PMID- 18568596 OWN - NLM STAT- MEDLINE DCOM- 20080807 LR - 20151119 IS - 1464-5033 (Electronic) IS - 0301-4460 (Linking) VI - 35 IP - 3 DP - 2008 May-Jun TI - Discordance of international adiposity classifications in Australian boys and girls - the LOOK study. PG - 334-41 LID - 10.1080/03014460802014625 [doi] AB - BACKGROUND: Various charts based on body mass index (BMI) and per cent body fat (%BF) are used to classify childhood body composition but outcomes may vary. AIM: The study investigated variation in incidences of childhood obesity as depicted by four classification charts. SUBJECTS AND METHODS: BMI and DXA-derived %BF were assessed in 741 children. Incidences of overweight and obesity were compared between two BMI charts and two bioelectrical impedance (BIA)-based %BF charts. RESULTS: The International Obesity Task Force (IOTF)-adopted BMI chart designated 21%, 6% (boys), and 26%, 9% (girls) as overweight and obese, respectively. Corresponding figures using the USA CDC BMI chart were 27%, 11% (boys) and 27%, 12% (girls). Using a USA-derived %BF chart incidences were 17%, 2% (boys) and 21%, 8% (girls) and using a UK-derived %BF chart 51%, 24% (boys) and 53%, 36% (girls). Sensitivity of BMI varied according to the %BF reference chart. CONCLUSIONS: In contrast to the BMI-based charts, there were considerable variations in depicted incidences of obesity between the %BF-based charts. These discordances were considered to result from previously reported variation within and between BIA and DXA %BF assessments underlying the charts. The present study highlights the need for valid, reliable, unchanging BIA and DXA procedures. FAU - Telford, Richard D AU - Telford RD AD - Faculty of Medicine, Australian National University, Canberra, ACT, Australia. rtelford@cominst.org.au FAU - Cunningham, Ross B AU - Cunningham RB FAU - Daly, Robin M AU - Daly RM FAU - Reynolds, Graham J AU - Reynolds GJ FAU - Lafferty, Antony R A AU - Lafferty AR FAU - Gravenmaker, Karen J AU - Gravenmaker KJ FAU - Budge, Marc M AU - Budge MM FAU - Javaid, Ahmad AU - Javaid A FAU - Bass, Shona L AU - Bass SL FAU - Telford, Rohan M AU - Telford RM LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Ann Hum Biol JT - Annals of human biology JID - 0404024 SB - IM MH - Absorptiometry, Photon MH - *Adiposity MH - Age Factors MH - Australia/epidemiology MH - Body Height MH - *Body Mass Index MH - Child MH - Electric Impedance MH - Female MH - Humans MH - Male MH - Obesity/*diagnosis/epidemiology MH - Reference Standards MH - Reference Values MH - *Research Design/standards MH - Sensitivity and Specificity MH - Sex Factors MH - United States EDAT- 2008/06/24 09:00 MHDA- 2008/08/08 09:00 CRDT- 2008/06/24 09:00 PHST- 2008/06/24 09:00 [pubmed] PHST- 2008/08/08 09:00 [medline] PHST- 2008/06/24 09:00 [entrez] AID - 793266512 [pii] AID - 10.1080/03014460802014625 [doi] PST - ppublish SO - Ann Hum Biol. 2008 May-Jun;35(3):334-41. doi: 10.1080/03014460802014625.