Trunk:Periphery Fat Ratio



Overweight and obesity are major health concerns of our time. Body fat has been found to be more predictive of health and disease than overall body mass, central or upper body fat has been more predictive than total body fat, and the distribution of body fat has been found to be more predictive than central or upper body fat. The trunk periphery fat ratio (TPFR) is a measure of the distribution of body fat throughout the body. TPFR is acquired with measures of fat of the body trunk and of the body periphery. TPFR may be measured by subcutaneous skinfold thickness obtained with calipers or by regions of interest from dual energy x-ray absorptiometry (DXA) scans of the whole body. TPFR has been found to vary by sex, ethnicity and rate of maturation where males, Asians, and earlier maturing children have higher TPFR than girls, Whites, African Americans and later maturing children. Birth weight and skeletal breadths (bi-iliac breadth in particular) have been shown to predict TPFR. Earlier versus later maturing boys and girls were also found to have higher TPFR. TPFR may have predictive value for understanding individual and population risk for disease throughout the life span. TPFR variability by sex, ethnicity, birth weight, bi-iliac breadth and maturation rate suggests a possible hormonal or genetic component to the trait. Further research to quantify these risks and protections at different life stages will be valuable to provide targets for research and clinical treatment.


Congenital Adrenal Hyperplasia Skinfold Thickness High Birth Weight Asian Ethnicity Sacrum Ratio 



Body mass index


Dual energy X-ray absorptiometry


Female Adolescent Maturation Study


Trunk periphery fat ratio


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© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  1. 1.Department of Human Nutrition, Food and Animal Sciences, College of Tropical Agriculture and Human ResourcesUniversity of Hawaii at ManoaHonoluluUSA

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