Turhan ONARLIOĞLU, Banu SUZEM, Ahmet ÖKTEM, Ayça ERGÜR TÖREL, Hatice SEZER, Kamile MARAKOĞLU

Çocuk ve Adölesanlarda Skinfold ve Bioelektrik İmpedans Metodları İle Vücut Kompozisyon Parametrelerinin Karşılaştırılması

Giriş: Çocukluk çağı ve adölesan obezitesi ciddi bir şekilde artan morbidite ve mortalitede nedenidir. Ancak pediatrik yaş grubunda obezitenin tanımlanmasında kullanılan total yağ oranını ölçüm metodları halen sınırlı ve zordur. Bu çalışmada çocukluk çağında vücut kompozisyon parametrelerini belirlemede kullanılan klasik skinfold yöntemi ile yeni bioelektik impedans yöntemlerinin karşılaştırılması amaçlanmıştır.Metodlar: Çalışmaya yaşları 7-15 yıl olan 86 olgu dahil edildi. Tüm olgularda skinfold ve BIA yöntemleriyle vücut kitle indeksi(VKİ),yağ yüzdesi (YY%),yağ kitlesi (YK), ve yağsız kitle(YK(-) oranları hesaplandı.Sonuçlar: Vücut kompozisyon parametreleri değerlendirildiğinde her iki yöntem arasında pozitif korelasyon saptandı. İki metod vücut parametreleri yönünden karşılaştırıldığında 7-12 yaş erkek grupta anlamlı fark saptandı.Yorum: Bu çalışma BIA metodunun 12 yaş üstü çocuklarda obezitenin belirlenmesinde kullanılabileceğini ancak 12 yaş altı çocuklarda daha ileri çalışmalar gerektiğini telkin etmektedir.

Anahtar Kelimeler:

Çocukluk çağı, adölesan, bioelektrik impedans, skinfold yöntemi

COMPARISON OF BODY COMPOSITION PARAMETERS IN CHILDREN AND ADOLESCENTS, USING SKİNFOLD AND BIOELECTRICAL IMPEDANCE METHODS

Background: Childhood and adolescent obesity is a seriously increasing cause of morbidity and mortality. The prevalence of childhood obesity and obesity-related metabolic syndrome increased during the past three decades. Unfortunately, the methods for the measurement of total fat ratio in childhood and adolescent period are still limited and diffucult. Objective: The present study aims comparing the classical skinfold and the new bioelectrical impedance (BIA) methods to determine the body composition in childhood and adolescent periods.Methods: 86 cases (45 boys and 41 girls) between 7-15 years of age were included in this study. The body mass index (BMI), fat percent (FAT%), fat mass (FM) and fat free mass (FFM) of all the cases were determined by both skinfold and BIA methods. Results: When the body composition parameters were evaluated, a positive correlation was found between these two methods. When these two methods were compared, there was a statistically significant difference in all parameters of body composition in boys of 7-12 years of age.Conclusion: This study suggest that the BIA method could be used in children over 12 years to determine the obesity, whereas further studies are needed for children below 12 years of age

Keywords:

Childhood, adolescent, bioelectrical impedance, skinfold method,

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