ArticleThe Journal of pediatrics2016
Utility of Body Mass Index in Identifying Excess Adiposity in Youth Across the Obesity Spectrum.
Article in The Journal of pediatrics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
What it found
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Who cites it
15 citing papers in PubMed, 33 citations in OpenAlex.
- Effect of liraglutide treatment on body mass index and weight parameters in children and adolescents with type 2 diabetes: Post hoc analysis of the ellipse trial.Pediatric obesity · 2021Trial
- Comparing two diagnostic frameworks for obesity in Mexican children attending a pediatric obesity clinic.Pediatric research · 2026Article
- Diagnosing Obesity in Korean Children Using BMI and Body Fat Percentage: Differences in Growth and Body Composition.Obesity facts · 2026Article
- Concomitant associations of dietary behaviours and physical activity with body composition in adolescents.BMC public health · 2025Article
- Extinguishing the Fire: Treating Pediatric Type 2 Diabetes by Targeting Obesity Treatment.Diabetes care · 2025Review
- Correlation between body mass index and disease activity in patients with systemic lupus erythematosus from China.Advances in rheumatology (London, England) · 2025Article
- Genetic causal role of body mass index in multiple neurological diseases.Scientific reports · 2024Article
- Relative Body Mass Index Improves the BMI Percentile Performance for Detection and Monitoring of Excess Adiposity in Adolescents.Nutrients · 2024Article
- BMI-based obesity classification misses children and adolescents with raised cardiometabolic risk due to increased adiposity.Cardiovascular diabetology · 2023Article
- The Effects of COVID-19 Virtual Learning on Body Fat and Insulin Resistance in Adolescents with Overweight or Obesity.Children (Basel, Switzerland) · 2023Article
- Degree of Accuracy of the BMI Z-Score to Determine Excess Fat Mass Using DXA in Children and Adolescents.International journal of environmental research and public health · 2021Article
- Article
- Associations between paediatric fatigue and eating behaviours.Obesity science & practice · 2020Article
- Body mass index associated with childhood and adolescent high-risk B-cell acute lymphoblastic leukemia risk: A Children's Oncology Group report.Cancer medicine · 2020Article
- Ideal Cardiovascular Health and Adiposity: Implications in Youth.Journal of the American Heart Association · 2018Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
Abstract
objectivesTo determine the proportion of youth within a given body mass index (BMI) obesity category with excess adiposity using dual energy x-ray absorptiometry (DXA). Furthermore, to examine whether mean differences in cardiometabolic risk factors based upon various excess adiposity cutpoints were present. STUDY
designDXA data from the National Health and Nutrition Examination Survey 1999-2006 (n = 10 465; 8-20 years of age) were used for this analysis. Obesity categories were defined using Centers for Disease Control and prevention definitions for age and sex. Excess adiposity was defined using cohort-specific cutpoints at 75th, 85th, and 90th percentiles of DXA body fat (%) by age and sex using quantile regression models. Additionally, we examined differences in cardiometabolic risk factors among youth (BMI percentile >85th) above and below various excess adiposity cutpoints.
resultsNearly all youth with class 3 obesity (100% male, 100% female; 97% male, 99% female; and 95% male, 96% female; using the 75th, 85th, and 90th DXA percentiles, respectively) and a high proportion of those with class 2 obesity (98% male, 99% female; 92% male, 91% female; and 76% male, 76% female) had excess adiposity. Significant discordance was observed between BMI categorization and DXA-derived excess adiposity among youth with class 1 obesity or overweight. Elevated cardiometabolic risk factors were present in youth with excess adiposity, regardless of the cutpoint used.
conclusionsBMI correctly identifies excess adiposity in most youth with class 2 and 3 obesity but a relatively high degree of discordance was observed in youth with obesity and overweight. Cardiometabolic risk factors are increased in the presence of excess adiposity, regardless of the cutpoint used.
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Registered trials
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