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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Tuan, Nguyen T. Wang, Youfa |
| Spatial Coverage | United States |
| Description | Country affiliation: Vietnam Author Affiliation: Tuan NT ( Johns Hopkins Global Center on Childhood Obesity, Department of International Health Human Nutrition Program, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA) |
| Abstract | OBJECTIVES: To evaluate performance of anthropometric measures relative to percentage body fat (%BF) measured by dual-energy X-ray absorptiometry in children. METHODS: Data from 8 to 19-year-old U.S. children enrolled in a nationally representative cross-sectional survey in 2001-2004 (n = 5,355) with measured %BF, body mass index (BMI), waist circumference (WC), waist-to-height ratio (WHtR), and triceps skinfold thickness (TSF) were used. Agreement and prediction were evaluated based on standardized regression coefficients (ß), kappa, and the area under the receiver-operating characteristic curves (AUC). RESULTS: The association between Z-scores for %BF and anthropometric measures was strong (ß of â¼0.75-0.90, kappa of â¼0.60-0.75, and AUC of â¼0.87-0.98; P < 0.001 for all), with only some variations by race-ethnicity, mostly in girls. In boys, TSF and WHtR Z-scores had stronger agreement with %BF than BMI (ß of 0.91 and 0.86 vs. 0.79, kappa of 0.75 and 0.71 vs. 0.59, and AUC of 0.97 and 0.97 vs. 0.91; P < 0.05 for all). In boys with BMI < median but %BF ≥ median, ß value of TSF Z-score was higher than those from BMI. In girls, TSF also provided a higher agreement than BMI, but was only statistically higher for kappa. CONCLUSIONS: High agreement and small racial-ethnic variations in the association between %BF and anthropometric measures support the use of anthropometric measures, especially WHtR and TSF, as proxy indicators for adiposity. |
| File Format | HTM / HTML |
| ISSN | 19307381 |
| e-ISSN | 1930739X |
| DOI | 10.1002/oby.20689 |
| Journal | Obesity |
| Issue Number | 6 |
| Volume Number | 22 |
| Language | English |
| Publisher | Wiley-Blackwell |
| Publisher Date | 2014-06-01 |
| Publisher Place | United States |
| Access Restriction | Open |
| Subject Keyword | Discipline Endocrinology Absorptiometry, Photon Adiposity Physiology Body Height Body Mass Index Obesity Diagnosis Waist Circumference Adipose Tissue Metabolism Adolescent Area Under Curve Body Composition Cross-sectional Studies Linear Models Nutrition Surveys Roc Curve Skinfold Thickness Waist-hip Ratio Research Support, N.i.h., Extramural Research Support, Non-u.s. Gov't |
| Content Type | Text |
| Resource Type | Article |
| Subject | Nutrition and Dietetics Endocrinology, Diabetes and Metabolism Endocrinology |
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