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Çocuklarda Obezitenin Belirlenmesinde Antropometrik Ölçümlerin Karşılaştırılması: Sistematik Derleme

Yıl 2022, Cilt: 6 Sayı: 1, 52 - 64, 31.01.2022
https://doi.org/10.46237/amusbfd.908212

Öz

Amaç: Güncel literatürde, çocuklarda obezitenin belirlenmesinde farklı ölçüm yöntemlerini ve farklı istatistiksel analizleri içeren çok sayıda çalışma mevcuttur. Bu çalışmanın amacı, çocuklarda obeziteyi ölçmek için kullanılan antropometrik ölçüm yöntemlerini derlemektir.
Yöntem: Çocuklarda obeziteyi ölçmek için kullanılan antropometrik ölçüm yöntemlerini araştıran çalışmalar üzerine sistematik bir derleme yapıldı. Pubmed/Medline ve Google Scholar veritabanları tarandı. Çalışmaların metodolojik kalitesi, Modifiye Downs and Black kontrol listesi kullanılarak incelenmiştir. Ardından önemli bulgular sentezlenmiştir.
Bulgular: 2006-2020 yılları arasında yayınlanan 24 çalışma derlemeye dahil edildi. Çalışmaların örneklem büyüklükleri 30 ile 23043 katılımcı arasında değişmekteydi. Katılımcıların yaş aralığı 2-18 yıldı. Çalışmaların %87,5'inde (n=21) ölçüm yöntemi olarak Vücut Kitle İndeksi (VKİ) kullanılmış ve VKİ ölçüm performansı diğer antropometrik ölçüm yöntemleriyle karşılaştırılmıştır. Bel çevresi (n=16), bel-kalça oranı (n=13) ve kol çevresi ölçümleri (n=8) en sık kullanılan yöntemler olmuştur.
Sonuç: Çocuk popülasyonunun obezite ve aşırı kiloluluk durumunu değerlendirmek için kullanılan antropometrik ölçümlerin karşılaştırılmasında VKİ skoru altın standart olarak görülmektedir. Bel çevresi ve bel-kalça oranı, Çift X-ışını Absorptiometri (DEXA) ve Hava Deplasmanlı Pletismografi (ADP) gibi daha doğru tekniklerin mümkün olmadığı çocuklarda obezite ve fazla kilonun ölçülmesinde en yaygın ve en etkin araçlardır.

Kaynakça

  • 1. World Health Organization. Obesity: preventing and managing the global epidemic. Report of a WHO consultation group on obesity. Geneva: WHO; 2000 (WHO Technical Report Series, 894).
  • 2. Deshmukh-Taskar P., Nicklas T. A., Morales M., Yang S. J., Zakeri I., Berenson G. S. (2006). Tracking of overweight status from childhood to young adulthood: the Bogalusa Heart Study. Eur J Clin Nutr 2006;60(1):48e57.
  • 3. Starc G., Strel J. (2011). Tracking excess weight and obesity from childhood to young adulthood: a 12-year prospective cohort study in Slovenia. Public Health Nutr 2011;14(1):49e55.
  • 4. Norgan N.G. (2005). Laboratory and field measurements of body composition. Public Health Nutr 2005;8(7A):1108e22.
  • 5. Kehoe S. H., Krishnaveni G. V., Lubree H. G., Wills A. K., Guntupalli A. M., Veena S. R., et al. (2011). Prediction of body-fat percentage from skinfold and bio-impedance measurements in Indian school children. Eur J Clin Nutr 2011;65(12):1263e70.
  • 6. Downs, S. H., & Black, N. (1998). The feasibility of creating a checklist for the assessment of the methodological quality both of randomised and non-randomised studies of health care interventions. Journal of Epidemiology & Community Health, 52(6), 377-384.
  • 7. Moher, D., Liberati, A., Tetzlaff, J., & Altman, D. G. (2010). Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Int J Surg, 8(5), 336-341.
  • 8. Jayawardene, W., Dickinson, S., Lohrmann, D., & Agley, J. (2018). Arm circumference-to-height ratio as a situational alternative to BMI percentile in assessing obesity and cardiometabolic risk in adolescents. Journal of obesity, 2018.
  • 9. Shafiee, G., Qorbani, M., Heshmat, R., Djalalinia, S., Motlagh, M. E., Arefirad, T., et al. (2018). Wrist circumference as a novel predictor of obesity in children and adolescents: the CASPIAN-IV study. Journal of Pediatric Endocrinology and Metabolism, 31(7), 717-725.
  • 10. Dumith, S. C., Muraro, M. D. F. R., Monteiro, A. R., Machado, K. P., Dias, M., Oliz, M. M., et al. (2018). Diagnostic properties and cutoff points for overweight prediction through anthropometric indicators in adolescents from Caracol, Piauí, Brazil, 2011. Epidemiologia e Serviços de Saúde, 27, e201715013.
  • 11. Asif, M., Aslam, M., & Altaf, S. (2018). Evaluation of anthropometric parameters of central obesity in Pakistani children aged 5–12 years, using receiver operating characteristic (ROC) analysis. Journal of Pediatric Endocrinology and Metabolism, 31(9), 971-977.
  • 12. Rerksuppaphol, S., & Rerksuppaphol, L. (2017). Mid-upper-arm circumference and arm-to-height ratio to identify obesity in school-age children. Clinical medicine & research, 15(3-4), 53-58.
  • 13. Kondolot, M., Horoz, D., Poyrazoğlu, S., Borlu, A., Öztürk, A., Kurtoğlu, S., et al. (2017). Neck circumference to assess obesity in preschool children. Journal of clinical research in pediatric endocrinology, 9(1), 17.
  • 14. Zhu, Y., Shao, Z., Jing, J., Ma, J., Chen, Y., Li, X., et al. (2016). Body mass index is better than other anthropometric indices for identifying dyslipidemia in Chinese children with obesity. PloS one, 11(3), e0149392.
  • 15. Zhang, Y. X., Zhao, J. S., & Chu, Z. H. (2016). Percentiles of waist-to-sitting-height ratio and its relationship with obesity and elevated blood pressure among children and adolescents in Shandong, China. Blood pressure monitoring, 21(1), 33-37.
  • 16. de Souza, M. F. C., Gurgel, R. Q., de Carvalho Barreto, Í. D., & Saravanan, S. (2016). Neck circumference as screening measure for identifying adolescents with overweight and obesity. Journal of Human Growth and Development, 26(2), 260-266.
  • 17. Kelishadi, R., Djalalinia, S., Motlagh, M. E., Rahimi, A., Bahreynian, M., Arefirad, T., et al. (2016). Association of neck circumference with general and abdominal obesity in children and adolescents: the weight disorders survey of the CASPIAN-IV study. BMJ open, 6(9).
  • 18. Ozturk, A., Cicek, B., Mazicioglu, M. M., & Kurtoglu, S. (2015). Determining abdominal obesity cut-offs and relevant risk factors for anthropometric indices in Turkish children and adolescents. Journal of Pediatric Endocrinology and Metabolism, 28(5-6), 525-532.
  • 19. Katz, S. L., Vaccani, J. P., Clarke, J., Hoey, L., Colley, R. C., & Barrowman, N. J. (2014). Creation of a reference dataset of neck sizes in children: standardizing a potential new tool for prediction of obesity-associated diseases? BMC pediatrics, 14(1), 159.
  • 20. Craig, E., Bland, R., Ndirangu, J., & Reilly, J. J. (2014). Use of mid-upper arm circumference for determining overweight and overfatness in children and adolescents. Archives of disease in childhood, 99(8), 763-766.
  • 21. Cândido, A. P., Freitas, S. N., & Machado‐Coelho, G. L. (2011). Anthropometric measurements and obesity diagnosis in schoolchildren. Acta paediatrica, 100(9), e120-e124.
  • 22. Nafiu, O. O., Burke, C., Lee, J., Voepel-Lewis, T., Malviya, S., & Tremper, K. K. (2010). Neck circumference as a screening measure for identifying children with high body mass index. Pediatrics, 126(2), e306-e310.
  • 23. Mazıcıoğlu, M. M., Hatipoğlu, N., Öztürk, A., Çiçek, B., Üstünbaş, H. B., & Kurtoğlu, S. (2010). Waist circumference and mid−upper arm circumference in evaluation of obesity in children aged between 6 and 17 years. Journal of clinical research in pediatric endocrinology, 2(4), 144.
  • 24. Atamtürk, D. (2010). Comparing the anthropometric criteria used for determining obesity. Journal of Continuing Medical Education, 19(5), 198-204.
  • 25. Al-Daghri, N., Alokail, M., Al-Attas, O., Sabico, S., & Kumar, S. (2010). Establishing abdominal height cut-offs and their association with conventional indices of obesity among Arab children and adolescents. Annals of Saudi medicine, 30(3), 209-214.
  • 26. Hubert, H., Guinhouya, C. B., Allard, L., & Durocher, A. (2009). Comparison of the diagnostic quality of body mass index, waist circumference and waist-to-height ratio in screening skinfold- determined obesity among children. Journal of Science and Medicine in Sport, 12(4), 449-451.
  • 27. Davutoglu, M., Ozkaya, M., Guler, E., Garipardic, M., Gursoy, H., Karabiber, H., ve ark. (2009). Plasma visfatin concentrations in childhood obesity: relationships with insulin resistance and anthropometric measurements indices. Swiss Medical Weekly, 139(0102).
  • 28. Yan, W., Bingxian, H., Hua, Y., Jianghong, D., Jun, C., Dongliang, G., et al. (2007). Waist‐to‐height ratio is an accurate and easier index for evaluating obesity in children and adolescents. Obesity, 15(3), 748-752.
  • 29. Semiz, S., & Sabir, N. (2007). Comparison of ultrasonographic and anthropometric methods to assess body fat in childhood obesity. International journal of obesity, 31(1), 53-58.
  • 30. Yoo, S., Lee, S. Y., Kim, K. N., & Sung, E. (2006). Obesity in Korean pre-adolescent school children: comparison of various anthropometric measurements based on bioelectrical impedance analysis. International journal of obesity, 30(7), 1086-1090.
  • 31. Tokmakidis, S. P., Christodoulos, A. D., & Mantzouranis, N. I. (2007). Validity of self-reported anthropometric values used to assess body mass index and estimate obesity in Greek school children. Journal of adolescent health, 40(4), 305-310.
  • 32. Sardinha, L. B., Going, S. B., Teixeira, P. J., & Lohman, T. G. (1999). Receiver operating characteristic analysis of body mass index, triceps skinfold thickness, and arm girth for obesity screening in children and adolescents. The American journal of clinical nutrition, 70(6), 1090-1095.

Comparing Anthropometric Measurements in Determining Obesity in Children: A Systematic Review

Yıl 2022, Cilt: 6 Sayı: 1, 52 - 64, 31.01.2022
https://doi.org/10.46237/amusbfd.908212

Öz

Objective: In the current literature, there are many studies that include different measurement methods and different statistical analyzes in determining obesity in children. The aim of this study is to review the anthropometric measurement methods used to measure obesity in children.
Method: A systematic review was completed for studies of anthropometric measurement methods used to measure obesity in children. The databases Pubmed/Medline and Google Scholar were searched. Methodological quality of studies was examined using the modified Downs and Black checklist. Subsequently, important findings were synthesized.
Results: Twenty four studies published between the years 2006-2020 were included in the review. Sample sizes varied between 30 and 23043 participants. The age range of the participants varied between 2-18 years. In 87.5% of the studies (n=21), Body Mass Index (BMI) was used as the measurement method and the performance of BMI was compared with other anthropometric measurement methods. Waist circumference (n=16), waist-hip ratio (n=13) and arm circumference measurements (n=8) are the most common used methods.
Conclusion: BMI score is seen as the gold standard in comparison of anthropometric measurements used to evaluate the obesity and overweight status of the child population. Waist circumference and waist-hip ratio are the most commonly used and effective tools for measuring obesity and overweight in children when more accurate techniques such as Dual X-ray Absorptiometry (DEXA) and Air-Displacement Plethysmography (ADP) are unfeasible.

Kaynakça

  • 1. World Health Organization. Obesity: preventing and managing the global epidemic. Report of a WHO consultation group on obesity. Geneva: WHO; 2000 (WHO Technical Report Series, 894).
  • 2. Deshmukh-Taskar P., Nicklas T. A., Morales M., Yang S. J., Zakeri I., Berenson G. S. (2006). Tracking of overweight status from childhood to young adulthood: the Bogalusa Heart Study. Eur J Clin Nutr 2006;60(1):48e57.
  • 3. Starc G., Strel J. (2011). Tracking excess weight and obesity from childhood to young adulthood: a 12-year prospective cohort study in Slovenia. Public Health Nutr 2011;14(1):49e55.
  • 4. Norgan N.G. (2005). Laboratory and field measurements of body composition. Public Health Nutr 2005;8(7A):1108e22.
  • 5. Kehoe S. H., Krishnaveni G. V., Lubree H. G., Wills A. K., Guntupalli A. M., Veena S. R., et al. (2011). Prediction of body-fat percentage from skinfold and bio-impedance measurements in Indian school children. Eur J Clin Nutr 2011;65(12):1263e70.
  • 6. Downs, S. H., & Black, N. (1998). The feasibility of creating a checklist for the assessment of the methodological quality both of randomised and non-randomised studies of health care interventions. Journal of Epidemiology & Community Health, 52(6), 377-384.
  • 7. Moher, D., Liberati, A., Tetzlaff, J., & Altman, D. G. (2010). Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Int J Surg, 8(5), 336-341.
  • 8. Jayawardene, W., Dickinson, S., Lohrmann, D., & Agley, J. (2018). Arm circumference-to-height ratio as a situational alternative to BMI percentile in assessing obesity and cardiometabolic risk in adolescents. Journal of obesity, 2018.
  • 9. Shafiee, G., Qorbani, M., Heshmat, R., Djalalinia, S., Motlagh, M. E., Arefirad, T., et al. (2018). Wrist circumference as a novel predictor of obesity in children and adolescents: the CASPIAN-IV study. Journal of Pediatric Endocrinology and Metabolism, 31(7), 717-725.
  • 10. Dumith, S. C., Muraro, M. D. F. R., Monteiro, A. R., Machado, K. P., Dias, M., Oliz, M. M., et al. (2018). Diagnostic properties and cutoff points for overweight prediction through anthropometric indicators in adolescents from Caracol, Piauí, Brazil, 2011. Epidemiologia e Serviços de Saúde, 27, e201715013.
  • 11. Asif, M., Aslam, M., & Altaf, S. (2018). Evaluation of anthropometric parameters of central obesity in Pakistani children aged 5–12 years, using receiver operating characteristic (ROC) analysis. Journal of Pediatric Endocrinology and Metabolism, 31(9), 971-977.
  • 12. Rerksuppaphol, S., & Rerksuppaphol, L. (2017). Mid-upper-arm circumference and arm-to-height ratio to identify obesity in school-age children. Clinical medicine & research, 15(3-4), 53-58.
  • 13. Kondolot, M., Horoz, D., Poyrazoğlu, S., Borlu, A., Öztürk, A., Kurtoğlu, S., et al. (2017). Neck circumference to assess obesity in preschool children. Journal of clinical research in pediatric endocrinology, 9(1), 17.
  • 14. Zhu, Y., Shao, Z., Jing, J., Ma, J., Chen, Y., Li, X., et al. (2016). Body mass index is better than other anthropometric indices for identifying dyslipidemia in Chinese children with obesity. PloS one, 11(3), e0149392.
  • 15. Zhang, Y. X., Zhao, J. S., & Chu, Z. H. (2016). Percentiles of waist-to-sitting-height ratio and its relationship with obesity and elevated blood pressure among children and adolescents in Shandong, China. Blood pressure monitoring, 21(1), 33-37.
  • 16. de Souza, M. F. C., Gurgel, R. Q., de Carvalho Barreto, Í. D., & Saravanan, S. (2016). Neck circumference as screening measure for identifying adolescents with overweight and obesity. Journal of Human Growth and Development, 26(2), 260-266.
  • 17. Kelishadi, R., Djalalinia, S., Motlagh, M. E., Rahimi, A., Bahreynian, M., Arefirad, T., et al. (2016). Association of neck circumference with general and abdominal obesity in children and adolescents: the weight disorders survey of the CASPIAN-IV study. BMJ open, 6(9).
  • 18. Ozturk, A., Cicek, B., Mazicioglu, M. M., & Kurtoglu, S. (2015). Determining abdominal obesity cut-offs and relevant risk factors for anthropometric indices in Turkish children and adolescents. Journal of Pediatric Endocrinology and Metabolism, 28(5-6), 525-532.
  • 19. Katz, S. L., Vaccani, J. P., Clarke, J., Hoey, L., Colley, R. C., & Barrowman, N. J. (2014). Creation of a reference dataset of neck sizes in children: standardizing a potential new tool for prediction of obesity-associated diseases? BMC pediatrics, 14(1), 159.
  • 20. Craig, E., Bland, R., Ndirangu, J., & Reilly, J. J. (2014). Use of mid-upper arm circumference for determining overweight and overfatness in children and adolescents. Archives of disease in childhood, 99(8), 763-766.
  • 21. Cândido, A. P., Freitas, S. N., & Machado‐Coelho, G. L. (2011). Anthropometric measurements and obesity diagnosis in schoolchildren. Acta paediatrica, 100(9), e120-e124.
  • 22. Nafiu, O. O., Burke, C., Lee, J., Voepel-Lewis, T., Malviya, S., & Tremper, K. K. (2010). Neck circumference as a screening measure for identifying children with high body mass index. Pediatrics, 126(2), e306-e310.
  • 23. Mazıcıoğlu, M. M., Hatipoğlu, N., Öztürk, A., Çiçek, B., Üstünbaş, H. B., & Kurtoğlu, S. (2010). Waist circumference and mid−upper arm circumference in evaluation of obesity in children aged between 6 and 17 years. Journal of clinical research in pediatric endocrinology, 2(4), 144.
  • 24. Atamtürk, D. (2010). Comparing the anthropometric criteria used for determining obesity. Journal of Continuing Medical Education, 19(5), 198-204.
  • 25. Al-Daghri, N., Alokail, M., Al-Attas, O., Sabico, S., & Kumar, S. (2010). Establishing abdominal height cut-offs and their association with conventional indices of obesity among Arab children and adolescents. Annals of Saudi medicine, 30(3), 209-214.
  • 26. Hubert, H., Guinhouya, C. B., Allard, L., & Durocher, A. (2009). Comparison of the diagnostic quality of body mass index, waist circumference and waist-to-height ratio in screening skinfold- determined obesity among children. Journal of Science and Medicine in Sport, 12(4), 449-451.
  • 27. Davutoglu, M., Ozkaya, M., Guler, E., Garipardic, M., Gursoy, H., Karabiber, H., ve ark. (2009). Plasma visfatin concentrations in childhood obesity: relationships with insulin resistance and anthropometric measurements indices. Swiss Medical Weekly, 139(0102).
  • 28. Yan, W., Bingxian, H., Hua, Y., Jianghong, D., Jun, C., Dongliang, G., et al. (2007). Waist‐to‐height ratio is an accurate and easier index for evaluating obesity in children and adolescents. Obesity, 15(3), 748-752.
  • 29. Semiz, S., & Sabir, N. (2007). Comparison of ultrasonographic and anthropometric methods to assess body fat in childhood obesity. International journal of obesity, 31(1), 53-58.
  • 30. Yoo, S., Lee, S. Y., Kim, K. N., & Sung, E. (2006). Obesity in Korean pre-adolescent school children: comparison of various anthropometric measurements based on bioelectrical impedance analysis. International journal of obesity, 30(7), 1086-1090.
  • 31. Tokmakidis, S. P., Christodoulos, A. D., & Mantzouranis, N. I. (2007). Validity of self-reported anthropometric values used to assess body mass index and estimate obesity in Greek school children. Journal of adolescent health, 40(4), 305-310.
  • 32. Sardinha, L. B., Going, S. B., Teixeira, P. J., & Lohman, T. G. (1999). Receiver operating characteristic analysis of body mass index, triceps skinfold thickness, and arm girth for obesity screening in children and adolescents. The American journal of clinical nutrition, 70(6), 1090-1095.
Toplam 32 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Araştırma Makaleleri
Yazarlar

Fatih Tekin 0000-0001-7829-7957

Vahdet Özkoçak 0000-0002-4603-2548

Yayımlanma Tarihi 31 Ocak 2022
Yayımlandığı Sayı Yıl 2022 Cilt: 6 Sayı: 1

Kaynak Göster

APA Tekin, F., & Özkoçak, V. (2022). Comparing Anthropometric Measurements in Determining Obesity in Children: A Systematic Review. Adnan Menderes Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, 6(1), 52-64. https://doi.org/10.46237/amusbfd.908212