Michele Polfuss1,2, Bethany Forseth1, Dale A Schoeller3, Chiang-Ching Huang4, Andrea Moosreiner5, Paula E Papanek6, Kathleen J Sawin1,2, Kimberley Zvara7,8, Linda Bandini9,10. 1. College of Nursing, University of Wisconsin - Milwaukee, Milwaukee, WI, USA. 2. Department of Nursing Research and Evidence-Based Practice, Children's Wisconsin, Milwaukee, WI, USA. 3. Biotech Center and Nutritional Sciences, University of Wisconsin - Madison, Madison, WI, USA. 4. Joseph J. Zilber School of Public Health, University of Wisconsin - Milwaukee, Milwaukee, WI, USA. 5. Clinical and Translational Science Institute of Southeastern, Medical College of Wisconsin, Wisconsin, Milwaukee, WI, USA. 6. Department of Physical Therapy, Marquette University, Milwaukee, WI, USA. 7. Physical Medicine and Rehabilitation, Medical College of Wisconsin, Milwaukee, WI, USA. 8. Physical Medicine and Rehabilitation, Children's Wisconsin, Milwaukee, WI, USA. 9. Pediatrics, Eunice Kennedy Shriver Center, University of Massachusetts Medical School, Boston, MA, USA. 10. Department of Health Sciences, Boston University, Sargent College, Boston, MA, USA.
Abstract
PURPOSE: To identify the accuracy of Body Mass Index (BMI) to categorize body weight in a sample of children with spina bifida and Down syndrome as compared to typically developing peers. METHODS: A secondary analysis of 32 children with spina bifida, Down syndrome or no chronic illness. A calculated BMI was plotted on the Centers for Disease Control and Prevention age- and sex-specific BMI growth charts to determine each child's weight status. Percentage of body fat, obtained by labeled water, was plotted on two different body fat percentile reference curves, one derived from a whole body measure (DXA) of body fat and one by skin-fold measure. Differences in weight categories between calculated BMI and body fat percentile curves were reported. RESULTS: The calculated BMI for children with a disability had significant misclassifications as a screening tool for body fat when compared to children without a disability. Misclassifications were increased with the body fat percentile reference curve derived from skin-fold measures and for children who primarily used a wheelchair. CONCLUSION: The current recommendation to use BMI to categorize weight status is not useful for many children with disabilities. Further research to identify an alternative pragmatic strategy is necessary.
PURPOSE: To identify the accuracy of Body Mass Index (BMI) to categorize body weight in a sample of children with spina bifida and Down syndrome as compared to typically developing peers. METHODS: A secondary analysis of 32 children with spina bifida, Down syndrome or no chronic illness. A calculated BMI was plotted on the Centers for Disease Control and Prevention age- and sex-specific BMI growth charts to determine each child's weight status. Percentage of body fat, obtained by labeled water, was plotted on two different body fat percentile reference curves, one derived from a whole body measure (DXA) of body fat and one by skin-fold measure. Differences in weight categories between calculated BMI and body fat percentile curves were reported. RESULTS: The calculated BMI for children with a disability had significant misclassifications as a screening tool for body fat when compared to children without a disability. Misclassifications were increased with the body fat percentile reference curve derived from skin-fold measures and for children who primarily used a wheelchair. CONCLUSION: The current recommendation to use BMI to categorize weight status is not useful for many children with disabilities. Further research to identify an alternative pragmatic strategy is necessary.
Entities:
Keywords:
Developmental disabilities; body mass index; down syndrome; obesity; spina bifida
Authors: Michele Polfuss; Kathleen J Sawin; Paula E Papanek; Linda Bandini; Bethany Forseth; Andrea Moosreiner; Kimberley Zvara; Dale A Schoeller Journal: Disabil Health J Date: 2017-12-28 Impact factor: 2.554
Authors: Linda Bandini; Melissa Danielson; Layla E Esposito; John T Foley; Michael H Fox; Georgia C Frey; Richard K Fleming; Gloria Krahn; Aviva Must; David L Porretta; Anne Brown Rodgers; Heidi Stanish; Tiina Urv; Lawrence C Vogel; Kathleen Humphries Journal: Disabil Health J Date: 2015-05-07 Impact factor: 2.554
Authors: David C Grossman; Kirsten Bibbins-Domingo; Susan J Curry; Michael J Barry; Karina W Davidson; Chyke A Doubeni; John W Epling; Alex R Kemper; Alex H Krist; Ann E Kurth; C Seth Landefeld; Carol M Mangione; Maureen G Phipps; Michael Silverstein; Melissa A Simon; Chien-Wen Tseng Journal: JAMA Date: 2017-06-20 Impact factor: 56.272