Diagnostic performance of body mass index to identify obesity as defined by body adiposity in children and adolescents: a systematic review and meta‐analysis

Javed, Asma; Jumean, Marwan; Murad, M. Hassan; Okorodudu, Daniel; Kumar, Seema; Somers, Virend K.; Sochor, Ondřej; López-Jiménez, Francisco

doi:10.1111/ijpo.242

Cited by 380 publications

(347 citation statements)

References 71 publications

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“…In the group of younger children (aged 7-10), body mass reduction ranged from 200 g to 2 kg (p=0.02), while in the group of older children (aged [11][12][13][14][15][16], it ranged between 500 g to 3 kg (p=0.01).…”

Section: Resultsmentioning

confidence: 99%

“…The children were referred to a rehabilitation camp by a pediatrician (a specialist in medical rehabilitation). The subjects were assigned to one of the two age groups: younger children (aged 7-10) and older children (aged [11][12][13][14][15][16]. The following study inclusion criteria were applied: od 7 do 16 lat.…”

Section: Methodsmentioning

confidence: 99%

“…29 girls (41%) and 41 boys (59%) aged 7-16 (x = 11±2.3 years) with proper body mass. The healthy controls were assigned to one of the two age groups: younger children (aged 7-10) and older children (aged [11][12][13][14][15][16]. The following inclusion criteria were applied: proper body mass and participation in physical education classes.…”

Section: Methodsmentioning

confidence: 99%

“…W grupie osób dorosłych obliczana jest ze wzoru BMI [11], w grupie dzieci natomiast odczytywana jest z siatek centylowych z uwzględnieniem wieku i płci [12][13][14], tak by móc rzetelnie odnieść się do uzyskanych wyników w stosunku do zdrowego społeczeństwa [15].…”

Section: Wstępunclassified

“…When it comes to adults, it is calculated according to the BMI formula [11], whereas in the group of children centile charts (taking into account age and sex) are used [12][13][14]. Such calculations enable reliable references to healthy individuals [15].…”

Section: Materiał I Metodymentioning

confidence: 99%

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The effects of interventions implemented during a rehabilitation camp on changes in motor skills parameters and body mass in patients with simple obesity

Świst¹,

Graff²,

Chałubińska³

et al. 2017

Advances in Rehabilitation

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Introduction:According to the latest UNICEF report, Polish children put on weight at the highest pacein Europe. The number of overweight children has doubled in the last decade. The aim of the work was to assess the effects of kinesiotherapy implemented during a 3-week rehabilitationcamp on changes in motor skills parameters measured on the Leonardo dynamometric platform (Novotec Medical) and on body mass in patients with simple obesity. Materialand methods:The study group included 32 children and youth aged 7-16 with simple obesity who underwent an exercise programme during a 3-week rehabilitation camp. The subjects were examined twice, i.e. at the beginning and at the end of the camp. The control group consisted of 70 healthy children within the same age range who were examined once. Body mass and body height were measured and the BMI was calculated (taking into account centile charts) for all the study participants. Motor skills were assessed on the basis of avertical jump performed on the Leonardo GRFP (GroundReaction Force Platform). The following data were registered: jump velocity, maximum jump height, strength, power, power with reference to body mass and the Esslinger Fitness Index (EFI). Daily kinesiotherapy included exercises in the form of circuit training and water exercises. All the patients participated in meetings with a dietician and a clinical psychologist. Results:Statistically significant reduction in body mass after a 3-week rehabilitation camp was noted in 27 patients with simple obesity (84.1%) (p<0.05). Motor parameters did not improve significantly. Conclusions:Regular physical activity resulted in weight loss only. However, physical activity did not bring about positive changes in motor parameters.

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Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Wstępunclassified

Section: Materiał I Metodymentioning

confidence: 99%

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The effects of interventions implemented during a rehabilitation camp on changes in motor skills parameters and body mass in patients with simple obesity

Świst¹,

Graff²,

Chałubińska³

et al. 2017

Advances in Rehabilitation

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Should Pharmaceuticals Be Used as Weight Loss Interventions for Adolescents Classified as Obese by BMI?

2023

AMA Journal of Ethics

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Ethically evaluating prescription of weight loss pharmaceuticals for adolescents classified by body mass index (BMI) as obese requires reconsideration of how medicine's overreliance on BMI as a diagnostic criterion supports a weight normative approach to health. This commentary on a case suggests that weight loss is not a safe, effective, or permanent method of health promotion. The unknown extent of pharmacotherapeutics' risks to adolescents in addition to the controvertible benefits of weight loss ethically preclude their prescription, despite scientific consensus to fight obesity by prescribing weight reduction.Case M is a student at Sunnyvale High School. At 16 years old, they are currently enrolled in an intensive health behavior and lifestyle treatment (IHBLT) at the local county hospital. During the pandemic, their body mass index (BMI) increased from 28 to 30, making them a candidate for liraglutide, a glucagon-like peptide 1 (GLP-1) analogue approved by the US Food and Drug Administration (FDA) in 2020 as a weight loss medication in adolescents. As M's primary care physician, Dr B recommends liraglutide as an additional means for preventing M's becoming an obese adult with comorbidities. CommentaryResponding to the title question requires not only evaluating the risks and benefits of pharmacotherapy (particularly in adolescents), but also closely examining weight loss as a health goal. Present clinical practice is "weight normative" 1 in emphasizing weight and weight loss to define health and well-being. There is no more obvious manifestation of this practice than the continued use of BMI to define health status. BMI is based on the ratio of weight in kilograms to height in meters squared and is currently used as the identifying obesity indicator, 2,3 although its value does not reflect significant considerations of the obesity disease state, including peripheral and visceral adiposity, body composition, and metabolic indices. 2,4 Calling attention to how questionable BMI is as a litmus test for obesity are patients classified as overweight or obese (BMI ≥ 25) whose weight, when evaluated by physical

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Taxation of sugar-sweetened beverages for reducing their consumption and preventing obesity or other adverse health outcomes

Heise

Katikireddi

Pega

et al. 2016

Cochrane Database of Systematic Reviews

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Diagnostic performance of body mass index to identify obesity as defined by body adiposity in children and adolescents: a systematic review and meta‐analysis

Abstract: BMI has high specificity but low sensitivity to detect excess adiposity and fails to identify over a quarter of children with excess body fat percentage.

Cited by 380 publications

References 71 publications

The effects of interventions implemented during a rehabilitation camp on changes in motor skills parameters and body mass in patients with simple obesity

The effects of interventions implemented during a rehabilitation camp on changes in motor skills parameters and body mass in patients with simple obesity

Should Pharmaceuticals Be Used as Weight Loss Interventions for Adolescents Classified as Obese by BMI?

Taxation of sugar-sweetened beverages for reducing their consumption and preventing obesity or other adverse health outcomes

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