Accuracy of obesity diagnosis in Brazilian adolescents: comparison of Cole et al and Must et al criteria with DXA percentage of fat mass

Accuracy of obesity diagnosis in Brazilian adolescents: comparison of Cole et al and Must et al criteria with DXA percentage of fat mass

Alternative title Precisión del diagnóstico de obesidad en adolescentes brasileños: comparación de los criterios de COLE y cols. y de MUST y cols. con el porcentaje DXA sobre masa grasa
Author Oliveira, Fernanda Luisa Ceragioli Autor UNIFESP Google Scholar
Taddei, Jose Augusto de Aguiar Carrazedo Autor UNIFESP Google Scholar
Schimith Escrivão, Maria Arlete Meil Autor UNIFESP Google Scholar
Cobayashi, Fernanda Autor UNIFESP Google Scholar
Barros, Maria Elisa Autor UNIFESP Google Scholar
Vitolo, Marcia Regina Google Scholar
Colugnati, Fernando Antonio Basile Autor UNIFESP Google Scholar
Lopez, Fábio Ancona Autor UNIFESP Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Universidade do Estado do Rio de Janeiro (UERJ)
UNISINUS
Abstract Objectives: to assess the accuracy of the two most used anthropometric criteria: Must and Cole to diagnose obesity in adolescence comparing with percentage of fat mass determined by DXA.Methodology: cross-sectional study with 418 adolescents (52.4% males) attending a private school in Se Paulo/Brazil. Anthropometric measures of height and weight were taken and BMI was calculated. Analysis of body composition was performed using the DXA to detect percentage of fat mass. Using the method proposed by Ellis & Wong (ERM) two sex-specific linear regression models of fat percentage for age in years were fitted. The comparison between the methods was carried out through the analyses of specificity and sensitivity with two residual percentiles as cutoff points (ERM85(th) and ERM95th) as standards. A logistic model was fitted to estimate the probability curves of obesity classification.Results: the comparison of the two classic criteria for the diagnosis of obesity with the ERM85(th) and ERM 95(th), yields for females the same sensitivities of 0.50 and 0.20 for both criteria. For males sensitivities for ERM 85(th) were 0.61(Must) and 0.49 (Cole); while for ERM95(th) the sensitivities were 0.81 (Must) and 0.64 (Cole). Therefore, there are high probabilities that those criteria diagnose adolescents as obese, when actually they are not.Conclusion: the Must and Cole criteria were similar and present flaws for the diagnosis of obesity. In clinical practice and field studies anthropometric criteria should be evaluated as to the diagnostic accuracy along with other clinical parameters and, when feasible, the analysis of fatness percentage. However, the anthropometric criteria evaluated are efficient in the identification of nonobese adolescent in the two cutoff points considered.
Keywords adolescence obesity
diagnosis
BMI
fat mass
DXA
Language English
Date 2006-07-01
Published in Nutricion Hospitalaria. Madrid: Aula Medica Ediciones, v. 21, n. 4, p. 484-490, 2006.
ISSN 0212-1611 (Sherpa/Romeo, impact factor)
Publisher Aula Medica Ediciones
Extent 484-490
Origin http://scielo.isciii.es/scielo.php?script=sci_abstract&pid=S0212-16112006000700006&lng=es&nrm=iso&tlng=em
Access rights Open access Open Access
Type Article
Web of Science ID WOS:000242995100006
SciELO ID S0212-16112006000700006 (statistics in SciELO)
URI http://repositorio.unifesp.br/11600/45045

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