Anthropometric Indicators as Body Fat Discriminators in Children and Adolescents: A Systematic Review and Meta-Analysis

We analyzed the discriminatory capacity of anthropometric indicators for body fat in children and adolescents. This systematic review and meta-analysis included cross-sectional and clinical studies comprising children and adolescents aged 2–19 y that tested the discriminatory value for body fat meas...

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Bibliographic Details
Published in:Advances in nutrition (Bethesda, Md.) Md.), 2017-09, Vol.8 (5), p.718-727
Main Authors: Alves Junior, Carlos AS, Mocellin, Michel C, Gonçalves, Eliane C Andrade, Silva, Diego AS, Trindade, Erasmo BSM
Format: Article
Language:English
Subjects:
Absorptiometry, Photon
Adipose Tissue - diagnostic imaging
Adiposity
Adolescent
adolescents
anthropometry
Body Composition
Body Mass Index
Body Weight
Child
Child, Preschool
children
Female
HIV
Humans
Male
Reviews
Waist Circumference
Young Adult
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Summary:We analyzed the discriminatory capacity of anthropometric indicators for body fat in children and adolescents. This systematic review and meta-analysis included cross-sectional and clinical studies comprising children and adolescents aged 2–19 y that tested the discriminatory value for body fat measured by anthropometric methods or indexes generated by anthropometric variables compared with precision methods in the diagnosis of body fat [dual-energy X-ray absorptiometry (DXA), computed tomography, air displacement plethysmography (ADP), or MRI]. Five studies met the eligibility criteria and presented high methodologic quality. The anthropometric indicators that had high discriminatory power to identify high body fat were body mass index (BMI) in males [area under the curve (AUC): 0.975] and females (AUC: 0.947), waist circumference (WC) in males (AUC: 0.975) and females (AUC: 0.959), and the waist-to-height ratio (WTHR) in males (AUC: 0.897) and females (AUC: 0.914). BMI, WC, and WTHR can be used by health professionals to assess body fat in children and adolescents.
ISSN:2161-8313
2156-5376
DOI:10.3945/an.117.015446