{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T15:09:09Z","timestamp":1753888149434,"version":"3.41.2"},"reference-count":30,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. bras. cineantropom. desempenho hum."],"abstract":"<jats:p>Abstract Assessment of the Nutritional Status (NS) allows screening for malnutrition and obesity, conditions associated with chronic non-communicable diseases. The fat mass index (FMI) stands out concerning traditional NS indicators. However, proposals that define thresholds for FMI are not sensitive to discriminate extreme cases (degrees of obesity or thinness). Only one proposal (NHANES), determined by total body densitometry (DXA), established eight categories of NS classification (FMI). However, DXA is expensive and not always clinically available. Our study aims to test the validity of the NHANES method using electrical bioimpedance (BIA) and skinfold thickness (ST) to classify NS. The FMI of 135 (69 women) university students aged 18 to 30 years old was determined using DXA, BIA, and ST. The agreement between the instruments (Bland-Altman) and the agreement coefficient in the NS classifications (Chi-square and Kappa index) were tested. The agreement test against DXA indicated that ST underestimated the FMI (-1.9 kg\/m2) for both sexes and BIA in women (-2.0 kg\/m2). However, BIA overestimated FMI (1.4 kg\/m2) in men, although with less bias. There was no agreement between the NS classifications (NHANES) by FMI between DXA and BIA, or DXA and ST. The exception occurred between DXA and BIA in men who showed a slightly better consensus, considered \u201cfair\u201d (k = 0.214; p = 0.001). In conclusion, ST and BIA did not show enough agreement to replace DXA for NS classification, within NHANES thresholds. The FMI measurement tools for the NHANES classification of the categories of NS matters.<\/jats:p>","DOI":"10.1590\/1980-0037.2022v24e84048","type":"journal-article","created":{"date-parts":[[2022,5,9]],"date-time":"2022-05-09T21:13:20Z","timestamp":1652130800000},"source":"Crossref","is-referenced-by-count":0,"title":["Classification of nutritional status by fat mass index: does the measurement tool matter?"],"prefix":"10.1590","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8660-3368","authenticated-orcid":false,"given":"Franciane G\u00f3es","family":"Borges","sequence":"first","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brazil; Universidade de S\u00e3o Paulo,  Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7490-9466","authenticated-orcid":false,"given":"Pedro Pugliesi","family":"Abdalla","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brazil; Universidade de S\u00e3o Paulo,  Brazil; Universidade do Porto,  Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6392-1075","authenticated-orcid":false,"given":"Thiago C\u00e2ndido","family":"Alves","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5087-5997","authenticated-orcid":false,"given":"Ana Cl\u00e1udia Rossini","family":"Venturini","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brazil; Universidade de S\u00e3o Paulo,  Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0055-4682","authenticated-orcid":false,"given":"Andr\u00e9 Pereira dos","family":"Santos","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brazil; Universidade de S\u00e3o Paulo,  Brazil; Universidade de S\u00e3o Paulo,  Brazil; Universidade de S\u00e3o Paulo,  Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6111-1199","authenticated-orcid":false,"given":"Marcio Fernando","family":"Tasinafo Junior","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brazil; Universidade de S\u00e3o Paulo,  Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7054-436X","authenticated-orcid":false,"given":"Susana","family":"Aznar","sequence":"additional","affiliation":[{"name":"Universidad de Castilla-La Mancha,  Spain"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7571-9181","authenticated-orcid":false,"given":"Jorge","family":"Mota","sequence":"additional","affiliation":[{"name":"Universidade do Porto,  Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7327-0800","authenticated-orcid":false,"given":"Dalmo Roberto","family":"Lopes Machado","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brazil; Universidade de S\u00e3o Paulo,  Brazil; Universidade de S\u00e3o Paulo,  Brazil; Universidade do Porto,  Portugal"}]}],"member":"530","published-online":{"date-parts":[[2022]]},"reference":[{"issue":"7","key":"ref1","article-title":"Obesity and public policies: the Brazilian government\u2019s definitions and strategies","volume":"33","author":"Dias PC","year":"2017","journal-title":"Cad Saude Publica"},{"issue":"6","key":"ref2","doi-asserted-by":"crossref","first-page":"953","DOI":"10.1093\/ajcn\/52.6.953","article-title":"Height-normalized indices of the body\u2019s fat-free mass and fat mass: potentially useful indicators of nutritional status","volume":"52","author":"VanItallie TB","year":"1990","journal-title":"Am J Clin Nutr"},{"issue":"5","key":"ref3","doi-asserted-by":"crossref","first-page":"639","DOI":"10.1002\/ajhb.21056","article-title":"The role of fat mass index in determining obesity","volume":"22","author":"Peltz G","year":"2010","journal-title":"Am J Hum 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children","volume":"92","author":"Pereira-da-Silva L","year":"2016","journal-title":"J Pediatr"}],"container-title":["Revista Brasileira de Cineantropometria &amp; Desempenho Humano"],"original-title":["Classifica\u00e7\u00e3o do estado nutricional pelo \u00edndice de massa gorda: o instrumento de medi\u00e7\u00e3o importa?"],"link":[{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_pdf&pid=S1980-00372022000100307&tlng=en","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,5,9]],"date-time":"2022-05-09T21:13:44Z","timestamp":1652130824000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S1980-00372022000100307&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022]]},"references-count":30,"alternative-id":["S1980-00372022000100307"],"URL":"https:\/\/doi.org\/10.1590\/1980-0037.2022v24e84048","relation":{},"ISSN":["1980-0037","1415-8426"],"issn-type":[{"type":"electronic","value":"1980-0037"},{"type":"print","value":"1415-8426"}],"subject":[],"published":{"date-parts":[[2022]]},"article-number":"e84048"}}