+ Site Statistics
+ Search Articles
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ PDF Full Text
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn

+ Translate
+ Recently Requested

Assessment of body fatness in childhood obesity: evaluation of laboratory and anthropometric techniques

Assessment of body fatness in childhood obesity: evaluation of laboratory and anthropometric techniques

Journal of the American Dietetic Association 87(10): 1344-1348

The identification of obesity as a pathological diagnosis depends on an accurate assessment of body fatness and a correlation of fatness with pathological consequences. Because total body fat varies with body weight, the proportion of body weight that is fat is probably a more reliable indicator of risk. Among obese children and adolescents, several problems have hindered the development of accurate clinical measures of percent body fat and total body fat. First, the use of direct methods to measure body composition is limited by expense and labor. Second, the relationship between anthropometric indexes and body composition in obese children and adolescents has not been intensively studied. Third, sample sizes of normal weight children have been too small to permit the development of diagnostic criteria. Fourth, the triceps skinfold is less reproducible in overweight subjects. Increases in lean body mass in obese adolescents may confound the use of body mass index as a measure of adiposity. Current laboratory methods for the measurement of body composition include: (1) underwater weighing, (2) 40K counting, (3) isotopic dilution measures, (4) neutron activation, and (5) electrical impedance. This article examines relationships between those methods and anthropometry in the measurement of fatness in children and adolescents, as well as the difficulties in measuring body fatness and the importance of body fat distribution and its relationship to morbidity in children. Current evidence suggests an association of morbidity and upper segment obesity in adults. Corresponding studies in children and adolescents are yet to be carried out.(author)

(PDF emailed within 1 workday: $29.90)

Accession: 001533020

Download citation: RISBibTeXText

PMID: 3655163

Related references

Anthropometric assessment of body fat and fatness. Himes, J H (Ed ) Anthropometric Assessment Of Nutritional Status Xi+431p John Wiley And Sons, Inc : New York, New York, Usa; Chichester, England, Uk Illus 197-212, 1991

Tracking of obesity and body fatness through mid-childhood. Archives of Disease in Childhood 95(8): 612-617, 2010

Longitudinal trends in body fatness during childhood and their relationship to earlier and later body fatness status. American Journal of Physical Anthropology 60(2): 187, 1983

Anthropometric criteria used in the assessment of obesity in childhood. Revista Espanola de Pediatria 54(323): 407-413, 1998

Evaluation of the relative accuracy of anthropometric indicators to assess body fatness as measured by air displacement plethysmography in Indian women. American Journal of Human Biology 28(5): 743-745, 2016

Comparison of ultrasonographic and anthropometric methods to assess body fat in childhood obesity. International Journal of Obesity 31(1): 53-58, 2006

Influence of body fatness in childhood on fatness in adult life. British Medical Journal 1(6157): 151-152, 1979

Computers in paediatrics: (19). Computer assisted calculation of anthropometric indices for the assessment of childhood obesity. Journal of the Singapore Paediatric Society 28(3-4): 262-265, 1986

Value of body fat mass vs anthropometric obesity indices in the assessment of metabolic risk factors. International Journal of Obesity 30(3): 475-483, 2005

Reliability of near-infrared interactance body fat assessment relative to standard anthropometric techniques. Journal of Clinical Epidemiology 48(11): 1361-1367, 1995

Grading body fatness from limited anthropometric data. American Journal of Clinical Nutrition 34(12): 2831-2838, 1981

Usefulness of the 5-6-yrs-old anthropometric health report for the evaluation of childhood overweight and obesity: pilot study in Lombardia (Italy). Epidemiologia E Prevenzione 31(1): 56-61, 2007

Eleventh Haridas memorial lecture. Childhood obesity in Singapore primary school children: epidemiological review and anthropometric evaluation. Journal of the Singapore Paediatric Society 27 Suppl 1: 5-40, 1985

Measurement issues related to studies of childhood obesity: Assessment of body composition, body fat distribution, physical activity, and food intake. Pediatrics 101(3): 505-518, 1998