TY - JOUR A1 - Mumm, Rebekka A1 - Hermanussen, Michael T1 - A short note on the BMI and on secular changes in BMI JF - Human biology and public health N2 - Human size changes over time with worldwide secular trends in height, weight, and body mass index (BMI). There is general agreement to relate the state of nutrition to height and weight, and to ratios of weight-to-height. The BMI is a ratio. It is commonly used to classify underweight, overweight and obesity in adults. Yet, the BMI is inappropriate to provide any immediate information on body composition. It is accepted that the BMI is “a simple index to classify underweight, overweight and obesity in adults”. It is stated that “policies, programmes and investments need to be “nutrition-sensitive”, which means they must have positive impacts on nutrition”. It is also stated that “a need for policies that address all forms of malnutrition by making healthy foods accessible and affordable, while restricting unhealthy foods through fiscal and regulatory restrictions“. But these statements are neither warranted by arithmetic considerations, nor by historic evidence. Measuring the BMI is an appropriate screening tool for detecting an unusual weight-to-height ratio, but the BMI is an inappropriate tool for estimating body composition, or suggesting medical and health policy decisions. KW - body mass index KW - secular trend KW - weight-to-height ratio KW - malnutrition KW - obesity Y1 - 2021 U6 - https://doi.org/10.52905/hbph.v2.17 SN - 2748-9957 IS - 2 PB - Universitätsverlag Potsdam CY - Potsdam ER - TY - JOUR A1 - Czernitzki, Anna-Franziska A1 - Pospisil, Christina A1 - Musalek, Martin A1 - Mumm, Rebekka A1 - Scheffler, Christiane T1 - Analysis of longitudinal data of height z-scores in kindergarten children BT - a pilot study JF - Journal of biological and clinical anthropology : Anthropologischer Anzeiger ; Mitteilungsorgan der Gesellschaft für Anthropologie N2 - Changes in body height throughout extended historic periods are very complex and dynamic processes. Thispilot study aimed to investigate the pattern of longitudinal height z-scores changes in children before and after entering kindergarten. In summer 2016, we measured height and weight of 32 children from 4 groups of two kindergartens aged 3–6 years. All ages were centered according to the age of entry into the kindergarten. For each child we determined mean z-scores for height before and after entering the kindergarten, and assessed the variances for each kindergarten group. Twenty-two children targeted in height z-scores towards average height of their respective kindergarten group, 10 children did not. Due to the small numbers, the convergence in height variance however, remained insignificant (chi-squared independence test, p = 0.127). Additional studies with larger sample sizes are needed to confirm this pilot study. KW - Height z-score KW - kindergarten children KW - secular trend KW - strategic growth adjustment KW - social signal Y1 - 2017 U6 - https://doi.org/10.1127/anthranz/2017/0708 SN - 0003-5548 VL - 74 IS - 2 SP - 109 EP - 112 PB - Schweizerbart science publishers CY - Stuttgart ER - TY - JOUR A1 - Navazo, Bárbara A1 - Oyhenart, Evelia A1 - Dahinten, Silvia A1 - Mumm, Rebekka A1 - Scheffler, Christiane T1 - Decrease of external skeletal robustness (Frame Index) between two cohorts of school children living in Puerto Madryn, Argentina at the beginning of the 21st century JF - Journal of biological and clinical anthropology : Anthropologischer Anzeiger N2 - Background: It has been shown that modern life style with reduced physical activity can lead to lower bone accumulation. Also a decline trend in external skeletal robustness in children and young adolescents, measured by the Frame Index (FI), seems to have a parallel trend with the increase in overweight and obesity. Based on these findings we estimate that likely, the FI should be changed after a decade in the Argentinean population as well as in others population of the world. Thereby, the aim of the present study was to describe, using the FI, the pattern of external skeletal robustness in school children aged 6-14 years from two cohorts of Argentina (Puerto Madryn, Chubut) and to compare them with the European reference (Czech Republic, Germany, Poland and Russia). Methods: Elbow breadth and height of Puerto Madryn school children were collected in two cross-sectional studies conducted between 2001-2006 (cohort 1 = C1) and 2014-2016 (cohort 2 = C2). Percentiles (P) values, for males and females, from C1 and C2 were calculated combining the LMSmethod and its extension. A t-test has been used to compare, by age and sex, the FI values between the Argentinean cohorts and the European reference (ER). Then, in order to know the percentage of the variation of the percentiles values between cohorts, as well as with ER, percent differences between means (PDM%) were employed. Results: FI from Argentinean cohorts differed significantly from ER. Even more, C2 was not only smaller than ER, but also than C1. In males, C1-C2 showed significant differences at 6-8, 11 and 12 years and in females at all ages. Then, respect to ER each Argentinean cohort showed significant differences in males of C1 at 6, 12-14 years and in females at 6 and 11-14 years; and of C2, in both sexes, from 6 to 14 years. The PDM% values for elbow breadth of male were negative in ER-C1 in all percentiles analyzed; in ER-C2 positive (P3 and P50) and negative (P97) and C1-C2 recorded positive values. In females, elbow breadth showed negative values for ER-C1 (P50 and P97), and positive for the remaining values. Finally, height registered, in both sexes, negative values in ER-C1 (except P97 in females), ER-C2 and C1-C2. Conclusions: After ten years of the first study carried on in Puerto Madryn, school children show a negative trend in the external skeletal robustness. Additionally, the children of both Argentinean cohorts have lower values compared to the European reference, and mainly the actual cohort. This situation would be explained, in part, by the progressive increase over time of overweight and obesity as consequence, among others, of the change in the quantity and/or quality of the food that children have access to and with the physical activity they do at school and outside. KW - elbow breadth KW - height KW - skeletal robustness KW - school children KW - Argentina Y1 - 2020 U6 - https://doi.org/10.1127/anthranz/2020/1182 SN - 0003-5548 SN - 2363-7099 VL - 77 IS - 5 SP - 405 EP - 413 PB - Schweizerbart CY - Stuttgart ER - TY - JOUR A1 - Mumm, Rebekka A1 - Scheffler, Christiane A1 - Hermanussen, Michael T1 - Developing differential height, weight and body mass index references for girls that reflect the impact of the menarche JF - Acta paediatrica : nurturing the child N2 - Aim Growth is both a matter of amplitude and tempo. We aimed to develop references for body height, body weight and body mass index (BMI) with respect to tempo of maturity. Methods Data obtained from the German KiGGS study (2003-2006) on body height, body weight and presence or absence of the menarche were re-analysed in 3776 girls, aged 10-17years. We developed smoothed centiles for BMI-, body-height- and body-weight-for-age using the LMS method for premenarcheal and postmenarcheal girls. Results Body height, body weight and BMI differed significantly between premenarcheal and postmenarcheal girls. On average, postmenarcheal girls aged 11-17years were 5.3cm taller and 9.7kg heavier, and their BMI was 2.9kg/m2 higher than in premenarcheal girls of the same calendar age. Conclusion Adolescent BMI rises with calendar age and biological age. New reference charts for adolescent girls aged 10-18years were generated to be inserted into the currently used references to avoid misclassifying underweight and overweight pubertal girls. KW - Body mass index KW - Body mass index reference values KW - Menarche KW - Obesity KW - Overweight Y1 - 2014 U6 - https://doi.org/10.1111/apa.12625 SN - 0803-5253 SN - 1651-2227 VL - 103 IS - 7 SP - e312 EP - e316 PB - Wiley-Blackwell CY - Hoboken ER - TY - JOUR A1 - Azcorra, Hugo A1 - Dickinson, Federico A1 - Mendez-Dominguez, Nina A1 - Mumm, Rebekka A1 - Valentín, Graciela T1 - Development of birthweight and length for gestational age and sex references in Yucatan, Mexico JF - American journal of human biology : the official journal of the Human Biology Council N2 - Objective To develop sex- and gestational age specific reference percentiles and curves for birth weight and length for Yucatec neonates using data from birth registers of infants born during 2015-2019. Material and methods Observational, descriptive, epidemiologic study in a 5-year period including every registered birth in the state of Yucatan, Mexico using birth registries. A total of 158 432 live, physically healthy singletons (76 442 females and 81 990 males) between 25 and 42 weeks of gestation were included in the analysis. We used the LMS method to construct smoothed reference centiles (3rd, 10th, 25th, 50th, 75th, 95th, and 97th) and curves for males and females separately. Results Mean maternal age was 26 (SD = 6.22) years. Fifty-two percent of births occurred by vaginal delivery, 37% were firstborn and similar proportions were second (33%) and third or more (30%) born. 5.5% of newborns included in the references corresponds to neonates born before 37 weeks of gestation (5.9% boys and 5.1% girls). In both sexes, the percentage of infants with a birthweight less than 2500 g was 6.7%. The birthweight at the 50th percentile for males and females at 40 weeks of gestation in this cohort was 3256 and 3167 g, respectively, and the corresponding values for birth length were 50.23 and 49.84 cm (mean differences between sexes: 89 g and 0.40 cm, respectively). Conclusion The reference percentile and curves developed in this study are useful for research purposes and can help health practitioners to assess the biological status of infants born in Yucatan. Y1 - 2022 U6 - https://doi.org/10.1002/ajhb.23732 SN - 1042-0533 SN - 1520-6300 VL - 34 IS - 6 PB - Wiley CY - Hoboken ER - TY - JOUR A1 - Mumm, Rebekka A1 - Godina, Elena A1 - Koziel, Slawomir A1 - Musalek, Martin A1 - Sedlak, Petr A1 - Wittwer-Backofen, Ursula A1 - Hess, Volker A1 - Dasgupta, Parasmani A1 - Henneberg, Maciej A1 - Scheffler, Christiane T1 - External skeletal robusticity of children and adolescents BT - European references from birth to adulthood and international comparisons JF - Journal of biological and clinical anthropology JF - Anthropologischer Anzeiger ; Mitteilungsorgan der Gesellschaft für Anthropologie N2 - Background: In our modern world, the way of life in nutritional and activity behaviour has changed. As a consequence, parallel trends of an epidemic of overweight and a decline in external skeletal robusticity are observed in children and adolescents. Aim: We aim to develop reference centiles for external skeletal robusticity of European girls and boys aged 0 to 18 years using the Frame Index as an indicator and identify population specific age-related patterns. Methods: We analysed cross-sectional & longitudinal data on body height and elbow breadth of boys and girls from Europe (0-18 years, n = 41.679), India (7-18 years, n = 3.297) and South Africa (3-18 years, n = 4.346). As an indicator of external skeletal robusticity Frame Index after Frisancho (1990) was used. We developed centiles for boys and girls using the LMS-method and its extension. Results: Boys have greater external skeletal robusticity than girls. Whereas in girls Frame Index decreases continuously during growth, an increase of Frame Index from 12 to 16 years in European boys can be observed. Indian and South African boys are almost similar in Frame Index to European boys. In girls, the pattern is slightly different. Whereas South African girls are similar to European girls, Indian girls show a lesser external skeletal robusticity. Conclusion: Accurate references for external skeletal robusticity are needed to evaluate if skeletal development is adequate per age. They should be used to monitor effects of changes in way of life and physical activity levels in children and adolescents to avoid negative health outcomes like osteoporosis and arthrosis. Y1 - 2018 U6 - https://doi.org/10.1127/anthranz/2018/0826 SN - 0003-5548 VL - 74 IS - 5 SP - 383 EP - 391 PB - Schweizerbart CY - Stuttgart ER - TY - JOUR A1 - Scheffler, Christiane A1 - Rogol, Alan D. A1 - Iancu, Mirela A1 - Hanc, Tomasz A1 - Moelyo, Annang Giri A1 - Suchomlinov, Andrej A1 - Lebedeva, Lidia A1 - Limony, Yehuda A1 - Musalek, Martin A1 - Veldre, Gudrun A1 - Godina, Elena Z. A1 - Kirchengast, Sylvia A1 - Mumm, Rebekka A1 - Groth, Detlef A1 - Tutkuviene, Janina A1 - Böker, Sonja A1 - Ozer, Basak Koca A1 - Navazo, Barbara A1 - Spake, Laure A1 - Koziel, Slawomir A1 - Hermanussen, Michael T1 - Growth during times of fear and emotional stress BT - Proceedings of the 28th Aschauer Soiree, held at Potsdam, Germany, and online, November 14th 2020 JF - Human biology and public health N2 - Twenty-one scientists met for this year’s virtual conference on Auxology held at the University Potsdam, Germany, to discuss child and adolescent growth during times of fear and emotional stress. Growth within the broad range of normal for age and sex is considered a sign of good general health whereas fear and emotional stress can lead to growth faltering. Stunting is a sign of social disadvantage and poor parental education. Adverse childhood experiences affect child development, particularly in families with low parental education and low socioeconomic status. Negative effects were also shown in Indian children exposed prenatally and in early postnatal life to the cyclone Aila in 2009. Distrust, fears and fake news regarding the current Corona pandemic received particular attention though the effects generally appeared weak. Mean birth weight was higher; rates of low, very and extremely low birth weight were lower. Other topics discussed by the participants, were the influences of economic crises on birth weight, the measurement of self-confidence and its impact on growth, the associations between obesity, peer relationship, and behavior among Turkish adolescents, height trends in Indonesia, physiological neonatal weight loss, methods for assessing biological maturation in sportsmen, and a new method for skeletal age determination. The participants also discussed the association between acute myocardial infarction and somatotype in Estonia, rural-urban growth differences in Mongolian children, socio-environmental conditions and sexual dimorphism, biological mortality bias, and new statistical techniques for describing inhomogeneity in the association of bivariate variables, and for detecting and visualizing extensive interactions among variables. KW - stunting KW - birth weight KW - fear KW - emotional stress KW - economy KW - SEPE Y1 - 2021 U6 - https://doi.org/10.52905/hbph.v2.15 SN - 2748-9957 IS - 2 PB - Universitätsverlag Potsdam CY - Potsdam ER - TY - JOUR A1 - Hermanussen, Michael A1 - Mumm, Rebekka A1 - Rintisch, Aileen A1 - Tutkuviene, Janina A1 - Suchomlinov, Andrej A1 - Joubert, Kálmán A1 - Ferrandez Longas, Angel A1 - Scheffler, Christiane T1 - Height SDS changes (Delta hSDS) in healthy children from birth to 18 years, with correction factors for measurement intervals of less than one year JF - Pediatric Endocrinology Reviews N2 - Background: Growth is volatile and non-linear. Assessing the instantaneous speed of growth (momentary height velocity) depends on the precision and the number of measurements and the duration of the observation period. Measurements at short intervals reflect both the non-linearity of growth and the technical error of measurements (TEM). Material: We reanalyzed longitudinal measurements of body length at age 0, 3 months, 6 months, 9 months, 12 months, 18 months, and 24 months, from 1879 healthy infants (956 girls, 923 boys) from France (180 girls, 173 boys), Vilnius, Lithuania (507 girls, 507 boys), Lublin, Poland (67 girls, 56 boys), Zurich, Switzerland (94 girls, 102 boys) and Spain (108 girls, 95 boys); and longitudinal measurements of annual body height from age 2 to 18 years from 1528 healthy children and adolescents (774 girls, 754 boys) from France (41 girls, 47 boys), Vilnius, Lithuania (23 girls, 27 boys), Lublin, Poland (70 girls, 58 boys), Zurich, Switzerland (111 girls, 120 boys), Spain (94 girls, 74 boys), the Czech Republic (65 girls, 69 boys), Hungary (316 girls, 320 boys), and Berkeley, USA (54 girls, 39 boys). Results: We calculated age- and sex-specific mean values for height and SD for height separately for each country. In addition, we defined the instantaneous speed of growth by the dhSDS(t) difference of two measures of hSDS (v(hSDS(t)) = Delta hSDS(t)/t), or in the case of multiple measurements, by the slope of the linear regression (BhSDS((t))). Based on the longitudinal measurements of body length, we present reference values for annual growth velocity given in the form of SD of annual hSDS changes (Delta hSDS), from birth to maturity. Correction factors are added for validating measurements obtained at intervals of less than one year. The correction factors depend on number of measurements, and duration of the observation period. KW - Height SOS changes KW - Height KW - Reference KW - Short term growth Y1 - 2019 U6 - https://doi.org/10.17458/per.vol16.2019.hmr.heightsdschanges SN - 1565-4753 VL - 16 IS - 4 SP - 457 EP - 467 PB - Medical Media CY - Netanya ER - TY - JOUR A1 - Musalek, Martin A1 - Kokstejn, Jakub A1 - Papez, Pavel A1 - Scheffler, Christiane A1 - Mumm, Rebekka A1 - Czernitzki, Anna-Franziska A1 - Koziel, Slawomir T1 - Impact of normal weight obesity on fundamental motor skills in pre-school children aged 3 to 6 years JF - Journal of biological and clinical anthropology : Anthropologischer Anzeiger ; Mitteilungsorgan der Gesellschaft für Anthropologie N2 - Normal weight obesity is defined as having excessive body fat, but normal BMI. Even though previous research revealed that excessive body fat in children inhibited their physical activity and decreased motor performance, there has been only little evidence about motor performance of normal weight obese children. This study aims to establish whether normal weight obese pre-school children aged 3-6 years will have a significantly worse level of fundamental motor skills compared to normal weight non-obese counterparts. The research sample consisted of 152 pre-schoolers selected from a specific district of Prague, the Czech Republic. According to values from four skinfolds: triceps, subscapula, suprailiaca, calf, and BMI three categories of children aged 3-6 years were determined: A) normal weight obese n = 51; B) normal weight non-obese n = 52; C) overweight and obese n = 49. The Movement Assessment Battery for Children (MABC-2) was used for the assessment of fundamental motor skills. Normal weight obese children had significantly higher amount of adipose tissue p < 0.001 than normal weight non-obese children but the same average BMI. Moreover, normal weight obese children did not have significantly less amount of subcutaneous fat on triceps and calf compared to their overweight and obese peers. In majority of MABC-2 tests, normal weight obese pre-schoolers showed the poorest performance. Moreover, normal weight obese children had significantly worse total standard score = 38.82 compared to normal weight non-obese peers = 52.27; p < 0.05. In addition, normal weight obese children had a more than three times higher frequency OR = 3.69 CI95% (1.10; 12.35) of severe motor deficit performance <= 5th centile of the MABC-2 norm. These findings are strongly alarming since indices like BMI are not able to identify normal weight obese individual. We recommend verifying real portion of normal weight obese children as they are probably in higher risk of health and motor problems than overweight and obese population due to their low lean mass. KW - normal weight obesity KW - fundamental motor skills KW - MABC-2 KW - performance KW - pre-school children KW - skinfolds KW - adipose tissue KW - lean mass Y1 - 2017 U6 - https://doi.org/10.1127/anthranz/2017/0752 SN - 0003-5548 VL - 74 SP - 203 EP - 212 PB - Schweizerbart CY - Stuttgart ER - TY - JOUR A1 - Mumm, Rebekka A1 - Scheffler, Christiane T1 - Lack of evidence of nutritional influence on height in four low and middle-income countries JF - Journal of biological and clinical anthropology : Anthropologischer Anzeiger ; Mitteilungsorgan der Gesellschaft für Anthropologie N2 - ‘Nutrition influences height’ has been a common concept for the last decades. Recently, contradictory results occurred when studying the effectiveness of nutritional interventions, questioning the interaction of nutrition and height. Therefore, we hypothesize that, independently of population/country, nutrition does not affect height in children and adolescents. We analyzed data from the study “Young Lives” which was performed in Ethiopia, India, Peru, and Vietnam to describe the health situation of children. We used linear mixed effect models to analyze the influence of nutrition on height. Furthermore, we used Structural Equation Modeling (SEM) to test if the commonly assumed hypothetical interaction of height and nutrition can be supported by data from low and middle-income countries. Estimates for nutrition on height of linear mixed effect models were about zero and randomly significant or non-significant in all analyzed countries. Furthermore, SEM led to the rejection of the ‘nutrition influences height’-hypothesis, as data did not support the models based on this hypothesis. We do not find evidence for a nutritional influence on height in children and adolescents from low and middle-income countries. The widespread assumption that inadequate diet is reflected in short stature, which all modern nutritional interventions are based on, needs to be critically reviewed. KW - nutrition KW - height KW - children KW - low and middle-income Y1 - 2019 U6 - https://doi.org/10.1127/anthranz/2019/0988 SN - 0003-5548 VL - 76 IS - 5 SP - 421 EP - 432 PB - Schweizerbart CY - Stuttgart ER -