Predictors of Indicators of body adiposity by chronological and biological age in children and adolescents residing in southern Chile
DOI:
https://doi.org/10.14306/renhyd.21.4.401Keywords:
Adiposity, Child, Adolescent, Growth.Abstract
Introduction: The aims of this study were to identify the skin folds that predict the indicators of body adiposity (Body Mass Index [BMI] and waist circumference [CC]), as well as to analyze if the indicators of body adiposity should be evaluated by chronological and/or biological age.Material and Methods: 131 children and adolescents (76 men and 55 women) were studied. The age range ranged between 6.0 and 14.9 years. Weight, standing height, sitting height, waist circumference were evaluated. The BMI and the peak growth rate years were calculated. The nutritional status categories were determined by BMI and CC according to the cut-off points of the CDC-2012.
Results: The four folds used (tricipital, bicipital, suprailiac and calf) explained the BMI from 38 to 58% in men and women from 38 to 72%. The power of explanation for CC in men was 30 to 56% and in women from 27 to 53%. The chronological age explained the BMI and CC in men from 0.08 to 37% and in women from 15 to 17%. The biological age explained BMI and CC in men from 11 to 44% and in women from 21 to 24%.
Conclusions: The suprailiac fold appears as the best predictor of BMI and CC in both sexes. The analysis of both indicators must be carried out by biological age rather than by chronological age.
References
(1) Esquivel M, González C. Excess weight and adiposity in children and adolescents in Havana, Cuba: prevalence and trends, 1972 to 2005. MEDICC Rev. 2010;12(2):13-8.
(2) Contreras-Mellado V, Vilchez-Avaca C, Gomez-Campos R, Luarte-Rocha C, Cossio MA. Tendencias al incremento de la adiposidad corporal y la presión arterial de jóvenes universitarios en dos cohortes (2009-2014). Nutr Hosp. 2015;32(6):2551-8.
(3) Langer RD, Borges JH, Pascoa MA, Cirolini VX, Guerra-Júnior G, Gonçalves EM. Validity of Bioelectrical Impedance Analysis to Estimation Fat-Free Mass in the Army Cadets. Nutrients. 2016;8(3):121.
(4) Martínez E, Devesa M, Bacallao J, Amador M. Índice subescapular/tricipital: valores percentilares en niños y adolescentes cubanos. Arch Latinoam Nutr. 1993;43(3):199-203.
(5) Ho S-Y, Lam T-H, Janus ED, Hong Kong Cardiovascular Risk Factor Prevalence Study Steering Committee. Waist to stature ratio is more strongly associated with cardiovascular risk factors than other simple anthropometric indices. Ann Epidemiol. 2003;13(10):683-91.
(6) Moreno LA, Pineda I, Rodríguez G, Fleta J, Sarría A, Bueno M. Waist circumference for the screening of the metabolic syndrome in children. Acta Paediatr. 2002;91(12):1307-12.
(7) Hirschler V, Maccallini G, Calcagno M, Aranda C, Jadzinsky M. Waist circumference identifies primary school children with metabolic syndrome abnormalities. Diabetes Technol Ther. 2007;9(2):149-57.
(8) Magalhães EIS, Sant’Ana LFR, Priore SE, Franceschini SCC. Waist circumference, waist/height ratio, and neck circumference as parameters of central obesity assessment in children. Rev Paul Pediatr. 2014;32(3):273-82.
(9) Peeters A, Barendregt JJ, Willekens F, Mackenbach JP, Al Mamun A, Bonneux L, et al. Obesity in adulthood and its consequences for life expectancy: a life-table analysis. Ann Intern Med. 2003;138(1):24-32.
(10) Malina RM, Bouchard C, Bar-Or O. Growth, maturation, and physical activity. 2ª ed. Champaign, Ill: Human Kinetics; 2004.
(11) Quadros TMB, da Silva RCR, Pires CS, Gordia AP, Campos W. Predicao do Indice de massa corporal em criancas atraves das dobras cutaneas. Rev Bras Cineantropom Desempenho Hum. 2008;10(3):243-8.
(12) Cossio-Bolaños MA, de Marco A, de Marco M, Arruda M. Los pliegues cutáneos como predictores del IMC en pre-púberes de ambos sexos. Actual Nutr. 2011;12(4):295-301.
(13) World Health Organization. Physical status: the use and interpretation of anthropometry. Report of a WHO Expert Committee. World Health Organ Tech Rep Ser. 1995;854:1-452.
(14) Ross WD, Marfell-Jones MJ. Kinanthropometry. En: Physiological testing of the high-performance athlete. Champaign, Ill: Human Kinetic; 1991. p. 223-308.
(15) Mirwald RL, Baxter-Jones ADG, Bailey DA, Beunen GP. An assessment of maturity from anthropometric measurements. Med Sci Sports Exerc. 2002;34(4):689-94.
(16) Fryar CD, Gu Q, Ogden CL. Anthropometric reference data for children and adults: United States, 2007-2010. Vital Health Stat 11. 2012;(252):1-48.
(17) Cossio-Bolaños MA, Arruda M, De Marco A. Correlación entre el índice de masa corporal y las circunferencias corporales de niños de 4 a 10 años. An Fac Med. 2010;71(2):79-82.
(18) Alvero-Cruz JR, Alvarez E, Fernández-García JC, Barrera J, Carrillo de Albornoz M, Sardinha LB. Validez de los Índices de masa corporal y de masa grasa como indicadores de sobrepeso en adolescentes españoles: estudio Esccola. Med Clin. 2010;135(1):8-14.
(19) Goran MI, Gower BA. Relation between visceral fat and disease risk in children and adolescents. Am J Clin Nutr. 1999;70(1):149S-56S.
(20) Moreno LA, Fleta J, Mur L, Sarría A, Bueno M. Fat distribution in obese and nonobese children and adolescents. J Pediatr Gastroenterol Nutr. 1998;27(2):176-80.
(21) Pereira PF, Serrano HMS, Carvalho GQ, Ribeiro SMR, Peluzio M do CG, Franceschini S do CC, et al. Measurements of location of body fat distribution: an assessment of colinearity with body mass, adiposity and stature in female adolescents. Rev Paul Pediatr. 2015;33(1):63-71.
(22) Dietz WH. Periods of risk in childhood for the development of adult obesity--what do we need to learn? J Nutr. 1997;127(9):1884S-1886S.
(23) Ahmed ML, Ong KK, Dunger DB. Childhood obesity and the timing of puberty. Trends Endocrinol Metab. 2009;20(5):237-42.
(24) Boyne MS, Thame M, Osmond C, Fraser RA, Gabay L, Taylor-Bryan C, et al. The effect of earlier puberty on cardiometabolic risk factors in Afro-Caribbean children. J Pediatr Endocrinol Metab. 2014;27(5-6):453-60.
(25) Hallal PC, Andersen LB, Bull FC, Guthold R, Haskell W, Ekelund U, et al. Global physical activity levels: surveillance progress, pitfalls, and prospects. Lancet. 2012;380(9838):247-57.
(26) Cossio-Bolaños M, de Arruda M, Andruske CL, Luarte-Rocha C, Gómez-Campos R. Secular trends of physical growth and abdominal adiposity of school children and adolescents living at a moderate altitude in Peru. Am J Phys Anthropol. 2017;162(2):385-92.
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