Challenges of accurately measuring and using BMI and other indicators of obesity in children.
نویسنده
چکیده
BMI is an important indicator of overweight and obesity in childhood and adolescence. When measurements are taken carefully and compared with appropriate growth charts and recommended cutoffs, BMI provides an excellent indicator of overweight and obesity that is sufficient for most clinical, screening, and surveillance purposes. Accurate measurements of height and weight require that adequate attention be given to data collection and management. Choosing appropriate equipment and measurement protocols and providing regular training and standardization of data collectors are critical aspects that apply to all settings in which BMI will be measured and used. Proxy measures for directly measured BMI, such as self-reports or parental reports of height and weight, are much less preferred and should only be used with caution and cognizance of the limitations, biases, and uncertainties attending these measures. There is little evidence that other measures of body fat such as skinfolds, waist circumference, or bioelectrical impedance are sufficiently practicable or provide appreciable added information to be used in the identification of children and adolescents who are overweight or obese. Consequently, for most clinical, school, or community settings these measures are not recommended for routine practice. These alternative measures of fatness remain important for research and perhaps in some specialized screening situations that include a specific focus on risk factors for cardiovascular or diabetic disease.
منابع مشابه
Challenges of Accurately Measuring and Using BMI and Other Indicators of Obesity in Children
BMI is an important indicator of overweight and obesity in childhood and adolescence. When measurements are taken carefully and compared with appropriate growth charts and recommended cutoffs, BMI provides an excellent indicator of overweight and obesity that is sufficient for most clinical, screening, and surveillance purposes. Accurate measurements of height andweight require that adequate at...
متن کاملChallenges of Accurately Measuring and Using BMI and Other Indicators of Obesity in Children
BMI is an important indicator of overweight and obesity in childhood and adolescence. When measurements are taken carefully and compared with appropriate growth charts and recommended cutoffs, BMI provides an excellent indicator of overweight and obesity that is sufficient for most clinical, screening, and surveillance purposes. Accurate measurements of height andweight require that adequate at...
متن کاملشاخص توده چربی بدن (FMI) در مقایسه با شاخص توده وزن بدن (BMI) در تعیین چاقی کودکان پیشدبستانی
Background : Body mass index (BMI) is one of the most popular anthropometric techniques to identify obesity. The purpose of this study was to evaluate the sensitivity and specificity of BMI percentiles of Center of Disease Control (CDC2000) in determining obesity in preschool children in comparison to real obesity ( based on body fat index FMI) and compare the status of overweight and obesity...
متن کاملتعیین چاقی در کودکان: نمایه چاقی بدن (FMI) در مقایسه با نمایه توده بدن (BMI)
Background: The sensitivity and specificity of body mass index (BMI) percentiles of CDC2000 standard which is used in determining obesity in Iranian children was compared with child real obesity identified by fat mass index (FMI) and obesity status in these children based on BMI and FMI was compared too. Methods: Weight, height and triceps skinfold (TSF) thickness were measured in 1800 primary ...
متن کاملAssociation of serum leptin level with obesity in children with acute lymphoblastic leukemia
Background Obesity is a medical problem in survivors of childhood acute lymphoblastic leukemia. Obesity is associated with many complications, so it is important to investigate the respective etiology. Leptin is a protein synthesized in the fatty tissue and is effective in the control of obesity. Survey of leptin in acute lymphoblastic leukemia (ALL) survivors could be helpful in controlling ob...
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عنوان ژورنال:
- Pediatrics
دوره 124 Suppl 1 شماره
صفحات -
تاریخ انتشار 2009