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Tri-Ponderal Mass Index vs. Fat Mass/Height3 as a Screening Tool for Metabolic Syndrome Prediction in Colombian Children and Young People

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Centro de Estudios Para la Medición de la Actividad Física CEMA, Escuela de Medicina y Ciencias de la Salud, Universidad del Rosario, Bogotá 111221, Colombia
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Grupo GRINDER, Programa de Educación Física y Deportes, Universidad del Valle, Santiago de Cali 76001, Colombia
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Grupo Interdisciplinario de Estudios en Salud y Sociedad (GIESS), Institución Universitaria Escuela Nacional del Deporte, Santiago de Cali 76001, Colombia
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Departamento de Enfermería, Facultad de Ciencias de la Salud, Avda. De la Ilustración, 60, University of Granada, 18016 Granada, Spain
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Grupo CTS-436, Adscrito al Centro de Investigación Mente, Cerebro y Comportamiento (CIMCYC), University of Granada, 18071 Granada, Spain
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Laboratorio de Ciencias de la Actividad Física, el Deporte y la Salud, Facultad de Ciencias Médicas, Universidad de Santiago de Chile, USACH, Santiago 7500618, Chile
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Grupo de Ejercicio Físico y Deportes, Vicerrectoría de Investigaciones, Universidad Manuela Beltrán, Bogotá 110231, Colombia
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Author to whom correspondence should be addressed.
Nutrients 2018, 10(4), 412; https://doi.org/10.3390/nu10040412
Received: 6 February 2018 / Revised: 20 March 2018 / Accepted: 21 March 2018 / Published: 27 March 2018
Tri-ponderal mass index (TMI) and fat mass index (FMI) have been proposed as alternative approaches for assessing body fat since BMI does not ensure an accurate screening for obesity and overweight status in children and adolescents. This study proposes thresholds of the TMI and FMI for the prediction of metabolic syndrome (MetS) in children and young people. For this purpose, a cross-sectional study was conducted on 4673 participants (57.1% females), who were 9–25 years of age. As part of the study, measurements of the subjects’ weight, waist circumference, serum lipid indices, blood pressure and fasting plasma glucose were taken. Body composition was measured by bioelectrical impedance analysis (BIA). The TMI and FMI were calculated as weight (kg)/height (m3) and fat mass (kg)/height (m3), respectively. Following the International Diabetes Federation (IDF) definition, MetS is defined as including three or more metabolic abnormalities. Cohort-specific thresholds were established to identify Colombian children and young people at high risk of MetS. The thresholds were applied to the following groups: (i) a cohort of children where the girls’ TMI ≥ 12.13 kg/m3 and the boys’ TMI ≥ 12.10 kg/m3; (ii) a cohort of adolescents where the girls’ TMI ≥ 12.48 kg/m3 and the boys’ TMI ≥ 11.19 kg/m3; (iii) a cohort of young adults where the women’s TMI ≥ 13.21 kg/m3 and the men’s TMI ≥ 12.19 kg/m3. The FMI reference cut-off values used for the different groups were as follows: (i) a cohort of children where the girls’ FMI ≥ 2.59 fat mass/m3 and the boys’ FMI ≥ 1.98 fat mass/m3; (ii) a cohort of adolescents where the girls’ FMI ≥ 3.12 fat mass/m3 and the boys’ FMI ≥ 1.46 fat mass/m3; (iii) a cohort of adults where the women’s FMI ≥ 3.27 kg/m3 and the men’s FMI ≥ 1.65 kg/m3. Our results showed that the FMI and TMI had a moderate discriminatory power to detect MetS in Colombian children, adolescents, and young adults. View Full-Text
Keywords: adiposity; fat mass; tri-ponderal mass index; fat mass index; metabolic syndrome; children adiposity; fat mass; tri-ponderal mass index; fat mass index; metabolic syndrome; children
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Ramírez-Vélez, R.; Correa-Bautista, J.E.; Carrillo, H.A.; González-Jiménez, E.; Schmidt-RioValle, J.; Correa-Rodríguez, M.; García-Hermoso, A.; González-Ruíz, K. Tri-Ponderal Mass Index vs. Fat Mass/Height3 as a Screening Tool for Metabolic Syndrome Prediction in Colombian Children and Young People. Nutrients 2018, 10, 412.

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