{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T21:53:14Z","timestamp":1747173194057,"version":"3.40.5"},"reference-count":59,"publisher":"Cambridge University Press (CUP)","issue":"7","license":[{"start":{"date-parts":[[2024,10,11]],"date-time":"2024-10-11T00:00:00Z","timestamp":1728604800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Br J Nutr"],"published-print":{"date-parts":[[2024,10,14]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>This study verified the accuracy of the international BMI references and the allometric BMI reference to diagnose obesity in children and adolescents from the USA. Data from 17\u00a0313 subjects were obtained from the National Health and Nutrition Examination Survey between the years 1999\u20132006 and 2011\u20132018. Fat Mass Index, Allometric Fat Mass Index and fat mass\/fat-free mass were calculated. Receiver operating characteristic curve, AUC, sensitivity, specificity, positive likelihood ratio and negative likelihood ratio were estimated to evaluate the accuracy of the growth references for diagnosing obesity. The International Obesity Task Force, MULT BMI 17 years, MULT BMI 18 years and allometric BMI 19 years achieved the best sensitivity-specificity trade-off for boys, with sensitivities ranging from 0\u00b792 to 0\u00b796 and specificities of 0\u00b794, with positive likelihood ratio of 15\u00b751, 16\u00b717, 13\u00b746 and 18\u00b701, respectively. The negative likelihood ratios were notably low, ranging from 0\u00b704 to 0\u00b708. In girls, the International Obesity Task Force, MULT BMI 17 years and MULT allometric BMI 17 years also demonstrated high sensitivity (0\u00b795\u20130\u00b797) and specificity (0\u00b792), with positive likelihood ratio values of 11\u00b754, 11\u00b782 and 11\u00b777, respectively and low negative likelihood ratio values (0\u00b703\u20130\u00b705). In summary, these international growth references presented satisfactory performance to diagnose obesity. However, the MULT growth reference performed better, and the MULT allometric BMI was the only indicator capable of detecting that girls have a higher proportion of fat mass than boys for the same index values. These findings suggest that the MULT growth reference may be a better tool to assess the nutritional status of children and adolescents internationally.<\/jats:p>","DOI":"10.1017\/s0007114524002113","type":"journal-article","created":{"date-parts":[[2024,10,11]],"date-time":"2024-10-11T08:23:39Z","timestamp":1728635019000},"page":"887-897","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Accuracy of the international growth charts to diagnose obesity according to the body composition analysis in US children and adolescents"],"prefix":"10.1017","volume":"132","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6552-3430","authenticated-orcid":false,"given":"Mariane Helen","family":"de Oliveira","sequence":"first","affiliation":[]},{"given":"Camila Medeiros da Silva","family":"Mazzeti","sequence":"additional","affiliation":[]},{"given":"Joana","family":"Ara\u00fajo","sequence":"additional","affiliation":[]},{"given":"Milton","family":"Severo","sequence":"additional","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8129-5116","authenticated-orcid":false,"given":"D\u00e9bora Borges dos Santos","family":"Pereira","sequence":"additional","affiliation":[]},{"given":"Wolney Lisboa","family":"Conde","sequence":"additional","affiliation":[]}],"member":"56","published-online":{"date-parts":[[2024,10,11]]},"reference":[{"key":"S0007114524002113_ref11","doi-asserted-by":"publisher","DOI":"10.2471\/BLT.07.043497"},{"key":"S0007114524002113_ref34","doi-asserted-by":"publisher","DOI":"10.3945\/ajcn.115.115576"},{"key":"S0007114524002113_ref31","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2017.303815"},{"key":"S0007114524002113_ref14","doi-asserted-by":"publisher","DOI":"10.1111\/j.2047-6310.2012.00064.x"},{"key":"S0007114524002113_ref53","doi-asserted-by":"publisher","DOI":"10.1097\/MED.0b013e328320d54c"},{"key":"S0007114524002113_ref55","first-page":"S39","article-title":"Nutrition and pubertal development","volume":"18","author":"Soliman","year":"2014","journal-title":"na J Endocrinol Metab"},{"key":"S0007114524002113_ref12","first-page":"76","article-title":"WHO child growth standards: length\/height-for-age, weight-for-age, weight-for-length, weight-for-height and body mass index-for-age - 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