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Title: Accuracy of obesity diagnosis in Brazilian adolescents: comparison of Cole et al and Must et al criteria with DXA percentage of fat mass
Other Titles: Precisión del diagnóstico de obesidad en adolescentes brasileños: comparación de los criterios de COLE y cols. y de MUST y cols. con el porcentaje DXA sobre masa grasa
Authors: Oliveira, Fernanda Luisa Ceragioli [UNIFESP]
Taddei, Jose Augusto de Aguiar Carrazedo [UNIFESP]
Schimith Escrivão, Maria Arlete Meil [UNIFESP]
Cobayashi, Fernanda [UNIFESP]
Barros, Maria Elisa [UNIFESP]
Vitolo, Marcia Regina
Colugnati, Fernando Antonio Basile [UNIFESP]
Lopez, Fábio Ancona [UNIFESP]
Universidade Federal de São Paulo (UNIFESP)
Universidade do Estado do Rio de Janeiro (UERJ)
Keywords: adolescence obesity
fat mass
Issue Date: 1-Jul-2006
Publisher: Aula Medica Ediciones
Citation: Nutricion Hospitalaria. Madrid: Aula Medica Ediciones, v. 21, n. 4, p. 484-490, 2006.
Abstract: Objectives: to assess the accuracy of the two most used anthropometric criteria: Must and Cole to diagnose obesity in adolescence comparing with percentage of fat mass determined by DXA.Methodology: cross-sectional study with 418 adolescents (52.4% males) attending a private school in Se Paulo/Brazil. Anthropometric measures of height and weight were taken and BMI was calculated. Analysis of body composition was performed using the DXA to detect percentage of fat mass. Using the method proposed by Ellis & Wong (ERM) two sex-specific linear regression models of fat percentage for age in years were fitted. The comparison between the methods was carried out through the analyses of specificity and sensitivity with two residual percentiles as cutoff points (ERM85(th) and ERM95th) as standards. A logistic model was fitted to estimate the probability curves of obesity classification.Results: the comparison of the two classic criteria for the diagnosis of obesity with the ERM85(th) and ERM 95(th), yields for females the same sensitivities of 0.50 and 0.20 for both criteria. For males sensitivities for ERM 85(th) were 0.61(Must) and 0.49 (Cole); while for ERM95(th) the sensitivities were 0.81 (Must) and 0.64 (Cole). Therefore, there are high probabilities that those criteria diagnose adolescents as obese, when actually they are not.Conclusion: the Must and Cole criteria were similar and present flaws for the diagnosis of obesity. In clinical practice and field studies anthropometric criteria should be evaluated as to the diagnostic accuracy along with other clinical parameters and, when feasible, the analysis of fatness percentage. However, the anthropometric criteria evaluated are efficient in the identification of nonobese adolescent in the two cutoff points considered.
ISSN: 0212-1611
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