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What is the best measure of adiposity change in growing children: BMI, BMI %, BMI z-score or BMI centile?
Abstract
Background Weight control programs for obese children monitor change in body mass index (BMI) adjusted for age. However, change can be measured in several ways: raw (kg/m2) units, percentage, z-scores or centiles. The suitability of the different measures is not known. Aim To identify the optimal BMI measure for change, whose short-term variability is most consistent for children across the spectrum of adiposity. Setting An Italian kindergarten. Subjects A total of 135 (66 female) children aged 29-68 months at baseline, with BMI measured three times over a 9-month period. Methods Each child's short-term variability in adiposity was summarized by the standard deviation (s.d.) of BMI and BMI % adjusted for age, and BMI z-score and BMI centile. The s.d.'s were then compared in obese and nonobese children, and also correlated with each child's baseline BMI z-score. Results The within-child s.d.s of BMI z-score and BMI centile were significantly smaller in obese than nonobese children, while the s.d.s of BMI and BMI % were similar in the two groups. Also, the within-child s.d.s of z-score and centile, and to a lesser extent BMI %, were significantly inversely correlated with baseline z-score, whereas the s.d. of BMI was not. The changes in adiposity over time, as assessed by the four measures, were very highly correlated with each other, particularly for BMI with BMI %. Discussion Even though BMI z-score is optimal for assessing adiposity on a single occasion, it is not necessaril…
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The optimal tool for measuring changes in adiposity during childhood is the body mass index (BMI), either by itself or as the proportional (percentage) change in BMI, which can be adjusted for sex and age.
“The optimal tool for measuring changes in adiposity during childhood is the body mass index (BMI), either by itself or as the proportional (percentage) change in BMI, which can be adjusted for sex and age [33].”
From Simulation of facial growth based on longitudinal data: Age progression and age regression between 7 and 17 years of age using 3D surface data (2019) · cites this paper as [33]
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Metadata
- Authors
- Cole, T. J., Faith, M. S., Pietrobelli, A., & Heo, M.
- Venue
- European Journal of Clinical Nutrition
- Published
- 2005-01-12
- Volume
- 59
- Issue
- 3
- Pages
- 419-425
- ISSN
- 0954-3007
- 1476-5640
- Cited by
- 559
- References
- 0
- Language
- en
- Update notices
- erratum (2005-06-02)
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