Central body fat distribution indices in Thai preschool children


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.

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Yamborisut, U. , Sakamoto, N. , Visetchart, P. and Tontisirin, K. (2012) Central body fat distribution indices in Thai preschool children. Open Journal of Pediatrics, 2, 47-52. doi: 10.4236/ojped.2012.21007.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] Dehghan, M., Akhtar-Danesh, N. and Merchant, A.T. (2005) Childhood obesity, prevalence and prevention. Journal of Nutrition, 4, 24-31. doi:10.1186/1475-2891-4-24
[2] Kipping, R.R., Jago, R. and Lawlor, D.A. (2008) Obesity in children. Part I: Epidemiology, measurement, risk factors and screening. British Medical Journal, 337, 922-927. doi:10.1136/bmj.a1824
[3] Must, A. and Anderson, S.E. (2006) Body mass index in children and adolescents: Considerations for population-based applications. International Journal of Obesity, 30, 590-594. doi:10.1038/sj.ijo.0803300
[4] Teixeira, P.J., Sardinha, L.B., Going, S.B. and Lohman, T.G. (2001) Total and regional fat and serum cardiovascular disease risk factors in lean and obese children and adolescents. Obesity Research, 9, 432-442. doi:10.1038/oby.2001.57
[5] Caprio, S., Hyman, L.D., McCarthy, S., et al. (1996) Fat distribution and cardiovascular risk factors in obese adolescent girls: Importance of the intra-abdominal fat depot. American Journal of Clinical Nutrition, 64, 12-17.
[6] Malina, R.M. (1996) Regional body composition: Age, sex and ethnic variation. In: Roche, A.F., Heymsfield, S.B. and Lohman, T.G., Eds., Human Body Composition, Human Kinetics, Champaign, 217-256.
[7] Rolland-Cachera, M.F., Bellisle, F., Deheeger, M., Pequignot, F. and Sempe, M. (1990) Influence of body fat distribution during childhood on body fat distribution in adulthood: A two-decade follow-up study. International Journal of Obesity, 14, 473-481.
[8] Westrate, J.A., Deurenberg, P. and Van Tinteren, H. (1989) Indices of body fat distribution and adiposity in Dutch children from birth to 18 years of age. International Journal of Obesity, 13, 465-477.
[9] Mast, M., Kortzinger, I., Konig, E. and Muller, M.J. (1998) Gender differences in fat mass of 5-7 year old children. International Journal of Obesity, 22, 878-884. doi:10.1038/sj.ijo.0800675
[10] Yanovski, J.A., Yanovski, S.Z., Filmer, K.M., et al. (1996) Differences in body composition of black and white girls. American Journal of Clinical Nutrition, 64, 833-839.
[11] He, Q., Horlick, M., Thornton, J., Jack, W., Pierson, R.N., Heshka, S., et al. (2002) Sex and race difference in fat distribution among Asian, African-American and Caucasian prepubertal children. Journal of Clinical Endocrinology & Metabolism, 87, 2164-2170. doi:10.1210/jc.87.5.2164
[12] Liu, A., Byrne, N.M., Kagawa, M., et al. (2011) Ethnic differences in body fat distribution among Asian pre-pubertal children. A cross-sectional multicenter study. BMC Public Health, 11, 500-507. doi:10.1186/1471-2458-11-500
[13] Malina, R.M., Huang, Y.-C. and Brown, K.H. (1995) Subcutaneous adipose tissue distribution in adolescent girls of four ethnic groups. International Journal of Obesity, 19, 793-797.
[14] Daniels, S.R., Khoury, P.R. and Morrison, J.A. (2000) Utility of different measures of body fat distribution in children and adolescents. American Journal of Epidemiology, 152, 1179-1184. doi:10.1093/aje/152.12.1179
[15] Garnett, S.P., Baur, L.A. and Cowell, C.T. (2008) Waist-to-height ratio: A simple option for determining excess central adiposity in young people. International Journal of Obesity, 32, 1028-1030. doi:10.1038/ijo.2008.51
[16] Moreno, L.A., Fleta, J., Mur, L., Sarria, A. and Bueno, M. (1998) Fat distribution in obese and non-obese children and adolescents. Journal of Pediatric Gastroenterology and Nutrition, 27, 176-180. doi:10.1097/00005176-199808000-00009
[17] Katzmarzyk, P.T., Srinivasan, S.R., Chen, W., et al. (2004) Body mass index, waist circumference and clustering of cardiovascular disease risk factors in a biracial sample of children and adolescents. Pediatrics, 114, e198-e205. doi:10.1542/peds.114.2.e198
[18] Savva, S.C., Tornaritis, M., Savva, M.E., et al. (2000) Waist circumference and waist-to-height ratio are better predictors of cardiovascular disease risk factors in children than body mass index. International Journal of Obesity, 24, 1453- 1458. doi:10.1038/sj.ijo.0801401
[19] Brambilla, P., Bedogni, G., Moreno, L.A., et al. (2006) Cross validation of anthropometry against magnetic resonance imaging for the assessment of visceral and subcutaneous adipose tissue in children. International Journal of Obesity, 30, 23- 30. doi:10.1038/sj.ijo.0803163
[20] Asayama, K., Hayashibe, H., Dobashi, K., et al. (1995) Relationships between biochemical abnormalities and anthropometric indices of overweight, adiposity and body fat distribution in Japanese elementary school children. International Journal of Obesity, 19, 253-259.
[21] Aekplakorn, W., Satheannoppakao, W. and Preunglumpoo, S. (2009) The fourth national health examination survey, 2008-2009. Final Report, National Health Examination Survey Office, Bangkok.
[22] McCarthy, H.D., Jarrett, K.V. and Crawley, H.F. (2001) The development of waist circumference percentiles in British children aged 5.0-16.9 y. European Journal of Clinical Nutrition, 55, 902-907. doi:10.1038/sj.ejcn.1601240
[23] Sung, R.Y.T., So, H.-K., Choi, K.C., et al. (2008) Waist circumference and waist-to-height ratio of Hong Kong Chinese children. BMC Public Health, 8, 324-333. doi:10.1186/1471-2458-8-324
[24] Webster-Gandy, J., Warren, J. and Henry, C.J.K. (2003) Sexual dimorphism in fat patterning in a sample of 5 to 7-year-old children in Oxford. International Journal of Food Sciences and Nutrition, 54, 467-471.
[25] Malina, R.M., Bouchard, C. and Beunen, G. (1988) Human growth: Selected aspects of current research on well nourished children. Annual Review of Anthropology, 17, 187-219. doi:10.1146/annurev.an.17.100188.001155
[26] Garnett, S.P., Hogler, W., Blades, B., et al. (2004) Relation between hormones and body composition, including bone, in prepubertal children. American Journal of Clinical Nutrition, 80, 966-972.
[27] Taylor, R.W., Grant, A.M., Williams, S.M. and Goulding, A. (2010) Sex differences on regional body fat distribution from pre- to postpuberty. Obesity, 18, 1410-1416. doi:10.1038/oby.2009.399
[28] Glaber, N., Zellner, K. and Kromeyer-Hauschild, K. (2011) Validity of body mass index and waist circumference to detect excess fat mass in children 7-14 years. European Journal of Clinical Nutrition, 65, 151-159. doi:10.1038/ejcn.2010.245
[29] Hubert, H., Guinhouya, C.B., Allard, L. and Durocher, A. (2009) Comparison of the diagnostic quality of body mass index, waist circumference and waist-to-height ratio in screening skinfold-determined obesity among children. Journal of Sports Science and Medicine, 12, 449-451. doi:10.1016/j.jsams.2008.05.002
[30] Ochiai, H., Shirasawa, T., Nishimura, R., et al. (2010) Relationship of body mass index to percent body fat and waist circumference among school children in Japan-the influence of gender and obesity: A population-based cross-sectional study. BMC Public Health, 10, 493-498. doi:10.1186/1471-2458-10-493
[31] Morimoto, A., Nishimura, R., Kanda, A., et al. (2007) Waist circumference estimation from BMI in Japan children. Diabetes Research and Clinical Practice, 75, 96-98. doi:10.1016/j.diabres.2006.05.022
[32] Wang, H., Story, R.E., Venners, S.A., et al. (2007) Patterns and interrelationships of body-fat measures among rural Chinese children aged 6-18 years. Pediatrics, 120, e94-e101. doi:10.1542/peds.2006-2114
[33] Aeberli, I., Gut-Knabenhans, M., Kusche-Amman, R.S., Molinari, L. and Zimmermann, M.B. (2011) Waist circumference and waist-to-height ratio percentiles in a nationally representative sample of 6-13 year old children in Switzerland. Swiss Medical Weekly, 141, w13227-w13232.
[34] Ashwell, M. and Hsieh, S.D. (2005) Six reasons why the waist-to-height ratio is rapid and effective global indicator for health risks of obesity and how its use could simplify the international public health message on obesity. International Journal of Food Sciences and Nutrition, 56, 303-307. doi:10.1080/09637480500195066
[35] Maffeis, C., Banzato, C. and Talamini, G. (2008) Waist-to-height ratio, a useful index to identify high metabolic risk in overweight children. Journal of Pediatrics, 152, 207-213. doi:10.1016/j.jpeds.2007.09.021
[36] Freedman, D.S., Khan, H.S., Mei, Z., et al. (2007) Relation of body mass index and waist-to-height ratio to cardiovascular disease risk factors in children and adolescents: The Bogalusa heart study. American Journal of Clinical Nutrition, 86, 33-40.
[37] Goran, M.I., Gower, B.A., Treuth, M.T. and Nagy, T.R. (1998) Prediction of intra-abdominal and subcutaneous abdominal adipose tissue in healthy prepubertal children. International Journal of Obesity, 22, 549-558. doi:10.1038/sj.ijo.0800624
[38] Goran, M.I., Kaskoun, M.C. and Shuman, W.P. (1995) Intra-abdominal adipose tissue in young children. International Journal of Obesity, 19, 279-283.

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