Body fat throughout childhood in 2647 healthy Danish children: agreement of BMI, waist circumference, skinfolds with dual X-ray absorptiometry

Christine Wohlfahrt-Veje; Jeanette Tinggaard; K. Winther; A Mouritsen; C P Hagen; Mikkel G Mieritz; Katrine Tefre de Renzy-Martin; M. Boas; Jørgen Holm Petersen; K.M. Main

doi:10.1038/ejcn.2013.282

Body fat throughout childhood in 2647 healthy Danish children: agreement of BMI, waist circumference, skinfolds with dual X-ray absorptiometry

Christine Wohlfahrt-Veje, Jeanette Tinggaard, K. Winther, A Mouritsen, C P Hagen, Mikkel G Mieritz, Katrine Tefre de Renzy-Martin, M. Boas, Jørgen Holm Petersen, K.M. Main

Section of Biostatistics

75 Citations (Scopus)

Abstract

Background/Objectives: Total body fat percentage (%BF) evaluated by dual energy X-ray absorptiometry (DXA) scans (DXA %BF) is widely recognized as a precise measure of fatness. We aimed to establish national reference curves for DXA %BF, %BF calculated from skinfolds (SF %BF) and waist circumference (WC) in healthy children, and to compare agreement between the different methods. Subjects/Methods: Based on 11 481 physical examinations (anthropometry) and 1200 DXA scans from a longitudinal cohort of Danish children (n=2647), we established reference curves (LMS-method) for SF %BF, WC (birth to 14 years) and DXA %BF (8-14 years). Age-and sex-specific Z-scores for body mass index (BMI), WC and SF %BF were compared. Sensitivity and specificity were calculated for agreement of WC, SF %BF and BMI with DXA %BF to identify obese children (>+1 s.d.). Results: %BF differed with age, sex, pubertal stage and social class. SF %BF correlated strongly with DXA %BF (r=0.86). BMI and WC also correlated positively with DXA %BF (Z-scores; r= 0.78 and 0.69). Sensitivity and specificity were 79.5 and 93.8 for SF %BF, 75.9 and 90.3 for BMI and 59.2 and 95.4 for WC. Conclusions: SF %BF showed the highest correlation and best agreement with DXA %BF in identifying children with excess fat (+1 s.d.).

Original language	English
Journal	European Journal of Clinical Nutrition
Volume	68
Pages (from-to)	664-70
Number of pages	7
ISSN	0954-3007
DOIs	https://doi.org/10.1038/ejcn.2013.282
Publication status	Published - Jun 2014

Access to Document

10.1038/ejcn.2013.282

ejcn2013282.pdfFinal published version, 1.23 MB

https://www.nature.com/articles/ejcn2013282.pdf

Cite this

Wohlfahrt-Veje, C., Tinggaard, J., Winther, K., Mouritsen, A., Hagen, C. P., Mieritz, M. G., Tefre de Renzy-Martin, K., Boas, M., Petersen, J. H., & Main, K. M. (2014). Body fat throughout childhood in 2647 healthy Danish children: agreement of BMI, waist circumference, skinfolds with dual X-ray absorptiometry. European Journal of Clinical Nutrition, 68, 664-70. https://doi.org/10.1038/ejcn.2013.282

Body fat throughout childhood in 2647 healthy Danish children : agreement of BMI, waist circumference, skinfolds with dual X-ray absorptiometry. / Wohlfahrt-Veje, Christine; Tinggaard, Jeanette; Winther, K. et al.

In: European Journal of Clinical Nutrition, Vol. 68, 06.2014, p. 664-70.

Research output: Contribution to journal › Journal article › Research › peer-review

Wohlfahrt-Veje, C, Tinggaard, J, Winther, K, Mouritsen, A, Hagen, CP, Mieritz, MG, Tefre de Renzy-Martin, K, Boas, M, Petersen, JH & Main, KM 2014, 'Body fat throughout childhood in 2647 healthy Danish children: agreement of BMI, waist circumference, skinfolds with dual X-ray absorptiometry', European Journal of Clinical Nutrition, vol. 68, pp. 664-70. https://doi.org/10.1038/ejcn.2013.282

@article{2817d1dbac8e4534ae83566398f86bd2,

title = "Body fat throughout childhood in 2647 healthy Danish children: agreement of BMI, waist circumference, skinfolds with dual X-ray absorptiometry",

abstract = "Background/Objectives: Total body fat percentage (%BF) evaluated by dual energy X-ray absorptiometry (DXA) scans (DXA %BF) is widely recognized as a precise measure of fatness. We aimed to establish national reference curves for DXA %BF, %BF calculated from skinfolds (SF %BF) and waist circumference (WC) in healthy children, and to compare agreement between the different methods. Subjects/Methods: Based on 11 481 physical examinations (anthropometry) and 1200 DXA scans from a longitudinal cohort of Danish children (n=2647), we established reference curves (LMS-method) for SF %BF, WC (birth to 14 years) and DXA %BF (8-14 years). Age-and sex-specific Z-scores for body mass index (BMI), WC and SF %BF were compared. Sensitivity and specificity were calculated for agreement of WC, SF %BF and BMI with DXA %BF to identify obese children (>+1 s.d.). Results: %BF differed with age, sex, pubertal stage and social class. SF %BF correlated strongly with DXA %BF (r=0.86). BMI and WC also correlated positively with DXA %BF (Z-scores; r= 0.78 and 0.69). Sensitivity and specificity were 79.5 and 93.8 for SF %BF, 75.9 and 90.3 for BMI and 59.2 and 95.4 for WC. Conclusions: SF %BF showed the highest correlation and best agreement with DXA %BF in identifying children with excess fat (+1 s.d.).",

author = "Christine Wohlfahrt-Veje and Jeanette Tinggaard and K. Winther and A Mouritsen and Hagen, {C P} and Mieritz, {Mikkel G} and {Tefre de Renzy-Martin}, Katrine and M. Boas and Petersen, {J{\o}rgen Holm} and K.M. Main",

year = "2014",

month = jun,

doi = "10.1038/ejcn.2013.282",

language = "English",

volume = "68",

pages = "664--70",

journal = "European Journal of Clinical Nutrition",

issn = "0954-3007",

publisher = "nature publishing group",

}

TY - JOUR

T1 - Body fat throughout childhood in 2647 healthy Danish children

T2 - agreement of BMI, waist circumference, skinfolds with dual X-ray absorptiometry

AU - Wohlfahrt-Veje, Christine

AU - Tinggaard, Jeanette

AU - Winther, K.

AU - Mouritsen, A

AU - Hagen, C P

AU - Mieritz, Mikkel G

AU - Tefre de Renzy-Martin, Katrine

AU - Boas, M.

AU - Petersen, Jørgen Holm

AU - Main, K.M.

PY - 2014/6

Y1 - 2014/6

N2 - Background/Objectives: Total body fat percentage (%BF) evaluated by dual energy X-ray absorptiometry (DXA) scans (DXA %BF) is widely recognized as a precise measure of fatness. We aimed to establish national reference curves for DXA %BF, %BF calculated from skinfolds (SF %BF) and waist circumference (WC) in healthy children, and to compare agreement between the different methods. Subjects/Methods: Based on 11 481 physical examinations (anthropometry) and 1200 DXA scans from a longitudinal cohort of Danish children (n=2647), we established reference curves (LMS-method) for SF %BF, WC (birth to 14 years) and DXA %BF (8-14 years). Age-and sex-specific Z-scores for body mass index (BMI), WC and SF %BF were compared. Sensitivity and specificity were calculated for agreement of WC, SF %BF and BMI with DXA %BF to identify obese children (>+1 s.d.). Results: %BF differed with age, sex, pubertal stage and social class. SF %BF correlated strongly with DXA %BF (r=0.86). BMI and WC also correlated positively with DXA %BF (Z-scores; r= 0.78 and 0.69). Sensitivity and specificity were 79.5 and 93.8 for SF %BF, 75.9 and 90.3 for BMI and 59.2 and 95.4 for WC. Conclusions: SF %BF showed the highest correlation and best agreement with DXA %BF in identifying children with excess fat (+1 s.d.).

AB - Background/Objectives: Total body fat percentage (%BF) evaluated by dual energy X-ray absorptiometry (DXA) scans (DXA %BF) is widely recognized as a precise measure of fatness. We aimed to establish national reference curves for DXA %BF, %BF calculated from skinfolds (SF %BF) and waist circumference (WC) in healthy children, and to compare agreement between the different methods. Subjects/Methods: Based on 11 481 physical examinations (anthropometry) and 1200 DXA scans from a longitudinal cohort of Danish children (n=2647), we established reference curves (LMS-method) for SF %BF, WC (birth to 14 years) and DXA %BF (8-14 years). Age-and sex-specific Z-scores for body mass index (BMI), WC and SF %BF were compared. Sensitivity and specificity were calculated for agreement of WC, SF %BF and BMI with DXA %BF to identify obese children (>+1 s.d.). Results: %BF differed with age, sex, pubertal stage and social class. SF %BF correlated strongly with DXA %BF (r=0.86). BMI and WC also correlated positively with DXA %BF (Z-scores; r= 0.78 and 0.69). Sensitivity and specificity were 79.5 and 93.8 for SF %BF, 75.9 and 90.3 for BMI and 59.2 and 95.4 for WC. Conclusions: SF %BF showed the highest correlation and best agreement with DXA %BF in identifying children with excess fat (+1 s.d.).

U2 - 10.1038/ejcn.2013.282

DO - 10.1038/ejcn.2013.282

M3 - Journal article

C2 - 24473457

SN - 0954-3007

VL - 68

SP - 664

EP - 670

JO - European Journal of Clinical Nutrition

JF - European Journal of Clinical Nutrition

ER -

Body fat throughout childhood in 2647 healthy Danish children: agreement of BMI, waist circumference, skinfolds with dual X-ray absorptiometry

Abstract

Access to Document

Fingerprint

Cite this