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Body mass index adjustments to increase the validity of body fatness assessment in UK Black African and South Asian children

International Journal of Obesity, 2017-07, Vol.41 (7), p.1048-1055 [Peer Reviewed Journal]

COPYRIGHT 2017 Nature Publishing Group ;COPYRIGHT 2017 Nature Publishing Group ;Copyright Nature Publishing Group Jul 2017 ;Copyright © 2017 The Author(s) 2017 The Author(s) ;ISSN: 0307-0565 ;EISSN: 1476-5497 ;DOI: 10.1038/ijo.2017.75 ;PMID: 28325931

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Title:
Body mass index adjustments to increase the validity of body fatness assessment in UK Black African and South Asian children
Author: Hudda, M T ; Nightingale, C M ; Donin, A S ; Fewtrell, M S ; Haroun, D ; Lum, S ; Williams, J E ; Owen, C G ; Rudnicka, A R ; Wells, J C K ; Cook, D G ; Whincup, P H
Subjects: Adipose Tissue ; Adipose tissues ; Adiposity - ethnology ; Adjustment ; Age ; Asian people ; Asians ; Blacks ; Body fat ; Body mass ; Body Mass Index ; Child ; Child, Preschool ; Children ; Children & youth ; Confidence intervals ; Deuterium ; Dilution ; Female ; Girls ; Health aspects ; Humans ; Male ; Minority & ethnic groups ; Original ; Origins ; Pediatric Obesity - diagnosis ; Pediatric Obesity - prevention & control ; Reference Standards ; Regression analysis ; Reproducibility of Results ; Statistical analysis ; United Kingdom
Is Part Of: International Journal of Obesity, 2017-07, Vol.41 (7), p.1048-1055
Description: Body mass index (BMI) (weight per height ) is the most widely used marker of childhood obesity and total body fatness (BF). However, its validity is limited, especially in children of South Asian and Black African origins. We aimed to quantify BMI adjustments needed for UK children of Black African and South Asian origins so that adjusted BMI related to BF in the same way as for White European children. We used data from four recent UK studies that made deuterium dilution BF measurements in UK children of White European, South Asian and Black African origins. A height-standardized fat mass index (FMI) was derived to represent BF. Linear regression models were then fitted, separately for boys and girls, to quantify ethnic differences in BMI-FMI relationships and to provide ethnic-specific BMI adjustments. We restricted analyses to 4-12 year olds, to whom a single consistent FMI (fat mass per height ) could be applied. BMI consistently underestimated BF in South Asians, requiring positive BMI adjustments of +1.12 kg m (95% confidence interval (CI): 0.83, 1.41 kg m ; P<0.0001) for boys and +1.07 kg m (95% CI: 0.74, 1.39 kg m ; P<0.0001) for girls of all age groups and FMI levels. BMI overestimated BF in Black Africans, requiring negative BMI adjustments for Black African children. However, these were complex because there were statistically significant interactions between Black African ethnicity and FMI (P=0.004 boys; P=0.003 girls) and also between FMI and age group (P<0.0001 for boys and girls). BMI adjustments therefore varied by age group and FMI level (and indirectly BMI); the largest adjustments were in younger children with higher unadjusted BMI and the smallest in older children with lower unadjusted BMI. BMI underestimated BF in South Asians and overestimated BF in Black Africans. Ethnic-specific adjustments, increasing BMI in South Asians and reducing BMI in Black Africans, can improve the accuracy of BF assessment in these children.
Publisher: England: Nature Publishing Group
Language: English
Identifier: ISSN: 0307-0565
EISSN: 1476-5497
DOI: 10.1038/ijo.2017.75
PMID: 28325931
Source: ProQuest One Psychology
MEDLINE
ProQuest Central

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Body mass index adjustments to increase the validity of body fatness assessment in UK Black African and South Asian children

COPYRIGHT 2017 Nature Publishing Group ;COPYRIGHT 2017 Nature Publishing Group ;Copyright Nature Publishing Group Jul 2017 ;Copyright © 2017 The Author(s) 2017 The Author(s) ;ISSN: 0307-0565 ;EISSN: 1476-5497 ;DOI: 10.1038/ijo.2017.75 ;PMID: 28325931

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