PMID- 16801945
OWN - NLM
STAT- MEDLINE
DCOM- 20070228
LR  - 20191210
IS  - 0307-0565 (Print)
IS  - 0307-0565 (Linking)
VI  - 30
IP  - 7
DP  - 2006 Jul
TI  - Obesity in Korean pre-adolescent school children: comparison of various 
      anthropometric measurements based on bioelectrical impedance analysis.
PG  - 1086-90
AB  - OBJECTIVES: To examine the relationships between body mass index (BMI), 
      percentage-weight-for-height (PWH) and percentage body fat (PBF), and to compare 
      their validity based on PBF with the BMI criteria of International Obesity Task 
      Force (IOTF) for childhood obesity in Korean pre-adolescent school children. 
      DESIGN: Statistical comparative analysis for anthropometric measures. SUBJECTS: 
      Korean pre-adolescent children (438 boys and 454 girls, aged 8-12 years, mean BMI 
      19.5+/-3.4 kg/m2). MEASUREMENTS: Body mass index and PWH were calculated as body 
      size indices from height and weight. Hand-to-foot bioelectrical impedance 
      analysis (BIA) was performed to obtain PBF values, with obese children defined as 
      PBF above 35%. Sensitivity and specificity were displayed with the gold standard 
      of PBF, and receiver operating characteristic (ROC) curves were used to assess 
      the performance of BMI and PWH in detecting obesity. RESULTS: The prevalence of 
      obesity varied by the criteria: 18.8% by Korean BMI standards for 95 percentile, 
      11% by the IOTF-BMI 30 kg/m2 and 29.4% by Korean PWH cutoffs. Body mass index and 
      PWH were significantly correlated with PBF after adjusting for age, 0.910 
      (P<0.01) and 0.915 (P<0.01), respectively. The sensitivity and specificity of the 
      PWH cutoffs were 0.909 and 0.882, respectively. The local BMI 95 percentiles had 
      lower sensitivity (0.714) and specificity (0.790). The IOTF-BMI definition showed 
      much lower sensitivity (0.457) and higher specificity (0.990). The BMI cutoffs 
      corresponding with the highest accuracy were smaller than IOTF-BMI 30 kg/m2 for 
      all age groups in both boys and girls. CONCLUSION: The prevalence of obesity 
      among Korean pre-adolescent children widely varied according to the diagnostic 
      criteria applied. Universally recommended cutoffs for children by IOTF showed the 
      lowest sensitivity among the criteria used, and may therefore underestimate 
      obesity in this population.
FAU - Yoo, S
AU  - Yoo S
AD  - Department of Family Medicine, SanggyePaik Hospital, Inje University, College of 
      Medicine, Nowon-gu, Seoul, Republic of Korea. sunmiyoo@hanafos.com
FAU - Lee, S-Y
AU  - Lee SY
FAU - Kim, K-N
AU  - Kim KN
FAU - Sung, E
AU  - Sung E
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PT  - Validation Study
DEP - 20060321
PL  - England
TA  - Int J Obes (Lond)
JT  - International journal of obesity (2005)
JID - 101256108
SB  - IM
MH  - Adipose Tissue
MH  - Anthropometry/methods
MH  - *Body Composition
MH  - Body Height
MH  - Body Mass Index
MH  - Body Weight
MH  - Child
MH  - Electric Impedance
MH  - Female
MH  - Humans
MH  - Korea/epidemiology
MH  - Male
MH  - Obesity/*diagnosis/epidemiology/physiopathology
MH  - Prevalence
MH  - Sensitivity and Specificity
EDAT- 2006/06/28 09:00
MHDA- 2007/03/01 09:00
CRDT- 2006/06/28 09:00
PHST- 2006/06/28 09:00 [pubmed]
PHST- 2007/03/01 09:00 [medline]
PHST- 2006/06/28 09:00 [entrez]
AID - 0803327 [pii]
AID - 10.1038/sj.ijo.0803327 [doi]
PST - ppublish
SO  - Int J Obes (Lond). 2006 Jul;30(7):1086-90. doi: 10.1038/sj.ijo.0803327. Epub 2006 
      Mar 21.