K. Widhalm et al., Does the BMI reflect body fat in obese children and adolescents? A study using the TOBEC method, INT J OBES, 25(2), 2001, pp. 279-285
OBJECTIVE: Due to the fact that obesity is defined as excess of body fat ma
ss, we tested the hypothesis whether the body mass index (BMI) can be used
as a valid measure for the detection of the degree of obesity in individual
obese children and adolescents.
METHODS: A total of 204 obese children and adolescents (105 boys, 99 girls)
aged 6-17 y, using total body electrical conductivity (TOBEC) for fat meas
urement, were included into this study.
A multiple regression analysis was performed with percentage body fat (PBF)
as dependent variable and BMI, age and sex as independent variables. First
- and second-order interaction terms were also included. Since all interact
ion terms showed a significant influence on PBF, regression analysis was pe
rformed separately for boys and girls, dividing each group into two age sub
groups (subjects younger than 10 y, and subjects 10 y or older).
RESULTS: BMI and PBF were observed to be positively correlated (overall: r
= 0,65; P = 0.0001; boys r = 0.63 and girls: r = 0.68). Through a multiple
regression analysis 57% of the variance of PBF could be explained by the in
dependent variables. In boys younger than 10 y 73% and in girls younger tha
n 10 y 63% of the variance of PBF was explained by the BMI. In subjects 10
y or older the association was poor (boys: 27%; girls: 38%). It should be e
mphasized that there is a wide range in the relationship between PBF and BM
I in the obese subjects.
CONCLUSION: From these results we conclude that BMI might be a useful param
eter for epidemiological studies: however in the individual pediatric patie
nt, especially from 10 y onwards, it gives only a limited insight to the de
gree of obesity based on the definition.