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Methodological issues in the anthropometric assessment of Hmong children in the United States.

Clarkin PF

Department of Anthropology, University of Massachusetts--Boston, Boston, Massachusetts 02125-3393, USA. patrick.clarkin@umb.edu

The effectiveness of the body mass index (BMI; kg/m2) in assessing overweight/obesity may be diminished in populations of short stature. In a sample (n = 79) of Hmong refugee children in the United States, of age 4-11 years, median z scores for height, BMI, and the triceps skinfold were -1.04z, +0.53z, and +0.18z, respectively. Further, 41.7% of children were above the NHANES 85th percentile for BMI-for-age, categorizing them as overweight/obese. Assessment of obesity by other established criteria for children, such as the triceps skinfold and body fat percentage, produced significantly lower estimates than did BMI. This is consistent with patterns found in other stunted populations, suggesting that BMI be employed in conjunction with other methods when assessing overweight/obesity in these groups. Finally, although stunting and overweight/obesity were both common in this study, at the individual level height z scores were positively correlated to z scores of various measures of adiposity.

Published 2 November 2005 in Am J Hum Biol, 17(6): 787-95.
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Biostatistics Books

Applied Survival Analysis: Regression Modeling of Time to Event Data (Wiley Series in Probability and Statistics)

Applied Survival Analysis: Regression Modeling of Time to Event Data (Wiley Series in Probability and Statistics)