Body phenotypes and sexual maturation in Brazilian and US adolescents: evidence for a change in BMI category.

Jéssica Cumpian Silva, Ana Elisa Madalena Rinaldi, Francisco de Assis Guedes Vasconcelos, Maria Alice Altenburg Assis, Camila Medeiros Mazzeti, Mariane Helen de Oliveira, Wolney Lisboa Conde
Author Information
  1. Jéssica Cumpian Silva: Department of Nutrition, School of Public Health - University of Sao Paulo (USP), AV. Dr. Arnaldo, 715 - Cerqueira César, São Paulo, SP01246-904, Brazil. ORCID
  2. Ana Elisa Madalena Rinaldi: Faculty of Medicine, Federal University of Uberlandia, Uberlândia, MG, Brazil.
  3. Francisco de Assis Guedes Vasconcelos: Department of Nutrition, Federal University of Santa Catarina (UFSC), Florianópolis, SC, Brazil.
  4. Maria Alice Altenburg Assis: Department of Nutrition, Federal University of Santa Catarina (UFSC), Florianópolis, SC, Brazil.
  5. Camila Medeiros Mazzeti: Department of Nutrition, Federal University of Mato Grosso do Sul (UFMS), Campo Grande, MS, Brazil.
  6. Mariane Helen de Oliveira: Department of Nutrition, School of Public Health - University of Sao Paulo (USP), AV. Dr. Arnaldo, 715 - Cerqueira César, São Paulo, SP01246-904, Brazil.
  7. Wolney Lisboa Conde: Department of Nutrition, School of Public Health - University of Sao Paulo (USP), AV. Dr. Arnaldo, 715 - Cerqueira César, São Paulo, SP01246-904, Brazil.

Abstract

OBJECTIVE: Our study aimed to describe body phenotypes (BP) estimated by multivariate analysis and their association with body mass.
DESIGN: BP were defined based on demographic variables, anthropometric data (body mass, height, skinfolds and circumferences), body composition (phase angle measured by bioelectrical impedance analysis), biochemical parameters (TAG, glucose, total cholesterol ratio/LDL, Hb and sexual maturation (pubic hair and breasts or gonads). ANOVA was performed to verify the differences between skin colour and the stages of pubertal development, BP, body composition, anthropometric and biochemical variables.
SETTING: Cities of São Paulo-SP, Piracicaba-SP and Florianópolis-SC from Brazil and the United States.
PARTICIPANTS: 9269 adolescents aged between 10 and 15 years old.
RESULTS: The composition of BP was similar in all surveys, which are: BP1 was composed by skinfolds, body mass and circumferences variables; BP2 by pubic hair, breast in girls or gonad in boys, height and age; BP3 by cholesterol, TAG and glucose; and BP4 by phase angle, Hb and glucose (negative loading). There was a strong correlation (r = 0·9, P < 0·001) between BP1 and BMI.
CONCLUSION: We highlighted independence observed between biochemical parameters, anthropometry, body composition and sexual maturation. BP may support the calculation of scores for diagnosis of obesity based on anthropometric variables and overcome ambiguity in the isolated use of BMI.

Keywords

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MeSH Term

Adolescent
Anthropometry
Body Composition
Body Mass Index
Brazil
Child
Female
Humans
Male
Phenotype
Sexual Maturation
United States

Word Cloud

Created with Highcharts 10.0.0bodyBPcompositionvariablesmaturationBMImassanthropometricbiochemicalglucosesexualphenotypesanalysisbasedheightskinfoldscircumferencesphaseangleparametersTAGcholesterolHbpubichairBP1BodycategoryOBJECTIVE:studyaimeddescribeestimatedmultivariateassociationDESIGN:defineddemographicdatameasuredbioelectricalimpedancetotalratio/LDLbreastsgonadsANOVAperformedverifydifferencesskincolourstagespubertaldevelopmentSETTING:CitiesSãoPaulo-SPPiracicaba-SPFlorianópolis-SCBrazilUnitedStatesPARTICIPANTS:9269adolescentsaged1015yearsoldRESULTS:similarsurveysare:composedBP2breastgirlsgonadboysageBP3BP4negativeloadingstrongcorrelationr=0·9P<0·001CONCLUSION:highlightedindependenceobservedanthropometrymaysupportcalculationscoresdiagnosisobesityovercomeambiguityisolateduseBrazilianUSadolescents:evidencechangeAdolescenceBiochemicalmarkersSexual

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