Fat mass index performs best in monitoring management of obesity in prepubertal children

Pereira‐da‐Silva, Luís; Dias, M. Pitta-Grós; Dionísio, Elisabete; Virella, Daniel; Alves, Marta; Diamantino, Catarina; Alonso, Anabela; Cordeiro-Ferreira, Gonçalo

doi:10.1016/j.jpedp.2016.02.005

Cited by 6 publications

(9 citation statements)

References 23 publications

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“…Therefore, it was recommended that adiposity rather than BMI-derived outcomes be considered in order to better reflect the efficacy of interventions [20]. In prepubertal obese children, FMI was found to have higher detection rate of adiposity reduction than BMI and similar but earlier detection rate than the %FM [7]. Thus, we used FMI instead of BMI to monitor weight management.…”

Section: Discussionmentioning

confidence: 99%

“…The study was approved by the institution ethical committee and parental consent was obtained. As previously described [7], a convenience cohort of…”

Section: Methodsmentioning

confidence: 99%

“…Since low levels of patient and family compliance may compromise the success of some interventions [6], early positive reinforcement based on reliable indicators may contribute to the success of weight management programs. In this context, we recently reported that the Fat Mass Index (FMI) is the indicator that provides the best combination of ability and precocity to detect reduction of adiposity during overweight treatment of prepubertal obese children, compared with the Body Mass Index (BMI) or the percentage of fat mass (%FM) [7].…”

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confidence: 99%

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An Overweight Program for Prepubertal Children, Assessed By an Accurate Early Indicator of Adiposity Reduction

Silva¹

2016

OCTOA

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Section: Discussionmentioning

confidence: 99%

“…The study was approved by the institution ethical committee and parental consent was obtained. As previously described [7], a convenience cohort of…”

Section: Methodsmentioning

confidence: 99%

mentioning

confidence: 99%

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An Overweight Program for Prepubertal Children, Assessed By an Accurate Early Indicator of Adiposity Reduction

Silva¹

2016

OCTOA

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“…Additionally, this is one of the first studies to examine the relation between physical activity and BP using a device-based physical activity measurement. Further strengths include use of bioelectrical impedance, as a major limitation of the current literature is the use of BMI as only of the only indicators of adiposity, especially as BMI may not be the best indicator of adiposity in growing children [54].…”

Section: Strengths and Limitationsmentioning

confidence: 99%

Adiposity, cardiovascular, and health-related quality of life indicators and the reallocation of waking movement behaviors in preschool children with overweight and obesity: An isotemporal data analysis

et al. 2020

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Background Isotemporal substitution evaluates hypothetical time replacement scenarios of physical movement on health, with few studies conducted among ethnically diverse preschool-aged populations. This study examines the reallocation of waking movement behaviors on adiposity, cardiovascular, and quality of life indicators among low-income, majority Hispanic preschool-aged youth (2–5 years) with overweight. Methods Participants wore an ActiGraph monitor (waist) and completed adiposity, cardiovascular, and health-related quality of life health assessments. Covariates included age, sex, ethnicity, and socioeconomic status. The isotemporal substitution approach was employed to address study aims. Results Complete data were available for 131 preschoolers. For boys, reallocating 5 minutes of stationary time with light intensity, moderate to vigorous intensity, or total physical activity showed a relation with beneficial reductions in adiposity indicators; for girls, these relations were statistically null. For boys and girls, reallocating 5 minutes of stationary time [-2.2 (95% CI: -3.7, -0.7) mmHg], light intensity [-2.1 (95% CI: -3.7, -0.7) mmHg], or moderate intensity activity [-2.7 (95% CI: -5.0, -0.4) mmHg] to vigorous intensity activity was related to favorable systolic blood pressure. Reallocating 5 minutes of stationary time to moderate to vigorous intensity activity [0.6 (95% CI: -1.0, -0.1) mmHg] or total physical activity [-0.2 (95% CI: -0.3, -0.01) mmHg] was related to lowered systolic blood pressure. Reallocating 5 minutes of stationary time to moderate to vigorous intensity activity [0.6 (95% CI: -1.1, -0.02) bpm] was related to lowered resting heart rate. No significant results for quality of life were found. Conclusion Reallocation of time from stationary time to other movement behaviors is associated with several favorable adiposity and cardiovascular health outcomes among preschool children with overweight and obesity.

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“…However, BMI does not allow to discriminate the proportional composition of the different body compartments: fat mass and fat-free mass [2][3][4][5]. In fact, several authors advocate in the use of the fat mass index (FMI) in contrast to the BMI in order to diagnose and monitor childhood obesity, owing to the higher sensibility to detect changes in body fat [6][7][8][9].…”

Section: Introductionmentioning

confidence: 99%

Reference values of fat mass index and fat-free mass index in healthy Spanish adolescents.

Durá-Travé

Gallinas-Victoriano

Chueca-Guindulain

et al. 2020

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Fat mass index performs best in monitoring management of obesity in prepubertal children

Cited by 6 publications

References 23 publications

An Overweight Program for Prepubertal Children, Assessed By an Accurate Early Indicator of Adiposity Reduction

An Overweight Program for Prepubertal Children, Assessed By an Accurate Early Indicator of Adiposity Reduction

Adiposity, cardiovascular, and health-related quality of life indicators and the reallocation of waking movement behaviors in preschool children with overweight and obesity: An isotemporal data analysis

Reference values of fat mass index and fat-free mass index in healthy Spanish adolescents.

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