2014, Number 3
<< Back Next >>
Acta Pediatr Mex 2014; 35 (3)
Body mass index and body composition with deuterium in Costa Rican Children
Quintana-Guzmán EM, Salas-Cháves MP, Cartín-Brenes M
Language: Spanish
References: 11
Page: 179-189
PDF size: 542.17 Kb.
ABSTRACT
Background: Body Mass Index (BMI) has been adopted as international
measure for measuring adiposity in children with the disadvantage that
it varies with age, sex and sexual maturation with no differentiation
between fat mass and mass free of grease. The analysis of body composition
allow to know if the overweight is due to fatty tissue being the
deuterium isotope dilution method a validated reference method using
Infrared Spectrometry Transformed of Fourier (FTIR).
Materials and methods: We studied a total 118 boys and girls from 6 to
9 years old getting the values of z score of BMI for age and percentage
of fat mass by FTIR.
Results: The results obtained in this study demonstrate that Costa Rica
does not escape to the global problem of childhood obesity founding by
BMI 18,6% of overweight and 10% of obesity and by body composition
9% of overweight and 57% of obesity.
Conclusions: Isotopic deuterium dilution method demonstrated in this
study to be more suitable for the analysis of obesity and overweight in
children since BMI presented false positive and false negative results
giving less accurate information of adiposity of the subject.
REFERENCES
Marshall WA. Evaluation of growth rate in height over periods of less than one year. Arch Dis Child 1971;46:414- 17.
Tanner JM, Whitehouse RH, Takaishi M. Standars from birth to maturity for height, weight, height velocity, and weight velocity for British children. Parts I y II. Arch Dis Child 1966;41(Part I-II):454,613.
Rojas Gabulli MI. Aspectos prácticos de la antropometría en pediatría. Paediátrica 2000;3:22-26.
Kinney MV, Howson CP, McDougall L, Lawn JE. Resumen ejecutivo de Nacidos Demasiado Pronto: Informe de Acción Global sobre Nacimientos Prematuros. March of Dimes, PMNCH, Save the Children, Organización Mundial de la Salud, 2012.
Karlberg J, Albertsson-Wikland K. Growth in full-term small-for-gestational-age infants: from birth to final height. Pediatr Res 1995;38:733–739.
JH. The minimum time intervals for serial measurements of growth in recumbent length or stature of individual children. Acta Paediatr 1999;88(2):120-5.
Phillip M, Lebenthal Y, Lebl J, Zuckerman-Levin N, Korpal- Szczyrska M, Sales Marques J, et al. European Multicentre Study in Children Born Small for Gestational Age with Persistent Short Stature: Comparison of Continuous and Discontinuous Growth Hormone Treatment regimens. Horm Res 2009;71:52–59.
van der Kaay D. Rose S, van Dijk M, Noordam C, van Rheenen E, Hokken-Koelega A. Reduced levels of GH during GnRH analogue treatment in pubertal short girls born small for gestational age (SGA). Clinical Endocrinology 2009;70:914–919.
Clausen JO, Borch-Johnsen K, Pedersen O. Relation between birth weight and the insulin sensitivity index in a population sample of 331 young, healthy Caucasians. Am J Epidemiol 1997;146:23–31.
Noeker M: Neurocognitive development in children experiencing intrauterine growth retardation and born small for gestational age: pathological, constitutional and therapeutic pathways. Horm Res 2005;64(suppl 3):83–88.
Morgan AR, Thompson J, Murphy R, Black P, Lam WJ, Ferguson LR, Mitchell E. Obesity and diabetes genes are associated with being born small for gestational age: Results from the Auckland Birthweight Collaborative study. BMC Medical Genetics 2010;11:125.