Body Composition Characteristics of a Load-Capacity Model: Age-Dependent and Sex-Specific Percentiles in 5- to 17-Year-Old Children

Introduction: Body composition assessment is superior to the use of body mass index (BMI) to characterize the nutritional status in pediatric populations. For data interpretation, suitable reference data are needed; hence, we aimed to generate age-dependent and sex-specific body composition referenc...

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Autores principales: Isabel Gätjens, Steffen Christian Ekkehard Schmidt, Sandra Plachta-Danielzik, Anja Bosy-Westphal, Manfred James Müller
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Publicado: Karger Publishers 2021
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spelling oai:doaj.org-article:b00f19124ca14ccabf74e9e7129ca61c2021-11-04T14:40:31ZBody Composition Characteristics of a Load-Capacity Model: Age-Dependent and Sex-Specific Percentiles in 5- to 17-Year-Old Children1662-40251662-403310.1159/000518638https://doaj.org/article/b00f19124ca14ccabf74e9e7129ca61c2021-10-01T00:00:00Zhttps://www.karger.com/Article/FullText/518638https://doaj.org/toc/1662-4025https://doaj.org/toc/1662-4033Introduction: Body composition assessment is superior to the use of body mass index (BMI) to characterize the nutritional status in pediatric populations. For data interpretation, suitable reference data are needed; hence, we aimed to generate age-dependent and sex-specific body composition reference data in a larger population of children and adolescents in Germany. Methods: This is a cross-sectional study on a representative group of 15,392 5- to 17-year-old children and adolescents. Body composition was assessed by bioelectrical impedance analysis using a population-specific algorithm validated against air displacement plethysmography. Age- and sex-specific percentiles for BMI, fat mass index (FMI), fat-free mass index (FFMI), and a “load-capacity model” (characterized by the ratios of fat mass [FM]/ fatt-free mass [FFM] and FM/FFM2) were modeled using the LMS method. Results: BMI, FMI, FFMI, FM/FFM, and FM/FFM2 curves showed similar shapes between boys and girls with steady increases in BMI, FMI, and FFMI, while FM/FFM2-centiles decreased during early childhood and adolescence. Sex differences were observed in FMI and FM/FFM percentiles with increases in FMI up to age 9 years followed by a steady decrease in FM/FFM during and after puberty with a fast-growing FFMI up to age 17 in boys. The prevalence of low FFM relative to FM reached more than 60% in overweight children and adolescents. Conclusion: These pediatric body composition reference data enable physicians and public health scientists to monitor body composition during growth and development and to interpret individual data. The data point out to an early risk of sarcopenia in overweight children and adolescents.Isabel GätjensSteffen Christian Ekkehard SchmidtSandra Plachta-DanielzikAnja Bosy-WestphalManfred James MüllerKarger Publishersarticlebody compositionfat mass indexfat-free mass indexload-capacity modelchildrenNutrition. Foods and food supplyTX341-641Nutritional diseases. Deficiency diseasesRC620-627ENObesity Facts, Pp 1-11 (2021)
institution DOAJ
collection DOAJ
language EN
topic body composition
fat mass index
fat-free mass index
load-capacity model
children
Nutrition. Foods and food supply
TX341-641
Nutritional diseases. Deficiency diseases
RC620-627
spellingShingle body composition
fat mass index
fat-free mass index
load-capacity model
children
Nutrition. Foods and food supply
TX341-641
Nutritional diseases. Deficiency diseases
RC620-627
Isabel Gätjens
Steffen Christian Ekkehard Schmidt
Sandra Plachta-Danielzik
Anja Bosy-Westphal
Manfred James Müller
Body Composition Characteristics of a Load-Capacity Model: Age-Dependent and Sex-Specific Percentiles in 5- to 17-Year-Old Children
description Introduction: Body composition assessment is superior to the use of body mass index (BMI) to characterize the nutritional status in pediatric populations. For data interpretation, suitable reference data are needed; hence, we aimed to generate age-dependent and sex-specific body composition reference data in a larger population of children and adolescents in Germany. Methods: This is a cross-sectional study on a representative group of 15,392 5- to 17-year-old children and adolescents. Body composition was assessed by bioelectrical impedance analysis using a population-specific algorithm validated against air displacement plethysmography. Age- and sex-specific percentiles for BMI, fat mass index (FMI), fat-free mass index (FFMI), and a “load-capacity model” (characterized by the ratios of fat mass [FM]/ fatt-free mass [FFM] and FM/FFM2) were modeled using the LMS method. Results: BMI, FMI, FFMI, FM/FFM, and FM/FFM2 curves showed similar shapes between boys and girls with steady increases in BMI, FMI, and FFMI, while FM/FFM2-centiles decreased during early childhood and adolescence. Sex differences were observed in FMI and FM/FFM percentiles with increases in FMI up to age 9 years followed by a steady decrease in FM/FFM during and after puberty with a fast-growing FFMI up to age 17 in boys. The prevalence of low FFM relative to FM reached more than 60% in overweight children and adolescents. Conclusion: These pediatric body composition reference data enable physicians and public health scientists to monitor body composition during growth and development and to interpret individual data. The data point out to an early risk of sarcopenia in overweight children and adolescents.
format article
author Isabel Gätjens
Steffen Christian Ekkehard Schmidt
Sandra Plachta-Danielzik
Anja Bosy-Westphal
Manfred James Müller
author_facet Isabel Gätjens
Steffen Christian Ekkehard Schmidt
Sandra Plachta-Danielzik
Anja Bosy-Westphal
Manfred James Müller
author_sort Isabel Gätjens
title Body Composition Characteristics of a Load-Capacity Model: Age-Dependent and Sex-Specific Percentiles in 5- to 17-Year-Old Children
title_short Body Composition Characteristics of a Load-Capacity Model: Age-Dependent and Sex-Specific Percentiles in 5- to 17-Year-Old Children
title_full Body Composition Characteristics of a Load-Capacity Model: Age-Dependent and Sex-Specific Percentiles in 5- to 17-Year-Old Children
title_fullStr Body Composition Characteristics of a Load-Capacity Model: Age-Dependent and Sex-Specific Percentiles in 5- to 17-Year-Old Children
title_full_unstemmed Body Composition Characteristics of a Load-Capacity Model: Age-Dependent and Sex-Specific Percentiles in 5- to 17-Year-Old Children
title_sort body composition characteristics of a load-capacity model: age-dependent and sex-specific percentiles in 5- to 17-year-old children
publisher Karger Publishers
publishDate 2021
url https://doaj.org/article/b00f19124ca14ccabf74e9e7129ca61c
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