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

Show simple item record

dc.contributor.author Oliveira, Fernanda Luisa Ceragioli [UNIFESP]
dc.contributor.author Taddei, Jose Augusto de Aguiar Carrazedo [UNIFESP]
dc.contributor.author Schimith Escrivão, Maria Arlete Meil [UNIFESP]
dc.contributor.author Cobayashi, Fernanda [UNIFESP]
dc.contributor.author Barros, Maria Elisa [UNIFESP]
dc.contributor.author Vitolo, Marcia Regina
dc.contributor.author Colugnati, Fernando Antonio Basile [UNIFESP]
dc.contributor.author Lopez, Fábio Ancona [UNIFESP]
dc.date.accessioned 2018-06-18T11:15:25Z
dc.date.available 2018-06-18T11:15:25Z
dc.date.issued 2006-07-01
dc.identifier http://scielo.isciii.es/scielo.php?script=sci_abstract&pid=S0212-16112006000700006&lng=es&nrm=iso&tlng=em
dc.identifier.citation Nutricion Hospitalaria. Madrid: Aula Medica Ediciones, v. 21, n. 4, p. 484-490, 2006.
dc.identifier.issn 0212-1611
dc.identifier.uri http://repositorio.unifesp.br/11600/45045
dc.description.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. en
dc.format.extent 484-490
dc.language.iso eng
dc.publisher Aula Medica Ediciones
dc.relation.ispartof Nutricion Hospitalaria
dc.rights Acesso aberto
dc.subject adolescence obesity en
dc.subject diagnosis en
dc.subject BMI en
dc.subject fat mass en
dc.subject DXA en
dc.title Accuracy of obesity diagnosis in Brazilian adolescents: comparison of Cole et al and Must et al criteria with DXA percentage of fat mass en
dc.title.alternative 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 es
dc.type Artigo
dc.contributor.institution Universidade Federal de São Paulo (UNIFESP)
dc.contributor.institution Universidade do Estado do Rio de Janeiro (UERJ)
dc.contributor.institution UNISINUS
dc.description.affiliation UNIFESP, EPM, Depto Pediat, Disciplina Nutrol, BR-04040032 Sao Paulo, Brazil
dc.description.affiliation State Univ Rio de Janeiro, Dept Nutr, Rio De Janeiro, Brazil
dc.description.affiliation UNISINUS, Dept Nutr, Porto Alegre, RS, Brazil
dc.description.affiliationUnifesp UNIFESP, EPM, Depto Pediat, Disciplina Nutrol, BR-04040032 Sao Paulo, Brazil
dc.identifier.file S0212-16112006000700006.pdf
dc.identifier.scielo S0212-16112006000700006
dc.description.source Web of Science
dc.identifier.wos WOS:000242995100006



File

Name: S0212-16112006000700006.pdf
Size: 171.5Kb
Format: PDF
Description:
Open file

This item appears in the following Collection(s)

Show simple item record

Search


Browse

Statistics

My Account