Browse > Article

The novel expression method of pediatric body composition : fat mass index and fat-free mass index  

Cho, Young Gyu (Department of Family Medicine, College of Medicine, Inje University, Seoul Paik Hospital)
Kang, Jae Heon (Department of Family Medicine, College of Medicine, Inje University, Seoul Paik Hospital)
Song, Hye Ryoung (Department of Family Medicine, College of Medicine, Inje University, Seoul Paik Hospital)
Kim, Kyung A (Obesity Research Institute of Inje University)
Song, Ji Hyun (Division of Metabolic Diseases, Center for Biomedical Sciences National Institute of Health)
Jung, Myeong Ho (Division of Metabolic Diseases, Center for Biomedical Sciences National Institute of Health)
Publication Information
Clinical and Experimental Pediatrics / v.50, no.7, 2007 , pp. 629-635 More about this Journal
Abstract
Purpose : This study was conducted to assess the usefulness of fat-free mass index (FFMI) and fat mass index (FMI) as novel expression methods of body composition in children. Methods : A total of 466 Second grade students-248 boys and 218 girls- from all elementary schools the Gwacheon City underwent anthropometric measures including bioelectrical impedance analysis (BIA) and biochemical tests. The correlation coefficients between obesity indices, including FMI and FFMI, and metabolic risk factors, were assessed. Metabolic risk factors of children with increased FMI were compared with those of children with normal FMI. We compared FMI and FFMI percentile distribution between this study's subjects and the subjects of the Fukuoka body composition study. Results : FMI was lower and FFMI was higher in this study's subjects compared to the subjects of the Fukuoka body composition study. FMI was correlated with other obesity indices and several metabolic risk factors. Metabolic risk was higher in children with increased FMI than in children with normal FMI. Conclusion : FMI and FFMI were useful indicators in comparing difference of body composition among children that had different body size and growth. High FMI was related to increase of metabolic risk in children.
Keywords
Body composition; Body mass index; Obesity; Child;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Yoo S, LEE SY, Kim KN, Sung E. Obesity in Korean pre-adolescent school children: comparison of various anthropometric measurements based on bioelectrical impedance analysis. Int J Obes (Lond) 2006;30:1086-90   DOI
2 Goran MI, Kaskoun MC, Carpenter WH, Poehlman ET, Ravussin E, Fontvieille AM. Estimating body composition of young children by using bioelectrical resistance. J Appl Physiol 1993;75:1776-80   DOI
3 Nakao T, Komiya S. Reference norms for a fat-free mass index and fat mass index in the Japanese child population. J Physiol Anthropol Appl Human Sci 2003;22:293-8   DOI   ScienceOn
4 Eto C, Komiya S, Nakao T, Kikkawa K. Validity of the body mass index and fat mass index as an indicator of obesity in children aged 3-5 year. J Physiol Anthropol Appl Human Sci 2004;23:25-30   DOI   ScienceOn
5 Wells JC, Cole TJ, ALSPAC study team. Adjustment of fat-free mass and fat mass for height in children aged 8 y. Int J Obes Relat Metab Disord 2002;26:947-52   DOI   ScienceOn
6 Pateyjohns IR, Brinkworth GD, Buckley JD, Noakes M, Clifton PM. Comparison of three bioelectrical impedance methods with DXA in overweight and obese men. Obesity 2006;14:2064-70   DOI
7 Segal KR, Dunaif A, Gutin B, Albu J, Nyman A, Pi-Sunyer FX. Body composition, not body weight, is related to cardiovascular disease risk factors and sex hormone levels in men. J Clin Invest 1987;80:1050-5   DOI
8 Kyle UG, Morabia A, Schutz Y, Pichard C. Sedentarism affects body fat mass index and fat-free mass index in adults aged 19 to 98 years. Nutrition 2004;20:255-60   DOI   ScienceOn
9 Garrow JS, Webster J. Quetelet's index (W/H$^{2}$) as a measure of fatness. Int J Obes 1985;9:147-53
10 Wells JC, Coward WA, Cole TJ, Davies PS. The contribution of fat and fat-free tissue to body mass index in contemporary children and the reference child. Int J Obes Relat Metab Disord 2002;26:1323-8   DOI   ScienceOn
11 Schutz Y, Kyle UU, Pichard C. Fat-free mass index and fat mass index percentiles in Caucasians aged 19-98 y. Int J Obes Relat Metab Disord 2002;26:953-60   DOI
12 Kyle UG, Schutz Y, Dupertuis YM, Pichard C. Body composition interpretation. Contributions of the fat-free mass index and the body fat mass index. Nutrition 2003;19:597-604   DOI   ScienceOn
13 Wells JC. A critique of the expression of paediatric body composition data. Arch Dis Child 2001;85:67-72   DOI
14 VanItalie TB, Yang MU, Heymsfield SB, Funk RC, Boileau RA. Height-normalized indices of the body's fat-free mass and fat mass: potentially useful indicators of nutritional status. Am J Clin Nutr 1990;52:953-9   DOI
15 Ellis KJ, Abrams SA, Wong WW. Monitoring childhood obesity: assessment of the weight/height$^{2}$ index. Am J Epidemiol 1999;150:939-46   DOI   ScienceOn
16 Wells JC. A Hattori chart analysis of body mass index in infants and children. Int J Obes Relat Metab Disord 2000;24:325-9   DOI   ScienceOn
17 Gasser T, Ziegler P, Seifert B, Prader A, Molinari L, Largo R. Measures of body mass and of obesity from infancy to adulthood and their appropriate transformation. Ann Hum Biol 1994;21:111-25   DOI   ScienceOn