Detecting overweight and obesity among young Syrian boys based on skinfold thickness

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There is no data on the prevalence of overweight and obesity in young Syrian boys. Therefore, the present study aimed to provide baseline and reference data on the prevalence of overweight and obesity among young Syrian boys using skin-fold thickness measurements and deuterium dilution (DD) as a reference method. The sample of 2470 healthy Syrian 18- to 19-year-old boys were enrolled in this study. SFTs were measured at the biceps (B), triceps (T), subscapular (SI) and suprailiac locations (SS) were done and validated using the DD technique as a reference method. Receiver operating characteristics (ROC) curve was drawn to determine appropriate cut-off points of the Σ2 limb SFT (T+B), Σ2 trunk SFT (SI+SS), Σ4 SFT (T+B+SI+SS) and Log Σ4 SFT for defining overweight and obesity. The overall prevalence of overweight and obesity in young Syrian boys, based on biceps SFT, triceps SFT, subscapular SFT, suprailiac SFT, Σ2 limb SFT, Σ2 trunk SFT, Σ4 SFT, logarithm Σ4 SFT, and DDT were 35.3%, 32%, 31.6%, 14.8%, 32.9%, 26.6%, 28.1%, 24.1%, 46.5%, respectively. Strongly positive correlation was found between SFT and total body fat in adolescents. For diagnosing overweight on the basis of Σ2 limb SFT, Σ2 trunk SFT, Σ4 SFT and logarithm Σ4 SFT, we propose the following cut-off points: 17.25 mm, 23.50 mm, 39.25 mm and 1.60, respectively. To predict obesity, Σ2 limb SFT, Σ2 trunk SFT, Σ4 SFT and logarithm Σ4 SFT threshold were increased to 23.25 mm, 32.50 mm, 55.25 and 1.75, respectively. Basing on SFT clearly leads to underestimates of the prevalence of weight problems among young boys. SFT measurement screen missed 11.2 to 31.7% of overall overweight and obesity cases.

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  • Ahrens W Bammann K de Henauw S Halford J Palou A Pigeot I Siani A Sjostrom M. 2006. European Consortium of the IDEFICS Project: Understanding and preventing childhood obesity and related disorders-IDEFICS: a European multilevel epidemiological approach. Nutr Metab Cardiovasc Dis 16(4):302-8.

  • Amani R Boustani F. 2008. Prevalence of obesity and dietary practices jondi-shapour university female personnel Ahvazi Iran. Park J Med Sci 24(5):748-52.

  • Azizi F Azadbakht L Mirmiran P. 2005. Trends in overweight obesity and central fat accumulation among Tehranian adults between 1998-1999 and 2001-2002: Tehran lipid and glucose study. Annals Nutr Metabol 49:308.

  • Bell CG Walley AJ Froguel P. 2005. The genetics of human obesity. Nat Rev Genet 6:221-34.

  • Bland JM Altman DG. 1986. Statistical methods for assessing agreement between two methods of clinical measurement. Lancet 1(8476):307-10.

  • Buckland G Bach A Seraa-Majem L. 2008. Obesity and Mediterranean diet: A systemic review of observational and intervention studies. Obes Rev 9:582-93.

  • Cherkaoui Dekkaki I Mouane N Ettair S Meskini T Bouklouze A Barkat A. 2011. Prevalence of obesity and overweight in children: A study in government primary schools in Rabat Morocco. Archives of Medical Research 42:703-8.

  • Chinn S Rona RJ. 1994. Trends in weight-forheight and triceps skinfold thickness for English and Scottish children 1972-and 1982-1990. Paediatr Perinat Epidemiol 8:90-106.

  • Clayton B. 1994. Department of Health. Eat well an action plan from the nutrition task force to achieve the health of the nation targets on diet and nutrition. In: the health of Nation London 1994:44.

  • Coward WA. 1990. Calculation of pool size and flux rate. In: Prentice AW eds. The doubly-labelled water method for measuring energy expenditure. Technical recommendation for use in humans. Vienno: international Dietary Energy Consultancy Group International Atomic Energy Agency 1990:48-68.

  • Durnin JVGA Womersley J. 1974. Body fat assessed from total body density and its estimation from skinfold thickness: Measurements on 481 men and women aged from 16 to 72 years. Br J Nut 32:77-97.

  • Duran-Tauleria E Rona RJ Chinn S. 1995. Factors associated with weight for height and skinfold thickness in British children. J Epidemiol Community Health 49:466-73.

  • Flegal KM Shepherd JA Looker AC. et al. 2009. Comparisons of percentage body fat body mass index waist circumference and waist stature ratio in adults. Am J Clin Nutr 89(2):500-8.

  • Forbes GB. 1987. Human body composition. In: Growth aging nutrition and activity. Springer-Verlag 171:279-296.

  • French SA Story M Jeffery RW. 2001. Environmental influence on eating and physical activity. Annu Rev Public Health 22:309-35.

  • Halliday D Miler AG. 1977. Precise measurement of total body water using trace quantities of deuterium oxide. Bio Mass Spec 4:82-9.

  • Han TS Lean MEJ. 2002. Anthropometric indices of obesity and regional distribution of fat depots. In: P Bjorntorp editor. In International textbook of obesity. Sahlgreska hospital Goteborg: JOHN WILEY and SONS LTD. 51-65.

  • International Dietary Energy Consultancy Group (IDECG). (1990). The doubly-labelled water methods for measuring energy expenditure. Technical recommendations for use in humans. A consensus report by the International Atomic Energy Agency 1990 Vienna Austria.

  • Jain A Sherman SN Chamberlin LA Carter Y Powers SW Whitker RC. 2001. Why do not low income mothers worry about their preschoolers being overweight? Pediatrics 108:1138-46.

  • Kesavachandran NC Bihari B Mathur N. 2012. The normal range of body mass index with high body fat percentage among male residents of Lucknow city in north India. Indian J Med. Res 135:72-7.

  • LeBlanc E O’Connor E Whitlock EP Patnode C Tanya Kapka T. 2011. Screening for and management of obesity and overweight in adults. Evidence syntheses No. 89. Rockville (MD): Agency for Healthcare Research and Quality (US); Report No.: 11-05159-EF-1.

  • Li S Zhao JH Luan J Luben RN Rodwell SA Khan KT Ong KK Wareham NJ Loos RJF. 2010. Cumulative effects and predictive value of common obesity-susceptibility variants identified by genome-wide association studies. Am J Clin Nutr 91:184-90.

  • McArdle WD Katch FI Katch VL. 1996. Exercise Physiology: Energy nutrition and human performance. Baltimore: Williams and Wilkins. 4th edition. Philadelphia: Lea and Febiger 188 -213.

  • Mendez MA Popkin BM Jakszyn P et al. 2006. Adherence to a Mediterranean diet is associated with reduced 3-year incidence of obesity. J Nutr 136:2934-8.

  • Micciolo R Francesco VD Fantin F Canal L Harris TB Bosello O Zamboni M. 2010. Prevalence of overweight and obesity in Italy (2001-2008): Is there a rising obesity epidemic? AEP 20(4):258-64.

  • Mozaffer RH Sadiqa S Masood AQ. 2009. Overweight and obesity in students of a Dental Colleg of Karachi: lifestyle influence and measurement by an appropriate anthropometric index. JPMA 59:528.

  • Ogden CL Carrol MD Curtin LR McDowell MA Tabak CJ Flegal KM. 2006. Prevalence of overweight and obesity in the United State. 199-2004. JAMA 295:1549-55.

  • Oken E Gillman MW. 2003. Fetal origins of obesity. Obes Res 11 (4):496-505.

  • Okorodudu DO Jumean M Romero-Corral A Somers VK Edwin PJ Lopez-Jimenez E. 2010. Diagnostic performance of body mass index to identify obesity as defined by body adiposity: a systematic review and meta-analysis. Int J Obes 34(5):791-9.

  • Pace N Rathburn EN. 1945. Study on body composition. III: the body water and chemically combined nitrogen content in relation to fat content. J Biol Chem 158:685-91.

  • Sanches-Villegas A Bes-Rastrollo M Martinez- Gonzalez MA Serra-Majem L. 2006. Adherence to a Mediterranean dietary pattern and weight gain in a follow-up study: the SUN cohort. Int J Obes (London) 30:350-8.

  • Schwingel A Nakata Y Ito LS Chodzko-Zajko WJ Shigematsu R Erb CT Oba-Shinjo SM Matsuo T Shinjo SK Uno M et al. 2007. A comparison of the prevalence of the metabolic syndrome and its components among native Japanese and Japanese Brazilians residing in Japan and Brazil. Eur J Cardiovasc Prev Rehabil 14:508-14.

  • Silventooinen K Sans S Tolonen H Monterde D Kuulasmaa K Kesteloot H. et al. 2004. WHO MONICA Project. Int J Obes Relat Metab Disord 28:710-18.

  • Singh LCSP Sikri SLCG Garg LCMK. 2008. Body Mass Index and obesity tailoring “cut-off” for an Asian Indian male population. MJAF 64 (4).

  • Siri WE. 1961. Body composition from fluid spaces and density: analysis of methods. In: J Brozek A Henschel editors. Techniques for measuring body composition. National Research Council Washington. DC: 1961:223-44.

  • Sitek A Rosset I Strapagiel D Majewska M Ostrowska-Nawarych L Żadzińska E. 2012. Association of FTO gene with obesity in Polish schoolchildren. Anthropol Rev 77(1):33-44.

  • Sushma KK Seema D Shilpa Sanjana D Kushal RK. 2013. A study of anthropometers in obese females of Western Rajasthan. Int Biol Med Res 4(2):3165-8.

  • Tee ES. 2002. Obesity in Asia. Prevalence and issues in assessment methodologies. Asia Pasific J Clin Nutr 11 (3):S694-S701.

  • Thibault H Contrand B Saubusse E Baine M Maurice-Tison S. 2010. Risk factors for overweight and obesity in Franch adolescents: Physical activity sedentary behavior and parental characteristics. Nutrition 26:192-200.

  • Trichopoulou A Naska A Orfanos P Trichopoulos D. 2005. Mediterranean diet in relation to body mass index and waist -to-hip ratio: The Greek European Prospective Investigation into cancer and nutrition study. Am J Clini Nutr 82:935-40.

  • Xu X Tan L Himi T Sadamatsu MM Tsutsumi S Akake M Kato N. 2011. Changed preference for sweet taste in adulthood induced by perintatal exposure to bisphenol A-A probable link to overweight and obesity. Neurotoxicology and Teratology 33:458-63.

  • Żądzińska E Rosset I Kozieł S Nawarycz T Borowska-Strugińska B Lorkiewicz W Ostrowska-Nawarycz L Sitek A. 2012. Frequency of under- and overweight among children and adolescent during the economic transition in Poland. HOMO 63(3):216-323.

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