Please use this identifier to cite or link to this item:
Title: Associations of body fat percent and body mass index with childhood asthma by age and gender
Authors: Yiallouros, Panayiotis K. 
Lamnisos, Demetris 
Kolokotroni, Ourania 
Moustaki, Maria 
Middleton, Nicos 
Keywords: Bioelectrical-impedance analysis;Extreme values;Children;Prevalence;BMI;Adolescents;Health;Cohort;Rhinoconjunctivitis
Category: Clinical Medicine
Field: Medical and Health Sciences
Issue Date: Sep-2013
Publisher: John Wiley & Sons
Source: Obesity, 2013, Volume 21, Issue 9, pages E474–E482
Abstract: Objective: High body mass index (BMI) has been shown to be associated with asthma, but the pattern of this association is still unclear and may differ by gender or stage of puberty. BMI is only a proxy of adiposity, whereas estimation of body fat percent (BF%) by the bioimpedance technique is considered an accurate measure of adiposity. We investigated whether BMI and BF% behave differently in their association with asthma between genders, before and during adolescence. Design and Methods: In this cross-sectional study of 10,981 schoolchildren, we used logistic regression models to examine the pattern of association of BMI and BF% with asthma. Results: In the case of BF%, both the highest (odds ratio [OR]: 1.68, 95% confidence interval [95% CI]: 1.21-2.30) and lowest (OR: 1.59, 95% CI: 1.13-2.23) z-score categories conferred an increased adjusted risk for active asthma. The likelihood ratio test (LRT) of nonlinearity yielded significant results (P < 0.01) for BF%. In contrast, the LRT for BMI yielded a nonsignificant result (P ¼ 0.45) indicating a linear association of asthma with BMI. A unit increase in BMI z-score conferred an increase in the adjusted odds of active asthma (OR: 1.14, 95% CI: 1.02-1.27). In the case of BF%, the adjusted ORs for active asthma at the highest and lowest z-score categories in both genders, before and during adolescence, were similarly elevated, exhibiting a U-shape pattern. Conclusions: In contrast to the linear association observed with BMI, BF% displayed a U-shaped association with asthma and may be the preferred measure of adiposity in epidemiological studies of asthma in children.
ISSN: 1930-7381
DOI: 10.1002/oby.20284
Type: Article
Appears in Collections:Άρθρα/Articles

Files in This Item:
File Description SizeFormat
NickMid_2013.pdf466.9 kBAdobe PDFView/Open
Show full item record

Citations 50

checked on Apr 28, 2018

Citations 10

checked on Feb 17, 2019

Page view(s) 20

Last Week
Last month
checked on Feb 20, 2019

Download(s) 10

checked on Feb 20, 2019

Google ScholarTM



Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.