“…Limitations of BMI and relative weight are they fail to account for fat distribution (Stevens, 2008; Stevens, McClain, & Truesdale, 2008), and BMI percentile missed the detection of excess adiposity in some children (Bedogni, Iughetti, Ferrari, Malavolti, Poli, Bernasconi et al, 2003; Freedman, Wang, Ogden, Thornton, Mei, Pierson, et al, 2007; Mei, Grummer-Strawn, Wang, Thornton, Freedman, Pierson, et al, 2007), but the addition of other measures of adiposity (i.e., triceps skinfold) increased BMI percentile sensitivity (Bedogni, et al, 2003; Freedman, et al, 2007; Mei, et al, 2007). Triceps skinfold provides a representation of subcutaneous body fat (Fogelholm & Lichtenbelt, 1997), and waist circumference (WC) is an indicator of central or visceral adiposity (Ness-Abramof & Apovian, 2008; Stevens, 2008; Stevens, et al, 2008). Recent longitudinal data showed childhood WC was a better predictor of young adult metabolic syndrome development than BMI (Schmidt, Dwyer, Magnussen, & Venn, 2010).…”