Body mass index and body fat percentage in determining overweight and obesity among school going adolescents of urban Mysuru, Karnataka: a cross-sectional study

Authors

  • Dhanya Sathiarajan Department of Community Medicine, MS Ramaiah Medical College, Bengaluru, Karnataka, India https://orcid.org/0000-0001-7725-8489
  • M. R. Narayana Murthy Department of Community Medicine, JSS Medical College, Mysuru, Karnataka, India
  • Arun Gopi Department of Community Medicine, JSS Medical College, Mysuru, Karnataka, India
  • Amoghashree . Department of Community Medicine, JSS Medical College, Mysuru, Karnataka, India
  • Krishnaveni Y. S. Department of Community Medicine, JSS Medical College, Mysuru, Karnataka, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20230230

Keywords:

Adolescents, BMI, Body fat percentage, Obesity, Overweight

Abstract

Background: Overweight and obesity among adolescents is an important global health issue. BMI is the commonly used screening tool but there can be under or over estimation. Body fat percentage estimation using bioelectrical impedance analysis is easy and non-invasive technique and along with BMI can provide a better predictive capacity. Considering importance of early detection of overweight and obesity in adolescents, present study was done among school going adolescents of urban Mysore. Objectives were to determine the prevalence of overweight and obesity using BMI and body fat percentage among school going adolescents and to determine the relationship between BMI and body fat percentage.

Methods: A cross sectional study was conducted among 706 school students in urban Mysuru aged 13-16 years and semi-structured proforma was used to collect data. Anthropometric measurements taken and Omron HBF 701 Karada scan complete digital body composition monitor used to measure body fat percentage. BMI-for-age (5-19 years) WHO 2007 and McCarthy’s body fat reference used to classify participants. Statistical tests like Pearson’s correlation used.

Results: According to BMI, 9.8% and 5% were overweight and obesity prevalence respectively and according to body fat percentage19.4% were over fat and 17.1% were obese. Among adolescents with normal BMI, 18.4% and 11.9% were classified as overfat and obese respectively according to body fat percentage. The correlation between BMI and body fat percentage was statistically significant.

Conclusions: Higher prevalence of obesity seen according to body fat percentage cut-offs than according to BMI.

References

Di Cesare M, Sorić M, Bovet P, Miranda JJ, Bhutta Z, Stevens GA, et al. The epidemiological burden of obesity in childhood: a worldwide epidemic requiring urgent action. BMC Med. 2019;17(1):212.

Lee EY, Yoon KH. Epidemic obesity in children and adolescents: risk factors and prevention. Front Med. 2018;12(6):658-66.

Barker DJ, Gluckman PD, Godfrey KM, Harding JE, Owens JA, Robinson JS. Fetal nutrition and cardiovascular disease in adult life. Lancet Lond Engl. 1993;341(8850):938–41.

Khuwaja AK, Fatmi Z, Soomro WB, Khuwaja NK. Risk factors for cardiovascular disease in school children- a pilot study. JPMA J Pak Med Assoc. 2003;53(9):396-400.

Obesity Prevention Source. Measuring Obesity. 2012. Harvard T. H. Chan School of Public Health. Available from: https://www.hsph.harvard.edu/ obesity-prevention-source/obesity-definition/how-to-measure-body-fatness/. Accessed on 22 November 2021.

Patnaik L, Pattnaik S, Rao EV, Sahu T. Validating neck circumference and waist circumference as anthropometric measures of overweight/obesity in adolescents. Indian Pediatr. 2017;54(5):377-80.

Frellick M. AMA Declares Obesity a Disease. Medscape. Available from: http://www.medscape.com/viewarticle/806566. Accessed on 30 June 2021.

Prentice AM, Jebb SA. Beyond body mass index. Obes Rev. 2001;2(3):141-7.

Fortuño A, Rodríguez A, Gómez-Ambrosi J, Frühbeck G, Díez J. Adipose tissue as an endocrine organ: role of leptin and adiponectin in the pathogenesis of cardiovascular diseases. J Physiol Biochem. 2003;59(1):51-60.

Oliosa PR, Zaniqueli DDA, Barbosa MCR, Mill JG. Relationship between body composition and dyslipidemia in children and adolescentes. Cienc Saude Coletiva. 2019;24(10):3743-52.

Diaz EO, Villar J, Immink M, Gonzales T. Bioimpedance or anthropometry? Eur J Clin Nutr. 1989;43(2):129-37.

Dehghan M, Merchant AT. Is bioelectrical impedance accurate for use in large epidemiological studies? Nutr J. 2008;7(1):26.

Ward LC, Müller MJ. Bioelectrical impedance analysis. Eur J Clin Nutr. 2013;67(1):S1.

Häger A. Adipose tissue cellularity in childhood in relation to the development of obesity. Br Med Bull. 1981;37(3):287-90.

Saikia D, Ahmed SJ, Saikia H, Sarma R. Body mass index and body fat percentage in assessing obesity: an analytical study among the adolescents of Dibrugarh, Assam. Indian J Public Health. 2018;62(4):277-81.

Adolescent and young adult health. Available from: https://www.who.int/news-room/fact-sheets/detail/adolescents-health-risks-and-solutions. Accessed on 24 March 2021.

Gautam S, Jeong HS. Childhood obesity and its associated factors among school children in Udupi, Karnataka, India. J Lifestyle Med. 2019;9(1):27-35.

Singh DP, Arya A, Kondepudi KK, Bishnoi M, Boparai RK. Prevalence and associated factors of overweight/obesity among school going children in Chandigarh, India. Child Care Health Dev. 2020;46(5):571-5.

Premanath M, Basavanagowdappa H, Shekar MA, Vikram SB, Narayanappa D. Mysore childhood obesity study. Indian Pediatr. 2010;47(2):171-3.

Chiplonkar S, Kajale N, Ekbote V, Mandlik R, Parthasarathy L, Borade A, et al. Reference centile curves for body fat percentage, fat-free mass, muscle mass and bone mass measured by bioelectrical impedance in Asian Indian children and adolescents. Indian Pediatr. 2017;54(12):1005-11.

Jelena J, Zm B, Milica G, Jelena I, Marija B, Milka P, et al. Relationship between body mass index and body fat percentage among adolescents from Serbian Republic. J Child Obes. 2016;1(2).

Downloads

Published

2023-01-27

How to Cite

Sathiarajan, D., Narayana Murthy, M. R., Gopi, A., ., A., & Y. S., K. (2023). Body mass index and body fat percentage in determining overweight and obesity among school going adolescents of urban Mysuru, Karnataka: a cross-sectional study. International Journal Of Community Medicine And Public Health, 10(2), 734–739. https://doi.org/10.18203/2394-6040.ijcmph20230230

Issue

Section

Original Research Articles