title: Association of the Family Nutrition and Physical Activity Screening Tool with Weight Status, Percent Body Fat, and Acanthosis Nigricans in Children from a Low Socioeconomic, Urban Community.
abstract: OBJECTIVE
  
  
  
  OBJECTIVE
  To examine the association of the Family Nutrition and Physical Activity (FNPA) screening tool with weight status, percent body fat, and acanthosis nigricans (AN) in 6- to 13-year-old children from a low socioeconomic, urban community.
  
  
  METHODS
  Children (n=415) from four elementary schools located around Flint, Michigan were assessed for body mass index, percent body fat, and AN. The FNPA screening tool was completed by parents. Mann-Whitney U tests were used to assess differences in FNPA score by sex and presence of AN. Logistic regression was used to evaluate the association of the FNPA (tertiles) with weight status and AN.
  
  
  RESULTS
  Children with AN (13.7%) had a significantly lower FNPA score (56.3 + 7.1) compared with children without AN (61.0 + 7.1; P<.05). Children with FNPA scores in the lowest tertile (high-risk) had odds ratios of 1.74 (95% CI =1.05 - 2.91) and 2.77 (95% CI =1.22 - 6.27) compared with children with FNPA scores in the highest tertile (low-risk) for being overfat and having AN, respectively.
  
  
  CONCLUSIONS
  Although the FNPA screening tool did not predict risk for being overweight or obese, it was significantly associated with an increased odds of children at risk for being overfat or having AN.
authors.affiliation: 1. Department of Kinesiology, Michigan State University, East Lansing, Michigan.
authors.forename: Kimbo E
authors.initials: KE
authors.lastname: Yee
authors.affiliation: 1. Department of Kinesiology, Michigan State University, East Lansing, Michigan.
authors.forename: Karin A
authors.initials: KA
authors.lastname: Pfeiffer
authors.affiliation: 1. Department of Kinesiology, Michigan State University, East Lansing, Michigan.
authors.forename: Kelly
authors.initials: K
authors.lastname: Turek
authors.affiliation: 1. Department of Kinesiology, Michigan State University, East Lansing, Michigan.
authors.forename: Marion
authors.initials: M
authors.lastname: Bakhoya
authors.affiliation: 2. Department of Radiology, Michigan State University, East Lansing, Michigan.
authors.forename: Joseph J
authors.initials: JJ
authors.lastname: Carlson
authors.affiliation: 3. Department of Pediatrics, Hurley Medical Center, Flint, Michigan & Michigan State University, East Lansing, Michigan.
authors.forename: Mahesh
authors.initials: M
authors.lastname: Sharman
authors.affiliation: 4. Crim Fitness Foundation, Flint, Michigan.
authors.forename: Erin
authors.initials: E
authors.lastname: Lamb
authors.affiliation: 2. Department of Radiology, Michigan State University, East Lansing, Michigan.
authors.forename: Joey C
authors.initials: JC
authors.lastname: Eisenmann
mesh_terms: D000052:Acanthosis Nigricans / Q000150:complications* / Q000523:psychology*; D050154:Adiposity; D000293:Adolescent; D015992:Body Mass Index; D002648:Child; D015444:Exercise; D005260:Female; D006306:Health Surveys; D006801:Humans; D008297:Male; D008824:Michigan; D009749:Nutrition Surveys; D016017:Odds Ratio; D050177:Overweight / Q000209:etiology*; D018570:Risk Assessment; D012959:Socioeconomic Factors; D014504:Urban Health
keywords: Elementary School; Familial Environment; Obesity; Youth