Body proportion in anthropometric assessment of post-menarche adolescents

Authors

  • Bruna BRONHARA Universidade Federal de Alfenas
  • Valéria Cristina Ribeiro VIEIRA Universidade Federal de Alfenas

Keywords:

adolescent, anthropometry, body composition, nutritional status

Abstract

Objective
To verify body proportion performance in pos-menarche adolescents and its influence in anthropometric assessment, emphasizing weight-height ratio.

Methods
Eighty adolescents from a public school in Alfenas, Minas Gerais, Brazil, were evaluated, with at least 12 months pos-menarche. Anthropometric measurements were obtained according to standardized procedures. Body proportion was assessed by Cormic Index. The population was divided in studied group (Cormic Index > median) and control group (Cormic Index < median). The chronological and gynecological ages, weight, height, sitting-height, leg length, body mass index and overall and localized body fat indicators were compared between the groups.

Results
The means of chronological and gynecological ages did not differ statistically between the groups, showing homogeneity relating to the physical development. The Cormic Index mean and standard deviation corresponded to 0.52 and 0.013, respectively. The groups did not differ in height (p=0.23), but the studied group showed significantly higher sitting-height values than the control group (p<0.01). A significantly higher proportion (67.6%) of the studied group presented body mass index > median, when compared with
the control group (37.2%). The overall and localized body fat indicators were not statistically different between the groups.

Conclusions
The differences in body proportion were not related to height. Higher Cormic Index values seem to be associated with a higher body mass index, but not with body composition and body fat distribution. Therefore, we question the exclusive use of body mass index in anthropometric assessment in health services, considering that it can generate inexact results in a population with compromised body proportion. 

References

Trowbridge FL, Marks JS, Romano GL, Madrid S, Boutton TW, Klein PD. Body composition of Peruvian childrem with short stature and high weight-for-height. II-Implications for the interpretation for weight-for height as an indicator of nutritional status. Am J Clin Nutr. 1987; 46(3):411-8.

Frongillo EA. Symposium: causes and etiology of stunting. J Nutr. 1999; 129(Suppl. 2):529S-30S.

Norgan NG. Population differences in body composition in relation to the body mass index. Eur J Clin Nutr. 1994; 48(Suppl. 3):S10-25.

Henneberg M, Harrison GA, Brush G. The small child: anthropometric and physical performance characteristics of short-for-age children growing in good and in poor socio-economic conditions. Eur J Nutr. 1998; 52(4):286-91.

Vieira VCR. Baixa estatura em adolescentes pós-menarca: abordagem nutricional retrospectiva e atual [dissertação]. Viçosa: Universidade Federal de Viçosa; 2003.

Norgan NG, Jones PRM. The effect of standardizing the body mass index for relative sitting height. Int J Obes. 1995; 19(3):206-8.

Popkin BM, Richards MK, Monteiro CA. Stunting is associated with overweight in children of four nations that are undergoing the nutrition transition. J Nutr. 1996; 126(12):3009-16.

Post CLA, Victora, CG, Barros AJD. Baixa prevalência de déficit de peso para estatura: comparação de crianças brasileiras com e sem déficit estatural. Rev Saúde Pública. 1999; 33(6):575-85.

Anjos LA. Índice de massa corporal como indicador do estado nutricional de adultos: revisão de literatura. Rev Saúde Pública. 1992; 26(6):431-6.

Bellizzi MC, Dietz WH. Workshop on childhood obesity: summary of the discussion. Am J Clin Nutr. 1999; 70(1):173S-5S.

Garn SM, Leonard WR, Hawthorne VM. Three limitations of the body mass index. Am J Clin Nutr. 1986; 44(6):996-7.

Sichieri R, Siqueira KS, Moura AS. Obesity and abdominal fatness associated with undernutrition early in life in a survey in Rio de Janeiro. Int J Obes. 2000; 24(5):614-8.

Velásquez-Meléndez G, Martins IS, Cervato AM, Fornés NS, Maruci MFN, Coelho LT. Relationship between stature, overweight and central obesity in the adult population in São Paulo, Brazil. Int J Obes. 1999; 23(6):639-44.

Norgan NG. On the interpretation of low body mass indices: Australian Aborigines. Am J Clin Nutr. 1994; 94(2):229-37.

Norgan NG. Body mass index and nutritional status - the effect of adjusting the body mass index for relative sitting height on estimates of the prevalence of chronic energy deficiency, overweight and obesity. Asia Pacific J Clin Nutr. 1995; 4(1): 137-9.

Sigulem DM, Devincenzi UM, Lessa AC. Diagnóstico do estado nutricional da criança e do adolescente. J Pediatr. 2000; 76(Suppl 3): S275-84.

Vanitallie TB, Yang MU, Heymsfield SB, Funk RC, Boileau RA. Height-normalized indices of the body’s fat-free mass and fat mass: potentially useful indicator of nutritional status. Am J Clin Nut. 1990; 52(6):953-9.

Velásquez-Meléndez G, Silveira EP, Souza PA, Kac G. Relationship between sitting-height-to-stature ratio and adiposity in brazilian women. Am J Hum Biol. 2005; 17(5):646-53.

Vieira VCR, Bronhara B, Priore SE, Franceschini SCC. Influência da proporcionalidade corporal na avaliação pôndero-estatural em adolescentes pós-menarca. In: Anais do I Congresso Mineiro de Alimentação e Nutrição, 2005; Ouro Preto, Brasil. Ouro Preto: UFOP; 2005. CD-ROM.

Organización Mundial de La Salud. Necesidades de salud de los adolescentes. Ginebra: OMS; 1977. Série de Informes Técnicos, n.724.

Jelliffe DBI. Evaluación del estado de nutrición de la comunidad. Ginebra: OMS; 1968.

Sangi H, Mueller WH. Which Measure of Body Fat Distribution is Best for Epidemiologic Research among Adolescents? Am J Epidemiol. 1991; 133(9):870-83.

Lohman T, Roche AF, Martorell R. Anthropometric Standardization Reference Manual. Champaing: Human Kinetics Books; 1988.

Sampei MA, Novo NF, Juliano Y, Sigulem DM. Comparison of the body mass index to other methods of body fat evaluation in ethnic Japanese and Caucasian adolescent girls. Int J Obes Relat Metab Disord. 2001; 25(3):400-8.

Bénèfice E, Garnier D, Simondon KB, Malina RM. Relationship between stunting in infancy and growth and fat distribution during adolescence in Senegalese girls. Eur J Clin Nutr. 2001; 55(1): 50-8.

Hojo T, Nakashima T, Hirao T. Stature, sitting height and relative sitting height of female northern Kyushuites. J UOEH. 1984; 6(4):355-7.

Wadsworth MEJ, Hardy RJ, Paul AA, Marshal SF, Cole TJ. Leg and trunk length at 43 years in relation to childhood health, diet and family circumstances; evidence from the 1946 national birth cohort. Int J Epidemiol. 2002; 31(2):383-90.

Gunnel DJ, Smith GD, Frankel S, Nanchahal K, Bradon FEM, Pemberton J, et al. Childhood leg length and adult mortality: follow up of the Carnegie (boyd orr) survey of diet and health in pre-war Britain. J Epidemiol Community Health. 1998; 52(3):142-52.

Baugust A, Walley T. An alternative to body mass index for standardizing body weight for stature. Q J Med. 2000; 93(9):589-96.

Caprio S, Hyman LD, McCarthy S, Lange R, Bronson M, Tamborlane WV . Fat distribution and cardiovascular risk factors in obese adolescent girls: importance of the intraabdominal fat depot. Am J Clin Nutr. 1996; 64(1):12-7.

Han TS, McNelly G, Campbell D. The relation between women’s birth weight and their current intra-abdominal fat-mass. Proc Nutr Soc. 1995; 54(3):182A.

Published

2023-09-06

How to Cite

BRONHARA, B. ., & Ribeiro VIEIRA, V. C. . (2023). Body proportion in anthropometric assessment of post-menarche adolescents. Brazilian Journal of Nutrition, 20(1). Retrieved from https://periodicos.puc-campinas.edu.br/nutricao/article/view/9650

Issue

Section

ORIGINAL ARTICLE