Methodologies to assess paediatric adiposity

Horan, Mary K.; Gibney, Eileen R.; Molloy, Eleanor J.; McAuliffe, Fionnuala M.

doi:10.1007/s11845-014-1124-1

Cited by 65 publications

(72 citation statements)

References 119 publications

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“…consistent in its complications than BMI (30) . Fat mass index has also been shown to be associated with vitamin D status in 10-year-old urban South African children (31) , but in a narrow age range limited to pre-pubertal children.…”

Section: Bmi and Body Compositionmentioning

confidence: 88%

Vitamin D deficiency and its associated risk factors in children and adolescents in southern Iran

Saki

Dabbaghmanesh

Bakhshayeshkaram

2015

Public Health Nutr.

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Objectives: To evaluate prevalence of vitamin D deficiency and its associated factors in southern Iranian children. Design: Cross-sectional study. Anthropometric and pubertal characteristics were assessed by a trained physician. Physical activity and sun exposure were evaluated using standard questionnaires. Body composition measurements were performed using dual-energy X-ray absorptiometry. Serum Ca, P alkaline phosphatase and 25-hydroxyvitamin D (25(OH)D) were assessed in all children. Statistical analysis was done using the statistical software package IBM SPSS Statistics 18·0. Subjects: Iranian children (n 477) aged 9-18 years. Setting: Fars Province, Iran, 2011. Results: Of the children, 81·3 % were 25(OH)D deficient. There was no significant difference in 25(OH)D concentration between boys and girls (P = 0·3). 25(OH)D concentration was associated with BMI (r = − 0·1, P = 0·02), pubertal status (r = − 0·08, P = 0·04) and sun exposure (r = 0·10, P = 0·04). Fat mass index was associated with 25(OH)D concentration (r = − 0·13, P = 0·03), but not lean mass index (P = 0·86). In multiple regression analysis with adjustment for confounding factors, age and puberty were found to be independently associated with 25(OH)D concentration (P = 0·008 and P = 0·006); there was a significant correlation between exercise and 25(OH)D concentration after adjustment for either BMI (P = 0·01) or fat mass index (P = 0·02). Conclusions: 25(OH)D deficiency is highly prevalent among children in the south of Iran. It is related to insufficient sun exposure, low physical activity, advancing age and pubertal stage. Measures should be taken to improve the health of southern Iranian children in this critical age group by preventing 25(OH)D deficiency.

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Section: Bmi and Body Compositionmentioning

confidence: 88%

Vitamin D deficiency and its associated risk factors in children and adolescents in southern Iran

Saki

Dabbaghmanesh

Bakhshayeshkaram

2015

Public Health Nutr.

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“…BMI as calculated by measurements of weight and height is neither time consuming nor costly and requires only a stadiometer and a regularly calibrated scale [22]. The use of the BMI as a measure for childhood obesity is common but has its disadvantages, since the BMI does not include the size of muscle tissue, bone density, the distribution of body fat, the bone tissue, and body water [23].…”

Section: Discussionmentioning

confidence: 99%

Overweight and Obesity Based on Four Reference Systems in 18,382 Paediatric Patients with Type 1 Diabetes from Germany and Austria

Flechtner-Mors

Schwab

Fröhlich‐Reiterer

et al. 2015

Journal of Diabetes Research

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Aim. To evaluate the prevalence of overweight and obesity in paediatric type 1 diabetes (T1D) subjects, based on four commonly used reference populations. Methods. Using WHO, IOTF, AGA (German pediatric obesity), and KiGGS (German Health Interview and Examination Survey for Children and Adolescents) reference populations, prevalence of overweight (≥90th percentile) and obesity (≥97th percentile) and time trend between 2000 (n = 9,461) and 2013 (n = 18,382) were determined in 2–18-year-old T1D patients documented in the German/Austrian DPV database. Results. In 2000, the overweight prevalence was the highest according to IOTF (22.3%), followed by WHO (20.8%), AGA (15.5%), and KiGGS (9.4%). The respective rates in 2013 were IOTF (24.8%), WHO (22.9%), AGA (18.2%), and KiGGS (11.7%). Obesity prevalence in 2000 was the highest according to WHO (7.9%), followed by AGA (4.5%), IOTF (3.1%), and KiGGS (1.8%). In 2013, the respective rates were WHO (9.6%), AGA (6.2%), IOTF (4.5%), and KiGGS (2.6%). Overall, the prevalence of overweight and obesity increased from 2000 to 2006 (p < 0.001) but showed stabilization thereafter in girls and overweight in boys. Conclusion. Overweight and obesity prevalence in T1D subjects differs significantly if it is assessed by four separate reference populations. More detailed assessment of each child is required to determine obesity-related risks.

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“…The same anthropometric measurements were also taken at 6-9 months and 2-2.5 years of age. WHO growth standards were used to convert these measurements to z-scores which adjusts for infant age at exam (in days) and gender and report standard deviations away from the mean [31,32]. Six-nine month and 2-2.5 year olds were also classified according to WHO BMI-for-age z-score cut-offs as wasted or severely wasted (BMI-for-age z-score < −2), normal (BMI-for-age zscore − 2 to 1), at risk of overweight (BMI-for-age z-score 1.01-2), overweight (BMI-for-age z-score 2.01-3) and obese (BMI-for age z-score > 3).…”

Section: Maternal and Infant Anthropometrymentioning

confidence: 99%

An examination of whether associations exist between maternal and neonatal 25OHD and infant size and adiposity at birth, 6–9 months and 2–2.5 years of age – a longitudinal observational study from the ROLO study

Horan¹,

Donnelly²,

McKenna³

et al. 2017

BMC Nutr

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Methodologies to assess paediatric adiposity

Abstract: The core clinical measurements of weight, height, BMI and circumferences are sufficient to enable diagnosis of paediatric overweight and obesity while more technical tools provide further insight.

Cited by 65 publications

References 119 publications

Vitamin D deficiency and its associated risk factors in children and adolescents in southern Iran

Vitamin D deficiency and its associated risk factors in children and adolescents in southern Iran

Overweight and Obesity Based on Four Reference Systems in 18,382 Paediatric Patients with Type 1 Diabetes from Germany and Austria

An examination of whether associations exist between maternal and neonatal 25OHD and infant size and adiposity at birth, 6–9 months and 2–2.5 years of age – a longitudinal observational study from the ROLO study

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