Fatness and Physical Fitness of Girls 7 to 17 Years

A two-fold approach was used to investigate the association between fatness and fitness of girls 7 to 17 years of age: first, age-specific correlations between fatness and measures of health-related and motor fitness, and second, comparisons of fitness levels of girls classified as fat and lean. A representative sample of 6700 between 7 to 17 years was surveyed. Adiposity (fatness) was estimated as the sum of five skinfolds (biceps, triceps, subscapular, suprailiac, medial calf). Physical fitness included health-related items (step test, PWC₁₇₀ the sit and reach, sit-ups and leg lifts, flexed arm hang) and motor performance items (standing long jump, vertical jump, arm pull strength, flamingo stand, shuttle run, plate tapping). Age-specific partial correlations between fatness and each fitness item, controlling for stature and weight, were calculated. In addition, in each age group the fattest 5% (presumably the obese) and the leanest 5% were compared on each fitness test. After controlling for stature and weight, subcutaneous fatness accounts for variable percentages of the variance in each fitness item. Estimates for health-related fitness items are: cardiorespiratory endurance - step test (3% to 5%) and PWC₁₇₀ (0% to 16%), flexibility - sit and reach (3% to 8%), functional strength - flexed arm hang (6% to 17%) and abdominal strength - sit-ups/leg lifts (1% to 8%). Corresponding estimates for motor fitness items are more variable: speed of limb movement -plate tapping (0% to 3%), balance - flamingo stand (0% to 5%), speed and agility - shuttle run (2% to 12 %), static strength - arm pull (4% to 12%), explosive strength - standing long jump/vertical jump (11% to 18%). At the extremes, the fattest girls have generally poorer levels of health-related and motor fitness.     

男性青少年脂肪组织分布与相对骨龄的关系——Fels追踪研究

本文对Fels追踪研究中8—17岁男性青少年的相对骨龄与脂肪分布类型之间的关系做了分析。按体重/身高~2调整后,如用每个年龄的三种皮褶厚度(ST)指数的均值表示脂肪分布类型的话,8—12岁时,脂肪分布类型呈外周型分布,但13岁后开始朝向心型发展呈全身性分布。如用肩胛下ST/(肩胛下ST+肱三头肌区ST)的比例表示的话,那么14—17岁时,相对骨龄早者(简称早组)与相对骨龄晚者(简称晚组)相比,前者有较明显的向心型分布倾向。13—14岁时,早组的上述比值的年增长明显大于晚组。但是,按脂肪分布类型指数等级的基线和体重/身高~2调整之后,7、11或14岁时的相对骨龄不能预测17岁时的脂肪分布类型指数的等级。所以,我们可以得出这样的结论:如按本文的比例指数加以定量的话,脂肪分布类型与男性青少年的相对骨龄只有微弱的关系。他们的脂肪分布类型可能与其它成熟指征(如男性青春期的第二性征)有明显的关系。     

Measurement of subcutaneous adipose tissue using ultrasound images.

The objectives of this paper are to explore the potential of the ultrasound technique to quantify subcutaneous adipose tissue, and to explain the differences between skinfolds and ultrasound measurements across a large range of ages and levels of adiposity. The sample consisted of 115 men and 117 women aged 35 to 51 years, 132 girls and 145 boys aged 12 to 20 years. Subcutaneous fat thickness was measured at four sites using skinfolds calipers, and at seven sites using a real-time B-mode ultrasound scanner. Anthropometric measurements were obtained, and percent body fat was estimated using electric impedance. The agreement between skinfolds and ultrasound measurements was calculated for each age and sex group. The agreement between techniques, and the levels of correlation between body composition and fatness measurements were high in the sample of young men. However, the results were less consistent in the other groups. Site specific differences were also noted.     

Sexual dimorphism in body composition changes during the pubertal period : As shown by French-Canadian children

Size and velocity growth curves of stature to represent skeletal growth, lean arm circumference to represent muscle growth, and the sum of three skinfolds to represent fat tissue changes, are presented for a longitudinal study of Montreal school–age children. Both a chronological age scale, and one relative to the individual ages of peak growth velocity in stature, are used. Intercorrelations between the various components are tabulated for age groups based on the two scales. The three skinfolds are also analyzed separately. The results show that such simple anthropometric measures can be usefully taken to represent the growth of different body components. Longitudinal analysis reveals that, whereas the relationship of muscular to statural growth in boys is purely maturational, it is not so for girls, and that the different skinfolds show complex sexual differences in growth during the pubertal period.     

Estimation of stature in children from second metacarpal measurements.

On the basis of 552 boys and 542 girls aged 6 to 20 years, this study examines the estimation of stature from dimensions and maturity of second metacarpals by means of linear regression equations. A combination of length and width measurements provided a more accurate estimation than each measurement individually. When taken alone, length produced a more accurate estimation than width. Sex and age factors are useful for the estimation of stature, though these variables are often unknown in the isolated bone. The samples are divided into immature and mature groups (according to skeletal maturity). Regardless of sex, stature could be estimated from the metacarpal length and width with a standard error of 4.19 cm by means of a multiple linear equation in the immature group. The mature group should be considered with adults for this purpose. Thus, taking into account their skeletal maturity, living stature could be practically estimated from the second metacarpal with significant degrees of accuracy in children.     

手腕部与膝部骨龄之间的差异

本文分别用Fels和RWT法评定了4902对2—17岁儿童青少年的手腕部和膝部骨龄。男女各年龄组骨龄的平均绝对差值为0.34—0.87岁,标准差为0.31—0.68岁。8—11岁前,这两个值往往随年龄增加;14岁前,男性一般大于女性。最大差值范围为1.45—2.99岁,其年龄变化往往不规律,但11岁前(男)和9岁前(女)常常增加。手腕部和膝部骨龄之间所存在的较大的绝对差值不能完全用观察误差加以解释。两部位的骨龄不能互相替代。所以,用骨龄预测成人身高和确定干骺固定术的时间,至少在5％的儿童中明显地受到骨龄部位的影响。     

Anthropometric parameters and sexual maturation in 12- to 15-year-old Estonian boys

The aims of this study were 1. to fix main sexual maturation signs and anthropometric measurements, and 2. to investigate relations between maturational status and main anthropometric parameters (i.e. skinfolds, girths, lengths, breadths/lengths) in 12-15-year old boys. In total, 361 boys from Tartu, Estonia, were studied. Body height and weight, 9 skinfolds, 13 girths, 8 lengths and 8 breadths/lengths were measured. Pubertal stages were determined according to the criteria described by Tanner (1962). Self-assessment of pubic hair (PH1-PH5) was used. Genital development (G1-G5) was estimated by palpating the left testis and matching the size of wood ovoid of the Prader orchidometer. Finally, boys were asked about oigarche (= age at the first ejaculation of sperm). Most of the measured anthropometric variables were significantly different in boys of different chronological age and sexual maturity groups. By linear discriminant analysis, the safety of separation of the chronological age groups was higher than by sexual maturation variables. Nonlinear discriminant analysis allowed to separate sexual maturity groups by anthropometric variables up to 99% security. It was concluded that though the growth and development of a child is highly individual, on an average the anthropometric characteristics alter very constantly with the increase of age and biological maturation. Our results indicated that there were some significant differences in the anthropometrical parameters depending on the chronological age and biological maturation. Mostly length and breadth/length parameters change during the studied age period in respect to sexual development subgroups of boys. The skinfold thicknesses were not changed or even decreased.     

The Relationship of Rapid Weight Gain in Infancy to Obesity and Skeletal Maturity in Childhood

Objective: Children with birth weight appropriate for gestational age (AGA) who also demonstrate rapid weight gain in infancy have a greater risk of being overweight or obese during childhood. A concurrent advancement in skeletal maturity would account for their greater size and would, therefore, not necessarily pose a threat of greater risk during adolescence and early adulthood. This study aims to determine whether children with rapid weight gain during infancy have advanced skeletal maturity during childhood. Research Methods and Procedures: One hundred and ninety‐three African children (boys = 108; girls = 85) of normal birth weight and gestational age were assessed from birth to 9 years. Body composition was assessed at 9 years of age by whole‐body DXA, and skeletal maturity was assessed using the Tanner‐Whitehouse II technique. Rapid weight gain in infancy was defined as a +0.67 change in weight‐for‐age Z‐score between birth and 2 years. Results: Rapid weight gain was experienced by over 20% of the sample. Children with rapid weight gain were significantly lighter at birth and significantly taller, heavier, and fatter throughout childhood. Chronological age and Tanner‐Whitehouse II technique skeletal ages at 9 years were not significantly different between groups or between sexes within groups. Discussion: Because AGA children with rapid weight gain have a greater risk of overweight and obesity but are not advanced in skeletal maturity, later adolescent adjustments toward average weight and fatness values are unlikely. The identification and monitoring of such children is of importance in reducing their risk of morbidity.     

Skeletal maturity of Japanese children in Western Kyushu

This paper describes the skeletal maturity status of Japanese children in Western Kyushu and its variation within Japanese populations. Hand-wrist skeletal maturity was assessed by the Tanner-Whitehouse (1975) (TW2) method from radiographs of 500 boys and 485 girls aged from 4 to 15 years. Western Kyushu children showed retarded skeletal maturity scores (RUS, carpals, and 20-bone) under the age of 12 years for boys and 10 years for girls, and thereafter they were advanced in relation to the British standard. Within Japanese populations the present sample showed delayed maturity compared to Tokyo children, but was close to that of Sapporo children throughout the age range studied. However, the expected effect of secular trend suggested skeletal maturity more advanced for Tokyo children and somewhat advanced one for Sapporo children compared to that of Western Kyushu children.     

Growth profile of rural Meitei children of Manipur state of India

Patterns of growth in 10 anthropometric measurements among the rural Manipuri children (N=425), aged 5 to 14 years, with poor socio-economic backgrounds are reported. The anthropometric dimensions include weight, stature, sitting-height, head, chest and midupper-arm circumferences, biepicondylar widths of humerus and femur, and triceps and biceps skinfolds. Except skinfolds, the boys measured more than the girls in all measurements at all ages, except from 10 to 12 years in weight, stature, sitting-height, and chest and mid-upper-arm circumferences. Across all ages, the girls had thicker fat folds. Up to 12 years, the children lie approximately on the 10th centile of NCHS in stature and weight. The arm circumferences was below the 3rd centile of the Dutch children, until 11 years. The triceps fat fold fluctuated between 10th and 25th centiles of US whites. The rural Meiteis were taller and heavier than rural Burmese and urban Meiteis. The overall growth performance of the rural Meitei children was poor as compared to US, Urban Chinese, and well-nourished Indian children.     

Overweight and fatness in Dalmatia, Croatia: comparison with the U.S. population reference

Subscapular skinfold, elbow breadth and upper arm indicators of nutritional status were studied in the population of Dalmatia in Croatia. Age- and sex-specific percentiles were obtained from 4373 subjects, 18 to 74 years of age, and compared to the U.S. NHANES I and II reference data. There were significant differences between these data sets in all studied variables. The results complement those reported previously for BMI and triceps skinfold and indicate that high prevalence of overweight in Dalmatians largely reflects their muscularity and skeletal robustness rather than excess body fatness. The findings suggest that the U.S. upper percentiles of BMI and skinfolds are inadequate for the assessment of excess body fatness in Dalmatian population. The obtained population-specific percentile distributions should be used provisionally as the reference data for group comparisons in the Dalmatian region.     

Sub-cutaneous tissue growth in boys of the Gaddi tribe, Himachal Pradesh, India

Gaddi boys from the Bharmour sub-tehsil of the Chamba District (Himachal Pradesh, India) aged from 4 to 20 years were studied cross-sectionally during 1974-1975 for skin and sub-cutaneous tissue thickness. The patterns of change of skinfolds at triceps and calf (limb skinfolds) are similar to each other, but different from that of the subscapular and suprailiac (trunk skinfolds), which in turn also follow a similar pattern. The trunk skinfolds decrease from 5 to 7-8 years, sharply in the beginning, but slowly thereafter, and remain almost constant until age 12 and gain in thickness during adolescence. The limb skinfolds decrease in thickness from 5 to 11-12 years, and then they increase slowly. A comparison of skinfolds of the Gaddi boys with other neighbouring as well as distant populations reveals that, by and large, the Gaddi boys possess smaller amounts of sub-cutaneous tissue. Nutritional inadequacies, hard work and adverse environmental factors of moderate altitudes seem to put great stress on the development of sub-cutaneous fat among Gaddi boys. Standards of growth of triceps skinfold for this population are provided.     

Development of subcutaneous fat in Spanish and Latin American children and adolescents: Reference values for biceps,triceps, subscapular and suprailiac skinfolds

Subcutaneous fat skinfolds represent a reliable assessment instrument of adiposity status. This study provides current percentile references for four subcutaneous skinfolds (biceps, triceps, subscapular, suprailiac) applicable to children and adolescents in Spain and in Latin American countries where data are scarce.The design consisted of a cross-sectional multicenter study performed with identical methods in 5 countries (Argentina, Cuba, Mexico, Spain and Venezuela). Total sample comprised 9163 children and youths (boys 4615 - girls 4548) aged 6–18 years, healthy and without apparent pathologies. Percentiles 3, 5, 10, 25, 50, 75, 90, 95 and 97 were calculated by the LMS method. Sexual dimorphism was assessed using the t-test and age differences with ANOVA. Normalized growth percentile references were obtained according to sex and age for each skinfold. The mean values of four skinfolds were significantly greater in girls than boys (p < 0.001) and, in both sexes, all skinfolds show statistical differences through age (p < 0.001) with different magnitudes.Except triceps in girls, peaks between 11 and 12 years of age are more noticeable in boys than in girls. Although the general model of growth is known, the skinfold measurements show variability among populations and differences of magnitude are presented according to the analyzed population. Therefore, these age and sex-specific reference percentile values for biceps, triceps, subscapular and suprailiac skinfolds, derived from a large sample of Spanish and Latin American children and adolescents, are a useful tool for adiposity diagnosis in this population for which no reference values were available.     

Sexual dimorphism in bone growth as a function of body size in moderately malnourished Guatemalan preschool age children

The sexual dimorphism in second metacarpal bone growth was investigated in 710 malnourished Guatemalan children one to seven years old to determine if the sex differences seen are only the result of differences in stature and weight. The study sample was mixed-longitudinal and consisted of 1,586 annual examinations. Boys have greater mean stature, weight, periosteal diameter, medullary diameter and cortical area than girls the same age, while girls have greater age specific mean cortical thickness and percent cortical area than boys. When the effects of stature, weight and age are removed boys still have significantly larger periosteal and medullary diameters and less cortical thickness and percent cortical area than girls. These differences between boys and girls therefore cannot be explained by sex differences in body size. However, no sex differences in cortical area remain after accounting for differences in stature, weight and age.     

达斡尔族学生皮下脂肪发育的研究

作者内蒙古莫力达瓦达斡尔族自治旗１７５９例中小学生项项皮褶厚度及体脂发育情况进行了调查研究。结果表明：（１）达斡尔族学生进入青春期后,随着年龄的增长,男性躯干部皮变厚,四肢部皮褶变薄,女性躯干、四肢部皮褶均增厚。（２）１２岁后,女性皮褶厚度显著大于男性。（３）青春发育早期,男性体脂逐渐有下降,女性于１２－１４岁体脂迅速增加。（４）总体说来,达斡尔族学生并不偏于肥胖。     

Differences in the mean fat cell diameter of males between 1 and 48 months of age

The mean fat cell diameter was determined from measurements of abdominal adipose cells, obtained during inguinal hernia repair, of 126 white and 95 black males ranging in age from 1 through 48 months of age. The mean diameters of black and white subjects did not differ significantly, suggesting that differences in fatness among adults of these two ethnic groups have their origin beyond the age range of this study. The mean fat cell diameter increased through the 6-8 month age group, decreased until the end of the first year, and then levelled off through 48 months of age. Comparison of this curve with those for the triceps, subscapular, abdominal, and suprailiac skinfolds of the same subjects showed generally parallel courses except for the triceps, which continued to increase in size after the means of fat cell diameters and the other skinfolds had levelled off. Our data indicate that changes in body fatness on the trunk at least in the first 4 years of life may be accounted for by changes in fat cell size.     

Birth Weight and Its Relationship to Size Attained and Relative Fat Distribution at 7 to 12 Years of Age

The relationship between birth weight and relative subcutaneous fat distribution at school age was considered in 131 boys and 106 girls 7 to 12 years of age. Relative fat distribution at school age was estimated with the ratio of the subscapular to triceps skinfolds (S/T) for the total sample, and with the ratio of the sum of two trunk (subscapular, midaxillary) to the sum of two extremity (triceps, medial calf) skinfolds (T/E) for subsamples of 102 boys and 63 girls. There were no sex differences in the S/T ratio (mm/mm), boys 0.62 ± 0.15, girls 0.63 ± 0.18; T/E ratio (mm/mm), boys 0.58 ± 0.13, girls 0.59 ± 0.16; and BMI (kg/m²), boys 17.1 ± 2.4, girls 16.9 ± 2.2. Second order partial correlations, controlling for age and the BMI or age and sum of skinfolds, between birth weight and the skinfold ratios are, respectively, ?0.22 and ?0.20 (p<0.01) for S/T and ?0.29 and ?032 (p<0.01) for T/E in girls, and ?0.18 and ?0.17 (p<0.05) for S/T and ?0.06 and ?0.6 for T/E in boys. Though low, the correlations suggest that as birth weight decreases proportionally more subcutaneous fat is accumulated on the trunk than on the extremities, more so in females than in males. Results of stepwise multiple regression analyses indicate that birth weight accounts for from 2% to 8% of the variance in relative subcutaneous fat distribution at school age.     

Menarche age,fatness, and fat distribution in Hawaiian adolescents

Menarche age was assessed in 93 adolescent females in a sample of public schools in East Hawaii. Native Hawaiian girls had significantly lower reported age at menarche than non-Hawaiian classmates. Age at menarche was significantly correlated with total fatness as measured by the sum of six skinfolds in girls who had reached menarche at least 2 years previous to measurement. When fatness was controlled in comparisons, the ethnic differences were not significant. Fat distribution, independent of fatness, was also significantly related to age at menarche. Socioeconomic, cultural, and admixture variables were not significantly related to age at menarche. Adiposity appears to be both a cause and a consequence of early age at menarche, with the relationship dependent on the elapsed time between menarche and measurement. This suggests that studies relating body composition to age at menarche must carefully control for the time interval between measurement and the date of menarche. © 1996 Wiley-Liss, Inc.     

Relationship of skinfolds and muscle size to growth of children. I. Costa Rica

The relationships between triceps skinfolds and stature and between upper arm muscle size and stature were studied on 874 pairs matched for age derived from a cross-sectional sample of 2,445 Costa Rican rural subjects, aged 0 to 20 years. The results indicate that fatter children for their age, on the average, are not taller than their leaner counterparts. On the other hand, more muscular children, on the average, are taller than their less muscular counterparts of the same age.     

Growth and skeletal maturation in British Columbia Indian Populations

Stature and skeletal maturation in childhood, mature stature, and calorie and protein intakes were studied in two populations of British Columbia Indians. Although mature stature was similar in both groups, one population (Anaham) showed delayed stature achieved for age and delayed skeletal maturity in childhood, compared with the other population (Ahousat). Analysis of growth data suggests that environmental factors are probably the predominant cause of the differences, which coincide with differences in nutritional status. Mean calorie intakes at Ahousat approximate or exceed the Canadian Dietary Standards, but those at Anaham are consistently below the standards for all age groups. Although mean protein intakes are well above the standards for all age groups, except teen-age girls at both reserves, they are consistently lower at Anaham than at Ahousat.