J Korean Med Sci.  2013 Mar;28(3):443-449. 10.3346/jkms.2013.28.3.443.

Body Fat Percentile Curves for Korean Children and Adolescents: A Data from the Korea National Health and Nutrition Examination Survey 2009-2010

Affiliations
  • 1Department of Food Science and Nutrition, Dankook University, Yongin, Korea.
  • 2Division of Health and Nutrition Survey, Korea Centers for Disease Control and Prevention, Cheongwon, Korea. kwoh27@korea.kr

Abstract

A valid assessment of obesity in children and adolescents is important due to significant change in body composition during growth. This study aimed to develop percentile curves of body fat and fat free mass using the Lambda, Mu, and Sigma method, and to examine the relationship among body mass index (BMI), fat mass and fat free mass in Korean children and adolescents, using the Korea National Health and Nutrition Examination Survey (KNHANES) 2009-2010. The study subjects were 834 for boys and 745 for girls aged between 10 and 18 yr. Fat mass and fat free mass were measured by dual-energy x-ray absorptiometry. The patterns of development in body fat percentage, fat mass and fat free mass differed for boys and girls, showing a decreased fat mass with an increased fat free mass in boys but gradual increases with age in girls. The considerable proportion of boys and girls with relatively normal fat mass appeared to be misclassified to be at risk of overweight based on the BMI criteria. Therefore, the information on the percentiles of body fat and fat free mass with their patterns would be helpful to complement assessment of overweight and obesity based on BMI for Korean children and adolescents.

Keyword

Body Mass Index; Fat Mass; Fat Free Mass; Children and Adolescents; KNHANES; DXA; Overweight

MeSH Terms

Absorptiometry, Photon
Adipose Tissue/*radiography
Adolescent
Age Factors
Asian Continental Ancestry Group
Body Composition
Body Mass Index
Body Weight
Child
Female
Humans
Male
*Nutrition Surveys
Obesity/diagnosis/radiography
Republic of Korea
Sex Factors

Figure

  • Fig. 1 Percentile curves of the 5th, 25th, 50th, 75th, 85th, and 95th for body fat percentage (%BF), fat mass index (FMI) and fat free mass index (FFMI) by sex and age. FMI, fat mass (kg)/height (m)2; FFMI, fat free mass (kg)/height (m)2.

  • Fig. 2 Percentile curves of the 5th, 25th, 50th, 75th, 85th and 95th for body fat percentage (%BF), fat mass index (FMI) and fat free mass index (FFMI) according to body mass index (BMI) level by sex and age. FMI, fat mass (kg)/height (m)2; FFMI, fat free mass (kg)/height (m)2.


Cited by  2 articles

Reference Values of Body Composition Indices: The Korean National Health and Nutrition Examination Surveys
Hye Won Park, Ha Yeong Yoo, Chul-Hyun Kim, Hyeoijin Kim, Byung Ok Kwak, Kyo Sun Kim, Sochung Chung
Yonsei Med J. 2015;56(1):95-102.    doi: 10.3349/ymj.2015.56.1.95.

Body mass index and body composition scaling to height in children and adolescent
Sochung Chung
Ann Pediatr Endocrinol Metab. 2015;20(3):125-129.    doi: 10.6065/apem.2015.20.3.125.


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