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Height and adiposity among children.

David S Freedman1, John C Thornton, Zuguo Mei

  • 1Division of Nutrition and Physical Activity, Centers for Disease Control and Prevention, Mailstop K-26, 4770 Buford Highway, Atlanta, GA 30341-3717, USA. DFreedman@CDC.gov

Obesity Research
|May 29, 2004
PubMed
Summary
This summary is machine-generated.

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Body Mass Index (BMI) appropriately identifies overweight in children, as height and adiposity are linked before age 12. Taller children are correctly classified as overweight due to this correlation.

Area of Science:

  • Pediatric endocrinology
  • Growth and development
  • Body composition analysis

Background:

  • Body Mass Index (BMI) is a common metric for childhood adiposity.
  • BMI shows a moderate correlation with height in children.
  • The 95th percentile BMI cutoff may preferentially classify taller children as overweight.

Purpose of the Study:

  • To evaluate the appropriateness of using BMI to classify overweight status in children.
  • To examine the relationship between height, BMI, skinfold thickness, and body fat percentage in children aged 5-18.

Main Methods:

  • Cross-sectional study of 1180 children aged 5-18 years.
  • Assessed height, BMI, sum of 10 skinfold thicknesses, and body fat percentage (DXA).
  • Analyzed the correlation between height and adiposity measures across different age groups.

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Main Results:

  • Taller children, especially those aged 5-11, had a higher prevalence of BMI-defined overweight.
  • Each SD increase in height-for-age correlated with a 4.6-fold increase in overweight prevalence in younger boys.
  • Height correlated with BMI, skinfold sum, and body fat percentage, with correlations decreasing with age.
  • BMI demonstrated a strong correlation (r=0.85-0.90) with body fat percentage.

Conclusions:

  • The use of BMI for classifying overweight in children is appropriate.
  • Height and adiposity are significantly correlated in children under 12 years old.
  • BMI effectively reflects body fat percentage in pediatric populations.