Height, weight and body mass index by age and sex in children aged 4 to 6 years in Merida, Mexico, as compared to international references after normalization with LMS.

A cross-sectional study was done in 2006-2007 of 458 children (218 boys and 240 girls) aged 4 to 6 years (range 4.00 to 6.99 years) in Merida, Mexico. Height (cm) and body weight (kg) were measured to estimate growth; body mass index (BMI, kg/m2) was calculated to evaluate nutritional status. Results showed significant sex difference with respect to height, weight, and BMI. Increment of height and weight with age was observed. However, age difference in BMI was not consis- tent. Nutritional status was evaluated using International Obesity Task Force (IOTF) classification and BMI cut-off values showed notable rates of overweight (boys 14.41% and girls 17.75%) and obesity (boys 12.43% and girls 7.21%). Anthropometric data of height, weight, and BMI were normalized using LMS methodology and were compared with World Health Organization (WHO) growth reference data. Again, increment of height and weight with age was observed although those were lower in the present study for boys and girls than the corresponding WHO growth reference data. In contrast, mean BMI by age in the present results exceeded WHO reference data, especially above the 85th percentile. Assessment of nutritional status with reference to IOTF and WHO revealed similar trends.