Anthropometric Indicators as Body Fat Discriminators in Children and Adolescents: A Systematic Review and Meta-Analysis
Author(s) -
Carlos AS Alves,
Michel Carlos Mocellin,
Eliane Cristina de Andrade Gonçalves,
Diego Augusto Santos Silva,
Erasmo B. S. de M. Trindade
Publication year - 2017
Publication title -
advances in nutrition
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.362
H-Index - 90
eISSN - 2156-5376
pISSN - 2161-8313
DOI - 10.3945/an.117.015446
Subject(s) - anthropometry , waist , medicine , body mass index , body fat percentage , waist–hip ratio , meta analysis , waist to height ratio , body adiposity index , circumference , dual energy x ray absorptiometry , bioelectrical impedance analysis , fat mass , classification of obesity , mathematics , bone mineral , geometry , osteoporosis
We analyzed the discriminatory capacity of anthropometric indicators for body fat in children and adolescents. This systematic review and meta-analysis included cross-sectional and clinical studies comprising children and adolescents aged 2-19 y that tested the discriminatory value for body fat measured by anthropometric methods or indexes generated by anthropometric variables compared with precision methods in the diagnosis of body fat [dual-energy X-ray absorptiometry (DXA), computed tomography, air displacement plethysmography (ADP), or MRI]. Five studies met the eligibility criteria and presented high methodologic quality. The anthropometric indicators that had high discriminatory power to identify high body fat were body mass index (BMI) in males [area under the curve (AUC): 0.975] and females (AUC: 0.947), waist circumference (WC) in males (AUC: 0.975) and females (AUC: 0.959), and the waist-to-height ratio (WTHR) in males (AUC: 0.897) and females (AUC: 0.914). BMI, WC, and WTHR can be used by health professionals to assess body fat in children and adolescents.
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