Índice de massa corpórea e perímetro da cintura são bons indicadores para classificação do estado nutricional de crianças

Jensen, Natália Sanchez Oliveira; Camargo, Taís de Fátima Borges; Bergamaschi, Denise Pimentel

doi:10.1590/1413-81232015214.138712015

Cited by 9 publications

(4 citation statements)

References 19 publications

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“…According to literature data [19][20][21] , BMI is widely used for the diagnosis of overweight and obesity when dealing with large populations, supported by a several studies that have shown that it is a reliable method for this purpose. A study of children in a public school with a mean age of 9.2 ± 1 years showed good agreement between BMI and skinfold method 22 . Similar results were compared with those obtained by X-ray double emission densitometry (DEXA) method, considered the gold standard for body composition evaluation 23 .…”

Section: Discussionmentioning

confidence: 99%

Occurrence of overweight in schoolchildren and analysis of agreement between anthropometric methods

Lima

Pereira

Muñoz

et al. 2020

Rev. bras. cineantropom. desempenho hum.

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The child population is strongly affected by obesity. Accessible and reliable strategies for the obesity diagnosis are of utmost importance.. The aim of this study was to identify childhood obesity according the WHO (World Health Organization): malnourished, healthy weight, overweight and obese. It was collected measures of height, Body Mass Index (BMI), Waist Circumference (WC) and Triceps Skinfold Thickness (TSF) of 449 children from Municipal School of Araras/SP, from 7 to 10 years old. It was performed a Spearman correlation test between BMI, WC and TSF variables. Also, was realized cross tabulation between the found results by the different methods, constructing a contingency table 2x2, with absolute frequency of boys and girls classified as “without overweight” and “with overweight”. The concordance between methods was analyzed by kappa index. In the results, 28.3% of children presented overweight according to BMI, with higher prevalence in boys. Generally, the found results through TSF showed strong correlation with both BMI and WC (rs=0.7994 e rs=0.7519, respectively). The same was observed when data was analyzed separately by sex. When crossed the TSF data with BMI and WC, the kappa index demonstrated a satisfactory concordance (0.4419 e 0.5161, respectively). The TSF can be suggested a method to body composition assessment and cardiometabolic risk in children.

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Section: Discussionmentioning

confidence: 99%

Occurrence of overweight in schoolchildren and analysis of agreement between anthropometric methods

Lima

Pereira

Muñoz

et al. 2020

Rev. bras. cineantropom. desempenho hum.

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“…The finding that anthropometry was the most frequent measure adopted in the nutritional studies was expected, given that they have validated psychometric properties, are readily collected, and are of low cost. The ability of BMI to evaluate body composition is still a matter of debate, 51,52 and DXA has emerged as the preferred approach to investigate body composition in the case of individuals with CF. 4 However, its high cost has been a constraint to broader application of the technique.…”

Section: Discussionmentioning

confidence: 99%

Quality of anthropometric data measured in children and adolescents with cystic fibrosis: a scoping review

Escaldelai

Filho

Neri

et al. 2023

Rev. paul. pediatr.

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Objective: This study aimed to identify methodological aspects involved in determining anthropometric measurements among studies assessing the nutritional status of individuals with cystic fibrosis (CF). Methods: A search of the literature was performed on MEDLINE via Pubmed, Embase, and Web of Science databases. The population comprised children and adolescents with CF. Observational studies and clinical trials using anthropometric and body composition measures and indices determined by dual-energy X-ray absorptiometry (DXA) and bioelectrical impedance assessment (BIA) were included. Use of a standardized procedure for data collection was defined when details on the instruments and their calibration were given, the measuring procedures were described, and when it was clear measures had been determined by a trained team, or the use of an anthropometric reference manual was cited. Data extracted were expressed as absolute and relative frequencies. Results: A total of 32 articles were included, and a total of 233 measures or indices were observed. The most frequently used measures were body mass index (kg/m2; 35%), weight (kg; 33%), and height (cm; 33%). Among the 28 studies that used anthropometric measures, 21 (75%) provided a complete or partial description of the measurement instruments used, 3 (11%) reported information on equipment calibration, 10 (36%) indicated the measurement procedures employed by assessors, and 2 (7%) stated a trained team had carried out the measurements. Conclusions: The poor description of measuring procedures precluded a meaningful evaluation of data quality. Scientific debate on this theme can help raise awareness of the need to ensure quality in collecting and fully presenting data.

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“…WC and WHtR had a high specificity but low sensitivity. Inspite of its utility in classifying nutritional status in children , the ability of the BMI to predict body fat is contentious, as a high score may be from high levels of adiposity or from fat-free tissues [34], [35]. WC and WHtR have been advocated for screening for adiposity, due to the relationship between waist measurement and visceral adiposity [36], [37], which in itself is a better reflection of cardiometabolic risk factors.…”

Section: Discussionmentioning

confidence: 99%

Waist Circumference, Waist-to-Height Ratio and Body Mass Index as Parameters of Obesity Among Public Secondary School Students

Ugochukwu

Onubogu

Okeke

et al. 2020

EJMED

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Background: Obesity in children is universal affecting all ethnicities, ages, gender and social classes. Public school children consist mainly of the less affluent strata of society, and consequently may not be opportuned to avail themselves of necessary public health interventions as their private school counterparts. Objective:This study aimed to determine the prevalence of obesity using various anthropometric indices and association of certain factors with obesity among public secondary school students. Methods:A cross-sectional school-based questionnaire and physical assessment of 593 students aged 10 – 17 years in public schools in Nnewi, Southeast Nigeria was carried out. Results: There were 289 boys and 304 girls, giving an approximate ratio of 1:1. Most of the students were from the middle and lower socio-economic levels. Girls were physically less active and consumed more junk food than the boys. The mean weight and height varied significantly with age in males, females and both sexes combined together (p <0.001). In general, girls were heavier than boys, while the boys were slightly taller than the girls. Age varied significantly with BMI (P<0.001 for girls and boys), WC (P<0.001 for girls and boys) and WHtR (p=0.034 for boys and 0.024 for girls). BMI performed better than WC and WHtR in identifying children with obesity. When compared with BMI, WC had a sensitivity of 5.2% and a specificity of 100.0% with a positive predictive value of 100.0% and a negative predictive value of 90.7%. WHtR had a sensitivity of 31.0% and a specificity of 99.8% with a positive predictive value of 94.7% and a negative predictive value of 93.0%. BMI had a strong correlation with both WC and WHtR although correlation was stronger with WC (R=704) compared to WHR (R=641). Among the students 9.8% were in the obese/overweight group, made up of 96.6% females, out of which 64.1% were older adolescents aged 15-17 years. Reduced physical activity played a major role in enhancing obesity/overweight, while socio-economic level and diet did not. After logistic regression analysis, age and sex remained significantly associated with being overweight or obese. The odds of being overweight or obese was 32 times in females compared to males and twice in in late adolescence compared to early adolescence. Conclusion: The obesity/overweight of older adolescent public secondary school girls buttress the importance of physical exercises in curbing obesity. Although easier to perform and very specific, WC and WHtR seemed to miss many adolescents with obesity when compared to BMI. Therefore, a combination of these indices is recommended while screening adolescents for obesity.

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Índice de massa corpórea e perímetro da cintura são bons indicadores para classificação do estado nutricional de crianças

Cited by 9 publications

References 19 publications

Occurrence of overweight in schoolchildren and analysis of agreement between anthropometric methods

Occurrence of overweight in schoolchildren and analysis of agreement between anthropometric methods

Quality of anthropometric data measured in children and adolescents with cystic fibrosis: a scoping review

Waist Circumference, Waist-to-Height Ratio and Body Mass Index as Parameters of Obesity Among Public Secondary School Students

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