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CitationHoran M et al. Methodologies to assess paediatric adiposity. Ir J Med Sci. 2014 May
PublisherIrish journal of medical science
JournalIrish journal of medical science
AbstractChildhood obesity is associated with increased risk of adult obesity, cardiovascular disease, diabetes and cancer. Appropriate techniques for assessment of childhood adiposity are required to identify children at risk. The aim of this review was to examine core clinical measurements and more technical tools to assess paediatric adiposity.
The online databases PubMed, CINALH and EMBASE were searched and the abstracts identified were reviewed to determine appropriate studies. Their reference lists were also searched to identify further eligible studies. Publications were included if they described childhood measurement techniques or involved validation.
There are many body composition assessment tools available, none of which are direct. Each technique has limitations and a combination of methods may be used. The main clinical techniques are weight, height, body mass index (BMI) and circumferences which provide sufficient information to enable classification of overweight or obesity when growth centile charts and ratios are employed. Further investigation depends on resources available and examiner skill. Skinfold thicknesses are cost-effective but require technical training and only measure subcutaneous fat. Dual energy X-ray absorptiometry (DEXA), air displacement plethysmography (ADP), magnetic resonance imaging (MRI) and computed tomography (CT) are more costly and intensive, requiring the child to remain still for longer periods. DEXA and ADP are capable of accurately measuring adiposity but are unable to distinguish between fat depots. MRI and CT can distinguish intra-abdominal from subcutaneous adiposity and are considered gold standards, but CT is unsuitable for adiposity measurement in children due to high levels of radiation exposure. Ultrasound is a promising technique capable of measuring intra-abdominal adiposity in children but requires further validation.
The core clinical measurements of weight, height, BMI and circumferences are sufficient to enable diagnosis of paediatric overweight and obesity while more technical tools provide further insight.
- Measuring abdominal adiposity in 6 to 7-year-old children.
- Authors: Liem ET, De Lucia Rolfe E, L'Abée C, Sauer PJ, Ong KK, Stolk RP
- Issue date: 2009 Jul
- Assessing early growth and adiposity: report from an EarlyNutrition Academy workshop.
- Authors: Ward LC, Poston L, Godfrey KM, Koletzko B
- Issue date: 2013
- Validity of body mass index compared with other body-composition screening indexes for the assessment of body fatness in children and adolescents.
- Authors: Mei Z, Grummer-Strawn LM, Pietrobelli A, Goulding A, Goran MI, Dietz WH
- Issue date: 2002 Jun
- Determination of maternal body composition in pregnancy and its relevance to perinatal outcomes.
- Authors: McCarthy EA, Strauss BJ, Walker SP, Permezel M
- Issue date: 2004 Oct
- Computed tomography-based validation of abdominal adiposity measurements from ultrasonography, dual-energy X-ray absorptiometry and anthropometry.
- Authors: Gradmark AM, Rydh A, Renström F, De Lucia-Rolfe E, Sleigh A, Nordström P, Brage S, Franks PW
- Issue date: 2010 Aug