PMID- 12627178
OWN - NLM
STAT- MEDLINE
DCOM- 20030710
LR  - 20221207
IS  - 0954-3007 (Print)
IS  - 0954-3007 (Linking)
VI  - 57
IP  - 3
DP  - 2003 Mar
TI  - Obesity in a cohort of black Jamaican children as estimated by BMI and other 
      indices of adiposity.
PG  - 420-6
AB  - OBJECTIVE: To examine the relationships of body mass index (BMI) to obesity 
      indices derived from anthropometry and to determine tracking of overweight 
      between late childhood and early adolescence, in a cohort of children with mixed 
      nutritional history. We also compared identification of overweight children using 
      The International Obesity Task Force (IOTF) BMI cut-off points with skinfolds. 
      DESIGN: Prospective study. SETTING: Kingston, Jamaica. SUBJECTS: A total of 306 
      children examined at 7-8 y and at 11-12 y. MEASUREMENTS: Triceps (TSF) and 
      subscapular skinfolds (SSF), height and weight were measured. The sum of the 
      skinfolds (sum SF), BMI, percentage body fat (%fat) and fat mass (FM) were 
      calculated. Pubertal stage was assessed at 11-12 y. RESULTS: Overweight increased 
      from 3.5 to 9.5% over the follow-up period. BMI was better correlated with the 
      other indices of adiposity in girls and in the older age group. BMI tracking over 
      follow up was high. In regression analysis BMI explained 52 and 61% of the 
      variance in FM in boys and girls at 7-8 y. This increased to 69% in both sexes at 
      11-12 y. Using the IOTF cut-off points BMI had low sensitivity to identify 
      children >85th percentile of the NHANES references for SSF. The sensitivity for 
      those assessed by TSF and sum SF was higher, but between 14 and 30% of the 
      children were misclassified. The specificity of BMI was high. CONCLUSIONS: 
      Adiposity increased over follow-up. Although the cohort remained relatively lean 
      BMI rank among the fattest children was maintained. Girls were fatter than boys, 
      reflecting adult obesity patterns. Children identified as overweight by the IOTF 
      BMI cut-off points are likely to have high body fatness. However the BMI cut-off 
      points may not identify many children with high body fatness.
FAU - Gaskin, P S
AU  - Gaskin PS
AD  - Epidemiology Research Unit, Tropical Medicine Research Institute, University of 
      the West Indies, Jamaica. pgaskin@uwimona.edu.jm
FAU - Walker, S P
AU  - Walker SP
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - England
TA  - Eur J Clin Nutr
JT  - European journal of clinical nutrition
JID - 8804070
SB  - IM
MH  - Adipose Tissue
MH  - Age Distribution
MH  - Anthropometry
MH  - *Black People
MH  - *Body Composition
MH  - *Body Mass Index
MH  - Child
MH  - Cohort Studies
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Jamaica/epidemiology
MH  - Male
MH  - Nutrition Surveys
MH  - Obesity/*diagnosis/*epidemiology
MH  - Prospective Studies
MH  - Reference Values
MH  - Sensitivity and Specificity
MH  - Sex Characteristics
EDAT- 2003/03/11 04:00
MHDA- 2003/07/11 05:00
CRDT- 2003/03/11 04:00
PHST- 2002/01/18 00:00 [received]
PHST- 2002/05/17 00:00 [revised]
PHST- 2002/06/17 00:00 [accepted]
PHST- 2003/03/11 04:00 [pubmed]
PHST- 2003/07/11 05:00 [medline]
PHST- 2003/03/11 04:00 [entrez]
AID - 1601564 [pii]
AID - 10.1038/sj.ejcn.1601564 [doi]
PST - ppublish
SO  - Eur J Clin Nutr. 2003 Mar;57(3):420-6. doi: 10.1038/sj.ejcn.1601564.