Comparison of Body Composition and Body Mass Index in the Determination of Obesity in Schoolchildren

Overview

Journal Turk Arch Pediatr

Publisher Aves

Specialty Pediatrics

Date 2022 Jul 22

PMID 35866326

Authors

Hakan Salman

Tugba Gursoy Koca

Selim Dereci

Mustafa Akcam

Affiliations

Soon will be listed here.

Abstract

Objective: The determination of obesity that develops with an increase in the percentage of fat in the body may not always be possible in the real sense with body mass index, which is frequently used in practice. This study aimed to compare the results obtained from body mass index and bioelectrical impedance analysis measurements in evaluating obesity in Turkish school-aged children using age-related percentile curves.

Materials And Methods: The study included 1127 children (604 boys and 523 girls) recruited from a screening of the schools in the city center of Isparta between May 20 and June 20, 2014. Body mass index was calculated, and the variables of fat mass, body fat percentage, fat-free body mass, and total body water were measured with a Tanita BC-418 MA device.

Results: According to the body mass index values, 23.8% of the study sample was overweight/ obese, and according to bioelectrical impedance analysis, this rate was 14.7%. When examined by gender, males' overweight/obese ratio was 19.9% (overweight 11.3% and obese 8.6%) according to body mass index and 12.9% (overweight 7.1% and obese 5.8%) using the bioelectrical impedance analysis method. In females, the overweight/obese ratio was 19% (overweight 9.4%, obese 9.6%) according to body mass index and 16.7% (overweight 9.6% and obese 7.1%) using the bioelectrical impedance analysis method.

Conclusion: The results obtained from the weight-based body mass index method were not consistent with the body fat percentage results obtained with the bioelectrical impedance analysis method. Since the fat ratio is also crucial in evaluating obesity, care should be taken when diagnosing obesity using body mass index only.

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References

Sharpe J, Byrne N, Stedman T, Hills A . Bioelectric impedance is a better indicator of obesity in men with schizophrenia than body mass index. Psychiatry Res. 2008; 159(1-2):121-6. DOI: 10.1016/j.psychres.2007.08.010. View

De-Mateo-Silleras B, de-la-Cruz-Marcos S, Alonso-Izquierdo L, Camina-Martin M, Marugan-de-Miguelsanz J, Redondo-Del-Rio M . Bioelectrical impedance vector analysis in obese and overweight children. PLoS One. 2019; 14(1):e0211148. PMC: 6345442. DOI: 10.1371/journal.pone.0211148. View

Chung S . Body composition analysis and references in children: clinical usefulness and limitations. Eur J Clin Nutr. 2018; 73(2):236-242. DOI: 10.1038/s41430-018-0322-8. View

Bozkirli E, Ertorer M, Bakiner O, Tutuncu N, Demirag N . The validity of the World Health Organisation's obesity body mass index criteria in a Turkish population: a hospital-based study. Asia Pac J Clin Nutr. 2007; 16(3):443-7. View

Farbo D, Rhea D . A Pilot Study Examining Body Composition Classification Differences Between Body Mass Index and Bioelectrical Impedance Analysis in Children With High Levels of Physical Activity. Front Pediatr. 2021; 9:724053. PMC: 8634703. DOI: 10.3389/fped.2021.724053. View

de Castro J, de Lima T, Silva D . Body composition estimation in children and adolescents by bioelectrical impedance analysis: A systematic review. J Bodyw Mov Ther. 2018; 22(1):134-146. DOI: 10.1016/j.jbmt.2017.04.010. View

Amani R . Comparison between bioelectrical impedance analysis and body mass index methods in determination of obesity prevalence in Ahvazi women. Eur J Clin Nutr. 2006; 61(4):478-82. DOI: 10.1038/sj.ejcn.1602545. View

Kurtoglu S, Mazicioglu M, Ozturk A, Hatipoglu N, Cicek B, Ustunbas H . Body fat reference curves for healthy Turkish children and adolescents. Eur J Pediatr. 2010; 169(11):1329-35. DOI: 10.1007/s00431-010-1225-4. View

Lintsi M, Kaarma H, Kull I . Comparison of hand-to-hand bioimpedance and anthropometry equations versus dual-energy X-ray absorptiometry for the assessment of body fat percentage in 17-18-year-old conscripts. Clin Physiol Funct Imaging. 2004; 24(2):85-90. DOI: 10.1111/j.1475-097X.2004.00534.x. View

10.

Ramirez E, Valencia M, Bourges H, Espinosa T, Moya-Camarena S, Salazar G . Body composition prediction equations based on deuterium oxide dilution method in Mexican children: a national study. Eur J Clin Nutr. 2012; 66(10):1099-103. DOI: 10.1038/ejcn.2012.89. View

11.

Okorodudu D, Jumean M, Montori V, Romero-Corral A, Somers V, Erwin P . Diagnostic performance of body mass index to identify obesity as defined by body adiposity: a systematic review and meta-analysis. Int J Obes (Lond). 2010; 34(5):791-9. DOI: 10.1038/ijo.2010.5. View

12.

Koca T, Dereci S, Pirgon O, Akcam M . Evaluation of the Change in the Prevalence of Overweight and Obesity in Schoolchildren in South-west Turkey from 2005 to 2014. Iran J Public Health. 2018; 47(1):33-39. PMC: 5756598. View

13.

Romero-Corral A, Somers V, Sierra-Johnson J, Thomas R, Collazo-Clavell M, Korinek J . Accuracy of body mass index in diagnosing obesity in the adult general population. Int J Obes (Lond). 2008; 32(6):959-66. PMC: 2877506. DOI: 10.1038/ijo.2008.11. View

14.

McCarthy H, Cole T, Fry T, Jebb S, Prentice A . Body fat reference curves for children. Int J Obes (Lond). 2006; 30(4):598-602. DOI: 10.1038/sj.ijo.0803232. View

15.

Komiya S, Eto C, Otoki K, Teramoto K, Shimizu F, Shimamoto H . Gender differences in body fat of low- and high-body-mass children: relationship with body mass index. Eur J Appl Physiol. 2000; 82(1-2):16-23. DOI: 10.1007/s004210050646. View

16.

Utter A, Lambeth P . Evaluation of multifrequency bioelectrical impedance analysis in assessing body composition of wrestlers. Med Sci Sports Exerc. 2009; 42(2):361-7. DOI: 10.1249/MSS.0b013e3181b2e8b4. View

17.

de Abreu A, Wilvert L, Wazlawik E . Comparison of Body Mass Index, Skinfold Thickness, and Bioelectrical Impedance Analysis With Dual-Energy X-Ray Absorptiometry in Hemodialysis Patients. Nutr Clin Pract. 2020; 35(6):1021-1028. DOI: 10.1002/ncp.10481. View

18.

Kirchengast S . Biocultural aspects of gender differences in body composition and obesity during childhood and adolescence. Anthropol Anz. 2008; 66(3):337-48. View

19.

Calcaterra V, Pelizzo G, Cena H . BMI Is a Poor Predictor of Nutritional Status in Disabled Children. What Is the Most Recommended Method for Body Composition Assessment in This Pediatric Population?. Front Pediatr. 2019; 7:226. PMC: 6563767. DOI: 10.3389/fped.2019.00226. View

20.

Kyle U, Earthman C, Pichard C, Coss-Bu J . Body composition during growth in children: limitations and perspectives of bioelectrical impedance analysis. Eur J Clin Nutr. 2015; 69(12):1298-305. DOI: 10.1038/ejcn.2015.86. View