PMID- 26054952
OWN - NLM
STAT- MEDLINE
DCOM- 20160809
LR  - 20171116
IS  - 2168-3824 (Electronic)
IS  - 0270-1367 (Linking)
VI  - 86 Suppl 1
DP  - 2015 Jun 26
TI  - Agreement and Diagnostic Performance of FITNESSGRAM(R), International Obesity Task 
      Force, and Hungarian National BMI Standards.
PG  - S21-8
LID - 10.1080/02701367.2015.1042786 [doi]
AB  - PURPOSE: This study examined agreement between all 3 standards (as well as 
      relative diagnostic associations with metabolic syndrome) using a representative 
      sample of youth from the Hungarian National Youth Fitness Study. METHOD: Body 
      mass index (BMI) was assessed in a field sample of 2,352 adolescents (ages 
      10-18.5 years) and metabolic syndrome status was assessed in a laboratory 
      subsample of 373 youth. All youth were categorized into weight status groups 
      based on the FITNESSGRAM(R), International Obesity Task Force (IOTF), and Hungarian 
      growth standards. Classification agreement was compared between all pairs of 
      standards via cross-tabulation. Logistic regression was used to estimate the odds 
      of metabolic syndrome by weight status. RESULTS: The 3 BMI standards agreed on >/=  
      88% of cases, with better agreement on girls' standards than boys' standards. 
      Kappa values ranged from .65 to .89. Using the Hungarian standards over the 
      Fitnessgram or IOTF standards resulted in 5% to 10% more youth being classified 
      as normal weight. The overweight/obesity groups were 4 times to 6 times more 
      likely to have metabolic syndrome than those classified as normal weight 
      regardless of the classification standards. These odds ratios increased to 8 
      times to 17 times when comparing the normal-weight/overweight groups to the 
      obesity category. Odds ratios for boys tended to be slightly larger than those 
      for girls. CONCLUSIONS: All 3 standards provide similar information about weight 
      status and metabolic syndrome classification. To more easily facilitate 
      international comparisons, it may be of greater benefit to use the IOTF 
      standards, which also had better agreement with the U.S. Fitnessgram thresholds.
FAU - Laurson, Kelly R
AU  - Laurson KR
AD  - a Illinois State University.
FAU - Welk, Gregory J
AU  - Welk GJ
FAU - Marton, Orsolya
AU  - Marton O
FAU - Kaj, Monika
AU  - Kaj M
FAU - Csanyi, Tamas
AU  - Csanyi T
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Res Q Exerc Sport
JT  - Research quarterly for exercise and sport
JID - 8006373
SB  - IM
MH  - Adolescent
MH  - *Body Mass Index
MH  - Child
MH  - *Exercise Test
MH  - Female
MH  - Humans
MH  - Hungary/epidemiology
MH  - Male
MH  - Metabolic Syndrome/diagnosis/epidemiology
MH  - Obesity/*diagnosis/epidemiology
MH  - Overweight/diagnosis/epidemiology
MH  - Prevalence
MH  - Schools
MH  - Sex Factors
OTO - NOTNLM
OT  - body composition
OT  - metabolic syndrome
OT  - physical fitness
OT  - weight status
EDAT- 2015/06/10 06:00
MHDA- 2016/08/10 06:00
CRDT- 2015/06/10 06:00
PHST- 2015/06/10 06:00 [entrez]
PHST- 2015/06/10 06:00 [pubmed]
PHST- 2016/08/10 06:00 [medline]
AID - 10.1080/02701367.2015.1042786 [doi]
PST - ppublish
SO  - Res Q Exerc Sport. 2015 Jun 26;86 Suppl 1:S21-8. doi: 
      10.1080/02701367.2015.1042786.