Obesity in Prepubertal Children - Study
Defining Health-Related Obesity in Prepubertal
Children
Obesity-Children Study - Aim
The purpose of this study was to develop percentage of fat and waist circumference
cut-points in prepubertal children with the intention of defining obesity
associated with cardiovascular disease (CVD) risk.
Obesity-Children Study - Methods
A cross-sectional analysis of 87 prepubertal children aged 4 to 11 years
was used. Percentage of body fat was determined by DXA. Waist circumference
was measured to the nearest millimeter. Receiver Operating Characteristic
analyses of percentage of fat and waist circumference were used to develop
cut-points for individuals with adverse levels of CVD risk factors.
Obesity-Children Study - Results
The risk factors selected for analyses (i.e., fasting insulin, high-density
lipoprotein cholesterol, low-density lipoprotein cholesterol, triglycerides,
and total cholesterol/high-density lipoprotein cholesterol) were significantly
related to percentage of body fat and waist circumference. Likelihood
ratios were used to identify percentage of fat and waist circumference
cut-points associated with adverse cardiovascular risk profiles. Two cut-points,
an upper cut-point of 33 percent body fat and a lower cut-point of 20
percent body fat, were derived. Waist circumference cut-points indicative
of adverse and normal risk-factor profiles were 71 cm and 61 cm, respectively.
Obesity-Children Study - Issues
The data indicate that children with 33 percent body fat and children
with a waist circumference 71 cm were more likely to possess an adverse
CVD risk-factor profile than a normal risk-factor profile. The likelihood
of children with <20 percent body fat or a waist circumference <61
cm possessing an adverse CVD risk-factor profile as opposed to a normal
risk-factor profile was small. The cut-points describe an adequate health-related
definition of childhood obesity.
Source: University of Alabama at Birmingham.
2003
Weight Loss & Obesity Reduction
The science of weight loss and weight management is constantly evolving,
along with research into diet modification, types of gastrointestinal
weight loss surgery and weight loss drugs. At present, however, a balanced
diet plan combined with a regular fitness program remains the favored
weight control strategy of most weight loss experts. Return to Weight Loss Data
|