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Identification of and Associations among Low, Middle, and High Body Composition Trajectories from Age 5- to 17-Years
Journal article   Open access   Peer reviewed

Identification of and Associations among Low, Middle, and High Body Composition Trajectories from Age 5- to 17-Years

Teresa A Marshall, Alexandra M Curtis, Joseph E Cavanaugh, John J Warren and Steven M Levy
Children (Basel), Vol.7(10), p.1
10/01/2020
DOI: 10.3390/children7100192
PMCID: PMC7589976
PMID: 33092036
url
https://doi.org/10.3390/children7100192View
Published (Version of record) Open Access

Abstract

Our objective was to identify sex-specific age 5- to 17-year body composition (body mass index (BMI), % body fat, fat mass index, fat-free mass index) trajectories, compare trajectories assigned using age 5 (AGE5) data to those assigned using all available (ALL) data, and compare BMI assignments to other body composition assignments. Cluster analysis was used to identify low, medium, and high trajectories from body composition measures obtained from dual energy x-ray absorptiometry (DXA) scans at 5, 9, 11, 13, 15, and 17 years in a birth cohort followed longitudinally ( n = 469). Moderate agreement was observed for comparisons between AGE5 data and ALL data cluster assignments for each body composition measure. Agreement between cluster assignments for BMI and other body composition measures was stronger using ALL data than using AGE5 data. Our results suggest that BMI, % body fat, fat mass index, and fat free mass index trajectories are established during early childhood, and that BMI is a reasonable predictor of body composition appropriate to track obesity in public health and clinical settings.
body mass index cluster analyses fat-mass index percent body fat

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