Abstract

Objective

Turkish growth reference charts are based on 1989-2002 data. Globally, positive secular trends in height have been observed, and updating growth charts every 20 years is recommended. Additionally, obesity is a rising health issue worldwide. This study investigates if there has been a further increase in young Turkish adults' mean height and BMI compared to previous national data (TK2002) and Turkish-origin young adults in the Netherlands. It also explores the association between adult height and BMI with socioeconomic status (SES) and geographical region.

Methods

This cross-sectional study (2023-2024) included 217 females and 248 males, aged 18-26, voluntarily recruited from Istanbul University, representing all regions of Turkey. Height, weight, and SES were recorded. The top two SES groups were combined for analysis.

Results

Sample distribution aligned with Turkey’s regional population distribution. Mean height was 1.8 cm taller in females (p=0.003) and males (p<0.001) compared to TK2002, and also taller (2.3 and 0.5 cm, respectively, p<0.001 and p=0.03) than in NL2009. BMI was significantly higher in males than in TK2002 and NL2009 (p<0.001). 

Conclusion

Final height of Turkish students increased by 1.8 cm in both sexes over two decades. Males' BMI was alarmingly high (58% overweight or obese). A population growth study to generate updated growth charts from birth to young adulthood and prevention programs to reduce obesity are needed.