Tri-ponderal mass index vs. Fat mass/height3 as a screening tool for metabolic syndrome prediction in colombian children and young people

Robinson Ramírez-Vélez, Jorge Enrique Correa-Bautista, Hugo Alejandro Carrillo, Emilio González-Jiménez, Jacqueline Schmidt-Riovalle, María Correa-Rodríguez, Antonio García-Hermoso, Katherine González-Ruíz

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Abstract

Tri-ponderal mass index (TMI) and Fat mass index (FMI) have been proposed as alternative approach for assessing body fat since BMI does not ensure an accurate screening for obesity and overweight status in children and adolescents. This study proposes thresholds of the TMI and FMI for the prediction of metabolic syndrome (MetS) in children and young people. For this purpose, a cross-sectional study was conducted on 4,673 participants (57.1% females), who were 9–25 years of age. As part of the study, measurements were taken of the subjects’ weight, waist circumference, serum lipid indices, blood pressure and fasting plasma glucose. Body composition was measured by bioelectrical impedance analysis (BIA). The TMI and FMI were calculated as weight (kg)/height (m3) and fat mass (kg)/height (m3), respectively. Following the international diabetes federation definition, MetS was defined as including three or more metabolic abnormalities. Cohort-specific thresholds were established to identify Colombian children and young people at high risk of MetS. The thresholds were applied to the following groups, including: (i) cohort of children with TMI ≥ 12.13 kg/m3 (girls) and ≥ 12.10 kg/m3 (boys); (ii) cohort of adolescents with TMI ≥ 12.48 kg/m3 (girls) and ≥ 11.19 kg/m3 (boys); and (iii) cohort of young adults with TMI ≥ 13.21 kg/m3 (women) and ≥ 12.19 kg/m3 (men). The FMI reference cut-off values used were as follows for the different groups, including: (i) cohort of children with FMI ≥ 2.59 fat mass/m3 (girls) and ≥ 1.98 fat mass/m3 (boys); (ii) cohort of adolescents with FMI ≥ 3.12 fat mass/m3 (girls) and ≥ 1.46 fat mass/m3 (boys); and (iii) cohort of adults with FMI ≥ 3.27 kg/m3 (women) and ≥ 1.65 kg/m3 (men). Our results showed that the FMI and TMI had a moderate discriminatory power to detect MetS in Colombian children, adolescents and young adults.

Original languageEnglish (US)
Article number412
JournalNutrients
Volume10
Issue number4
DOIs
StatePublished - Apr 1 2018

All Science Journal Classification (ASJC) codes

  • Food Science
  • Nutrition and Dietetics

Cite this

Ramírez-Vélez, R., Correa-Bautista, J. E., Carrillo, H. A., González-Jiménez, E., Schmidt-Riovalle, J., Correa-Rodríguez, M., ... González-Ruíz, K. (2018). Tri-ponderal mass index vs. Fat mass/height3 as a screening tool for metabolic syndrome prediction in colombian children and young people. Nutrients, 10(4), [412]. https://doi.org/10.3390/nu10040412
Ramírez-Vélez, Robinson ; Correa-Bautista, Jorge Enrique ; Carrillo, Hugo Alejandro ; González-Jiménez, Emilio ; Schmidt-Riovalle, Jacqueline ; Correa-Rodríguez, María ; García-Hermoso, Antonio ; González-Ruíz, Katherine. / Tri-ponderal mass index vs. Fat mass/height3 as a screening tool for metabolic syndrome prediction in colombian children and young people. In: Nutrients. 2018 ; Vol. 10, No. 4.
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abstract = "Tri-ponderal mass index (TMI) and Fat mass index (FMI) have been proposed as alternative approach for assessing body fat since BMI does not ensure an accurate screening for obesity and overweight status in children and adolescents. This study proposes thresholds of the TMI and FMI for the prediction of metabolic syndrome (MetS) in children and young people. For this purpose, a cross-sectional study was conducted on 4,673 participants (57.1{\%} females), who were 9–25 years of age. As part of the study, measurements were taken of the subjects’ weight, waist circumference, serum lipid indices, blood pressure and fasting plasma glucose. Body composition was measured by bioelectrical impedance analysis (BIA). The TMI and FMI were calculated as weight (kg)/height (m3) and fat mass (kg)/height (m3), respectively. Following the international diabetes federation definition, MetS was defined as including three or more metabolic abnormalities. Cohort-specific thresholds were established to identify Colombian children and young people at high risk of MetS. The thresholds were applied to the following groups, including: (i) cohort of children with TMI ≥ 12.13 kg/m3 (girls) and ≥ 12.10 kg/m3 (boys); (ii) cohort of adolescents with TMI ≥ 12.48 kg/m3 (girls) and ≥ 11.19 kg/m3 (boys); and (iii) cohort of young adults with TMI ≥ 13.21 kg/m3 (women) and ≥ 12.19 kg/m3 (men). The FMI reference cut-off values used were as follows for the different groups, including: (i) cohort of children with FMI ≥ 2.59 fat mass/m3 (girls) and ≥ 1.98 fat mass/m3 (boys); (ii) cohort of adolescents with FMI ≥ 3.12 fat mass/m3 (girls) and ≥ 1.46 fat mass/m3 (boys); and (iii) cohort of adults with FMI ≥ 3.27 kg/m3 (women) and ≥ 1.65 kg/m3 (men). Our results showed that the FMI and TMI had a moderate discriminatory power to detect MetS in Colombian children, adolescents and young adults.",
author = "Robinson Ram{\'i}rez-V{\'e}lez and Correa-Bautista, {Jorge Enrique} and Carrillo, {Hugo Alejandro} and Emilio Gonz{\'a}lez-Jim{\'e}nez and Jacqueline Schmidt-Riovalle and Mar{\'i}a Correa-Rodr{\'i}guez and Antonio Garc{\'i}a-Hermoso and Katherine Gonz{\'a}lez-Ru{\'i}z",
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Ramírez-Vélez, R, Correa-Bautista, JE, Carrillo, HA, González-Jiménez, E, Schmidt-Riovalle, J, Correa-Rodríguez, M, García-Hermoso, A & González-Ruíz, K 2018, 'Tri-ponderal mass index vs. Fat mass/height3 as a screening tool for metabolic syndrome prediction in colombian children and young people', Nutrients, vol. 10, no. 4, 412. https://doi.org/10.3390/nu10040412

Tri-ponderal mass index vs. Fat mass/height3 as a screening tool for metabolic syndrome prediction in colombian children and young people. / Ramírez-Vélez, Robinson; Correa-Bautista, Jorge Enrique; Carrillo, Hugo Alejandro; González-Jiménez, Emilio; Schmidt-Riovalle, Jacqueline; Correa-Rodríguez, María; García-Hermoso, Antonio; González-Ruíz, Katherine.

In: Nutrients, Vol. 10, No. 4, 412, 01.04.2018.

Research output: Contribution to journalArticle

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T1 - Tri-ponderal mass index vs. Fat mass/height3 as a screening tool for metabolic syndrome prediction in colombian children and young people

AU - Ramírez-Vélez, Robinson

AU - Correa-Bautista, Jorge Enrique

AU - Carrillo, Hugo Alejandro

AU - González-Jiménez, Emilio

AU - Schmidt-Riovalle, Jacqueline

AU - Correa-Rodríguez, María

AU - García-Hermoso, Antonio

AU - González-Ruíz, Katherine

PY - 2018/4/1

Y1 - 2018/4/1

N2 - Tri-ponderal mass index (TMI) and Fat mass index (FMI) have been proposed as alternative approach for assessing body fat since BMI does not ensure an accurate screening for obesity and overweight status in children and adolescents. This study proposes thresholds of the TMI and FMI for the prediction of metabolic syndrome (MetS) in children and young people. For this purpose, a cross-sectional study was conducted on 4,673 participants (57.1% females), who were 9–25 years of age. As part of the study, measurements were taken of the subjects’ weight, waist circumference, serum lipid indices, blood pressure and fasting plasma glucose. Body composition was measured by bioelectrical impedance analysis (BIA). The TMI and FMI were calculated as weight (kg)/height (m3) and fat mass (kg)/height (m3), respectively. Following the international diabetes federation definition, MetS was defined as including three or more metabolic abnormalities. Cohort-specific thresholds were established to identify Colombian children and young people at high risk of MetS. The thresholds were applied to the following groups, including: (i) cohort of children with TMI ≥ 12.13 kg/m3 (girls) and ≥ 12.10 kg/m3 (boys); (ii) cohort of adolescents with TMI ≥ 12.48 kg/m3 (girls) and ≥ 11.19 kg/m3 (boys); and (iii) cohort of young adults with TMI ≥ 13.21 kg/m3 (women) and ≥ 12.19 kg/m3 (men). The FMI reference cut-off values used were as follows for the different groups, including: (i) cohort of children with FMI ≥ 2.59 fat mass/m3 (girls) and ≥ 1.98 fat mass/m3 (boys); (ii) cohort of adolescents with FMI ≥ 3.12 fat mass/m3 (girls) and ≥ 1.46 fat mass/m3 (boys); and (iii) cohort of adults with FMI ≥ 3.27 kg/m3 (women) and ≥ 1.65 kg/m3 (men). Our results showed that the FMI and TMI had a moderate discriminatory power to detect MetS in Colombian children, adolescents and young adults.

AB - Tri-ponderal mass index (TMI) and Fat mass index (FMI) have been proposed as alternative approach for assessing body fat since BMI does not ensure an accurate screening for obesity and overweight status in children and adolescents. This study proposes thresholds of the TMI and FMI for the prediction of metabolic syndrome (MetS) in children and young people. For this purpose, a cross-sectional study was conducted on 4,673 participants (57.1% females), who were 9–25 years of age. As part of the study, measurements were taken of the subjects’ weight, waist circumference, serum lipid indices, blood pressure and fasting plasma glucose. Body composition was measured by bioelectrical impedance analysis (BIA). The TMI and FMI were calculated as weight (kg)/height (m3) and fat mass (kg)/height (m3), respectively. Following the international diabetes federation definition, MetS was defined as including three or more metabolic abnormalities. Cohort-specific thresholds were established to identify Colombian children and young people at high risk of MetS. The thresholds were applied to the following groups, including: (i) cohort of children with TMI ≥ 12.13 kg/m3 (girls) and ≥ 12.10 kg/m3 (boys); (ii) cohort of adolescents with TMI ≥ 12.48 kg/m3 (girls) and ≥ 11.19 kg/m3 (boys); and (iii) cohort of young adults with TMI ≥ 13.21 kg/m3 (women) and ≥ 12.19 kg/m3 (men). The FMI reference cut-off values used were as follows for the different groups, including: (i) cohort of children with FMI ≥ 2.59 fat mass/m3 (girls) and ≥ 1.98 fat mass/m3 (boys); (ii) cohort of adolescents with FMI ≥ 3.12 fat mass/m3 (girls) and ≥ 1.46 fat mass/m3 (boys); and (iii) cohort of adults with FMI ≥ 3.27 kg/m3 (women) and ≥ 1.65 kg/m3 (men). Our results showed that the FMI and TMI had a moderate discriminatory power to detect MetS in Colombian children, adolescents and young adults.

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Ramírez-Vélez R, Correa-Bautista JE, Carrillo HA, González-Jiménez E, Schmidt-Riovalle J, Correa-Rodríguez M et al. Tri-ponderal mass index vs. Fat mass/height3 as a screening tool for metabolic syndrome prediction in colombian children and young people. Nutrients. 2018 Apr 1;10(4). 412. https://doi.org/10.3390/nu10040412