Comparisons of obesity assessments in over-weight elementary students using anthropometry, BIA, CT and DEXA
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초록
Obesity was characterized in Korean elementary students using different obesity assessment tests on 103 overweight elementary students from three schools of Jeonbuk Province. The body mass index (BMI) and obesity index (OI) were compared, and the data using DEXA and CT were compared with the data using BIA and a tape measure. The results of this study are as follows: first, 27 students who were classified as obese by OI were classified as overweight by BMI, and 3 students who were classified as standard weight by BMI were classified as overweight by OI. Secondly, by DEXA and BIA measurements, there was 1.51% difference in body fat percentage (boys 1.66%, girls 1.17%) and the difference in body fat mass between boys and girls was 0.77 kg (boys 0.85 kg, girls 0.59 kg), but those differences in body fat percentage and mass were not statistically significant. Thirdly, the average total abdominal fat (TAF) measured by CT scans of obese children was more significantly related with subcutaneous fat (r = 0.983, P < 0.01) than visceral fat (r = 0.640, P < 0.01). Also, TAF were highest significant with waist circumference by a tape measure (r = 0.744, P < 0.01). In summary, as there are some differences of assessment results between two obesity test methods (BMI,OI), we need more definite standards to determine the degree of obesity. The BIA seems to be the most simple and effective way to measure body fat mass, whereas waist/hip ratio (WHR) using a tape measurer is considered to be the most effective method for assessing abdominal fat in elementary students.
Abstract
Obesity was characterized in Korean elementary students using different obesity assessment tests on 103 overweight elementary students from three schools of Jeonbuk Province. The body mass index (BMI) and obesity index (OI) were compared, and the data using DEXA and CT were compared with the data using BIA and a tape measure. The results of this study are as follows: first, 27 students who were classified as obese by OI were classified as overweight by BMI, and 3 students who were classified as standard weight by BMI were classified as overweight by OI. Secondly, by DEXA and BIA measurements, there was 1.51% difference in body fat percentage (boys 1.66%, girls 1.17%) and the difference in body fat mass between boys and girls was 0.77 kg (boys 0.85 kg, girls 0.59 kg), but those differences in body fat percentage and mass were not statistically significant. Thirdly, the average total abdominal fat (TAF) measured by CT scans of obese children was more significantly related with subcutaneous fat (r = 0.983, P < 0.01) than visceral fat (r = 0.640, P < 0.01). Also, TAF were highest significant with waist circumference by a tape measure (r = 0.744, P < 0.01). In summary, as there are some differences of assessment results between two obesity test methods (BMI,OI), we need more definite standards to determine the degree of obesity. The BIA seems to be the most simple and effective way to measure body fat mass, whereas waist/hip ratio (WHR) using a tape measurer is considered to be the most effective method for assessing abdominal fat in elementary students.
참고문헌 (29)
- Blackman MR, "Principles of ambulatory medicine, 4th ed" (1994), Williams and Wilkins Co.
- Bae JM, "A distribution of waist-hip ratio associated with the blood pressure in middle-aged men", J Prev Med Public Health, 32, pp.395~399 (1999)
- Kurpad SS, "Waist circumference correlates better with body mass index than waist-to-hip ratio in Asian Indians", Natl Med J India, 16, pp.189~192 (2003)
- Key A, "Indices of relative weight and obesity", J Chronic Dis, 25, pp.329~343 (1993)
- 김정기, "수중체중 측정을 통한 새로운 신체조성 추정 회귀식 개방", 한국 스포츠 리서치, 17(5), pp.329~340 (2006), 한국스포츠리서치
- Schon RE, "Sagittal diameter in comparison with single slice CT as a predictor total visceral adipose tissue volume", Int J Obes, 22, pp.338~342 (1998)
- Pullcino E, "Bedside and field methods for assess-ing body composition: comparison with the deuterium dilution technique", Eur J Clin Nutr, 44, pp.752~762 (1990)
- Mazess RB, "Dual energy x-ray absorptiometry for total-body and regional bone-mineral and soft-tissue composition", Am J Clin Nutr, 51, pp.1106~1112 (1990)
- Svendson OL, "Measurement of body fat in elderly subjects by dual-energy X-ray absorptiometry, bioelectrical impedance, and anthropometry", Am J Clin Nutr, 53, pp.1117~1123 (1993)
- Hammond J, "Estimation in community surveys of total fat of children using bioelectrical impedance or skinfold thickness measurement", Eur J Clin Nutr, 48, pp.164~172 (1994)
- Schaefer F, "Usefulness of bioelectrical impedance and skinfold measurements in predicting fat-free mass derived from total potassium in children", Pediatr Res, 35, pp.617~624 (1994)
- 김현수, "5-14세 아동의 신체구성성분 평가 -인체측정법, BIA법, DXA법 비교-", 한국체육학회지, 45(3), pp.481~488 (2006), 한국체육학회
- 김인경, "과천지역 초등학생의 Leptin 수준과 열량섭취, 체중 및 비만도 변화와의 관계", 한국영양학회지, 40(8), pp.736~744 (2007), 한국영양학회
- 고영호, "초등학교 비만아동들의 영양교육을 병행한 유산소 운동이 신체조성, 체력 및 간 기능에 미치는 영향", 한국 스포츠 리서치, 17(1), pp.415~422 (2006), 한국스포츠리서치
- 오수일, "초등학교 비만아동을 대상으로 한 방과 후 비만관리 프로그램의 생활습관 및 신체활동량 평가", Journal of Exercise Nutrition & Biochemistry, 12(1), pp.1~6 (2008), 한국운동영양학회
- 조인숙, "초등학교 정상체중아동과 비만아동의 건강증진 생활양식", Journal of Korean Academy of Child Health Nursing, 15(1), pp.61~70 (2009), 아동간호학회
- 조민아, "경남지역 일부 초등학교 비만아동의 식습관 분석 및 영양교육을 위한 교수학습과정안 개발", 대한영양사협회 학술지, 15(2), pp.97~112 (2009), 대한영양사협회
- 남정혜, "초등학교 비만관리 프로그램이 비만 아동의 체구성 성분과 혈청 지질 수준에 미치는 영향", 한국식품영양학회지, 20(1), pp.88~95 (2007), 한국식품영양학회
- Leonard MB, "Obesity during childhood and adolescence augments bone mass and bone dimension", Am J Clin Nutr, 80, pp.514~523 (2004)
- Ellis KJ, "Human body composition: in vivo methods", Physiol Rev, 80, pp.649~680 (2000)
- Tyrrell VJ, "Foot-to-foot bioelectrical impedance analysis: a valuable tool for the measurement of body composition in children", Int J Obes Relat Metab Disord, 25, pp.273~278 (2001)
- Poulit MC, "Waist circumference and abdominal sagittal diameter: best simple anthropometric index of abdominal visceral adipose tissue accumulation and related cardiovascular risk in men and women", Am J Cardiol, 73, pp.460~468 (1994)
- Armellini F, "Computed tomography visceral adipose tissue volume measurements of Italians: predictive equations", Eur J Clin Nutr, 50, pp.290~294 (1996)
- Ross R, "Sensitivity associated with the identification of visceral adipose tissue levels using waist circumference in men and women: effects of weight loss", Int J Obes, 20, pp.533~538 (1996)
- 신영희, "아동비만에 관한 고찰", Journal of Korean Academy of Child Health Nursing, 11(2), pp.240~245 (2005), 아동간호학회
- Seidell JC, "Assessment of intra-abdominal and subcutaneous abdominal fat : relation between anthropometry and computed tomography", Am J Clin Nutr, 45, pp.7~13 (1987)
- Wetis T, "Computer tomography measurement of abdominal of fat deposition in relation to anthropometry", Int J Obes, 12, pp.217~225 (1998)
- Kim HS, "Abdominal obesity and health and exercise", Journal of Korean Society for Living Environment System, 6, pp.1~10 (1999)
- Kooy K, "Waist-hip ratio is a poor predictor of change in visceral fat", Am J Clin Nutr, 57, pp.327~333 (1993)