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Updated: Jun 5, 2025

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
[Characteristics of fat mass distribution in children aged 3-17 years in China]
1National Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention/Key Laboratory of Public Nutrition and Health, National Health Commission of the People's Republic of China/Key Laboratory of Human Milk Science, Chinese Center for Disease Control and Prevention, Beijing100050, China.
Insights
This study analyzed fat mass (FM), fat mass percentage (FMP), and fat mass index (FMI) in Chinese children aged 3-17. Findings reveal distinct regional and sex-based variations in body composition across different age groups.
Area of Science:
- Pediatric Nutrition and Body Composition Analysis
- Public Health and Epidemiology
- Anthropometry and Bioimpedance Analysis
Context:
- Understanding childhood body composition is crucial for assessing nutritional status and identifying health risks.
- Significant regional and demographic variations in body composition metrics exist within China's diverse population.
- Previous research has not comprehensively detailed the age and sex-specific distribution of fat mass, fat mass percentage, and fat mass index in Chinese children.
Purpose:
- To characterize the distribution of fat mass (FM), fat mass percentage (FMP), and fat mass index (FMI) in Chinese children aged 3–17 years.
- To investigate regional, sex-specific, and age-specific patterns of these body composition parameters.
- To provide normative data for pediatric body composition in China.
Summary:
- Data from 70,853 children aged 3-17 across seven Chinese regions were analyzed using bioelectrical impedance.
- Fat mass (FM), fat mass percentage (FMP), and fat mass index (FMI) showed varied trends with age and sex, with higher values in girls after age 12.
- Regional differences were observed, with higher FM, FMP, and FMI in children aged 6-14 from northeastern and northern China.
Impact:
- Establishes reference ranges for pediatric body composition in China, aiding in the identification of overweight, obesity, and malnutrition.
- Highlights the need for region-specific and sex-specific growth charts and health interventions.
- Informs public health strategies related to childhood nutrition and the prevention of non-communicable diseases.
Abstract:
Objective: To describe the distribution of fat mass (FM), fat mass percentage (FMP), and fat mass index (FMI) in children aged 3-17 years in China. Methods: Data of this study were from the National Nutrition and Health Systematic Survey in 0-18 years old children in China. A total of 70 853 children aged 3-17 years old selected from seven regions of China were included in this analysis. Body composition were measured by using bioelectrical impedance meter. The region, gender and age specific FM, FMP and FMI of the subjects were described by using M (Q1,Q3). Kruskal-Wallis H rank sum test was used for the comparison of intergroup differences. DSCF method was used for pairwise comparisons. Results: The medians of FM, FMP and FMI were 3.0 kg, 18.3% and 2.9 kg/m2 in boys aged 3 years and 2.9 kg, 19.0% and 2.9 kg/m2 in girls aged 3 years, respectively. The FM increased with age and the FMP and FMI decreased with age in both boys and girls aged 3-5 years. After 11 years old, the FM, FMP and FMI decreased first and then increased in boys. From 6-17 years old, the FM, FMP and FMI increased gradually in girls. The FM, FMP and FMI were higher in girls than in boys after 12 years old (all P<0.05). The FM, FMP and FMI were relatively higher in children at the age of 6-14 in northeastern and northern China than in other regions. Conclusions: The age specific FM, FMP and FMI had different changing characteristics in boys and girls aged 3-17 years in seven regions of China. The FM, FMP and FMI also differed with region.
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