Tri-ponderal mass index as a tool for insulin resistance prediction in overweight adolescents: A cross-sectional study

Matsuo, Adriano Ruy; Lopes, Wendell Arthur; Locateli, João Carlos; Simões, Caroline Ferraz; Oliveira, Gustavo Henrique de Medeiros; Nardo, Nélson

doi:10.1016/j.nut.2020.110744

Cited by 10 publications

(8 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Eight articles compared TMI and BMI for identifying insulin resistance (IR) or impaired glucose in children and adolescents ( Table 2 ) ( 13 , 14 , 21 , 29 , 31 , 32 , 34 , 45 ). Among these eight articles, seven reported that BMI (used as a continuous variable) performed similarly or marginally better than TMI for identifying IR ( 13 , 21 , 29 , 31 , 32 , 34 , 45 ). In addition, compared to BMI, TMI was more likely to underestimate IR ( 14 ).…”

Section: Resultsmentioning

confidence: 99%

“…The inconsistent cutoffs of TMI and BMI for identifying overweight might lead to different identification of IR. When restricted to children and adolescents aged 4–18 years with overweight or obesity, WHtR or WC, used as continuous variables, seemed to perform best among the four obesity-related indicators (TMI, WC z-score, BMI z-score, and BMI) to predict IR ( 31 , 32 ).…”

Section: Resultsmentioning

confidence: 99%

“…One possible reason might be that adiposity defined according to TMI or BMI only accounts for one of the MetS criteria. Another reason might be the inconsistent performances of three indicators (TMI, BMI, and WC) in identifying specific CVRFs including IR, high BP, dyslipidemia, and inflammation ( 13 , 14 , 21 , 29 , 31 , 32 ), which are the main components of MetS.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Tri-Ponderal Mass Index as a Screening Tool for Identifying Body Fat and Cardiovascular Risk Factors in Children and Adolescents: A Systematic Review

et al. 2021

View full text Add to dashboard Cite

Because of the limitation of body mass index (BMI) in distinguishing adipose mass from muscle, the tri-ponderal mass index (TMI) has been proposed as a new indicator for better assessing adiposity in children and adolescents. However, it remains unclear whether TMI performs better than BMI or other adiposity indices in predicting obesity status in childhood and obesity-related cardiovascular risk factors (CVRFs) in childhood or adulthood. We searched PubMed, Cochrane Library, and Web of Science for eligible publications until June 15, 2021. A total of 32 eligible studies were included in this systematic review. We found that TMI had a similar or better ability to predict body fat among children and adolescents than BMI. However, most of the included studies suggested that TMI was similar to BMI in identifying metabolic syndrome although TMI was suggested to be a useful tool when used in combination with other indicators (e.g., BMI and waist circumference). In addition, limited evidence showed that TMI did not perform better than BMI for identifying specific CVRFs, including insulin resistance, high blood pressure, dyslipidemia, and inflammation in children and adolescents, as well as CVRFs in adults.Systematic Review Registrationhttps://www.crd.york.ac.uk/prospero, CRD42021260356.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Tri-Ponderal Mass Index as a Screening Tool for Identifying Body Fat and Cardiovascular Risk Factors in Children and Adolescents: A Systematic Review

et al. 2021

View full text Add to dashboard Cite

show abstract

“…However, Wang et al [24] demonstrated that TMI had better screening capability for IFG than BMI in the Chinese population ( P < 0.05), while in our population, TMI was not correlated to FPG, ORs were not significant in logistic regression models, and AUCs also showed that TMI failed to identify IFG. A recently published paper evaluated the ability of TMI to identify insulin resistance in Brazilian overweight adolescents aged 12 to 18 years and compared with BMI [42] . Their findings found that TMI was not superior to BMI in its accuracy and capacity to predict insulin resistance.…”

Section: Discussionmentioning

confidence: 99%

Accuracy and capability of tri-ponderal mass index in assessing cardio-metabolic risk factors in Chinese children and adolescents aged 3 to 17 years, compared with body mass index

Chen

et al. 2023

Chinese Medical Journal

View full text Add to dashboard Cite

Background: Tri-ponderal mass index (TMI) has been reported to be a more accurate estimate of body fat than body mass index (BMI). This study aims to compare the effectiveness of TMI and BMI in identifying hypertension, dyslipidemia, impaired fasting glucose (IFG), abdominal obesity, and clustered cardio-metabolic risk factors (CMRFs) in 3-to 17-year-old children. Methods: A total of 1587 children aged 3 to 17 years were included. Logistic regression was used to evaluate correlations between BMI and TMI. Area under the curves (AUCs) were used to compare discriminative capability among indicators. BMI was converted to BMI-z scores, and accuracy was compared by false-positive rate, false-negative rate, and total misclassification rate. Results: Among children aged 3 to 17 years, the mean TMI was 13.57 ± 2.50 kg/m 3 for boys and 13.3 ± 2.33 kg/m 3 for girls. Odds ratios (ORs) of TMI for hypertension, dyslipidemia, abdominal obesity, and clustered CMRFs ranged from 1.13 to 3.15, higher than BMI, whose ORs ranged from 1.08 to 2.98. AUCs showed similar ability of TMI (AUC: 0.83) and BMI (AUC: 0.85) in identifying clustered CMRFs. For abdominal obesity and hypertension, the AUC of TMI was 0.92 and 0.64, respectively, which was significantly better than that of BMI, 0.85 and 0.61. AUCs of TMI for dyslipidemia and IFG were 0.58 and 0.49. When 85th and 95th of TMI were set as thresholds, total misclassification rates of TMI for clustered CMRFs ranged from 6.5% to 16.4%, which was not significantly different from that of BMI-z scores standardized according to World Health Organization criteria. Conclusions: TMI was found to have equal or even better effectiveness in comparison with BMI in identifying hypertension, abdominal obesity, and clustered CMRFs TMI was more stable than BMI in 3-to 17-year-old children, while it failed to identify dyslipidemia and IFG. It is worth considering the use of TMI for screening CMRFs in children and adolescents.

show abstract

“…Dodatkowo Matsuo i wsp. [59] w badaniu nastolatków z nadwagą stwierdzili, że Tri-ponderal Mass Index nie charakteryzuje się większą dokładnością predykcyjną w badaniach przesiewowych przewidywania insulinooporności u brazylijskich nastolatków z nadwagą w porównaniu z możliwościami jakie daje BMI. Z drugiej strony w badaniach przeprowadzonych na dużych grupach chińskich i amerykańskich dzieci stwierdzono, że TMI jest dobrym narzędziem w badaniu nastolatków [60].…”

Section: Tmi (Tri-ponderal Mass Index)unclassified

Anthropometric indicators associated with childhood obesity. Is it time for a BMI successor?

Walczyk

2021

J Educ Health Sport

View full text Add to dashboard Cite

Childhood obesity and overweight have a wide impact on physical and mental health, and affect adulthood. In the last decade, scientists have been looking with concern at the increasingly frequent excess body weight in children and adolescents. Therefore, it is crucial to estimate the scale of the problem, and thus to correctly assess the level of adipose tissue. In assessing the nutritional status of the young, anthropometric measurements and indicators are used. Despite the widespread use of BMI (body mass index), this indicator is often criticized. BMI is frequently recognized as an imprecise tool and its use often results in misleading classification. Therefore, the aim of this study is to present selected, non-invasive anthropometric indicators related to overweight/obesity in children.Anthropometric indicators are relatively simple tools used in public health. However, the search for a simple and useful indicator is still ongoing, which will enable the assessment of the nutritional status both in clinical practice and in population studies. The paper presents the most frequently described anthropometric indicators in the literature: body mass index (BMI) and BMIz score, relative fat mass pediatric (RFMp), tri-ponderal mass index (TMI), pediatric body adiposity fat index (BAIp) and the mid-upper arm circumference (MUCA). The possibilities of application and their effectiveness for the estimation of adipose tissue content and the risk of coexisting diseases are presented.Although there is no consensus on the best tool, it is known that BMI will remain the main parameter in assessing nutritional status. Nevertheless, the authors suggest the usefulness of tools such as RFMp, TMI and MUAC as a good complement to the imperfections ascribed to BMI.

show abstract

Tri-ponderal mass index as a tool for insulin resistance prediction in overweight adolescents: A cross-sectional study

Cited by 10 publications

References 34 publications

Tri-Ponderal Mass Index as a Screening Tool for Identifying Body Fat and Cardiovascular Risk Factors in Children and Adolescents: A Systematic Review

Tri-Ponderal Mass Index as a Screening Tool for Identifying Body Fat and Cardiovascular Risk Factors in Children and Adolescents: A Systematic Review

Accuracy and capability of tri-ponderal mass index in assessing cardio-metabolic risk factors in Chinese children and adolescents aged 3 to 17 years, compared with body mass index

Anthropometric indicators associated with childhood obesity. Is it time for a BMI successor?

Contact Info

Product

Resources

About