The Range and Direction of Changes in the Classification of the Body Mass Index in Children Measured Between the Ages of 6 and 10 in Gdansk, Poland (Longitudinal Studies)
Abstract
1. Introduction
Aim of the Study
2. Materials and Methods
3. Results
4. Discussion
- The sample was drawn exclusively from Gdansk, Poland, which may limit the generalizability of the results to broader populations or different cultural and geographic contexts.
- This study was limited to two data collection points (ages 6 and 10), which restricts the ability to assess BMI development trajectories across different stages of childhood.
- BMI classification systems (IOTF and OLAF) used in this study, while internationally recognized, may not fully reflect body composition (e.g., fat distribution or muscle mass), potentially limiting the precision of nutritional status assessment.
- The absence of data on lifestyle factors such as physical activity levels, dietary patterns, and socioeconomic status prevents a more comprehensive understanding of the determinants of BMI changes.
- The statistical approach used focused on descriptive analysis and rank-based transformations. While appropriate for categorical data, it does not allow modeling causal relationships or detecting interactions between variables.
- Although the data used in this study were collected several years ago, it is important to note that the study was conducted in a longitudinal design, with each child assessed at two different time points. This allowed us to capture within-individual changes in nutritional status, including transitions between BMI categories. With this method of data collection, the presence and direction of changes, as well as the observed trends, are not dependent on the currency of the growth reference charts. Nevertheless, potential differences between past and current anthropometric conditions in the population should be acknowledged as a limitation when interpreting the applicability of the findings to the present context.
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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(n) | (%) | Sum | ||
---|---|---|---|---|
Boys | Girls | Boys | Girls | |
497 | 529 | 48.44 | 51.56 | 1026 |
BMI Classification [2,22] | Rank |
---|---|
Obesity | 6 |
Overweight | 5 |
Normal weight | 4 |
Thinness | 3 |
Underweight | 2 |
Significantly underweight | 1 |
Boys | Girls | Sum (Boys and Girls) | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Aged 6 | Aged 10 | Aged 6 | Aged 10 | Aged 6 | Aged 10 | |||||||
(n) | (%) | (n) | (%) | (n) | (%) | (n) | (%) | (n) | (%) | (n) | (%) | |
body mass classification | ||||||||||||
obesity | 18 | 3.62 | 13 | 2.62 | 25 | 4.73 | 9 | 1.7 | 43 | 4.19 | 22 | 2.14 |
overweight | 65 | 13.08 | 89 | 17.91 | 71 | 13.42 | 79 | 14.93 | 136 | 13.25 | 168 | 16.37 |
normal weight | 368 | 74.05 | 354 | 71.23 | 387 | 73.16 | 363 | 68.63 | 755 | 73.59 | 717 | 69.88 |
thinness | 41 | 8.25 | 35 | 7.04 | 39 | 7.37 | 63 | 11.91 | 80 | 7.8 | 98 | 9.56 |
underweight | 2 | 0.4 | 6 | 1.20 | 3 | 0.57 | 9 | 1.7 | 5 | 0.49 | 15 | 1.47 |
significantly underweight | 3 | 0.6 | 0 | 0.00 | 4 | 0.75 | 6 | 1.13 | 7 | 0.68 | 6 | 0.58 |
sum | 497 | 100 | 497 | 100 | 529 | 100 | 529 | 100 | 1026 | 100 | 1026 | 100 |
Boys | Girls | Sum (Boys and Girls) | ||||
---|---|---|---|---|---|---|
Number of Rank Changes BMI2 − BMI1 | Percentage of Rank Changes BMI2 − BMI1 | Number of Rank Changes BMI2 − BMI1 | Percentage of Rank Changes BMI2 − BMI1 | Number of Rank Changes BMI2 − BMI1 | Percentage of Rank Changes BMI2 − BMI1 | |
(n) | (%) | (n) | (%) | (n) | (%) | |
range of rank changes | ||||||
−3 | 0 | 0 | 1 | 0.19 | 1 | 0.10 |
−2 | 2 | 0.4 | 4 | 0.76 | 6 | 0.58 |
−1 | 51 | 10.26 | 86 | 16.26 | 137 | 13.35 |
0 | 375 | 75.45 | 410 | 77.50 | 785 | 76.51 |
1 | 62 | 12.48 | 26 | 4.91 | 88 | 8.58 |
2 | 7 | 1.41 | 1 | 0.19 | 8 | 0.78 |
3 | 0 | 0 | 1 | 0.19 | 1 | 0.10 |
sum | 497 | 100 | 529 | 100 | 1026 | 100 |
(n) | (%) | mean | ||||||
---|---|---|---|---|---|---|---|---|
Percentile BMI1 | Percentile BMI2 | Percentile Body Mass 1 | Percentile Body Mass 2 | Percentile Body Height 1 | Percentile Body Height 2 | |||
Boys | 270 | 48 | 55.2 | 52.5 | 51.09 | 52.2 | 44.2 | 52.1 |
Girls | 288 | 52 | 55.8 | 51.0 | 54.46 | 52.0 | 50.9 | 53.4 |
sum/average | 558 | 100 | 55.5 | 51.75 | 52.77 | 52.1 | 47.55 | 52.75 |
Mean | ||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Boys | Girls | |||||||||||||
Classification BMI 1 | Percentile BMI 1 | Percentile BMI 2 | Percentile Body Mass 1 | Percentile Body Mass 2 | Percentile Body Height 1 | Percentile Body Height 2 | Percentile BMI 1 | Percentile BMI 2 | Percentile Body Mass 1 | Percentile Body Mass 2 | Percentile Body Height 1 | Percentile Body Height 2 | ||
(n) | (n) | |||||||||||||
obisity | 11 | 97.9 | 93.4 | 96.3 | 93.9 | 78.7 | 79.1 | 18 | 98.2 | 91.8 | 97.3 | 91.5 | 75.9 | 74.4 |
overweight | 46 | 89.1 | 84.4 | 80.4 | 78.9 | 49.9 | 58.5 | 40 | 90.9 | 83.3 | 87.4 | 82.0 | 63.9 | 66.7 |
normal weight | 188 | 50.6 | 47.3 | 46.1 | 47.4 | 41.8 | 49.9 | 203 | 51.4 | 46.6 | 50.0 | 48.0 | 49.2 | 52.2 |
thinness | 23 | 9.1 | 15.8 | 15.4 | 21.9 | 34.6 | 44.8 | 24 | 9.8 | 10.2 | 10.8 | 11.4 | 25.2 | 27.4 |
underweight | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 2 | 1.5 | 1.1 | 5.0 | 3.0 | 30.5 | 27.0 |
significantly underweight | 2 | 0.1 | 3.5 | 7.0 | 13.0 | 60.0 | 54.5 | 1 | 1.0 | 0.1 | 13.0 | 8.0 | 76.0 | 71.0 |
Body Mass 1 | Body Height 1 | Body Mass 2 | Body Height 2 | BMI 1 | BMI 2 | |
---|---|---|---|---|---|---|
body mass 1 | 1.00 | 0.69 | 0.79 | 0.56 | 0.88 | 0.62 |
body height 1 | 0.69 | 1.00 | 0.58 | 0.80 | 0.28 | 0.29 |
body mass 2 | 0.80 | 0.58 | 1.00 | 0.60 | 0.68 | 0.87 |
body height 2 | 0.57 | 0.80 | 0.60 | 1.00 | 0.24 | 0.17 |
BMI 1 | 0.88 | 0.28 | 0.68 | 0.24 | 1.00 | 0.64 |
BMI 2 | 0.62 | 0.29 | 0.86 | 0.17 | 0.64 | 1.00 |
Body Mass 1 | Body Height 1 | Body Mass 2 | Body Height 2 | BMI 1 | BMI 2 | |
---|---|---|---|---|---|---|
body mass 1 | 1.00 | 0.72 | 0.86 | 0.63 | 0.89 | 0.78 |
body height 1 | 0.72 | 1.00 | 0.62 | 0.82 | 0.32 | 0.35 |
body mass 2 | 0.86 | 0.62 | 1.00 | 0.71 | 0.77 | 0.92 |
body height 2 | 0.63 | 0.82 | 0.71 | 1.00 | 0.33 | 0.37 |
BMI 1 | 0.89 | 0.32 | 0.77 | 0.33 | 1.00 | 0.83 |
BMI 2 | 0.78 | 0.35 | 0.92 | 0.37 | 0.83 | 1.00 |
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Jankowski, M.; Niedzielska, A.; Sein Anand, J.; Wolska, B.; Metelska, P. The Range and Direction of Changes in the Classification of the Body Mass Index in Children Measured Between the Ages of 6 and 10 in Gdansk, Poland (Longitudinal Studies). Nutrients 2025, 17, 2399. https://doi.org/10.3390/nu17152399
Jankowski M, Niedzielska A, Sein Anand J, Wolska B, Metelska P. The Range and Direction of Changes in the Classification of the Body Mass Index in Children Measured Between the Ages of 6 and 10 in Gdansk, Poland (Longitudinal Studies). Nutrients. 2025; 17(15):2399. https://doi.org/10.3390/nu17152399
Chicago/Turabian StyleJankowski, Marek, Aleksandra Niedzielska, Jacek Sein Anand, Beata Wolska, and Paulina Metelska. 2025. "The Range and Direction of Changes in the Classification of the Body Mass Index in Children Measured Between the Ages of 6 and 10 in Gdansk, Poland (Longitudinal Studies)" Nutrients 17, no. 15: 2399. https://doi.org/10.3390/nu17152399
APA StyleJankowski, M., Niedzielska, A., Sein Anand, J., Wolska, B., & Metelska, P. (2025). The Range and Direction of Changes in the Classification of the Body Mass Index in Children Measured Between the Ages of 6 and 10 in Gdansk, Poland (Longitudinal Studies). Nutrients, 17(15), 2399. https://doi.org/10.3390/nu17152399