Body Composition of Adolescent of Shorter Stature
DOI:
https://doi.org/10.3923/pjn.2019.711.715Keywords:
Adolescents, body fat, body mass index, Indonesia, short stature, stunted growth, waist-to-height ratio, waist circumferenceAbstract
Background and Objective Studies have shown that adults with stunted growth have a higher risk of obesity and higher fat mass. This study aimed to assess whether stature was associated with risk of obesity and adverse body fat composition in Indonesian adolescents. Materials and Methods: This study used a cross-sectional study and included 730 adolescents aged 15-18 years in Yogyakarta, Indonesia. Data on height and body mass index (BMI) were converted to height-for-age standard deviation scores (SDS) and BMI-for-age SDS, based on the World Health Organizations (WHO) 2007 guidelines. Body fat percentage was measured with the Full Body Sensor Body Composition Monitor and Scale (Omron HBF 516, Japan), which estimated body fat percentage using Bioelectrical Impedance Analyses. Individuals were designated as shorter or taller using median height-for-age SDS with a cut-off of 1.0. BMI-for-age SD, waist circumference, waist-to-height ratio and body fat percentage were compared using t-tests. Results: There was no difference in the odds for obesity between shorter and taller adolescents. While taller adolescents had large waist circumferences, after controlling for height, shorter female adolescents had larger waist-to-height ratios. Differences in body fat percentage were not consistent across gender and nutritional status. Conclusion: There was no difference in the odds for obesity between shorter and taller adolescents. However, after controlling for height, shorter adolescents had larger waist-to-height ratios.
References
Asao, K., W.L. Kao, K. Baptiste-Roberts, K. Bandeen-Roche, T.P. Erlinger and F.L. Brancati, 2006. Short stature and the risk of adiposity, insulin resistance and type 2 diabetes in middle age: The third national health and nutrition examination survey (NHANES III), 1988-1994. Diabetes Care, 29: 1632-1637.
Bosy-Westphal, A., S. Plachta-Danielzik, R.P. Dorhofer and M.J. Muller, 2009. Short stature and obesity: Positive association in adults but inverse association in children and adolescents. Br. J. Nutr., 102: 453-461.
Albuquerque, F.C.A., N.B. Bueno, A.P.G. Clemente, E. Ferriolli, T.M.M.T. Florencio, D. Hoffman and A.L. Sawaya, 2015. Association between adult stature and energy expenditure in low-income women from Northeastern Brazil. PLoS ONE, Vol. 10.
De Franca, G.V.A., M.C. Restrepo-Mendez, C.L. de Mola and C.G. Victora, 2014. Size at birth and abdominal adiposity in adults: A systematic review and meta-analysis. Obes. Rev., 15: 77-91.
Da Luz Santos, C.D., A.P.G. Clemente, V.J.B. Martins, M.P. Albuquerque and A.L. Sawaya, 2010. Adolescents with mild stunting show alterations in glucose and insulin metabolism. J. Nutr. Metab., Vol. 2010.
Mukuddem-Petersen, J. and H.S. Kruger, 2004. Association between stunting and overweight among 10-15-y-old children in the North West province of South Africa: The THUSA BANA study. Int. J. Obesity, 28: 842-851.
Wulan, S.N., K.R. Westerterp and G. Plasqui, 2010. Ethnic differences in body composition and the associated metabolic profile: A comparative study between Asians and Caucasians. Maturitas, 65: 315-319.
Rush, E.C., I. Freitas and L.D. Plank, 2009. Body size, body composition and fat distribution: Comparative analysis of European, Maori, Pacific Island and Asian Indian adults. Br. J. Nutr., 102: 632-641.
Hermanussen, M., K. Stec, C. Aßmann, C. Meigen and S. van Buuren, 2016. Synthetic growth reference charts. Am. J. Hum. Biol., 28: 98-111.
WHO., 2007. Growth reference 5-19 years. World Health Organization, Geneva, Switzerland.
Wang, J.G., Y. Zhang, H.E. Chen, Y. Li and X.G. Cheng et al., 2013. Comparison of two bioelectrical impedance analysis devices with dual energy X-ray absorptiometry and magnetic resonance imaging in the estimation of body composition. J. Strength Conditioning Res., 27: 236-243.
Demura, S. and S. Sato, 2015. Comparisons of accuracy of estimating percent body fat by four bioelectrical impedance devices with different frequency and induction system of electrical current. J. Sports Med. Phys. Fitness, 55: 68-75.
Mushtaq, M.U., S. Gull, H.M. Abdullah, U. Shahid, M.A. Shad and J. Akram, 2011. Waist circumference, waist-hip ratio and waist-height ratio percentiles and central obesity among Pakistani children aged five to twelve years. BMC Pediatr., Vol. 11.
Gracia-Marco, L., L.A. Moreno, J.R. Ruiz, F.B. Ortega and A.C.F. de Moraes et al., 2016. Body composition indices and single and clustered cardiovascular disease risk factors in adolescents: Providing clinical-based cut-points. Progr. Cardiovasc. Dis., 58: 555-564.
Dehghan, M. and A.T. Merchant, 2008. Is bioelectrical impedance accurate for use in large epidemiological studies? Nutr. J., Vol. 7.
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