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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Wells, Jonathan C. K. |
| Description | Country affiliation: United kingdom Author Affiliation: Wells JC ( Childhood Nutrition Research Centre, University College London Institute of Child Health, London, UK jonathan.wells@ucl.ac.uk.) |
| Abstract | Growth charts for weight and height have provided the basis for assessment of children's nutritional status for over half a century, with charts for body mass index (BMI) introduced in the 1990s. However, BMI does not provide information on the proportions of fat and lean mass; and within the past decade, growth charts for children's body composition have been produced by using techniques such as skinfold thicknesses, body circumferences, bioelectrical impedance analysis (BIA), and dual-energy X-ray absorptiometry (DXA). For public health research, BIA and skinfold thicknesses show negligible average bias but have wider limits of agreement than specialized techniques. For patients, DXA is the best individual method, but multicomponent models remain ideal because they address perturbations in lean mass composition. Data can be expressed in age- and sex-specific SD scores, in some cases adjusting for height. Most such reference data derive from high-income countries, but techniques such as air-displacement plethysmography allow infant body composition growth charts to be developed in low- and middle-income settings, where the data may improve understanding of the effects of low birth weight, wasting, and stunting on body composition. Recent studies suggest that between-population variability in body composition may derive in part from genetic factors, suggesting a universal human body composition reference may not be viable. Body composition growth charts may be extended into adult life to evaluate changes in fat and lean mass through the entire life course. These reference data will improve the understanding of the association between growth, body composition, health, and disease. |
| File Format | HTM / HTML |
| ISSN | 21618313 |
| e-ISSN | 21565376 |
| DOI | 10.3945/an.113.005371 |
| Journal | Advances in Nutrition: An International Review Journal |
| Issue Number | 3 |
| Volume Number | 5 |
| Language | English |
| Publisher | Oxford University Press |
| Publisher Date | 2014-05-01 |
| Publisher Place | United States |
| Access Restriction | Open |
| Subject Keyword | Discipline Nutritional Sciences Body Composition Absorptiometry, Photon Adipose Tissue Adolescent Body Mass Index Body Weight Child, Preschool Databases, Factual Electric Impedance Infant Nutrition Assessment Nutritional Status Reference Values Skinfold Thickness |
| Content Type | Text |
| Resource Type | Article |
| Subject | Nutrition and Dietetics Medicine Food Science |
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