Table of Contents
ISRN Obesity
Volume 2013, Article ID 582967, 6 pages
Clinical Study

Large Clothing Size in Children Is Associated with High Body Mass Index and Clustering of Medical Comorbidities

Section of Pediatric Anesthesiology, Department of Anesthesiology, University of Michigan, 1500 East Medical Centre Drive, Room UH 1H247, Ann Arbor, MI 48109-0048, USA

Received 8 December 2012; Accepted 15 January 2013

Academic Editors: D. Fernandez-Twinn, J. T. Guimarães, and P. R. Karuparthi

Copyright © 2013 Olubukola O. Nafiu and Constance Burke. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Background. Since most people are aware of their clothing size (CS), this prospective study explored the potential utility of CS as a proxy for body size and as a predictor of incident obesity-related health conditions in children. Methods. This was a prospective, cross-sectional study of 725 children aged 6–18 yr. We collected clinical, anthropometric, and sartorial data on all study subjects. Parents reported their children’s usual CS. This was compared with US clothing chart for children. Based on this we determined whether a child’s CS was appropriate or large for age. Results. The prevalence of overweight/obese was 31.4%. Among the study subjects, 36% usually wore large CS. Children who wore large CS were more likely to be overweight/obese compared to those in the normal CS group (OR = 5.6; 95% CI = 4.0–8.0, ). Similarly, large CS was associated with higher rates of incident asthma ( ), obstructive sleep apnea ( ), habitual snoring ( ), and elevated preoperative blood pressure ( ). Conclusion. CS in children is associated with higher indices of adiposity and increased rates of obesity-related comorbidities.