Accuracy of Tri-ponderal Mass Index and Body Mass Index in Estimating Insulin Resistance, Hyperlipidemia, Impaired Liver Enzymes or Thyroid Hormone Function and Vitamin D Levels in Children and Adolescents
Objective:Tri-ponderal mass index (TMI) has been reported to estimate body fat more accurately than body mass index (BMI). This study aimed to compare the efficacy of TMI and BMI in predicting insulin resistance (IR), hyperlipidemia, impaired liver enzymes or thyroid hormone function and vitamin D c...
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| Format: | Article |
| Language: | English |
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Galenos Yayincilik
2019-12-01
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| Series: | JCRPE |
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http://www.jcrpe.org/archives/archive-detail/article-preview/accuracy-of-tri-ponderal-mass-ndex-and-body-mass-n/27368
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| _version_ | 1797913896249458688 |
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| author | Neşe Akcan Rüveyde Bundak |
| author_facet | Neşe Akcan Rüveyde Bundak |
| author_sort | Neşe Akcan |
| collection | DOAJ |
| description | Objective:Tri-ponderal mass index (TMI) has been reported to estimate body fat more accurately than body mass index (BMI). This study aimed to compare the efficacy of TMI and BMI in predicting insulin resistance (IR), hyperlipidemia, impaired liver enzymes or thyroid hormone function and vitamin D concentration.Methods:One hundred and forty-three overweight or obese children, based on BMI-standard deviation (SD) scoring (BMI-SDS) were studied retrospectively. TMI thresholds for overweight status were 16.0 kg/m3 for boys and 16.8 kg/m3 for girls and 18.8 kg/m3 for boys and 19.7 kg/m3 for girls for obese status.Results:Twenty-two overweight and eight obese children by BMI-SDS were classified as normal by TMI. Of the overweight children 22 (22.7%) had IR and IR was detected in 2 of 8 obese children with normal TMI. There was no increase in liver enzymes in any of the children with normal TMI. Forty-four obese children were overweight according to TMI and IR was detected in 40.9%. Thyroid stimulating hormone levels were significantly higher in BMI-based obese children. Vitamin D levels were similar in all groups of both classifications.Conclusion:When TMI was used there may be a risk of overlooking IR. However, if it is assumed that liver enzymes are elevated as a result of visceral adiposity, TMI can be used as an auxiliary parameter to show visceral effects of adiposity. Normal TMI may indicate that visceral organ functions have not deteriorated yet. More studies are needed to evaluate TMI as a clinical tool. |
| first_indexed | 2024-04-10T12:18:34Z |
| format | Article |
| id | doaj.art-0efc1781524747579f54af9364f0d5ed |
| institution | Directory Open Access Journal |
| issn | 1308-5727 1308-5735 |
| language | English |
| last_indexed | 2024-04-10T12:18:34Z |
| publishDate | 2019-12-01 |
| publisher | Galenos Yayincilik |
| record_format | Article |
| series | JCRPE |
| spelling | doaj.art-0efc1781524747579f54af9364f0d5ed2023-02-15T16:15:32ZengGalenos YayincilikJCRPE1308-57271308-57352019-12-0111436637310.4274/jcrpe.galenos.2019.2018.027913049054Accuracy of Tri-ponderal Mass Index and Body Mass Index in Estimating Insulin Resistance, Hyperlipidemia, Impaired Liver Enzymes or Thyroid Hormone Function and Vitamin D Levels in Children and AdolescentsNeşe Akcan0Rüveyde Bundak1 Near East University Faculty of Medicine, Department of Pediatric Endocrinology, Nicosia, Cyprus Kyrenia University Faculty of Medicine, Department of Pediatric Endocrinology, Kyrenia, Cyprus Objective:Tri-ponderal mass index (TMI) has been reported to estimate body fat more accurately than body mass index (BMI). This study aimed to compare the efficacy of TMI and BMI in predicting insulin resistance (IR), hyperlipidemia, impaired liver enzymes or thyroid hormone function and vitamin D concentration.Methods:One hundred and forty-three overweight or obese children, based on BMI-standard deviation (SD) scoring (BMI-SDS) were studied retrospectively. TMI thresholds for overweight status were 16.0 kg/m3 for boys and 16.8 kg/m3 for girls and 18.8 kg/m3 for boys and 19.7 kg/m3 for girls for obese status.Results:Twenty-two overweight and eight obese children by BMI-SDS were classified as normal by TMI. Of the overweight children 22 (22.7%) had IR and IR was detected in 2 of 8 obese children with normal TMI. There was no increase in liver enzymes in any of the children with normal TMI. Forty-four obese children were overweight according to TMI and IR was detected in 40.9%. Thyroid stimulating hormone levels were significantly higher in BMI-based obese children. Vitamin D levels were similar in all groups of both classifications.Conclusion:When TMI was used there may be a risk of overlooking IR. However, if it is assumed that liver enzymes are elevated as a result of visceral adiposity, TMI can be used as an auxiliary parameter to show visceral effects of adiposity. Normal TMI may indicate that visceral organ functions have not deteriorated yet. More studies are needed to evaluate TMI as a clinical tool. http://www.jcrpe.org/archives/archive-detail/article-preview/accuracy-of-tri-ponderal-mass-ndex-and-body-mass-n/27368 body mass indexhyperlipidemiaimpaired liver enzymesinsulin resistancetri-ponderal mass index |
| spellingShingle | Neşe Akcan Rüveyde Bundak Accuracy of Tri-ponderal Mass Index and Body Mass Index in Estimating Insulin Resistance, Hyperlipidemia, Impaired Liver Enzymes or Thyroid Hormone Function and Vitamin D Levels in Children and Adolescents JCRPE body mass index hyperlipidemia impaired liver enzymes insulin resistance tri-ponderal mass index |
| title | Accuracy of Tri-ponderal Mass Index and Body Mass Index in Estimating Insulin Resistance, Hyperlipidemia, Impaired Liver Enzymes or Thyroid Hormone Function and Vitamin D Levels in Children and Adolescents |
| title_full | Accuracy of Tri-ponderal Mass Index and Body Mass Index in Estimating Insulin Resistance, Hyperlipidemia, Impaired Liver Enzymes or Thyroid Hormone Function and Vitamin D Levels in Children and Adolescents |
| title_fullStr | Accuracy of Tri-ponderal Mass Index and Body Mass Index in Estimating Insulin Resistance, Hyperlipidemia, Impaired Liver Enzymes or Thyroid Hormone Function and Vitamin D Levels in Children and Adolescents |
| title_full_unstemmed | Accuracy of Tri-ponderal Mass Index and Body Mass Index in Estimating Insulin Resistance, Hyperlipidemia, Impaired Liver Enzymes or Thyroid Hormone Function and Vitamin D Levels in Children and Adolescents |
| title_short | Accuracy of Tri-ponderal Mass Index and Body Mass Index in Estimating Insulin Resistance, Hyperlipidemia, Impaired Liver Enzymes or Thyroid Hormone Function and Vitamin D Levels in Children and Adolescents |
| title_sort | accuracy of tri ponderal mass index and body mass index in estimating insulin resistance hyperlipidemia impaired liver enzymes or thyroid hormone function and vitamin d levels in children and adolescents |
| topic | body mass index hyperlipidemia impaired liver enzymes insulin resistance tri-ponderal mass index |
| url |
http://www.jcrpe.org/archives/archive-detail/article-preview/accuracy-of-tri-ponderal-mass-ndex-and-body-mass-n/27368
|
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