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Body composition, energy expenditure and physical activity

Percentile curves for skinfold thickness in 7- to 14-year-old children and adolescents from Jena, Germany

Abstract

Objective:

To present age- and sex-specific percentile curves for triceps and subscapular skinfold thickness, and to investigate long-term changes in skinfold thickness in children.

Subjects/Methods:

A cross-sectional study of children and adolescents was conducted in Jena/Germany in 2005/2006. The sample consisted of 2132 children (1018 girls and 1114 boys) aged 7–14 years and equated to the anthropometric characteristics of the German sample included in the reference values for body mass index (BMI). Height, weight and triceps and subscapular skinfold measurements were obtained using standardized methods. Smoothed percentile curves for triceps and subscapular skinfold thickness were derived by the LMS method. Data were compared with historical data of Jena schoolchildren from 1975.

Results:

In both sexes, skinfold thickness increased between 7 and 14 years of age in a sex-specific pattern, with generally higher median values for triceps and subscapular skinfold in girls than boys. A comparison with skinfold thickness measured in Jena schoolchildren three decades ago showed a significant increase in subcutaneous fat. The changes in the lower range (below the tenth percentile) of the distribution exceed those in the upper range (above the 90th percentile) for both triceps and subscapular skinfold in both sexes. Furthermore, this gain in subcutaneous fat mainly occurred in underweight and normal-weight subjects, whereas skinfold thickness remained nearly unchanged in overweight subjects.

Conclusions:

The up-to-date percentile curves for skinfold thickness provide a basis for monitoring of individuals and evaluation of long-term trends in German children and adolescents. The changes in skinfold thickness indicate an unfavourable increase in adiposity, as well as an unfavourable change in the relationship between BMI and body fat in children and adolescents over time.

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References

  • Addo OY, Himes JH (2010). Reference curves for triceps and subscapular skinfold thicknesses in US children and adolescents. Am J Clin Nutr 91, 635–642.

    Article  CAS  Google Scholar 

  • Cole TJ, Green PJ (1992). Smoothing reference centile curves: the LMS method and penalized likelihood. Stat Med 11, 1305–1319.

    Article  CAS  Google Scholar 

  • Freedman DS, Burke GL, Harsha DW, Srinivasan SR, Cresanta JL, Webber LS et al. (1985). Relationship of changes in obesity to serum lipid and lipoprotein changes in childhood and adolescence. JAMA 254, 515–520.

    Article  CAS  Google Scholar 

  • Freedman DS, Sherry B. (2009). The validity of BMI as an indicator of body fatness and risk among children. Pediatrics 124 (Suppl 1), S23–S34.

    Article  Google Scholar 

  • Freedman DS, Wang J, Maynard LM, Thornton JC, Mei Z, Pierson RN et al. (2005). Relation of BMI to fat and fat-free mass among children and adolescents. Int J Obes 29, 1–8.

    Article  CAS  Google Scholar 

  • Freedman DS, Wang J, Ogden CL, Thornton JC, Mei Z, Pierson RN et al. (2007). The prediction of body fatness by BMI and skinfold thicknesses among children and adolescents. Ann Hum Biol 34, 183–194.

    Article  Google Scholar 

  • Gruber JJ, Pollock ML, Graves JE, Colvin AB, Braith RW (1990). Comparison of Harpenden and Lange calipers in predicting body composition. Res Q Exerc Sport 61, 184–190.

    Article  CAS  Google Scholar 

  • Haas GM, Liepold E, Schwandt P (2011). Percentile curves for fat patterning in German adolescents. World J Pediatr 7, 16–23.

    Article  Google Scholar 

  • Himes JH, Dietz WH (1994). Guidelines for overweight in adolescent preventive services: recommendations from an expert committee. The Expert Committee on Clinical Guidelines for Overweight in Adolescent Preventive Services. Am J Clin Nutr 59, 307–316.

    Article  CAS  Google Scholar 

  • Juliusson PB, Eide GE, Roelants M, Waaler PE, Hauspie R, Bjerknes R (2010). Overweight and obesity in Norwegian children: prevalence and socio-demographic risk factors. Acta Paediatr 99, 900–905.

    Article  Google Scholar 

  • Kromeyer-Hauschild K, Jaeger U (1998). Growth studies in Jena, Germany: changes in body size and subcutaneous fat distribution between 1975 and 1995. Am J Hum Biol 10, 579–587.

    Article  Google Scholar 

  • Kromeyer-Hauschild K, Wabitsch M, Kunze D, Geller F, Geiß HC, Hesse V et al. (2001). Perzentile fuer den Body-mass-Index fuer das Kindes- und Jugendalter unter Heranziehung verschiedener deutscher Stichproben. Monatsschr Kinderheilk 149, 807–818.

    Article  Google Scholar 

  • Liem ET, De Lucia RE, L’Abee C, Sauer PJ, Ong KK, Stolk RP (2009). Measuring abdominal adiposity in 6 to 7-year-old children. Eur J Clin Nutr 63, 835–841.

    Article  CAS  Google Scholar 

  • Martin R, Saller K (1957). Lehrbuch der Anthropologie. Stuttgart: Fischer Verlag.

    Google Scholar 

  • McCarthy HD (2006). Body fat measurements in children as predictors for the metabolic syndrome: focus on waist circumference. Proc Nutr Soc 65, 385–392.

    PubMed  Google Scholar 

  • McCarthy HD, Cole TJ, Fry T, Jebb SA, Prentice AM (2006). Body fat reference curves for children. Int J Obes 30, 598–602.

    Article  CAS  Google Scholar 

  • Mei Z, Grummer-Strawn LM, Wang J, Thornton JC, Freedman DS, Pierson Jr RN et al. (2007). Do skinfold measurements provide additional information to body mass index in the assessment of body fatness among children and adolescents? Pediatrics 119, e1306–e1313.

    Article  Google Scholar 

  • Moreno LA, Fleta J, Sarria A, Rodriguez G, Bueno M (2001). Secular increases in body fat percentage in male children of Zaragoza, Spain, 1980–1995. Prev Med 33, 357–363.

    Article  CAS  Google Scholar 

  • Nagel G, Wabitsch M, Galm C, Berg S, Brandstetter S, Fritz M et al. (2009). Secular changes of anthropometric measures for the past 30 years in South-West Germany. Eur J Clin Nutr 63, 1440–1443.

    Article  CAS  Google Scholar 

  • Olds TS (2009). One million skinfolds: secular trends in the fatness of young people 1951–2004. Eur J Clin Nutr 63, 934–946.

    Article  CAS  Google Scholar 

  • Pan H, Cole TJ (2004). A comparison of goodness of fit tests for age-related reference ranges. Stat Med 23, 1749–1765.

    Article  CAS  Google Scholar 

  • Reilly JJ, Methven E, McDowell ZC, Hacking B, Alexander D, Stewart L et al. (2003). Health consequences of obesity. Arch Dis Child 88, 748–752.

    Article  CAS  Google Scholar 

  • Reinken L, Stolley H, Droese W, van OG (1980). Longitudinale Körperentwicklung gesunder Kinder II. Größe, Gewicht, Hautfettfalten von Kindern im Alter von 1,5 bis 16 Jahren. Klin Pädiatr 192, 25–33.

    Article  CAS  Google Scholar 

  • Sardinha LB, Going SB, Teixeira PJ, Lohman TG (1999). Receiver operating characteristic analysis of body mass index, triceps skinfold thickness, and arm girth for obesity screening in children and adolescents. Am J Clin Nutr 70, 1090–1095.

    Article  CAS  Google Scholar 

  • Sarria A, Garcia-Llop LA, Moreno LA, Fleta J, Morellon MP, Bueno M (1998). Skinfold thickness measurements are better predictors of body fat percentage than body mass index in male Spanish children and adolescents. Eur J Clin Nutr 52, 573–576.

    Article  CAS  Google Scholar 

  • Savage SA, Reilly JJ, Edwards CA, Durnin JV (1999). Adequacy of standards for assessment of growth and nutritional status in infancy and early childhood. Arch Dis Child 80, 121–124.

    Article  CAS  Google Scholar 

  • Stolzenberg H, Kahl H, Bergmann KE (2007). [Body measurements of children and adolescents in Germany. Results of the German Health Interview and Examination Survey for Children and Adolescents (KiGGS)]. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 50, 659–669.

    Article  CAS  Google Scholar 

  • Tanner JM, Whitehouse RH (1962). Standards for subcutaneous fat in British children. Percentiles for thickness of skinfolds over triceps and below scapula. Br Med J 1, 446–450.

    Article  CAS  Google Scholar 

  • Tanner JM, Whitehouse RH (1975). Revised standards for triceps and subscapular skinfolds in British children. Arch Dis Child 50, 142–145.

    Article  CAS  Google Scholar 

  • Thompson AM, Baxter-Jones AD, Mirwald RL, Bailey DA (2002). Secular trend in the development of fatness during childhood and adolescence. Am J Hum Biol 14, 669–679.

    Article  Google Scholar 

  • Ulijaszek SJ, Kerr DA (1999). Anthropometric measurement error and the assessment of nutritional status. Br J Nutr 82, 165–177.

    Article  CAS  Google Scholar 

  • van Buuren S, Fredriks M (2001). Worm plot: a simple diagnostic device for modelling growth reference curves. Stat Med 20, 1259–1277.

    Article  CAS  Google Scholar 

  • Wells JC, Coward WA, Cole TJ, Davies PS (2002). The contribution of fat and fat-free tissue to body mass index in contemporary children and the reference child. Int J Obes Relat Metab Disord 26, 1323–1328.

    Article  CAS  Google Scholar 

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Correspondence to K Kromeyer-Hauschild.

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Guarantor: PD Dr Katrin Kromeyer-Hauschild.Contributors: KKH contributed to the study design, data collection, data analysis and writing of the paper; NG contributed to the data collection, data analysis and assisted in the writing of the paper; KZ contributed to data collection and writing of the paper.

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Kromeyer-Hauschild, K., Gläßer, N. & Zellner, K. Percentile curves for skinfold thickness in 7- to 14-year-old children and adolescents from Jena, Germany. Eur J Clin Nutr 66, 613–621 (2012). https://doi.org/10.1038/ejcn.2011.216

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