Relation of BMI to fat and fat-free mass among children and adolescents
Relation of BMI to fat and fat-free mass among children and adolescents
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DOI:
10.1038/sj.ijo.0802735
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发表时间:
2005-01-01
影响因子:
4.9
通讯作者:
Horlick, M
中科院分区:
文献类型:
--
作者:
Freedman, DS;Wang, J;Horlick, M
Objective: Although the body mass index (BMI, kg/m(2)) is widely used as a surrogate measure of adiposity, it is a measure of excess weight, rather than excess body fat, relative to height. We examined the relation of BMI to levels of fat mass and fat-free mass among healthy 5- to 18-y-olds.Methods and Procedures: Dual-energy X-ray absorptiometry was used to measure fat and fat-free mass among 1196 subjects. These measures were standardized for height by calculating the fat mass index (FMI, fat mass/ht(2)) and the fat-free mass index (FFMI, fat-free mass/ht(2)).Results: The variability in FFMI was about 50% of that in FMI, and the accuracy of BMI as a measure of adiposity varied greatly according to the degree of fatness. Among children with a BMI-for-age greater than or equal to85th P, BMI levels were strongly associated with FMI (r=0.85-0.96 across sex-age categories). In contrast, among children with a BMI-for-age