Article

Abdominal fat assessment in adolescents using dual-energy X-ray absorptiometry.

Exercise, Health & Performance Faculty Research Group, Faculty of Health Science, The University of Sydney, Australia.
Journal of pediatric endocrinology & metabolism: JPEM (impact factor: 0.88). 09/2009; 22(9):781-94. pp.781-94
Source: PubMed

ABSTRACT Abdominal obesity is an increasing problem in adolescents, often persisting into adulthood. Reliable assessment has been restricted to techniques limited by relatively high radiation doses or cost.
To investigate the reliability of several abdominal regions using dual-energy X-ray absorptiometry (DXA), and to assess the construct validity of these methods against metabolic profile.
Inter- and intra-rater precision of two assessors were examined, for fat mass analysis in six different abdominal regions using DXA in overweight/obese and normal weight adolescents. Construct validity was examined in overweight/obese individuals.
All methods had acceptable intra- and inter-rater reliability. Region 1 was most precise in overweight/obese individuals, while Region 6 was most precise in normal weight individuals. In all regions, assessments were less precise in overweight/obese individuals. All regions were equally predictive of insulin outcomes.
Abdominal adiposity can be reliably assessed in adolescents using DXA, and the most precisely assessed regions were identified. All regions predicted insulin outcomes.

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    Article: Kung fu training improves physical fitness measures in overweight/obese adolescents: the "martial fitness" study.
    Tracey W Tsang, Michael R Kohn, Chin Moi Chow, Maria Antoinette Fiatarone Singh
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    ABSTRACT: Aim. To examine the efficacy of a six-month Kung Fu (KF) program on physical fitness in overweight/obese adolescents. Methods. Subjects were randomly assigned to the KF or sham exercise (Tai Chi, TC) control group. Physical measurements in cardiovascular fitness and muscle fitness occurred at baseline and after 6 months of training thrice weekly. Results. Twenty subjects were recruited. One subject was lost to follow-up, although overall compliance to the training sessions was 46.7 +/- 27.8%. At follow-up, the cohort improved in absolute upper (P = .002) and lower (P = .04) body strength, and upper body muscle endurance (P = .02), without group differences. KF training resulted in significantly greater improvements in submaximal cardiovascular fitness (P = .03), lower body muscle endurance (P = .28; significant 95% CI: 0.37-2.49), and upper body muscle velocity (P = .03) relative to TC training. Conclusions. This short-term KF program improved submaximal cardiovascular fitness, lower body muscle endurance, and muscle velocity, in overweight/obese adolescents with very low baseline fitness.
    Journal of obesity 01/2010; 2010.
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Keywords

Abdominal adiposity
 
Abdominal obesity
 
abdominal regions
 
construct validity
 
different abdominal regions
 
dual-energy X-ray absorptiometry
 
fat mass analysis
 
increasing problem
 
insulin outcomes
 
inter-rater reliability
 
intra-rater precision
 
metabolic profile
 
normal weight adolescents
 
normal weight individuals
 
overweight/obese individuals
 
Region 1
 
Region 6
 
reliability
 
Reliable assessment
 
techniques limited