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Central body fat distribution indices in Thai preschool children

Open Journal of Pediatrics 2012年第1期2卷 47-52页

作者： uruwan yamborisut Naoko Sakamoto Piyanuch Visetchart Kraisid Tontisirin Human Nutrition Division Institute of Nutrition Mahidol University Nakhon Pathom Thailand National Research Institute for Child Health and Development Tokyo Japan Senior Nutrition Consultant Institute of Nutrition Mahidol University Nakhon Pathom Thailand

Background: Central obesity is associated with adverse health outcomes. This study aimed to determine the characteristics of central body fat distribution in Thai preschool children and to examine factors that could influence on body fat distribution of children. Methods: The total 811, 5 - 6 years old children were randomly sampled from 9 primary schools in Saraburi province. Body weight and height were measured in each child. Waist circumference (WC) was measured at the umbilicus level and hip circum-ference (HC) at the level yielding maximum circumference over buttock. Subcutaneous skinfold was measured on biceps, triceps, subscapular, suprailiac and abdominal regions. Total body fat (TBF) was measured with bioelectrical impedance analyzer. Results: Mean values of WC, waist-to-hip ratio (WHR) and waist-to-height ratio (WHtR) of boys were not different from those of girls. Even though trunk skinfolds of both genders were similar, girls tended to have slightly greater biceps, triceps and subscapular skinfolds than boys. Strongly positive correlation was found between WC, WHtR, trunk skinfold and child’s BMI (p = 0.01) as well as between WC, WHtR, trunk skinfold and child’s TBF (p = 0.01). Multiple regression analysis demonstrated, in both genders, that BMI, age and TBF were strongly associated with WC (Adjusted R2 0.92 - 0.93) and WHtR (Adjusted R2 0.90 - 0.92) and that BMI and TBF were strongly associated with trunk skinfold (Adjusted R2 0.88 - 0.89). The association between WHR and TBF for boys and between WHR and BMI for girls were found to be weak in this study. Conclusion: No gender difference in body fat distribution indices was found in Thai preschool children. Change in central body fat distribution of children could be strongly influenced by their changes in age, BMI and TBF.

关键词： Central Body Fat Distribution Thai Preschool Children Waist Circumference Subcutaneous Skinfold

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Calcium Intake in Relation to Body Mass Index and Fatness in Thai School-Aged Children

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Open Journal of Pediatrics 2015年第2期5卷 104-112页

作者： uruwan yamborisut Wanphen Wimonpeerapattana Nipa Rojroongwasinkul Atitada Boonpraderm Sayamon Senaprom Wiyada Thasanasuwan Ilse Khouw Paul Deurenberg Human Nutrition Unit Institute of Nutrition Mahidol University Salaya Thailand Biostatistics Unit Institute of Nutrition Mahidol University Salaya Thailand Community Nutrition Unit Institute of Nutrition Mahidol University Salaya Thailand Nutrition Physiology Unit Institute of Nutrition Mahidol University Salaya Thailand Friesland Campina Amersfoort The Netherlands Nutrition Consultant Langkawi Malaysia

An emerging evidence suggests that dietary calcium may play a role in the regulation of body weight in humans. This study examined the relationship of calcium intake with body mass index and body fatness in Thai children. Methods: A cross-sectional study in 1570, 6 - 12 year-old children were conducted in representative provinces of Thailand. Body weight, height, sitting height and 4 sites skinfolds thickness were measured as well as the dietary intake using a 24 h recall and a food frequency questionnaire (FFQ). General linear model (GLM) analysis was used to determine the effect of calcium intake on body mass index (BMI) and body fatness of children. Results: There were no differences in parental education and family’s socio-economic status between genders. Girls had significantly greater sitting height (p?= 0.035), sitting height to height ratio (p?= 0.014) and sum of four skinfold thickness (p?= 0.001) than boys. Mean calcium intake was lower in girls than in boys. GLM analysis demonstrated that lower calcium intake among children was associated with higher body weight, BMI and sum 4-skinfold thickness. Conclusion: Lower calcium intake is associated with higher BMI and body fatness of Thai children. Further studies need to determine the optimal calcium intake to prevent overweight and obesity in children.

关键词： Thai Children Calcium Intake Milk Skinfold Thickness Body Mass Index

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