Accuracy of different cutoff points of body mass index to identify overweight according to body fat values estimated by DEXA
Journal Title: Jornal de Pediatria - Year 2017, Vol 93, Issue 1
Abstract
Objective To evaluate the sensitivity and specificity of different cutoff points of body mass index for predicting overweight/obesity according to body fat values estimated by DEXA among Brazilian adolescents. Methods Cross-sectional study including 229 male adolescents aged 10–15 years, in which body adiposity and anthropometric measures were assessed. Nutritional status was classified by BMI according to cutoff points described in scientific literature. Results Moderate agreements were observed between body fat estimated by DEXA and cutoffs proposed by Cole et al. (K=0.61), Conde and Monteiro (K=0.65), Must et al. (K=0.61) and WHO (K=0.63). The BMI in continuous form showed good agreement with the Dexa (ICC=0.72). The highest sensitivity was observed for cutoff by Conde and Monteiro (0.74 [0.62, 0.84]) and the highest specificity by Cole et al. (0.98 [0.94, 0.99]). For the areas under the ROC curve of cutoff points analyzed, significant difference comparing the cutoff points by Cole et al. and Conde and Monteiro (0.0449 [0.00294, 0.0927]) was observed. Conclusions The cutoff proposed by Conde and Monteiro was more sensitive in identifying overweight and obesity when compared to the reference method, and the cutoff proposed by Cole et al. presented the highest specificity for such outcomes.
Authors and Affiliations
Diego Christofaro
Keywords
Related Articles
- EP ID EP510469
- DOI 10.1016/j.jped.2016.04.010
- Views 105
- Downloads 0
Genomic imbalances in syndromic congenital heart disease
Objective To identify pathogenic genomic imbalances in patients presenting congenital heart disease (CHD) with extra cardiac anomalies and exclusion of 22q11.2 deletion syndrome (22q11.2 DS). Methods 78 patients negativ...
Neonatal and pediatric extracorporeal membrane oxygenation in developing Latin American countries
Objective To review the principles of neonatal-pediatric extracorporeal membrane oxygenation therapy, prognosis, and its establishment in limited resource-limited countries in Latino America. Sources The PubMed database...
Opinions of Brazilian resuscitation instructors regarding resuscitation in the delivery room of extremely preterm newborns
Objective To describe the opinions of pediatricians who teach resuscitation in Brazil on initiating and limiting the delivery room resuscitation of extremely preterm infants. Method Cross-sectional study with electronic...
Breastfeeding duration and associated factors between 1960 and 2000
Objective To describe a historical series on the median duration of breastfeeding in a population of mothers whose children were born from the 1960s onwards, identifying factors associated with the interruption of breast...
Preterm infants with peri/intraventricular hemorrhage have poorer habituation responses to external stimuli
Objective To evaluate the association between intra-ventricular hemorrhage and habituation responses to external stimuli in preterm infants at 36–38 weeks post-conceptual age. Methods Cross-sectional study of infants wit...