Dataset Information

A comparison of the Slaughter skinfold-thickness equations and BMI in predicting body fatness and cardiovascular disease risk factor levels in children.

ABSTRACT:

Background

Although estimation of percentage body fat with the Slaughter skinfold-thickness equations (PBF(Slaughter)) is widely used, the accuracy of this method has not been well studied.

Objective

The objective was to determine the accuracy of the Slaughter skinfold-thickness equations.

Design

We compared agreement between PBF(Slaughter) and estimations derived from dual-energy X-ray absorptiometry (PBF(DXA)) in 1169 children in the Pediatric Rosetta Body Composition Project and the relation to cardiovascular disease risk factors, as compared with body mass index (BMI), in 6725 children in the Bogalusa Heart Study.

Results

PBF(Slaughter) was highly correlated (r = 0.90) with PBF(DXA), but it markedly overestimated levels of PBF(DXA) in children with large skinfold thicknesses. In the 65 boys with a sum of skinfold thicknesses (subscapular- plus triceps-skinfold thicknesses) ? 50 mm, PBF(Slaughter) overestimated PBF(DXA) by 12 percentage points. The comparable overestimation in girls with a high skinfold sum was 6 percentage points. We also found that, after adjustment for sex and age, BMI showed slightly stronger associations with lipid, lipoprotein, insulin, and blood pressure values than did PBF(Slaughter).

Conclusions

These results indicate that PBF(Slaughter), which was developed among a group of much thinner children and adolescents, is fairly accurate among nonobese children, but markedly overestimates the body fatness of children who have thick skinfold thicknesses. Furthermore, PBF(Slaughter) has no advantage over sex- and age-adjusted BMIs at identifying children who are at increased risk of cardiovascular disease based on lipid, lipoprotein, insulin, and blood pressure values.

SUBMITTER: Freedman DS

PROVIDER: S-EPMC3831534 | biostudies-literature | 2013 Dec

REPOSITORIES: biostudies-literature

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Publications

A comparison of the Slaughter skinfold-thickness equations and BMI in predicting body fatness and cardiovascular disease risk factor levels in children.

Freedman David S DS Horlick Mary M Berenson Gerald S GS

The American journal of clinical nutrition 20131023 6

<h4>Background</h4>Although estimation of percentage body fat with the Slaughter skinfold-thickness equations (PBF(Slaughter)) is widely used, the accuracy of this method has not been well studied.<h4>Objective</h4>The objective was to determine the accuracy of the Slaughter skinfold-thickness equations.<h4>Design</h4>We compared agreement between PBF(Slaughter) and estimations derived from dual-energy X-ray absorptiometry (PBF(DXA)) in 1169 children in the Pediatric Rosetta Body Composition Pro ...[more]

PMID: 24153344

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Project description:Dual-energy X-ray absorptiometry (DXA) has been considered a reference method for measuring body fat percentage (BF%) in children and adolescents with an excess of adiposity. However, given that the DXA technique is impractical for routine field use, there is a need to investigate other methods that can accurately determine BF%. We studied the accuracy of bioelectrical impedance analysis (BIA) technology, including foot-to-foot and hand-to-foot impedance, and Slaughter skinfold-thickness equations in the measurement of BF%, compared with DXA, in a population of Latin American children and adolescents with an excess of adiposity. A total of 127 children and adolescents (11?17 years of age; 70% girls) from the HEPAFIT (Exercise Training and Hepatic Metabolism in Overweight/Obese Adolescent) study were included in the present work. BF% was measured on the same day using two BIA analysers (Seca® 206, Allers Hamburg, Germany and Model Tanita® BC-418®, TANITA Corporation, Sportlife Tokyo, Japan), skinfold measurements (Slaughter equation), and DXA (Hologic Horizon DXA System®, Quirugil, Bogotá, Columbia). Agreement between measurements was analysed using t-tests, Bland?Altman plots, and Lin's concordance correlation coefficient (?c). There was a significant correlation between DXA and the other BF% measurement methods (r > 0.430). According to paired t-tests, in both sexes, BF% assessed by BIA analysers or Slaughter equations differ from BF% assessed by DXA (p < 0.001). The lower and upper limits of the differences compared with DXA were 6.3?22.9, 2.2?2.8, and -3.2?21.3 (95% CI) in boys and 2.3?14.8, 2.4?20.1, and 3.9?18.3 (95% CI) in girls for Seca® mBCA, Tanita® BC 420MA, and Slaughter equations, respectively. Concordance was poor between DXA and the other methods of measuring BF% (?c < 0.5). BIA analysers and Slaughter equations underestimated BF% measurements compared to DXA, so they are not interchangeable methods for assessing BF% in Latin American children and adolescents with excess of adiposity.

Dataset Information

A comparison of the Slaughter skinfold-thickness equations and BMI in predicting body fatness and cardiovascular disease risk factor levels in children.

Background

Objective

Design

Results

Conclusions

Publications

A comparison of the Slaughter skinfold-thickness equations and BMI in predicting body fatness and cardiovascular disease risk factor levels in children.

Similar Datasets

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