Comparison of body fatness measurements by BMI and skinfolds vs dual energy X-ray absorptiometry and their relation to cardiovascular risk factors in adolescents

OBJECTIVE: To compare estimates of adiposity by dual emission X-ray absorptiometry (DXA), skinfolds and body mass index (BMI); and to evaluate the relation of these measures to cardiovascular risk in adolescents. DESIGN: In a cohort of adolescents participating in a longitudinal study of insulin res...

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Veröffentlicht in:International Journal of Obesity 2005-11, Vol.29 (11), p.1346-1352
Hauptverfasser: Steinberger, J, Jacobs, D R, Raatz, S, Moran, A, Hong, C-P, Sinaiko, A R
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container_end_page 1352
container_issue 11
container_start_page 1346
container_title International Journal of Obesity
container_volume 29
creator Steinberger, J
Jacobs, D R
Raatz, S
Moran, A
Hong, C-P
Sinaiko, A R
description OBJECTIVE: To compare estimates of adiposity by dual emission X-ray absorptiometry (DXA), skinfolds and body mass index (BMI); and to evaluate the relation of these measures to cardiovascular risk in adolescents. DESIGN: In a cohort of adolescents participating in a longitudinal study of insulin resistance, Slaughter formulas were used to estimate adiposity from skinfolds and DXA was used to estimate adiposity as % body fat (%BF) and fat mass (FBM). BMI, blood pressure, lipids and insulin resistance were measured. SUBJECTS: Male and female, 11–17 y old ( n =130). MEASUREMENTS: To compare DXA with two office-based methods of assessing fatness and cardiovascular risk. RESULTS: Slaughter estimates were highly correlated with DXA (%BF r =0.92, P =0.0001; FBM r =0.96, P =0.0001). Correlations were similar in heavy and thin children. BMI was also highly correlated with DXA (%BF r =0.85, P =0.0001; FBM r =0.95, P =0.0001), and these relations were stronger in heavy than thin children. BMI and the Slaughter formulas were similar to DXA in their relations to cardiovascular risk factors. CONCLUSIONS: Adiposity by BMI and Slaughter formulas are highly correlated with DXA and similarly related to cardiovascular risk factors. BMI is easy to obtain and is an acceptable method for initial office estimation of body fatness. BMI and skinfolds compare well with DXA in predicting adverse cardiovascular risk profile.
doi_str_mv 10.1038/sj.ijo.0803026
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DESIGN: In a cohort of adolescents participating in a longitudinal study of insulin resistance, Slaughter formulas were used to estimate adiposity from skinfolds and DXA was used to estimate adiposity as % body fat (%BF) and fat mass (FBM). BMI, blood pressure, lipids and insulin resistance were measured. SUBJECTS: Male and female, 11–17 y old ( n =130). MEASUREMENTS: To compare DXA with two office-based methods of assessing fatness and cardiovascular risk. RESULTS: Slaughter estimates were highly correlated with DXA (%BF r =0.92, P =0.0001; FBM r =0.96, P =0.0001). Correlations were similar in heavy and thin children. BMI was also highly correlated with DXA (%BF r =0.85, P =0.0001; FBM r =0.95, P =0.0001), and these relations were stronger in heavy than thin children. BMI and the Slaughter formulas were similar to DXA in their relations to cardiovascular risk factors. CONCLUSIONS: Adiposity by BMI and Slaughter formulas are highly correlated with DXA and similarly related to cardiovascular risk factors. BMI is easy to obtain and is an acceptable method for initial office estimation of body fatness. BMI and skinfolds compare well with DXA in predicting adverse cardiovascular risk profile.</description><identifier>ISSN: 0307-0565</identifier><identifier>EISSN: 1476-5497</identifier><identifier>DOI: 10.1038/sj.ijo.0803026</identifier><identifier>PMID: 16044176</identifier><identifier>CODEN: IJOBDP</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>Absorptiometry, Photon ; Adolescent ; Adolescents ; Biological and medical sciences ; Blood pressure ; Body Composition ; Body Mass Index ; Cardiovascular Diseases - blood ; Cardiovascular Diseases - etiology ; Cardiovascular Diseases - physiopathology ; Child ; Children ; Emissions ; Epidemiology ; Female ; Health Promotion and Disease Prevention ; Health risks ; Humans ; Insulin Resistance ; Internal Medicine ; Investigative techniques, diagnostic techniques (general aspects) ; Lipids ; Lipids - blood ; Longitudinal studies ; Male ; Medical sciences ; Medicine ; Medicine &amp; Public Health ; Metabolic Diseases ; Obesity ; Obesity - blood ; Obesity - diagnosis ; Obesity - physiopathology ; Osteoarticular system. 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DESIGN: In a cohort of adolescents participating in a longitudinal study of insulin resistance, Slaughter formulas were used to estimate adiposity from skinfolds and DXA was used to estimate adiposity as % body fat (%BF) and fat mass (FBM). BMI, blood pressure, lipids and insulin resistance were measured. SUBJECTS: Male and female, 11–17 y old ( n =130). MEASUREMENTS: To compare DXA with two office-based methods of assessing fatness and cardiovascular risk. RESULTS: Slaughter estimates were highly correlated with DXA (%BF r =0.92, P =0.0001; FBM r =0.96, P =0.0001). Correlations were similar in heavy and thin children. BMI was also highly correlated with DXA (%BF r =0.85, P =0.0001; FBM r =0.95, P =0.0001), and these relations were stronger in heavy than thin children. BMI and the Slaughter formulas were similar to DXA in their relations to cardiovascular risk factors. 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DESIGN: In a cohort of adolescents participating in a longitudinal study of insulin resistance, Slaughter formulas were used to estimate adiposity from skinfolds and DXA was used to estimate adiposity as % body fat (%BF) and fat mass (FBM). BMI, blood pressure, lipids and insulin resistance were measured. SUBJECTS: Male and female, 11–17 y old ( n =130). MEASUREMENTS: To compare DXA with two office-based methods of assessing fatness and cardiovascular risk. RESULTS: Slaughter estimates were highly correlated with DXA (%BF r =0.92, P =0.0001; FBM r =0.96, P =0.0001). Correlations were similar in heavy and thin children. BMI was also highly correlated with DXA (%BF r =0.85, P =0.0001; FBM r =0.95, P =0.0001), and these relations were stronger in heavy than thin children. BMI and the Slaughter formulas were similar to DXA in their relations to cardiovascular risk factors. CONCLUSIONS: Adiposity by BMI and Slaughter formulas are highly correlated with DXA and similarly related to cardiovascular risk factors. BMI is easy to obtain and is an acceptable method for initial office estimation of body fatness. BMI and skinfolds compare well with DXA in predicting adverse cardiovascular risk profile.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>16044176</pmid><doi>10.1038/sj.ijo.0803026</doi><tpages>7</tpages></addata></record>
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subjects Absorptiometry, Photon
Adolescent
Adolescents
Biological and medical sciences
Blood pressure
Body Composition
Body Mass Index
Cardiovascular Diseases - blood
Cardiovascular Diseases - etiology
Cardiovascular Diseases - physiopathology
Child
Children
Emissions
Epidemiology
Female
Health Promotion and Disease Prevention
Health risks
Humans
Insulin Resistance
Internal Medicine
Investigative techniques, diagnostic techniques (general aspects)
Lipids
Lipids - blood
Longitudinal studies
Male
Medical sciences
Medicine
Medicine & Public Health
Metabolic Diseases
Obesity
Obesity - blood
Obesity - diagnosis
Obesity - physiopathology
Osteoarticular system. Muscles
Public Health
Radiodiagnosis. Nmr imagery. Nmr spectrometry
Risk Factors
Sensitivity and Specificity
Skinfold Thickness
title Comparison of body fatness measurements by BMI and skinfolds vs dual energy X-ray absorptiometry and their relation to cardiovascular risk factors in adolescents
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