Body composition reference charts for infants from birth to 24 months: Multicenter Infant Body Composition Reference Study.


Journal

The American journal of clinical nutrition
ISSN: 1938-3207
Titre abrégé: Am J Clin Nutr
Pays: United States
ID NLM: 0376027

Informations de publication

Date de publication:
06 2023
Historique:
received: 08 11 2022
revised: 09 02 2023
accepted: 13 02 2023
medline: 5 6 2023
pubmed: 4 6 2023
entrez: 3 6 2023
Statut: ppublish

Résumé

Body composition assessment in the first 2 y of life provides important insights into child nutrition and health. The application and interpretation of body composition data in infants and young children have been challenged by a lack of global reference data. We aimed to develop body composition reference charts of infants aged 0-6 mo based on air displacement plethysmography (ADP) and those aged 3-24 mo based on total body water (TBW) by deuterium dilution (DD). Body composition was assessed by ADP in infants aged 0-6 mo from Australia, India, and South Africa. TBW using DD was assessed for infants aged 3-24 mo from Brazil, Pakistan, South Africa, and Sri Lanka. Reference charts and centiles were constructed for body composition using the lambda-mu-sigma method. Sex-specific reference charts were produced for FM index (FMI), FFM index (FFMI), and percent FM (%FM) for infants aged 0-6 mo (n = 470 infants; 1899 observations) and 3-24 mo (n = 1026 infants; 3690 observations). When compared with other available references, there were observable differences but similar patterns in the trajectories of FMI, FFMI, and %FM. These reference charts will strengthen the interpretation and understanding of body composition in infants across the first 24 mo of life.

Sections du résumé

BACKGROUND
Body composition assessment in the first 2 y of life provides important insights into child nutrition and health. The application and interpretation of body composition data in infants and young children have been challenged by a lack of global reference data.
OBJECTIVES
We aimed to develop body composition reference charts of infants aged 0-6 mo based on air displacement plethysmography (ADP) and those aged 3-24 mo based on total body water (TBW) by deuterium dilution (DD).
METHODS
Body composition was assessed by ADP in infants aged 0-6 mo from Australia, India, and South Africa. TBW using DD was assessed for infants aged 3-24 mo from Brazil, Pakistan, South Africa, and Sri Lanka. Reference charts and centiles were constructed for body composition using the lambda-mu-sigma method.
RESULTS
Sex-specific reference charts were produced for FM index (FMI), FFM index (FFMI), and percent FM (%FM) for infants aged 0-6 mo (n = 470 infants; 1899 observations) and 3-24 mo (n = 1026 infants; 3690 observations). When compared with other available references, there were observable differences but similar patterns in the trajectories of FMI, FFMI, and %FM.
CONCLUSIONS
These reference charts will strengthen the interpretation and understanding of body composition in infants across the first 24 mo of life.

Identifiants

pubmed: 37270290
pii: S0002-9165(23)07687-6
doi: 10.1016/j.ajcnut.2023.02.012
pii:
doi:

Types de publication

Multicenter Study Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

1262-1269

Subventions

Organisme : Department of Health
Pays : United Kingdom

Commentaires et corrections

Type : CommentIn

Informations de copyright

Copyright © 2023 The Authors. Published by Elsevier Inc. All rights reserved.

Auteurs

Alexia J Murphy-Alford (AJ)

Division of Human Health, Department of Nuclear Sciences and Applications, International Atomic Energy Agency, Vienna, Austria. Electronic address: a.alford@iaea.org.

William Johnson (W)

School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, United Kingdom.

Lukhanyo H Nyati (LH)

SAMRC Developmental Pathways for Health Research Unit, Department of Pediatrics, University of the Witwatersrand, Johannesburg, South Africa.

Ina S Santos (IS)

Post-graduate Program in Epidemiology, Faculty of Medicine, Federal University of Pelotas, Pelotas, Brazil.

Andrew P Hills (AP)

School of Health Sciences, College of Health and Medicine, University of Tasmania, Tasmania, Australia.

Shabina Ariff (S)

Department of Pediatric and Child Health, Medical College, The Aga Khan University, Sindh, Pakistan.

V Pujitha Wickramasinghe (VP)

Department of Paediatrics, Faculty of Medicine, University of Colombo, Colombo, Sri Lanka.

Rebecca Kuriyan (R)

St John's Research Institute, Bengaluru, India.

M Nishani Lucas (MN)

Department of Paediatrics, Faculty of Medicine, University of Colombo, Colombo, Sri Lanka.

Caroline S Costa (CS)

Post-graduate Program in Epidemiology, Faculty of Medicine, Federal University of Pelotas, Pelotas, Brazil.

Christine Slater (C)

Division of Human Health, Department of Nuclear Sciences and Applications, International Atomic Energy Agency, Vienna, Austria.

Tanvir Ahmad (T)

Life Science Group, Isotope Application Division, Pakistan; Institute of Nuclear Science and Technology (PINSTECH), Nilore, Islamabad, Pakistan.

Nuala M Byrne (NM)

School of Health Sciences, College of Health and Medicine, University of Tasmania, Tasmania, Australia.

Priscilla J Divya (PJ)

St John's Research Institute, Bengaluru, India.

Anura V Kurpad (AV)

St John's Research Institute, Bengaluru, India.

Leila I Cheikh Ismail (LI)

Department of Clinical Nutrition and Dietetics, College of Health Sciences, University of Sharjah, Sharjah, United Arab Emirates; Nuffield Department of Women's & Reproductive Health, University of Oxford, United Kingdom.

Cornelia U Loechl (CU)

Division of Human Health, Department of Nuclear Sciences and Applications, International Atomic Energy Agency, Vienna, Austria.

Shane A Norris (SA)

SAMRC Developmental Pathways for Health Research Unit, Department of Pediatrics, University of the Witwatersrand, Johannesburg, South Africa; School of Human Development and Health, University of Southampton, Southampton, United Kingdom.

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