ArticlePediatrics2024
Screening Accuracy of BMI for Adiposity Among 8- to 19-Year-Olds.
Article in Pediatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- The relationship between BMI and pediatric postoperative outcomes: a 12-year NSQIP-P analysis.Surgical endoscopy · 2026Article
- Relationship between serum lipids/adipokines and obesity/hypertension in very-preterm infants during early childhood and preadolescence.Pediatric research · 2026Article
- Associations between body mass index and body composition among Pacific adolescents in Aotearoa New Zealand.Scientific reports · 2026Article
- Association between trajectories of body mass index and changes in fat free mass index and fat mass index in a cohort of European children. The IDEFICS/I.Family studies.European journal of clinical nutrition · 2026Article
- Long-term trends in central obesity in England: an age-period-cohort approach.International journal of obesity (2005) · 2026Article
- Central adiposity in early childhood: a cross-sectional comparison of waist-to-height ratio and waist circumference percentiles.Frontiers in pediatrics · 2026Article
- Early-Life Body Mass Index and Inflammatory Bowel Disease Risk: A Scandinavian Birth Cohort Study.Inflammatory bowel diseases · 2025Article
- Adverse Experiences, Protective Factors, and Obesity in Latinx and Hispanic Youths.JAMA network open · 2025Article
- Anthropometric Obesity Phenotypes in Young Physically Active Men: The Role of Body Composition and Fat Distribution.Life (Basel, Switzerland) · 2025Article
- The Edmonton Obesity Staging System for Pediatrics (EOSS-P) in Mexican Children and Adolescents Living with Obesity: Beyond BMI Obesity Classes.Children (Basel, Switzerland) · 2025Article
- Cardiometabolic risk stratification in pediatric obesity: evaluating the clinical utility of fasting insulin and BMI-SDS.Cardiovascular diabetology · 2025Article
- Report of a Meeting: An Expert Consultation on Body Composition and Adiposity for Children and Adolescents in All Their Diversity.Current developments in nutrition · 2025Article
- Racial and ethnic disparities in clinical trials for pediatric obesity.Obesity (Silver Spring, Md.) · 2025Article
- The Cross-Sectional Relation of Body Mass Index to Adiposity among 8- to 19-Year-Olds within Several Races and Ethnicities.The Journal of pediatrics · 2025Article
- Age at menarche and its association with preschool BMI among girls in Northern Norway.PloS one · 2025Article
- Are single-nucleotide polymorphisms previously linked to inhaled corticosteroid response associated with obese-asthma in children?Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2024Article
- BMI: Still Going Strong at Age 50.Pediatrics · 2024Article
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Funding
Abstract
BACKGROUND AND
objectivesAlthough the limitations of BMI have long been recognized, there are recent concerns that it is not a good screening tool for adiposity. We therefore examined the cross-sectional relation of BMI to adiposity among 6923 8- to 19-year-olds in the National Health and Nutrition Survey from 2011 through 2018.
methodsParticipants were scanned with dual-energy x-ray absorptiometry. Adiposity was expressed as fat mass index (FMI, fat mass kg ÷ m2) and percentage of body fat (%fat). Lean mass was expressed as lean mass index (LMI, lean mass ÷ m2). Regression models and 2 × 2 tables were used to assess the relation of BMI to FMI, %fat, and LMI.
resultsAge and BMI accounted (R2) for 90% to 94% of the variability of FMI and LMI in each sex. Associations with %fat were weaker (R2s ∼0.70). We also examined the screening abilities of a BMI ≥ Centers for Disease Control and Prevention 95th percentile for high levels of adiposity and LMI. Cut points were chosen so that prevalences of high values of these variables would be similar to that for high BMI. Of participants with a high BMI, 88% had a high FMI, and 76% had a high %fat. Participants with a high BMI were 29 times more likely to have a high FMI than those with lower BMIs; comparable relative risks were 12 for high %fat and 14 for high LMI.
conclusionsDespite its limitations, a high BMI is a very good screening tool for identifying children and adolescents with elevated adiposity.
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