Body fat reference percentiles on healthy affluent Indian children and adolescents to screen for adiposity

Khadilkar, Anuradha; Sanwalka, Neha; Chiplonkar, Shashi; Khadilkar, Vaman; Pandit, Deepa

doi:10.1038/ijo.2013.19

Cited by 37 publications

(22 citation statements)

References 29 publications

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“…There are numerous national anthropometric reference values for WC, 18,[20][21][22][23][24]50 waist-to-height ratio, 51 skinfold thicknesses, 15,16,52 sum of skinfolds, 53 BFM 54,55 and FMI. 7,56 As these data are based on samples including underweight, overweight, as well as obese children, they cannot be directly compared with our results. Due to the restriction of our sample to normal-weight children, generally the upper percentiles of the present study tend to fall below those of above-mentioned reference studies whereas the lower percentiles tend to exceed them.…”

Section: Discussionmentioning

confidence: 83%

Percentile reference values for anthropometric body composition indices in European children from the IDEFICS study

et al. 2014

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1,11 on behalf of the IDEFICS consortium INTRODUCTION:To characterise the nutritional status in children with obesity or wasting conditions, European anthropometric reference values for body composition measures beyond the body mass index (BMI) are needed. Differentiated assessment of body composition in children has long been hampered by the lack of appropriate references. OBJECTIVES: The aim of our study is to provide percentiles for body composition indices in normal weight European children, based on the IDEFICS cohort (Identification and prevention of Dietary-and lifestyle-induced health Effects in Children and infantS). METHODS: Overall 18 745 2.0-10.9-year-old children from eight countries participated in the study. Children classified as overweight/obese or underweight according to IOTF (N = 5915) were excluded from the analysis. Anthropometric measurements (BMI (N = 12 830); triceps, subscapular, fat mass and fat mass index (N = 11 845-11 901); biceps, suprailiac skinfolds, sum of skinfolds calculated from skinfold thicknesses (N = 8129-8205), neck circumference (N = 12 241); waist circumference and waist-to-height ratio (N = 12 381)) were analysed stratified by sex and smoothed 1st, 3rd, 10th, 25th, 50th, 75th, 90th, 97th and 99th percentile curves were calculated using GAMLSS. RESULTS: Percentile values of the most important anthropometric measures related to the degree of adiposity are depicted for European girls and boys. Age-and sex-specific differences were investigated for all measures. As an example, the 50th and 99th percentile values of waist circumference ranged from 50.7-59.2 cm and from 51.3-58.7 cm in 4.5-to < 5.0-year-old girls and boys, respectively, to 60.6-74.5 cm in girls and to 59.9-76.7 cm in boys at the age of 10.5-10.9 years. CONCLUSION: The presented percentile curves may aid a differentiated assessment of total and abdominal adiposity in European children.

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Section: Discussionmentioning

confidence: 83%

Percentile reference values for anthropometric body composition indices in European children from the IDEFICS study

et al. 2014

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“…From the 2000s, an increasing number of research groups have published body composition reference data, with a number of examples summarized in Table 1 (31, 47–55). Going beyond anthropometry, techniques such as bioelectrical impedance analysis (BIA) and DXA have for the first time provided equivalent data on lean mass and total body fat mass (47, 49–51, 53–55).…”

Section: Current Status Of Knowledgementioning

confidence: 99%

“…Going beyond anthropometry, techniques such as bioelectrical impedance analysis (BIA) and DXA have for the first time provided equivalent data on lean mass and total body fat mass (47, 49–51, 53–55). In public health research, it is now possible to examine secular changes not only in adiposity but also in lean mass and its functional correlates (56, 57), which may decline in association with sedentary behavior.…”

Section: Current Status Of Knowledgementioning

confidence: 99%

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Toward Body Composition Reference Data for Infants, Children, and Adolescents

Wells

2014

Advances in Nutrition

128

138

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Growth charts for weight and height have provided the basis for assessment of children’s nutritional status for over half a century, with charts for body mass index (BMI) introduced in the 1990s. However, BMI does not provide information on the proportions of fat and lean mass; and within the past decade, growth charts for children’s body composition have been produced by using techniques such as skinfold thicknesses, body circumferences, bioelectrical impedance analysis (BIA), and dual-energy X-ray absorptiometry (DXA). For public health research, BIA and skinfold thicknesses show negligible average bias but have wider limits of agreement than specialized techniques. For patients, DXA is the best individual method, but multicomponent models remain ideal because they address perturbations in lean mass composition. Data can be expressed in age- and sex-specific SD scores, in some cases adjusting for height. Most such reference data derive from high-income countries, but techniques such as air-displacement plethysmography allow infant body composition growth charts to be developed in low- and middle-income settings, where the data may improve understanding of the effects of low birth weight, wasting, and stunting on body composition. Recent studies suggest that between-population variability in body composition may derive in part from genetic factors, suggesting a universal human body composition reference may not be viable. Body composition growth charts may be extended into adult life to evaluate changes in fat and lean mass through the entire life course. These reference data will improve the understanding of the association between growth, body composition, health, and disease.

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“…Childhood obesity is a pandemic affecting children in both the developed and developing nations. In India, the prevalence of childhood overweight has been reported to range from 6.57 to 27.5% and that of obesity from 1 -14.6% [1][2][3][4] .…”

Section: Introductionmentioning

confidence: 99%

Association of Parental E ducation and Illness with Obesity and Blood Pressure in 13-16 Year Old Girls

Padechia

Mistry

Sanwalka³

2014

Curr Res Nutr Food Sci

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The aim of the current study was to estimate the prevalence of hypertension and obesity and its associations with parental (or grandparental) history of illness and parental education. A cross-sectional study was conducted among 299 girls aged 13-16 years from Mumbai city, India. Anthropometry (weight, height, waist (WC) and hip circumference, mid-upper arm circumference) and blood pressure (BP) was measured. History of chronic illness in parents and grandparents was recorded. Parental education was also recorded. The mean WC of the girls was 68±10 cm. WC was between 85 th and 95 th percentile in 14 (4.7%) girls and more than 95 th percentile in 22 (7.4%) girls. The mean systolic BP of the girls was 110±11 mmHg and mean diastolic BP was 69±8 mmHg. Twelve (4%) girls had systolic BP and 48 (16.1%) girls had diastolic BP between 90th and 95th percentile whereas 38 (12.7%) girls had systolic BP and 23 girls (7.7%) had diastolic BP more than 95th percentile. There was a significant association between systolic BP and obesity (X2 = 5.79, df = 2) and diabetes (X2 =9.76, df=2) in grandmother (p<0.05). There was also a significant association of diastolic BP with prevalence of cardio-vascular disease in both parents (X2 = 11.26, df =2) especially with that in mothers (X2 =11.27, df = 2) (p<0.05). Systolic BP showed an association with mother education (X2 = 18.81, df = 8) (p<0.05. Central obesity and hypertension is prevalent in school going girls in Mumbai city and show a significant association with prevalence of diseases in parents and grandparents.

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Body fat reference percentiles on healthy affluent Indian children and adolescents to screen for adiposity

Abstract: Percentile curves developed in the current study would be useful in assessment of adiposity and thus cardiometabolic risk in Indian children.

Cited by 37 publications

References 29 publications

Percentile reference values for anthropometric body composition indices in European children from the IDEFICS study

Percentile reference values for anthropometric body composition indices in European children from the IDEFICS study

Toward Body Composition Reference Data for Infants, Children, and Adolescents

Association of Parental E ducation and Illness with Obesity and Blood Pressure in 13-16 Year Old Girls

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