Does body mass index accurately reflect body fat? A comparison of anthropometric measures in the longitudinal assessment of fat mass.

Abstract:

OBJECTIVE:To determine which anthropometric measure best correlates with change in fat mass (FM) over time. METHODS:The authors performed a retrospective cohort study of 76 obese patients (mean body mass index [BMI] 38 kg/m(2) and mean age 13 years) presenting to an obesity clinic between 2005 and 2010. For each patient, during 2 visits, FM was measured by bioelectrical impedance analysis and the following measures obtained: BMI, waist circumference, hip circumference, and neck circumference. Correlation coefficients and linear regression analyses were calculated to examine the relationship between each measure and FM. RESULTS:Change in BMI correlated better with change in FM than any other measure and had the strongest effect on change in FM (P < .01, R (2) = .887). The best regression model included BMI only (R (2) = .891); without BMI, the model was significantly worse (R (2) = .521). DISCUSSION:In the clinical management of obese children, BMI is an adequate measure of change in FM.

journal_name

Clin Pediatr (Phila)

journal_title

Clinical pediatrics

authors

Phan TL,Maresca MM,Hossain J,Datto GA

doi

10.1177/0009922812440838

subject

Has Abstract

pub_date

2012-07-01 00:00:00

pages

671-7

issue

7

eissn

0009-9228

issn

1938-2707

pii

0009922812440838

journal_volume

51

pub_type

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