Percentage of body fat in adolescents with Down syndrome: Estimation from skinfolds

González-Agüero, Alejandro; Matute-Llorente, Ángel; Gómez-Cabello, Alba; Vicente-Rodríguez, Germán

doi:10.1016/j.dhjo.2016.05.013

Cited by 13 publications

(27 citation statements)

References 23 publications

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“…2017; Gonzalez‐Aguero et al . 2017), both muscle quantity and quality could play an important role in explaining low levels of cardiorespiratory fitness in individuals with DS.…”

Section: Discussionmentioning

confidence: 99%

“…2017; Gonzalez‐Aguero et al . 2017; Pitchford et al . 2018), this could impact their cardiorespiratory fitness.…”

Section: Introductionmentioning

confidence: 99%

“…Because individuals with DS show clear differences in anthropometry when compared with the general population [i.e. lower height, higher body mass index (BMI), higher fat mass and lower muscle mass] (Baptista et al 2005;Guijarro et al 2008;Physical Activity Guidelines Advisory Committee 2008;Esco et al 2017;Gonzalez-Aguero et al 2017;Pitchford et al 2018), this could impact their cardiorespiratory fitness.…”

Section: Introductionmentioning

confidence: 99%

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Anthropometry does not fully explain low fitness among adults with Down syndrome

Beck

Baynard

Lefferts

et al. 2021

J intellect Disabil Res

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Background Cardiorespiratory fitness, expressed as peak oxygen uptake during exercise (VO2peak), is an important predictor of cardiovascular health and is related to anthropometry in the general population. Individuals with Down syndrome (DS) have reduced cardiorespiratory fitness and often exhibit different anthropometrics compared with the general population. Interestingly, the relation between anthropometry and cardiorespiratory fitness found in the general population is not apparent in individuals with DS. However, accurate measures with dual energy X‐ray absorptiometry (DEXA) scan have not been used to investigate this relationship in this population. The purpose of this paper was to investigate the relationship between accurate measures of anthropometry and cardiorespiratory fitness in adults with DS compared with an age‐matched and sex‐matched control group. Methods Anthropometrics (height, weight, waist and hip circumference, body composition via DEXA) and cardiorespiratory fitness (VO2peak, measured during a graded maximal exercise test) were assessed in adults with (n = 9; 25 ± 3 years; 6 male patients) and without DS (n = 10, 24 ± 4 years; 5 male patients). Results Participants with DS were shorter (P < 0.01) than without DS and had a higher body mass index (P < 0.01), waist circumference (WC) (P = 0.026) and waist/height ratio (WHtR) (P < 0.01), but similar weight, body surface area (BSA), waist/hip ratio and body composition (P > 0.05). Participants with DS had significantly lower relative VO2peak and VO2peak corrected for total lean mass (TLM), but similar absolute VO2peak, compared with without DS. In participants with DS, only WC and WHtR were associated with VO2peak, whereas in participants without DS, height, weight, BSA, TLM, leg lean mass and body fat percentage were associated with VO2peak. Conclusions These results suggest that the relation between anthropometry and cardiorespiratory fitness found in the general population is not the same in adults with DS and that anthropometrics do not fully explain cardiorespiratory fitness in adults with DS. Further research into potential alternative explanations is required.

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“…2017; Gonzalez‐Aguero et al . 2017), both muscle quantity and quality could play an important role in explaining low levels of cardiorespiratory fitness in individuals with DS.…”

Section: Discussionmentioning

confidence: 99%

“…2017; Gonzalez‐Aguero et al . 2017; Pitchford et al . 2018), this could impact their cardiorespiratory fitness.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Anthropometry does not fully explain low fitness among adults with Down syndrome

Beck

Baynard

Lefferts

et al. 2021

J intellect Disabil Res

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“…The children and adolescents with DS have a unique body composition, and higher %BF than their counterparts without DS [33]. The findings of their study in Spain on adolescents aged 12–18 years showed %BF in males (18.8 (4.9)%) and females (29.1 (4.7)%) similar to those of the present UAE study (males 16.3 (12.2)%; females 29.9 (2.8)%).…”

Section: Discussionmentioning

confidence: 99%

Physical Status and Parent-Child Feeding Behaviours in Children and Adolescents with Down Syndrome in The United Arab Emirates

Osaili

Attlee

Naveed

et al. 2019

IJERPH

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The prevalence of Down syndrome (DS) in the United Arab Emirates (UAE) is high in comparison to the global statistics. The aim of this study is to assess the physical status, feeding problems, parent-child feeding relationship and weight outcome in children and adolescents with DS in the UAE. In this cross-sectional study, 83 individuals aged between 2–19 years with DS were recruited from three humanitarian centres for differently abled in the Emirates of Sharjah and Dubai, UAE. Socio-demographic characteristics; height, weight, BMI and body composition; feeding problems (STEP-CHILD screening tool); and parent-child feeding relationship (child feeding questionnaire—CFQ) were assessed. Correlations and regression analyses were used to determine the relationships and the best predictor of weight outcome (BMI) in DS participants. The median age of the participants was 9 (8) years. Fifty-five (66.3%) males and twenty-eight (33.7%) females constituted a sex ratio of 1.96:1. Five (6.2%) participants were short for their age, and 20.6% were overweight/obese compared to the growth charts for DS population. Body composition of females showed significantly higher percent body fat than males (25.5 (14.3)% vs. 18.2 (4.0)%, p = 0.03; 29.9 (2.8)% vs. 16.3 (12.2)%, p = 0.006) in 5–8.99 years and 12–19.99 years, respectively. The most common feeding difficulties on STEP-CHILD tool were food selectivity (62.2%), continued eating in the presence of food (57.7%) and swallowing without sufficient chewing (50%). Median score of total-CFQ for the parent-child feeding behaviour was 3.2 (1.9); parental restriction 3.3 (1.0); pressure to eat 3.0 (0.8); concern about child weight 3.7 (2.3). Parent-child feeding relationship was significantly positively correlated with feeding problems, and body weight of the participants. The best predictor for BMI was the parental concern about child weight (OR: 1.4, p = 0.02). The findings can be valuable for the health care professionals, parents and caretakers of children and adolescents with DS in emphasizing the need for regular monitoring of their physical status, and feeding behaviours. In addition, it reinforces the role of parents in mindfully managing their child feeding relationship in promoting healthy eating behaviours and weight of their youth with DS.

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“…The distribution and amount of body fat (e.g., FM) and composition of muscle mass ( e.g ., lean body mass or FFM) are important to understand the health outcomes in body composition assessment in infants and children [ 12 , 20 – 22 ]. Studies have reported marked ethnic differences in the relationship of visceral and peripheral adiposity [ 1 , 9 – 11 ].…”

Section: Discussionmentioning

confidence: 99%

A Comparative Study on Fat Pattern between Tribal and Non-tribal Girls of Tripura, North-East India

Saha

Sil

2019

Indian J Pediatr

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Objective To examine the body composition including fat patterning among 744 school going Chakma tribal and non- tribal Bengali girls (366 Chakma tribal and 378 Bengali girls), aged 6-12y from North, Unokoti, Dhalai and South District of Tripura. Methods The subjects were selected using cluster-random sampling method. The anthropometric measurements of height, weight, triceps and subscapular skinfold were recorded. The body mass index (BMI) was also calculated. The measurements were used to estimate percent body fat (PBF) and fat-free mass (FFM) from skinfolds. Fat mass (FM) and FFM were each divided by height squared to produce the fat-mass index (FMI) and fat-free mass index (FFMI). Body composition was assessed using FM, FFM, FMI and FFMI. Results Age-specific mean values of FM ranged from 2.65-6.75 kg (tribal) and 1.92-6.45 kg (non-tribal). Age-specific mean values of FFM ranged from 17.19-29.61 kg for tribals and 15.41-28.44 kg for non-tribals respectively. PBF of tribals was significantly ( p < 0.01) higher (except 10 y) than non-tribals. FFM and PBF significantly ( p < 0.01) related with all anthropometric variables. Conclusions This study suggested a clear evidence of ethnic variation in fat patterning; Chakma tribal girls showing a greater subcutaneous adiposity in comparison with Bengali girls. These results are important for future investigations in clinical and epidemiological studies to identify the risk of lower or higher adiposity and body composition.

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Percentage of body fat in adolescents with Down syndrome: Estimation from skinfolds

Cited by 13 publications

References 23 publications

Anthropometry does not fully explain low fitness among adults with Down syndrome

Anthropometry does not fully explain low fitness among adults with Down syndrome

Physical Status and Parent-Child Feeding Behaviours in Children and Adolescents with Down Syndrome in The United Arab Emirates

A Comparative Study on Fat Pattern between Tribal and Non-tribal Girls of Tripura, North-East India

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