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Body composition, energy expenditure and physical activity

Secular trends in adiposity within the context of changes in BMI across developmental periods among Polish schoolchildren—application of the Slaughter equation

European Journal of Clinical Nutrition volume 75, pages 49–56 (2021)Cite this article

Subjects

Abstract

Objectives

To estimate secular changes in the body fatness, assessed using the Slaughter equation, in the context of changes in BMI in different developmental periods among Polish schoolchildren studied over nearly 50 years.

Methods

Data were collected during Polish Anthropological Surveys (1966, 1978, 1988, 2012). The total random sample consisted of 69,746 schoolchildren, aged 7–18. Three periods of development were identified: childhood, early adolescence, and late adolescence. Raw data of BMI were standardized for age classes. Based on the body fat percentage, calculated using Slaughter equation (involving triceps and subscapular skinfold thickness), fat mass (FM; kg), and then fat mass index (FMI = FM/height6; kg/m6) was assessed to enable comparison between body fatness and BMI. Statistical analyses included two-way ANOVA and post-hoc Tukey’s tests.

Results

In boys, in terms of changes per decade, between 1966 and 2012 acceleration in Z-BMI and deceleration in FMI were found, irrespective of developmental period. Regarding girls, deceleration of trend was found in terms of both features, with different intensity, depending on developmental period and year of study. The pattern of changes in FMI depending on developmental period was, to some extent, similar for both sexes.

Conclusions

Slaughter equation for abovementioned two skinfolds, as a method of body fatness assessment, might be a useful tool for research on boys across different developmental periods, but not on girls. Moreover, it should be used with caution when applied to secular changes in adiposity in both sexes, since the distribution of fat tissue varies across ontogenesis, but also over generations.

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Fig. 1: Secular trend in FMI in the context of changes in BMI between 1966 and 2012 in boys.
Fig. 2: Secular trend in FMI in the context of changes in BMI between 1966 and 2012 in girls.

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References

  1. Peterson CM, Su H, Thomas DM, Heo M, Golnabi AH, Pietrobelli A, et al. Tri-ponderal mass index vs body mass index in estimating body fat during adolescence. JAMA Pediatr. 2017;171:629–36.

    PubMed  PubMed Central  Google Scholar 

  2. Freedman DS, Wang J, Ogden CL, Thornton JC, Mei Z, Pierson RN, et al. The prediction of body fatness by BMI and skinfold thicknesses among children and adolescents. Ann Hum Biol. 2007;34:183–94.

    PubMed  Google Scholar 

  3. Nooyens AC, Koppes LL, Visscher TL, Twisk JW, Kemper HC, Schuit AJ, et al. Adolescent skinfold thickness is a better predictor of high body fatness in adults than is body mass index: the Amsterdam Growth and Health Longitudinal Study. Am J Clin Nutr. 2007;85:1533–9.

    CAS  PubMed  Google Scholar 

  4. Brannsether B, Roelants M, Bjerknes R, Juliusson PB. References and cut-offs for triceps and subscapular skinfolds in Norwegian children 4–16 years of age. Eur J Clin Nutr. 2013;67:928–33.

    CAS  PubMed  Google Scholar 

  5. Juliusson PB, Roelants M, Eide GE, Hauspie R, Waaler PE, Bjerknes R. Overweight and obesity in Norwegian children: secular trends in weight-for-height and skinfolds. Acta Paediatr. 2007;96:1333–7.

    CAS  PubMed  Google Scholar 

  6. Chrzanowska M, Suder A. Ontogenesis changes and sex dimorphism of subcutaneous fat distribution: 12-year longitudinal study of children and adolescents from Cracow, Poland. Am J Hum Biol. 2008;20:424–30.

    PubMed  Google Scholar 

  7. Mei Z, Grummer-Strawn LM, Wang J, Thornton JC, Freedman DS, Pierson RN Jr, et al. Do skinfold measurements provide additional information to body mass index in the assessment of body fatness among children and adolescents? Pediatrics. 2007;119:1306–13.

    Google Scholar 

  8. Sarría A, García-Llop LA, Moreno LA, Fleta J, Morellón MP, Bueno M. Skinfold thickness measurements are better predictors of body fat percentage than body mass index in male Spanish children and adolescents. Eur J Clin Nutr. 1998;52:573–6.

    PubMed  Google Scholar 

  9. Olds TS. One million skinfolds: secular trends in the fatness of young people 1951–2004. Eur J Clin Nutr. 2009;63:934–46.

    CAS  PubMed  Google Scholar 

  10. Sedlak P, Pařízková J, Procházková L, Cvrčková L, Dvořáková H. Secular changes of adiposity in Czech children aged from 3 to 6 years: latent obesity in preschool age. BioMed Res Int. 2017;2017:2478461.

    PubMed  PubMed Central  Google Scholar 

  11. Chinn S, Rona RJ. Trends in weight-for-height and triceps skinfold thickness for English and Scottish children, 1972–82 and 1982–90. Paediatr Perinat Epidemiol. 1994;8:90–106.

    CAS  PubMed  Google Scholar 

  12. Thompson AM, Baxter-Jones AD, Mirwald RL, Bailey DA. Secular trend in the development of fatness during childhood and adolescence. Am J Hum Biol. 2002;14:669–79.

    PubMed  Google Scholar 

  13. Kromeyer-Hauschild K, Glasser N, Zellner K. Percentile curves for skinfold thickness in 7- to 14-year-old children and adolescents from Jena, Germany. Eur J Clin Nutr. 2012;66:613–21.

    CAS  PubMed  Google Scholar 

  14. Moreno LA, Fleta J, Sarrı́a A, Rodrı́guez G, Bueno M. Secular increases in body fat percentage in male children of Zaragoza, Spain, 1980-95. Prev Med. 2001;33:357–63.

    CAS  PubMed  Google Scholar 

  15. Slaughter MH, Lohman TG, Boileau R, Horswill CA, Stillman RJ, Van Loan MD, et al. Skinfold equations for estimation of body fatness in children and youth. Hum Biol. 1988;60:709–23.

    CAS  Google Scholar 

  16. Freedman DS, Sherry B. The validity of BMI as an indicator of body fatness and risk among children. Pediatrics. 2009;124:S23–34.

    PubMed  Google Scholar 

  17. Wong WW, Stuff JE, Butte NF, Smith EOB, Ellis KJ. Estimating body fat in African American and white adolescent girls: a comparison of skinfold-thickness equations with a 4-compartment criterion model. Am J Clin Nutr. 2000;72:348–54.

    CAS  PubMed  Google Scholar 

  18. Rodriguez G, Moreno LA, Blay MG, Blay VA, Fleta J, Sarria A, et al. Body fat measurement in adolescents: comparison of skinfold thickness equations with dual-energy X-ray absorptiometry. Eur J Clin Nutr. 2005;59:1158.

    CAS  PubMed  Google Scholar 

  19. Gorny S. Measurements of the Polish youth in the year 1966. Mater i Pr Antropologiczne. 1976;92:117–66.

    Google Scholar 

  20. Hulanicka B, Brajczewski C, Jedlinska W, Slawinska T, Waliszko A, editors. City, town, village. Growth of children in Poland in 1988. Monographs of the Institute of Anthropology 7. Wroclaw: Polish Academy of Sciences; 1990.

  21. Gomula A, Koziel S. Secular trend and social variation in age at menarche among Polish schoolgirls before and after the political transformation. Am J Hum Biol. 2018;30:e23048.

    Google Scholar 

  22. Freedman DS, Horlick M, Berenson GS. A comparison of the Slaughter skinfold-thickness equations and BMI in predicting body fatness and cardiovascular disease risk factor levels in children. Am J Clin Nutr. 2013;98:1417–24.

    CAS  PubMed  PubMed Central  Google Scholar 

  23. Wells JCK, Cole TJ. Adjustment of fat-free mass and fat mass for height in children aged 8 y. Int J Obes. 2002;26:947–52.

    CAS  Google Scholar 

  24. Hattori K, Tatsumi N, Tanaka S. Assessment of body composition by using a new chart method. Am J Hum Biol. 1997;9:573–8.

    PubMed  Google Scholar 

  25. Freedman D, Wang J, Maynard L, Thornton JC, Mei Z, Pierson RN, et al. Relation of BMI to fat and fat-free mass among children and adolescents. Int J Obes. 2005;29:1–8.

    CAS  Google Scholar 

  26. Dell Inc. Dell Statistica (data analysis software system), version 13. 2016. http://www.software.dell.com. Accessed Jun 2016.

  27. Gomula A, Nowak-Szczepanska N, Danel DP, Koziel S. Overweight trends among Polish schoolchildren before and after the transition from communism to capitalism. Econ Hum Biol. 2015;19:246–57.

    PubMed  Google Scholar 

  28. Brown JD, Witherspoon EM. The mass media and American adolescents’ health. J Adolesc Health. 2002;31:153–70.

    PubMed  Google Scholar 

  29. McCabe MP, Ricciardelli LA, Finemore J. The role of puberty, media and popularity with peers on strategies to increase weight, decrease weight and increase muscle tone among adolescent boys and girls. J Psychos Res. 2002;52:145–53.

    Google Scholar 

  30. Taylor RW, Grant AM, Williams SM, Goulding A. Sex differences in regional body fat distribution from pre‐to postpuberty. Obesity. 2010;18:1410–6.

    PubMed  Google Scholar 

  31. Daniels SR, Khoury PR, Morrison JA. The utility of body mass index as a measure of body fatness in children and adolescents: differences by race and gender. Pediatrics. 1997;99:804–7.

    CAS  PubMed  Google Scholar 

  32. Chumlea WC, Knittle JL, Roche AF, Siervogel RM, Webb P. Size and number of adipocytes and measures of body fat in boys and girls 10 to 18 years of age. Am J Clin Nutr. 1981;34:1791–7.

    CAS  PubMed  Google Scholar 

  33. Malina RM. Regional body composition: age, sex and ethnic variation. In: Roche AF, Heymsfield SB, Lohman TG, editors. Human body composition. Human kinetics. Champaign, IL; 1996. p. 217–55.

  34. Staiano AE, Katzmarzyk PT. Ethnic and sex differences in body fat and visceral and subcutaneous adiposity in children and adolescents. Int J Obes. 2012;36:1261.

    CAS  Google Scholar 

  35. Mumm R, Scheffler C, Hermanussen M. Developing differential height, weight and body mass index references for girls that reflect the impact of the menarche. Acta Paediatr. 2014;103:e312–6.

    CAS  PubMed  Google Scholar 

  36. Abbassi V. Growth and normal puberty. Pediatrics. 1998;102 Suppl 3:507–11.

    CAS  PubMed  Google Scholar 

  37. Cole TJ. The secular trend in human physical growth: a biological view. Econ Hum Biol. 2003;1:161–8.

    CAS  PubMed  Google Scholar 

  38. Suder A, Gomula A, Koziel S. Central overweight and obesity in Polish schoolchildren aged 7–18 years: secular changes of waist circumference between 1966 and 2012. Eur J Pediatr. 2017;176:909–16.

    PubMed  Google Scholar 

  39. Freedman DS, Zemel BS, Ogden CL. Secular trends for skinfolds differ from those for BMI and waist circumference among adults examined in NHANES from 1988-94 through 2009–10. Am J Clin Nutr. 2016;105:169–76.

    PubMed  PubMed Central  Google Scholar 

  40. Wohlfahrt-Veje C, Tinggaard J, Winther K, Mouritsen A, Hagen CP, Mieritz MG, et al. Body fat throughout childhood in 2647 healthy Danish children: agreement of BMI, waist circumference, skinfolds with dual X-ray absorptiometry. Eur J Clin Nutr. 2014;68:664.

    CAS  PubMed  Google Scholar 

  41. Ulijaszek SJ, Kerr DA. Anthropometric measurement error and the assessment of nutritional status. Brit J Nutr. 1999;82:165–77.

    CAS  PubMed  Google Scholar 

  42. Garnett SP, Baur LA, Cowell CT. The prevalence of increased central adiposity in Australian school children 1985 to 2007. Obes Rev. 2011;12:887–96.

    CAS  PubMed  Google Scholar 

  43. McCarthy HD, Jarrett KV, Emmett PM, Rogers I. Trends in waist circumferences in young British children: a comparative study. Int J Obes Relat Metab Disord. 2005;29:157–62.

    CAS  Google Scholar 

  44. Moreno LA, Sarria A, Fleta J, Marcos A, Bueno M. Secular trends in waist circumference in Spanish adolescents, 1995 to 2000–02. Arch Dis Child. 2005;90:818–9.

    CAS  PubMed  PubMed Central  Google Scholar 

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Acknowledgements

Special acknowledgement to all contributors and researchers who were involved in the Polish Anthropological Surveys across all the years.

Funding

The 2012 Survey was funded by the National Science Centre in Poland (grant no. N N303 804540). The funding organization had no influence on the study design, data collection, analysis and interpretation, as well as on the decision to submit the manuscript for publication.

Author information

Authors and Affiliations

  1. Department of Anthropology, Hirszfeld Institute of Immunology and Experimental Therapy, Polish Academy of Sciences, Wroclaw, Poland

    Aleksandra Gomula, Natalia Nowak-Szczepanska & Slawomir Koziel

  2. Department of Anatomy, University of Physical Education in Krakow, Krakow, Poland

    Agnieszka Suder

  3. Department of Anatomy, University School of Physical Education in Wroclaw, Wroclaw, Poland

    Zofia Ignasiak

Authors
  1. Aleksandra Gomula
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  2. Natalia Nowak-Szczepanska
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  3. Agnieszka Suder
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  4. Zofia Ignasiak
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  5. Slawomir Koziel
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Contributions

AG drafted the manuscript, participated in data collection, digitalization, and prepared database. NN-S provided critical comments and edited the manuscript for intellectual content, participated in data collection, and prepared the database. AS and ZI participated in drafting the manuscript. SK organized, arranged, and coordinated the study conducted in 2012, analyzed and interpreted the data, and provided critical comments.

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Correspondence to Aleksandra Gomula.

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Gomula, A., Nowak-Szczepanska, N., Suder, A. et al. Secular trends in adiposity within the context of changes in BMI across developmental periods among Polish schoolchildren—application of the Slaughter equation. Eur J Clin Nutr 75, 49–56 (2021). https://doi.org/10.1038/s41430-020-0675-7

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