Changes in body mass index according to maturity status in adolescents from a region of Chile during a 20-year period.

Authors

  • Fernando Alvear-Vasquez Universidad de Valencia, Valencia
  • Jose Francisco Guzman-Lujan Universidad de Valencia, Valencia
  • Ana Belen Guzman Universidad Catolica del Maule
  • Jose Fuentes-Lopez Universidad Nacional del Altiplano, Puno, Perú
  • Nicolas Vidal-Fernandez Universidad Catolica del Maule
  • Rossana Gomez-Campos Universidad Catolica del Maule
  • Marco Cossio Bolaños

DOI:

https://doi.org/10.12873/443alvear

Keywords:

Tendencia, Indice masa corporal, estado de madurez, adolescentes

Abstract

Introduction: Anthropometric indices are essential tools in the assessment of health status and can be useful to analyze changes over time.

Objective: To determine if there are significant changes in body mass index (BMI) according to maturity status (MS) in adolescents over a 30-year interval.

Methodology: A longitudinal trend study was designed in schoolchildren aged 11.0 to 17.0 years. The sample was composed of two cohorts corresponding to the year 1997 and 2017. The sample selection was probabilistic (random), for the 1997 cohort 939 adolescents were selected and for 2017 there were 1026 adolescents. Weight and height were assessed. BMI and MS were calculated from anthropometric variables.

Results: Adolescents of both sexes in the 2017 cohort evidenced higher BMI relative to their 1997 counterparts. There were no significant differences in MS between the two cohorts. The correlation between BMI and MS in males increased from r= 0.25 (r2=0.062) to r= 0.27 (r2=0.067) over 30 years, while in females it was from r= 0.19 (r2= 0.036) to r= 0.26 (r2= 0.070). This reflects increases in BMI in both sexes, although slightly more in females than in males.

Conclusion: This study verified a significant increase in BMI in all MS over a 30-year period, with a greater increase in women than in males. These findings highlight the urgency of intervening in this population to address the problem of overweight and obesity

References

Ulijaszek SJ, Kerr DA. Anthropometric measurement error and the assessment of nutritional status. British Journal of Nutrition. 1999;82(3):165–77. doi:10.1017/S0007114599001348

Gibson, Rosalind S. Principles of nutritional assessment. Oxford university press, USA, 2005.

Mirwald RL, Baxter-Jones AD, Bailey DA, Beunen GP. An assessment of maturity from anthropometric measurements. Med Sci Sports Exerc. 2002;34(4):689-694. doi:10.1097/00005768-200204000-00020

Moore SA, McKay HA, Macdonald H, et al. Enhancing a Somatic Maturity Prediction Model. Med Sci Sports Exerc. 2015;47(8):1755-1764. doi:10.1249/MSS.0000000000000588

Fryar CD, Gu Q, Ogden CL, Flegal KM. Anthropometric Reference Data for Children and Adults: United States, 2011-2014. Vital Health Stat 3 Anal Stud. 2016;(39):1-46.

Lelijveld N, Benedict RK, Wrottesley SV, et al. Towards standardised and valid anthropometric indicators of nutritional status in middle childhood and adolescence. Lancet Child Adolesc Health. 2022;6(10):738-746. doi:10.1016/S2352-4642(22)00196-1

Hwaung P, Heo M, Kennedy S, et al. Optimum waist circumference-height indices for evaluating adult adiposity: An analytic review. Obes Rev. 2020;21(1):e12947. doi:10.1111/obr.12947

Madden AM, Smith S. Body composition and morphological assessment of nutritional status in adults: a review of anthropometric variables. J Hum Nutr Diet. 2016;29(1):7-25. doi:10.1111/jhn.12278

Khoshhali M, Heidari-Beni M, Qorbani M, et al. Tri-ponderal mass index and body mass index in prediction of pediatric metabolic syndrome: the CASPIAN-V study. Arch Endocrinol Metab. 2020;64(2):171-178. doi:10.20945/2359-3997000000206

Khanna D, Peltzer C, Kahar P, Parmar MS. Body Mass Index (BMI): A Screening Tool Analysis. Cureus. 2022;14(2):e22119. Published 2022 Feb 11. doi:10.7759/cureus.22119

Peterson CM, Su H, Thomas DM, et al. Tri-Ponderal Mass Index vs Body Mass Index in Estimating Body Fat During Adolescence. JAMA Pediatr. 2017;171(7):629-636. doi:10.1001/jamapediatrics.2017.0460

Wang X, Dong B, Ma J, Song Y, Zou Z, Arnold L. Role of tri-ponderal mass index in cardio-metabolic risk assessment in children and adolescents: compared with body mass index. Int J Obes (Lond). 2020;44(4):886-894. doi:10.1038/s41366-019-0416-y

Freedman DS, Srinivasan SR, Valdez RA, Williamson DF, Berenson GS. Secular increases in relative weight and adiposity among children over two decades: the Bogalusa Heart Study. Pediatrics. 1997;99(3):420-426. doi:10.1542/peds.99.3.420

Kimm SY, Barton BA, Obarzanek E, et al. Racial divergence in adiposity during adolescence: The NHLBI Growth and Health Study. Pediatrics. 2001;107(3):E34. doi:10.1542/peds.107.3.e34

Nagel G, Wabitsch M, Galm C, et al. Secular changes of anthropometric measures for the past 30 years in South-West Germany. Eur J Clin Nutr. 2009;63(12):1440-1443. doi:10.1038/ejcn.2009.86

Guimarey LM, Castro LE, Torres MF, et al. Secular changes in body size and body composition in schoolchildren from La Plata City (Argentina). Anthropol Anz. 2014;71(3):287-301. doi:10.1127/0003-5548/2014/0364

Albala C, Vio F, Kain J, Uauy R. Nutrition transition in Latin America: the case of Chile. Nutr Rev. 2001;59(6):170-176. doi:10.1111/j.1753-4887.2001.tb07008.x

Vio F, Albala C, Kain J. Nutrition transition in Chile revisited: mid-term evaluation of obesity goals for the period 2000-2010. Public Health Nutr. 2008;11(4):405-412. doi:10.1017/S136898000700050X

Mujica-Coopman MF, Navarro-Rosenblatt D, López-Arana S, Corvalán C. Nutrition status in adult Chilean population: economic, ethnic and sex inequalities in a post-transitional country. Public Health Nutr. 2020;23(S1):s39-s50. doi:10.1017/S1368980019004439

GBD 2015 Obesity Collaborators, Afshin A, Forouzanfar MH, et al. Health Effects of Overweight and Obesity in 195 Countries over 25 Years. N Engl J Med. 2017;377(1):13-27. doi:10.1056/NEJMoa1614362

Cossio-Bolaños M, Vasquez P, Luarte-Rocha C, Sulla-Torres J, Gómez Campos R. Assessment of self-perception of physical fitness and proposal for standards among Chilean adolescent students: the EAPAF study. Evaluación de la autopercepción de la aptitud física y propuesta de normativas en adolescentes escolares chilenos: estudio EAPAF. Arch Argent Pediatr. 2016;114(4):319-328. doi:10.5546/aap.2016.eng.319

Ross WD, Marfell-Jones MJ. Kinanthropometry. In J. D. MacDougall, H. A. Wenger, & H. J. Geeny (Eds.), Physiological testing of elite athlete. Human Kinetics. 1991; 223:308-314.

Malina RM, Kozieł SM. Validation of maturity offset in a longitudinal sample of Polish boys. J Sports Sci. 2014;32(5):424-437. doi:10.1080/02640414.2013.828850

Patalay P, Gage SH. Changes in millennial adolescent mental health and health-related behaviours over 10 years: a population cohort comparison study. Int J Epidemiol. 2019;48(5):1650-1664. doi:10.1093/ije/dyz006

Blundell E, De Stavola BL, Kellock MD, et al. Longitudinal pathways between childhood BMI, body dissatisfaction, and adolescent depression: an observational study using the UK Millenium Cohort Study [published correction appears in Lancet Psychiatry. 2024 Feb;11(2):e3]. Lancet Psychiatry. 2024;11(1):47-55. doi:10.1016/S2215-0366(23)00365-6

Gatica-Mandiola P, Vargas-Vitoria R, Jirón Amaro O, et al. Cambios en la adiposidad corporal de adolescentes escolares (1997-2007). Nutrición Clínica y Dietética Hospitalaria. 2013;33(3):23-29. doi:10.12873/333bodyfat

Herrera JC, Lira M, Kain J. Vulnerabilidad socioeconómica y obesidad en escolares chilenos de primero básico: comparación entre los años 2009 y 2013. Revista chilena de Pediatría. 2017;88(6):736-743. doi:http://dx.doi.org/10.4067/S0370-41062017000600736

East P, Delker E, Blanco E, et al. BMI Trajectories from Birth to 23 Years by Cardiometabolic Risks in Young Adulthood. Obesity (Silver Spring). 2020;28(4):813-821. doi:10.1002/oby.22754

Agrawal P, Gupta K, Mishra V, Agrawal S. Effects of sedentary lifestyle and dietary habits on body mass index change among adult women in India: findings from a follow-up study. Ecol Food Nutr. 2013;52(5):387-406. doi:10.1080/03670244.2012.719346

Fox A, Feng W, Asal V. What is driving global obesity trends? Globalization or "modernization"?. Global Health. 2019;15(1):32. Published 2019 Apr 27. doi:10.1186/s12992-019-0457-y

Kerkadi A, Sadig AH, Bawadi H, et al. The Relationship between Lifestyle Factors and Obesity Indices among Adolescents in Qatar. Int J Environ Res Public Health. 2019;16(22):4428. Published 2019 Nov 13. doi:10.3390/ijerph16224428

Lin X, Li H. Obesity: Epidemiology, Pathophysiology, and Therapeutics. Front Endocrinol (Lausanne). 2021;12:706978. Published 2021 Sep 6. doi:10.3389/fendo.2021.706978

Oukheda M, Bouaouda K, Mohtadi K, et al. Association between nutritional status, body composition, and fitness level of adolescents in physical education in Casablanca, Morocco. Front Nutr. 2023;10:1268369. Published 2023 Nov 7. doi:10.3389/fnut.2023.1268369

MINSAL (Ministerio de Salud, Gobierno de Chile). Encuesta Nacional de Salud de Chile 2016-2017. 2018. Recuperado de http://inta.cl/wp-content/uploads/2018/01/ENS-2016-17_PRIMEROSRESULTADOS-1.pdf

Kain J, Uauy R, Lera L, Taibo M, Espejo F, Albala C. Evolución del estado del estado nutricional de escolares chilenos de 6 años (1987-2003) [Evolution of the nutritional status of six years old Chilean children (1987-2003)]. Rev Med Chil. 2005;133(9):1013-1020. doi:10.4067/s0034-98872005000900003

Raj M, Kumar RK. Obesity in children & adolescents. Indian J Med Res. 2010;132(5):598-607.

Scully T, Ettela A, LeRoith D, Gallagher EJ. Obesity, Type 2 Diabetes, and Cancer Risk. Front Oncol. 2021;10:615375. Published 2021 Feb 2. doi:10.3389/fonc.2020.615375

Published

2024-08-26

How to Cite

Alvear-Vasquez, F., Guzman-Lujan, J. F., Guzman, A. B., Fuentes-Lopez, J., Vidal-Fernandez, N., Gomez-Campos, R., & Cossio Bolaños, M. (2024). Changes in body mass index according to maturity status in adolescents from a region of Chile during a 20-year period. Nutrición Clínica Y Dietética Hospitalaria, 44(3). https://doi.org/10.12873/443alvear

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