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Updated: Jun 9, 2025

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Big data-based reference centiles for body composition in Korean children and adolescents: a cross-sectional study
Dohyun Chun1,2, Seo Jung Kim3, Junghwan Suh4
1College of Business Administration, Kangwon National University, 1, Kangwondaehak-gil, Chuncheon-si, Gangwon-do, 24341, Korea.
This study provides crucial reference values for body composition in Korean youth, highlighting distinct fat and lean mass changes in boys and girls during puberty. These findings aid in understanding growth and metabolic health in children and adolescents.
Area of Science:
- Pediatric Endocrinology
- Human Physiology
- Biostatistics
Background:
- Pubertal body composition changes influence adult differences and are linked to growth and metabolic issues like obesity.
- Establishing race- and gender-specific reference values for body composition during puberty is vital for clinical and research purposes.
- Understanding these changes is essential for identifying and managing pediatric growth and metabolic disorders.
Purpose of the Study:
- To generate monthly reference centiles for body composition in Korean children and adolescents.
- To provide essential data for assessing growth and identifying potential metabolic health issues in pediatric populations.
- To establish normative data for body fat percentage, BMI, and related indices.
Main Methods:
- Utilized a large dataset of 88,069 measurements from 22,515 Korean children and adolescents (ages 7-16).
- Employed bioelectrical impedance analysis to measure height, weight, body fat mass (BFM), and fat-free mass (FFM).
- Derived body fat percentage (BF%), BMI, fat mass index (FMI), and fat-free mass index (FFMI), with centiles estimated using generalized additive models (lambda-mu-sigma method).
Main Results:
- Significant sex- and age-related differences in body composition were observed, particularly in BFM and FFM.
- Boys showed marked FFM increase and stable BFM during puberty, while girls exhibited steady BFM increase and slower FFM growth.
- BMI increased steadily, but FMI and FFMI patterns differed: boys' FFMI surged, while girls' FMI rose steadily with a later FFMI slowdown.
Conclusions:
- Generated comprehensive age- and sex-specific reference percentiles for body composition indices in Korean youth.
- The study provides valuable biometric data for clinical assessment and research on pediatric body composition.
- These reference values are critical for tracking normal development and identifying deviations in children and adolescents.
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