Benito Ju\u00e1rez Autonomous University of Oaxaca, Oaxaca 68120, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margarito","family":"Mart\u00ednez-Cruz","sequence":"additional","affiliation":[{"name":"National Technological of Mexico, ITOaxaca, Oaxaca 68033, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2182-2540","authenticated-orcid":false,"given":"Mar\u00eda","family":"Hern\u00e1ndez-Huerta","sequence":"additional","affiliation":[{"name":"Consejo Nacional de Ciencia y Tecnolog\u00eda (CONAHCYT), Faculty of Medicine and Surgery, Benito Ju\u00e1rez Autonomous University of Oaxaca, Oaxaca 68120, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4140-4661","authenticated-orcid":false,"given":"Laura","family":"P\u00e9rez-Campos Mayoral","sequence":"additional","affiliation":[{"name":"Division of Nephrology and Hypertension, Nationwide Children\u2019s Hospital, Columbus, OH 43205, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,2,6]]},"reference":[{"key":"ref_1","first-page":"502","article-title":"Indicadores antropom\u00e9tricos para evaluar sobrepeso y obesidad en pediatr\u00eda","volume":"65","author":"Toussaint","year":"2008","journal-title":"Bol. 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