Research Center in Kinanthropometry and Human Performance, Sports Center, Federal University of Santa Catarina, Florianópolis, Brazil -
Federal University of Alagoas, Alagoas, Brazil.
Minerva Pediatr (Torino). 2023 Dec;75(6):828-835. doi: 10.23736/S2724-5276.20.05720-5. Epub 2020 May 15.
Body fat assessment is needed in individuals with HIV. The objective was to identify the discriminatory capacity of the abdominal skinfold (ASF) tricipital skinfold (TSF), subscapular fold (SSF), calf skinfold (CSF), body adiposity index (BAI), body mass index, conicity index (IC), mid-upper arm circumference (MUAC), waist circumference (WC), perimeter of neck (PN) and waist-to-height ratio (WHtR) for high body fat in children and adolescents with HIV, compared Dual energy X-ray absorptiometry (DXA) and air displacement plethysmography (ADP).
Descriptive study, cross - sectional study, with 65 children and adolescents with HIV by vertical transmission. Body fat was measured by DXA and ADP. Measures were measured by international standardization. The diagnostic properties for high body fat were assessed by area under the ROC curve (AUC).
For boys, having DXA as a reference for fat, ASF (AUC: 0.920), TSF (AUC: 0.792), SSF (AUC: 0.766), CSF (AUC: 0.866), BAI satisfactory discriminatory capacity. With ADP as the reference method, ASF (AUC: 0.920), TSF (AUC: 0.921), SSF (AUC: 0.766), CSF (AUC: 0.901), BAI (AUC: 0.756) and BMI (AUC: 0.699) presented satisfactory results. For girls, having DXA as a reference for fat, ASF (AUC: 0.838), TSF (AUC: 0.842), SSF (AUC: 0.840), CSF (AUC: 0.887), BAI (AUC: 0.846), and BMI (AUC: 0.859) presented satisfactory discriminatory capacity. Assuming ADP as a reference for fat, ASF (AUC [AUC: 0.799], TSF [AUC: 0.825], SSF [AUC: 0.767], CSF [AUC: 0.897], BAI 0.788), were satisfactory.
The ASF, TSF, SSF, CSF, BAI and BMI anthropometric indicators may be suggested as the most suitable for the detection of high body fat in children and adolescents with HIV.
人体脂肪评估在 HIV 感染者中是必要的。目的是确定腹部皮褶厚度 (ASF)、三头肌皮褶厚度 (TSF)、肩胛下皮褶厚度 (SSF)、小腿皮褶厚度 (CSF)、体脂指数 (BAI)、体重指数、圆柱度指数 (IC)、中上臂围 (MUAC)、腰围 (WC)、颈围 (PN) 和腰高比 (WHtR) 在 HIV 儿童和青少年中对高体脂的区分能力，与双能 X 射线吸收法 (DXA) 和空气置换体积描记法 (ADP) 相比。
描述性、横断面研究，共纳入 65 名经垂直传播的 HIV 儿童和青少年。使用 DXA 和 ADP 测量体脂。采用国际标准化方法测量各项指标。通过 ROC 曲线下面积 (AUC) 评估高体脂的诊断特性。
对于男孩，以 DXA 作为脂肪参考，ASF（AUC：0.920）、TSF（AUC：0.792）、SSF（AUC：0.766）、CSF（AUC：0.866）、BAI 具有良好的区分能力。以 ADP 为参考方法，ASF（AUC：0.920）、TSF（AUC：0.921）、SSF（AUC：0.766）、CSF（AUC：0.901）、BAI（AUC：0.756）和 BMI（AUC：0.699）的结果也令人满意。对于女孩，以 DXA 作为脂肪参考，ASF（AUC：0.838）、TSF（AUC：0.842）、SSF（AUC：0.840）、CSF（AUC：0.887）、BAI（AUC：0.846）和 BMI（AUC：0.859）具有良好的区分能力。以 ADP 为参考，ASF（AUC：0.799）、TSF（AUC：0.825）、SSF（AUC：0.767）、CSF（AUC：0.897）、BAI（AUC：0.788）的结果也令人满意。
ASF、TSF、SSF、CSF、BAI 和 BMI 等人体测量指标可能适合用于 HIV 儿童和青少年高体脂的检测。
