<b>Sensitivity and specificity of body mass index-based classification systems for overweight in children 7-10 years old</b>

The objective of this study was to compare the sensitivity and specificity of BMI-based classification systems for detecting excess body fat in schoolchildren. A total of 2,795 schoolchildren aged 7 to 10 years were examined. Excess body fat was defined as the standardized residuals of sum of three...

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Main Authors: Maria Alice Altenburg de Assis, Filipe Ferreira da Costa, Danielle Biazzi Leal
Format: Article
Language:English
Published: Universidade Federal de Santa Catarina 2013-04-01
Series:Revista Brasileira de Cineantropometria e Desempenho Humano
Subjects:
Online Access:https://periodicos.ufsc.br/index.php/rbcdh/article/view/1980-0037.2013v15n3p267/24309
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author Maria Alice Altenburg de Assis
Filipe Ferreira da Costa,
Danielle Biazzi Leal,
author_facet Maria Alice Altenburg de Assis
Filipe Ferreira da Costa,
Danielle Biazzi Leal,
author_sort Maria Alice Altenburg de Assis
collection DOAJ
description The objective of this study was to compare the sensitivity and specificity of BMI-based classification systems for detecting excess body fat in schoolchildren. A total of 2,795 schoolchildren aged 7 to 10 years were examined. Excess body fat was defined as the standardized residuals of sum of three skinfolds thickness ranking at or above the 90th percentile. The international BMI-based systems recommended by the International Obesity Task Force (IOTF) and the World Health Organization(WHO-2007) were evaluated on the basis of their sensitivity and specificity for detecting excess body fat and compared with a national BMI reference (Brazil-2006). The positive (LR+) and negative (LR-) likelihood ratios analysis was also used to compare the diagnostic accuracies of the three BMI criteria.The three classification systems presented moderately high sensitivity (78.4-98.6%) and specificity (75.9-91.6%) for both genders. Overall, the three classification systems showed both LR+ and LR- values consistent with adiagnosis of moderate evidence for overweight (LR+ above five and LR- below0.2). The results showed that the three BMI classification systems can be usedas screening instruments of excess body fat. However, the performance of the Brazil-2006 classification system was superior because it showed the best balance between the diagnostic accuracy indices.
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spelling doaj.art-241259cf985d403ead5f37db88cf5c442022-12-21T19:04:46ZengUniversidade Federal de Santa CatarinaRevista Brasileira de Cineantropometria e Desempenho Humano1415-84261980-00372013-04-01153267275http://Sensitivity and specificity of body mass index-based classification systems for overweight in children 7-10 years old.dx.doi.org/10.5007/1980-0037.2013v15n3p267<b>Sensitivity and specificity of body mass index-based classification systems for overweight in children 7-10 years old</b>Maria Alice Altenburg de AssisFilipe Ferreira da Costa,Danielle Biazzi Leal,The objective of this study was to compare the sensitivity and specificity of BMI-based classification systems for detecting excess body fat in schoolchildren. A total of 2,795 schoolchildren aged 7 to 10 years were examined. Excess body fat was defined as the standardized residuals of sum of three skinfolds thickness ranking at or above the 90th percentile. The international BMI-based systems recommended by the International Obesity Task Force (IOTF) and the World Health Organization(WHO-2007) were evaluated on the basis of their sensitivity and specificity for detecting excess body fat and compared with a national BMI reference (Brazil-2006). The positive (LR+) and negative (LR-) likelihood ratios analysis was also used to compare the diagnostic accuracies of the three BMI criteria.The three classification systems presented moderately high sensitivity (78.4-98.6%) and specificity (75.9-91.6%) for both genders. Overall, the three classification systems showed both LR+ and LR- values consistent with adiagnosis of moderate evidence for overweight (LR+ above five and LR- below0.2). The results showed that the three BMI classification systems can be usedas screening instruments of excess body fat. However, the performance of the Brazil-2006 classification system was superior because it showed the best balance between the diagnostic accuracy indices.https://periodicos.ufsc.br/index.php/rbcdh/article/view/1980-0037.2013v15n3p267/24309AdiposityBody mass indexChildrenSensitivity and SpecificityAdiposidadeCriançasEspecificidadeÍndice de massa corporalSensibilidade
spellingShingle Maria Alice Altenburg de Assis
Filipe Ferreira da Costa,
Danielle Biazzi Leal,
<b>Sensitivity and specificity of body mass index-based classification systems for overweight in children 7-10 years old</b>
Revista Brasileira de Cineantropometria e Desempenho Humano
Adiposity
Body mass index
Children
Sensitivity and Specificity
Adiposidade
Crianças
Especificidade
Índice de massa corporal
Sensibilidade
title <b>Sensitivity and specificity of body mass index-based classification systems for overweight in children 7-10 years old</b>
title_full <b>Sensitivity and specificity of body mass index-based classification systems for overweight in children 7-10 years old</b>
title_fullStr <b>Sensitivity and specificity of body mass index-based classification systems for overweight in children 7-10 years old</b>
title_full_unstemmed <b>Sensitivity and specificity of body mass index-based classification systems for overweight in children 7-10 years old</b>
title_short <b>Sensitivity and specificity of body mass index-based classification systems for overweight in children 7-10 years old</b>
title_sort b sensitivity and specificity of body mass index based classification systems for overweight in children 7 10 years old b
topic Adiposity
Body mass index
Children
Sensitivity and Specificity
Adiposidade
Crianças
Especificidade
Índice de massa corporal
Sensibilidade
url https://periodicos.ufsc.br/index.php/rbcdh/article/view/1980-0037.2013v15n3p267/24309
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AT daniellebiazzileal bsensitivityandspecificityofbodymassindexbasedclassificationsystemsforoverweightinchildren710yearsoldb