Receiver operating characteristic analysis of body mass index, triceps skinfold thickness, and arm girth for obesity screening in children and adolescents

Sardinha, Luís B.; Going, Scott B.; Teixeira, Pedro J.; Lohman, Timothy G.

doi:10.1093/ajcn/70.6.1090

Cited by 186 publications

(208 citation statements)

References 22 publications

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“…Must et al (1991), too, have reported a similar observation using NHANES-I data. This is consistent with the greater gains in muscle and bone experienced by boys during adolescence and greater gains in body fat experienced by girls (Sardinha et al, 1999). Therefore, it cannot be denied that these variations in age, sex and maturation impose more limitations on BMI as a measure of adiposity in the pediatric population than in adult population (Neovius et al, 2004).…”

Section: Discussionsupporting

confidence: 57%

“…Similar is the case with TSFT (12 vs 16.4 mm for boys; and 14 vs 22.3 mm for girls), indicating that most cutoffs appear much lower than the conventional ones. Recently, Sardinha et al (1999) too have reported that the recommended cutoffs for Portugese boys and girls also correspond to lower percentiles than those recommended for US boys and girls, whereas Malina and Katzmarzyk (1999) show cutoffs for body fat to be more sensitive than BMI. Our observations, therefore, indicate the need for validation of conventional cutoffs in different populations.…”

Section: Discussionmentioning

confidence: 99%

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Blood pressure among overweight adolescents from urban school children in Pune, India

2006

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Objectives: To examine the magnitude of overweight and its association with blood pressure (BP) among adolescents. Design: Cross-sectional study with all children in age range 9-16 years (n ¼ 1146 boys and 1077 girls) from two schools catering to urban affluent high socio-economic class (HSE), for anthropometric measurements by trained investigators and BP measurement by a pediatrician using sphygmomanometer. Results: The prevalence of overweight based on conventional body mass index (BMI) cutoff was 27.5% for boys and 20.9% for girls but varied for different indicators. Prevalence of high systolic blood pressure (HSBP) was 12.0% in boys and 9.7% in girls and increased with increasing levels of BMI, weight, triceps skin fold thickness (TSFT) and percent body fat. Mean level of SBP among overweight children was significantly (Po0.001) higher by about 12 mm Hg, whereas that for diastolic blood pressure was higher by 8 mm Hg (Po0.001) as compared to their non-overweight (age, sex-matched) counterparts. This was true in both sexes and for all indicators used for assessing overweight. Prevalence of HSBP increased suddenly beyond BMI value of 20 kg/m 2 in boys and 21.5 kg/m 2 in girls, beyond TSFT value of 12 mm for boys and 14 mm for girls whereas such cutoffs for body fat were above 25% in both sexes. These cutoffs appear much lower than the conventional ones and therefore indicate the need for validation of conventional cutoffs in different populations. Conclusions: Our findings highlight that BP measurement needs to be a routine part of physical examination in school children, and the use of cutoffs anchored to metabolic risks may be essential for assessment of obesity.

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Section: Discussionsupporting

confidence: 57%

Section: Discussionmentioning

confidence: 99%

Blood pressure among overweight adolescents from urban school children in Pune, India

2006

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“…The most consistent BF% values for definition of excess body fat in female adolescents range between 30 and 35%. BF% cutoffs for excess body fat in males are 25 and 30% for adolescents aged 10-15 years and between 20 and 25% when subjects up to the age of 18 years are considered (Weststrate and Deurenberg, 1989;Sardinha et al, 1999;Taylor et al, 2002Taylor et al, , 2003. Morrison et al (2001) reported BF% values obtained with the same equations, in females aged 9-19 years; when compared with our girls, BF% values were higher in American children, except for white females at the age of 13 years.…”

Section: Discussionmentioning

confidence: 81%

Anthropometric body fat composition reference values in Spanish adolescents. The AVENA Study

et al. 2005

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Objective: To determine reference values for body mass index (BMI), sum of six skinfolds ( P 6 skinfolds) and body fat percentage (BF%) in Spanish adolescents aged 13-18 years, included in the AVENA Study (Alimentació n y Valoració n del Estado Nutricional en Adolescentes: Food and Assessment of the Nutritional Status of Adolescents). Design: Multicentre cross-sectional study. Setting: Representative sample of Spanish adolescents. Subjects: The population was selected by means of a multiplestep, simple random sampling. The final number of subjects included in the AVENA Study was 2859 adolescents; 2160 adolescents had a complete set of anthropometric measurements and were then included in this study (1109 males and 1051 females). Interventions: Weight, height and six skinfold thicknesses were measured. As indices of total adiposity, we calculated BMI, P 6 skinfolds and BF% with the formulas described by Slaughter et al. Results: P 6 skinfolds and BF% in each age group were significantly higher in females than in males. In males, age showed a significant effect for BMI, P 6 skinfolds and BF%; however, in females, the effect was only significant for BF%. The percentile distribution was more disperse towards higher P 6 skinfolds and BF% values in males when compared with females. Conclusions: The presented percentile values will help us to classify adolescents in comparison with a well-established reference population, and to estimate the proportion of adolescents with high or low adiposity amounts.

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“…However, future studies with a longitudinal design are needed to confirm our findings. 41 in their study with children and adolescents aged 10-15 years observed that BMI and triceps skinfold thickness accurately predicted obesity (AUCs ranged 44 . Differences between studies may be due to methodological differences in data collection or even in data preparation (i.e.…”

mentioning

confidence: 95%

Body Composition Indices and Single and Clustered Cardiovascular Disease Risk Factors in Adolescents: Providing Clinical-Based Cut-Points

Gracia‐Marco

Moreno

Ruiz

et al. 2016

Progress in Cardiovascular Diseases

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Receiver operating characteristic analysis of body mass index, triceps skinfold thickness, and arm girth for obesity screening in children and adolescents

Abstract: The results suggest that triceps skinfold thickness gives the best results for obesity screening in adolescents aged 10-15 y. BMI and upper arm girth were reasonable alternatives, except in 14-15-y-old boys, in whom both indexes were only marginally able to discriminate obesity.

Cited by 186 publications

References 22 publications

Blood pressure among overweight adolescents from urban school children in Pune, India

Blood pressure among overweight adolescents from urban school children in Pune, India

Anthropometric body fat composition reference values in Spanish adolescents. The AVENA Study

Body Composition Indices and Single and Clustered Cardiovascular Disease Risk Factors in Adolescents: Providing Clinical-Based Cut-Points

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