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Tracking of body adiposity indicators from childhood to adolescence: Mediation by BMI

机译:从儿童期到青春期的身体肥胖指标追踪:BMI的调解

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摘要

Our aim was to verify the tracking of body adiposity indicators from childhood to adolescence and analyze the mediation effects of BMI on the stability of body adiposity. Our sample was composed by 375 children (197 boys). The children were followed-up over 3 years. Body mass and stature were measured as anthropometric indicators. Body adiposity was estimated through the subcutaneous skinfold method, with measures of triceps (TRSF) and subscapular skinfolds (SSSF). Skinfolds were analyzed singly and agglutinated through the sum of skinfolds (∑SF). The sample was categorized into tertiles, and thereafter, the kappa coefficient and McNemar test were adopted to verify stability. For continuous measures, the Intra-Class Correlation coefficient (ICC) was used. Moreover, mediation analyzes were used according to Baron and Kenny with the Sobel test to verify mediation effects. The significance level adopted was 5%. Adiposity indicators increased during the 3 years of follow-up in both sexes (p<0.05). ICCs in all indicators of adiposity were between 0.84 and 0.94 for boys and 0.86 and 0.94 for girls, indicating high tracking. Moreover, 70% of subjects remained in the highest tertile of body adiposity. However, no differences were observed in tertile changes (p>0.05). BMI at the age of adiposity rebound partially mediated all indicators of adiposity from childhood (baseline) to adolescence (3 years later) in both sexes (p<0.001). Thus, moderate to high tracking of body adiposity indicators between childhood and adolescence was verified. Moreover, BMI at the age of adiposity rebound partially mediated the relationship between adiposity in childhood (baseline) and in adolescence (3 years of follow-up).
机译:我们的目的是验证从儿童期到青春期的身体肥胖指标的追踪情况,并分析BMI对身体肥胖稳定性的调节作用。我们的样本由375名儿童(197名男孩)组成。对孩子进行了3年以上的随访。测量体重和身高作为人体测量指标。通过皮下皮肤褶皱法,通过三头肌(TRSF)和肩cap下皮肤褶皱(SSSF)的测量来估计身体肥胖。单独分析皮褶并通过皮褶的总和(∑SF)进行凝集。将样品分类为三分位数,然后,通过卡伯系数和麦克尼马尔检验来验证稳定性。对于连续测量,使用类内相关系数(ICC)。此外,根据Baron和Kenny进行的调解分析和Sobel检验用于验证调解效果。采用的显着性水平为5%。随访的3年中,男女的肥胖指标均增加(p <0.05)。男孩的所有肥胖指标的ICC均在0.84至0.94之间,女孩的ICC在0.86至0.94之间,表明追踪率很高。此外,70%的受试者仍处于身体肥胖的最高三分位。然而,在三分位数变化方面未观察到差异(p> 0.05)。肥胖时反弹的BMI部分介导了从童年(基线)到青春期(3年后)的所有肥胖指标(p <0.001)。因此,验证了从童年到青春期从中等到高度跟踪人体肥胖指标。此外,肥胖期反弹的BMI部分介导了儿童期(基线)和青春期(随访3年)的肥胖症之间的关系。

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