ISSN 1308-8734 | E-ISSN 1308-8742
Original Article
Obesity and Its Diagnostic Methods in Turkish Children
1 Division of Pediatric Nephrology, Faculty of Medicine, Adnan Menderes University, Aydın, Turkey,Department of Pediatrics, Faculty of Medicine, Adnan Menderes University, Aydın, Turkey  
2 3Department of Anatomy, Faculty of Medicine, Adnan Menderes University, Aydın, Turkey  
3 Department of Biochemistry, Faculty of Medicine, Adnan Menderes University, Aydın, Turkey  
Eurasian J Med 2012; 44: 94-98
DOI: 10.5152/eajm.2012.22
Key Words: Bioelectrical impedance analysis, Body mass index, Leptin, Obesity


Objective: The application of body mass index (BMI) for obesity classification in all population studies has been questioned by the scientific community. It has been found that the bioelectrical impedance analysis (BIA) is an accurate method for screening obesity. This study was conducted to evaluate the accuracies of BMI, skinfold thickness (SFT), leptin and BIA measurements in obesity classification and to find correlations between BIA and the other indicators for obesity.

Materials and Methods: This case-control study included 178 children of whom 90 were in the obese group and 88 in the control group. The study measured BMI, SFT, leptin level and BIA-mediated body fat percentage (BIA BFP) in each child.

Results: The BMIs, leptin levels, SFTs and BIA BFPs of children in the obese group were found to be higher than those in the control group (p<0.001). The measurement of BIA BFP strongly correlated with BMI, SFT and waist circumference, whereas BIA BFP measurement showed weak-moderate correlation with leptin level.

Conclusion: Bioelectrical impedance analysis was found to be an accurate measure of BFP in obesity. In addition, BIA may prevent the incorrect diagnosis of obesity as determined by BMI alone, especially in boys during the pubertal period. 

Key Words
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