Obesity in a cohort of black Jamaican children as estimated by BMI and other indices of adiposity
Objective : To examine the relationships of body mass index (BMI) to obesity indices derived from anthropometry and to determine tracking of overweight between late childhood and early adolescence, in a cohort of children with mixed nutritional history. We also compared identification of overweight...
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| Vydáno v: | European journal of clinical nutrition Ročník 57; číslo 3; s. 420 - 426 |
|---|---|
| Hlavní autoři: | , |
| Médium: | Journal Article |
| Jazyk: | angličtina |
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London
Nature Publishing Group UK
01.03.2003
Nature Publishing Nature Publishing Group |
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| ISSN: | 0954-3007, 1476-5640 |
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| Abstract | Objective
: To examine the relationships of body mass index (BMI) to obesity indices derived from anthropometry and to determine tracking of overweight between late childhood and early adolescence, in a cohort of children with mixed nutritional history. We also compared identification of overweight children using The International Obesity Task Force (IOTF) BMI cut-off points with skinfolds.
Design
: Prospective study.
Setting
: Kingston, Jamaica.
Subjects
: A total of 306 children examined at 7–8 y and at 11–12 y.
Measurements
: Triceps (TSF) and subscapular skinfolds (SSF), height and weight were measured. The sum of the skinfolds (sum SF), BMI, percentage body fat (%fat) and fat mass (FM) were calculated. Pubertal stage was assessed at 11–12 y.
Results
: Overweight increased from 3.5 to 9.5% over the follow-up period. BMI was better correlated with the other indices of adiposity in girls and in the older age group. BMI tracking over follow up was high. In regression analysis BMI explained 52 and 61% of the variance in FM in boys and girls at 7–8 y. This increased to 69% in both sexes at 11–12 y. Using the IOTF cut-off points BMI had low sensitivity to identify children >85th percentile of the NHANES references for SSF. The sensitivity for those assessed by TSF and sum SF was higher, but between 14 and 30% of the children were misclassified. The specificity of BMI was high.
Conclusions
: Adiposity increased over follow-up. Although the cohort remained relatively lean BMI rank among the fattest children was maintained. Girls were fatter than boys, reflecting adult obesity patterns. Children identified as overweight by the IOTF BMI cut-off points are likely to have high body fatness. However the BMI cut-off points may not identify many children with high body fatness.
Sponsorship
: Nutricia Research Foundation and the Wellcome Trust (grant no. 049235/Z/96/Z). |
|---|---|
| AbstractList | Objective
: To examine the relationships of body mass index (BMI) to obesity indices derived from anthropometry and to determine tracking of overweight between late childhood and early adolescence, in a cohort of children with mixed nutritional history. We also compared identification of overweight children using The International Obesity Task Force (IOTF) BMI cut-off points with skinfolds.
Design
: Prospective study.
Setting
: Kingston, Jamaica.
Subjects
: A total of 306 children examined at 7–8 y and at 11–12 y.
Measurements
: Triceps (TSF) and subscapular skinfolds (SSF), height and weight were measured. The sum of the skinfolds (sum SF), BMI, percentage body fat (%fat) and fat mass (FM) were calculated. Pubertal stage was assessed at 11–12 y.
Results
: Overweight increased from 3.5 to 9.5% over the follow-up period. BMI was better correlated with the other indices of adiposity in girls and in the older age group. BMI tracking over follow up was high. In regression analysis BMI explained 52 and 61% of the variance in FM in boys and girls at 7–8 y. This increased to 69% in both sexes at 11–12 y. Using the IOTF cut-off points BMI had low sensitivity to identify children >85th percentile of the NHANES references for SSF. The sensitivity for those assessed by TSF and sum SF was higher, but between 14 and 30% of the children were misclassified. The specificity of BMI was high.
Conclusions
: Adiposity increased over follow-up. Although the cohort remained relatively lean BMI rank among the fattest children was maintained. Girls were fatter than boys, reflecting adult obesity patterns. Children identified as overweight by the IOTF BMI cut-off points are likely to have high body fatness. However the BMI cut-off points may not identify many children with high body fatness.
Sponsorship
: Nutricia Research Foundation and the Wellcome Trust (grant no. 049235/Z/96/Z). Objective: To examine the relationships of body mass index (BMI) to obesity indices derived from anthropometry and to determine tracking of overweight between late childhood and early adolescence, in a cohort of children with mixed nutritional history. We also compared identification of overweight children using The International Obesity Task Force (IOTF) BMI cut-off points with skinfolds.Design: Prospective study.Setting: Kingston, Jamaica.Subjects: A total of 306 children examined at 7–8 y and at 11–12 y.Measurements: Triceps (TSF) and subscapular skinfolds (SSF), height and weight were measured. The sum of the skinfolds (sum SF), BMI, percentage body fat (%fat) and fat mass (FM) were calculated. Pubertal stage was assessed at 11–12 y.Results: Overweight increased from 3.5 to 9.5% over the follow-up period. BMI was better correlated with the other indices of adiposity in girls and in the older age group. BMI tracking over follow up was high. In regression analysis BMI explained 52 and 61% of the variance in FM in boys and girls at 7–8 y. This increased to 69% in both sexes at 11–12 y. Using the IOTF cut-off points BMI had low sensitivity to identify children >85th percentile of the NHANES references for SSF. The sensitivity for those assessed by TSF and sum SF was higher, but between 14 and 30% of the children were misclassified. The specificity of BMI was high.Conclusions: Adiposity increased over follow-up. Although the cohort remained relatively lean BMI rank among the fattest children was maintained. Girls were fatter than boys, reflecting adult obesity patterns. Children identified as overweight by the IOTF BMI cut-off points are likely to have high body fatness. However the BMI cut-off points may not identify many children with high body fatness.Sponsorship: Nutricia Research Foundation and the Wellcome Trust (grant no. 049235/Z/96/Z). To examine the relationships of body mass index (BMI) to obesity indices derived from anthropometry and to determine tracking of overweight between late childhood and early adolescence, in a cohort of children with mixed nutritional history. We also compared identification of overweight children using The International Obesity Task Force (IOTF) BMI cut-off points with skinfolds.OBJECTIVETo examine the relationships of body mass index (BMI) to obesity indices derived from anthropometry and to determine tracking of overweight between late childhood and early adolescence, in a cohort of children with mixed nutritional history. We also compared identification of overweight children using The International Obesity Task Force (IOTF) BMI cut-off points with skinfolds.Prospective study.DESIGNProspective study.Kingston, Jamaica.SETTINGKingston, Jamaica.A total of 306 children examined at 7-8 y and at 11-12 y.SUBJECTSA total of 306 children examined at 7-8 y and at 11-12 y.Triceps (TSF) and subscapular skinfolds (SSF), height and weight were measured. The sum of the skinfolds (sum SF), BMI, percentage body fat (%fat) and fat mass (FM) were calculated. Pubertal stage was assessed at 11-12 y.MEASUREMENTSTriceps (TSF) and subscapular skinfolds (SSF), height and weight were measured. The sum of the skinfolds (sum SF), BMI, percentage body fat (%fat) and fat mass (FM) were calculated. Pubertal stage was assessed at 11-12 y.Overweight increased from 3.5 to 9.5% over the follow-up period. BMI was better correlated with the other indices of adiposity in girls and in the older age group. BMI tracking over follow up was high. In regression analysis BMI explained 52 and 61% of the variance in FM in boys and girls at 7-8 y. This increased to 69% in both sexes at 11-12 y. Using the IOTF cut-off points BMI had low sensitivity to identify children >85th percentile of the NHANES references for SSF. The sensitivity for those assessed by TSF and sum SF was higher, but between 14 and 30% of the children were misclassified. The specificity of BMI was high.RESULTSOverweight increased from 3.5 to 9.5% over the follow-up period. BMI was better correlated with the other indices of adiposity in girls and in the older age group. BMI tracking over follow up was high. In regression analysis BMI explained 52 and 61% of the variance in FM in boys and girls at 7-8 y. This increased to 69% in both sexes at 11-12 y. Using the IOTF cut-off points BMI had low sensitivity to identify children >85th percentile of the NHANES references for SSF. The sensitivity for those assessed by TSF and sum SF was higher, but between 14 and 30% of the children were misclassified. The specificity of BMI was high.Adiposity increased over follow-up. Although the cohort remained relatively lean BMI rank among the fattest children was maintained. Girls were fatter than boys, reflecting adult obesity patterns. Children identified as overweight by the IOTF BMI cut-off points are likely to have high body fatness. However the BMI cut-off points may not identify many children with high body fatness.CONCLUSIONSAdiposity increased over follow-up. Although the cohort remained relatively lean BMI rank among the fattest children was maintained. Girls were fatter than boys, reflecting adult obesity patterns. Children identified as overweight by the IOTF BMI cut-off points are likely to have high body fatness. However the BMI cut-off points may not identify many children with high body fatness. Objective: To examine the relationships of body mass index (BMI) to obesity indices derived from anthropometry and to determine tracking of overweight between late childhood and early adolescence, in a cohort of children with mixed nutritional history. We also compared identification of overweight children using The International Obesity Task Force (IOTF) BMI cut-off points with skinfolds. Design: Prospective study. Setting: Kingston, Jamaica. Subjects: A total of 306 children examined at 7-8 y and at 11-12 y. Measurements: Triceps (TSF) and subscapular skinfolds (SSF), height and weight were measured. The sum of the skinfolds (sum SF), BMI, percentage body fat (%fat) and fat mass (FM) were calculated. Pubertal stage was assessed at 11-12 y. Results: Overweight increased from 3.5 to 9.5% over the follow-up period. BMI was better correlated with the other indices of adiposity in girls and in the older age group. BMI tracking over follow up was high. In regression analysis BMI explained 52 and 61% of the variance in FM in boys and girls at 7-8 y. This increased to 69% in both sexes at 11-12 y. Using the IOTF cut-off points BMI had low sensitivity to identify children >85th percentile of the NHANES references for SSF. The sensitivity for those assessed by TSF and sum SF was higher, but between 14 and 30% of the children were misclassified. The specificity of BMI was high. Conclusions: Adiposity increased over follow-up. Although the cohort remained relatively lean BMI rank among the fattest children was maintained. Girls were fatter than boys, reflecting adult obesity patterns. Children identified as overweight by the IOTF BMI cut-off points are likely to have high body fatness. However the BMI cut-off points may not identify many children with high body fatness. [PUBLICATION ABSTRACT] To examine the relationships of body mass index (BMI) to obesity indices derived from anthropometry and to determine tracking of overweight between late childhood and early adolescence, in a cohort of children with mixed nutritional history. We also compared identification of overweight children using The International Obesity Task Force (IOTF) BMI cut-off points with skinfolds. Prospective study. Kingston, Jamaica. A total of 306 children examined at 7-8 y and at 11-12 y. Triceps (TSF) and subscapular skinfolds (SSF), height and weight were measured. The sum of the skinfolds (sum SF), BMI, percentage body fat (%fat) and fat mass (FM) were calculated. Pubertal stage was assessed at 11-12 y. Overweight increased from 3.5 to 9.5% over the follow-up period. BMI was better correlated with the other indices of adiposity in girls and in the older age group. BMI tracking over follow up was high. In regression analysis BMI explained 52 and 61% of the variance in FM in boys and girls at 7-8 y. This increased to 69% in both sexes at 11-12 y. Using the IOTF cut-off points BMI had low sensitivity to identify children >85th percentile of the NHANES references for SSF. The sensitivity for those assessed by TSF and sum SF was higher, but between 14 and 30% of the children were misclassified. The specificity of BMI was high. Adiposity increased over follow-up. Although the cohort remained relatively lean BMI rank among the fattest children was maintained. Girls were fatter than boys, reflecting adult obesity patterns. Children identified as overweight by the IOTF BMI cut-off points are likely to have high body fatness. However the BMI cut-off points may not identify many children with high body fatness. Objective: To examine the relationships of body mass index (BMI) to obesity indices derived from anthropometry and to determine tracking of overweight between late childhood and early adolescence, in a cohort of children with mixed nutritional history. We also compared identification of overweight children using The International Obesity Task Force (IOTF) BMI cut-off points with skinfolds. Design: Prospective study. Setting: Kingston, Jamaica. Subjects: A total of 306 children examined at 7-8 y and at 11-12 y. Measurements: Triceps (TSF) and subscapular skinfolds (SSF), height and weight were measured. The sum of the skinfolds (sum SF), BMI, percentage body fat (%fat) and fat mass (FM) were calculated. Pubertal stage was assessed at 11-12 y. Results: Overweight increased from 3.5 to 9.5% over the follow-up period. BMI was better correlated with the other indices of adiposity in girls and in the older age group. BMI tracking over follow up was high. In regression analysis BMI explained 52 and 61% of the variance in FM in boys and girls at 7-8 y. This increased to 69% in both sexes at 11-12 y. Using the IOTF cut-off points BMI had low sensitivity to identify children >85th percentile of the NHANES references for SSF. The sensitivity for those assessed by TSF and sum SF was higher, but between 14 and 30% of the children were misclassified. The specificity of BMI was high. Conclusions: Adiposity increased over follow-up. Although the cohort remained relatively lean BMI rank among the fattest children was maintained. Girls were fatter than boys, reflecting adult obesity patterns. Children identified as overweight by the IOTF BMI cut-off points are likely to have high body fatness. However the BMI cut-off points may not identify many children with high body fatness. |
| Audience | Professional Academic |
| Author | Gaskin, P S Walker, S P |
| Author_xml | – sequence: 1 givenname: P S surname: Gaskin fullname: Gaskin, P S email: pgaskin@uwimona.edu.jm organization: Epidemiology Research Unit, Tropical Medicine Research Institute, University of the West Indies – sequence: 2 givenname: S P surname: Walker fullname: Walker, S P organization: Epidemiology Research Unit, Tropical Medicine Research Institute, University of the West Indies |
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| CitedBy_id | crossref_primary_10_1038_oby_2009_132 crossref_primary_10_1186_s40608_014_0030_4 crossref_primary_10_1080_03014460410001670139 crossref_primary_10_1111_j_1740_8709_2005_00021_x crossref_primary_10_1002_ajhb_20671 crossref_primary_10_1016_j_jpeds_2012_12_093 crossref_primary_10_1093_ije_dym252 crossref_primary_10_1038_sj_ejcn_1602266 crossref_primary_10_1111_ijpo_242 crossref_primary_10_1179_2046905511Y_0000000011 crossref_primary_10_1017_S1368980021000215 crossref_primary_10_1097_TIN_0000000000000028 crossref_primary_10_1017_S1368980020000828 crossref_primary_10_1210_jc_2010_0080 crossref_primary_10_1111_j_1467_789X_2009_00709_x crossref_primary_10_1007_s12519_018_0131_0 crossref_primary_10_1080_16070658_2020_1733305 crossref_primary_10_1580_07_WEME_OR_095_1 crossref_primary_10_4102_phcfm_v11i1_1949 crossref_primary_10_1136_bmjopen_2013_002817 crossref_primary_10_1186_s43058_021_00184_z crossref_primary_10_1038_sj_ejcn_1602913 crossref_primary_10_1590_S0102_311X2007001200020 crossref_primary_10_1038_oby_2010_250 crossref_primary_10_1080_16070658_2012_11734406 crossref_primary_10_1111_ijpo_12617 crossref_primary_10_1590_S0102_311X2004000600019 crossref_primary_10_1017_S1368980007000195 crossref_primary_10_3109_03014460_2011_638322 crossref_primary_10_1542_peds_2008_3586E crossref_primary_10_1017_S1368980013001900 |
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| Keywords | early adolescence BMI cut-off points skinfolds late childhood overweight Human Obesity Late Adipose tissue Nutrition disorder Black Overweight Body mass index Adolescent Early Child Nutritional status |
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: To examine the relationships of body mass index (BMI) to obesity indices derived from anthropometry and to determine tracking of overweight between... To examine the relationships of body mass index (BMI) to obesity indices derived from anthropometry and to determine tracking of overweight between late... Objective: To examine the relationships of body mass index (BMI) to obesity indices derived from anthropometry and to determine tracking of overweight between... |
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| SubjectTerms | Adipose Tissue adiposity adolescence Adolescents adults African Continental Ancestry Group Age Distribution Anthropometry Biological and medical sciences Black people Body Composition Body fat Body Mass Index Body size Body weight boys Child childhood Children Children & youth Clinical Nutrition Cohort Studies Epidemiology Feeding. Feeding behavior Female Follow-Up Studies Fundamental and applied biological sciences. Psychology Girls Humans Internal Medicine Jamaica Jamaica - epidemiology Male Medical sciences Medicine Medicine & Public Health Metabolic Diseases National Health and Nutrition Examination Survey Nutrition Surveys Obesity Obesity - diagnosis Obesity - epidemiology original-communication Overweight Prospective Studies puberty Public Health Reference Values Regression analysis Sensitivity analysis Sensitivity and Specificity Sex Characteristics Teenagers Tracking variance Vertebrates: anatomy and physiology, studies on body, several organs or systems |
| Title | Obesity in a cohort of black Jamaican children as estimated by BMI and other indices of adiposity |
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