CINXE.COM

The Link between Anthropometry and FatBased Obesity Indices in Pediatric Morbid Obesity

<?xml version="1.0" encoding="UTF-8"?> <article key="pdf/10013252" mdate="2023-09-06 00:00:00"> <author>Mustafa M. Donma and Orkide Donma</author> <title>The Link between Anthropometry and FatBased Obesity Indices in Pediatric Morbid Obesity</title> <pages>203 - 206</pages> <year>2023</year> <volume>17</volume> <number>9</number> <journal>International Journal of Medical and Health Sciences</journal> <ee>https://publications.waset.org/pdf/10013252</ee> <url>https://publications.waset.org/vol/201</url> <publisher>World Academy of Science, Engineering and Technology</publisher> <abstract>Anthropometric measurements are essential for obesity studies. Waist circumference (WC) is the most frequently used measure and along with hip circumference (HC), it is used in most equations derived for the evaluation of obese individuals. Morbid obesity (MO) is the most severe clinical form of obesity and such individuals may also exhibit some clinical findings leading to metabolic syndrome (MetS). Then, it becomes a requirement to discriminate MO children with MetS (MOMetS) from MO children without MetS (MOMetS). Almost all obesity indices can differentiate obese (OB) children from children with normal body mass index (NBMI). However, not all of them are capable of making this distinction. The aim of this study was to find out the clinical availability of (waist circumference hip circumference)2 ((WCHC)2) for the differential diagnosis of MOMetS and MOMetS and to compare the possible preponderance of it over some other anthropometric or fatbased obesity indices. 45 MOMetS and 45 MOMetS children were included in the study. Participants have submitted informed consent forms. The study protocol was approved by the Noninterventional Clinical Studies Ethics Committee of Tekirdag Namik Kemal University. Anthropometric measurements were performed. BMI, waisttohip circumference (WHR), (WCHC)2, trunktoleg fat ratio (TLFR), trunktoappendicular fat ratio (TAFR), trunk fatleg fat2 ((trunkleg fat)2), diagnostic obesity notation model assessment index2 (D2I) and fat mass index (FMI) were calculated for both groups. Study data were analyzed statistically and 0.05 for p value was accepted as the statistical significance degree. Statistically higher BMI, WC, (WCHC)2, (trunkleg fat)2 values were found in MOMetS children than MOMetS children. No statistically significant difference was detected for WHR, TLFR, TAFR, D2I and FMI between two groups. The lack of difference between the groups in terms of FMI and D2I pointed out the fact that the recently developed fatbased index; (trunkleg fat)2 gives much more valuable information during the evaluation of MOMetS and MOMetS children. Upon evaluation of the correlations, (WCHC)2 was strongly correlated with D2I and FMI in both MOMetS and MOMetS groups. Neither D2I nor FMI was correlated with WH. Strong correlations were calculated between (WCHC)2 and (trunkleg fat)2 in both MOMetS (r 0.961; p &amp;amp;lt; 0.001) and MOMetS (r 0.936; p &amp;amp;lt; 0.001) groups. Partial correlations between (WCHC)2 and (trunkleg fat)2 after controlling the effect of basal metabolic rate were r 0.726; p &amp;amp;lt; 0.001 in MOMetS group and r 0.932; p &amp;amp;lt; 0.001 in MOMetS group. The correlation in the latter group was higher than the first group. In conclusion, recently developed anthropometric obesity index (WCHC)2 and fatbased obesity index (trunkleg fat)2 were of preponderance over the previously introduced classical obesity indices such as WHR, D2I and FMI during the differential diagnosis of MOMetS and MOMetS children. </abstract> <index>Open Science Index 201, 2023</index> </article>