Anthropometric Profile, Biological Maturation, and Nutritional Status in Schoolchildren from Neiva, Huila, Colombia: A Cross-Sectional Analysis of Maturity Offset and the Double Burden of Malnutrition
Main Article Content
Abstract
This cross-sectional study aimed to characterize anthropometric indicators, biological maturation status, and nutritional patterns in schoolchildren from Neiva, Huila, Colombia. A total of 193 participants (108 males and 85 females) were evaluated. Biological maturation was estimated using the Maturity Offset (MO) method, and Age at Peak Height Velocity (APHV) was calculated using the Moore model based on chronological age and stature.
Mean APHV was 14.18 ± 0.69 years in males and 12.52 ± 0.41 years in females, indicating that males were, on average, in the Circa-PHV stage, whereas females had progressed to the Post-PHV stage. A Double Burden of Malnutrition was identified, characterized by the coexistence of underweight and overweight/obesity within the same population. Correlation analysis revealed weak associations between MO and adiposity indicators, particularly body mass index (p ≤ 0.357), suggesting a decoupling between skeletal maturation and fat mass accumulation.
These findings indicate that biological maturation follows a trajectory largely independent of adiposity and underscore the importance of incorporating biological age into nutritional assessment and exercise prescription. Given the historical nature of the dataset (2013), updated longitudinal studies are required to monitor secular trends in growth, maturation, and nutritional status in this region.
Article Details
Copyright (c) 2025 Laiseca JDL.

This work is licensed under a Creative Commons Attribution 4.0 International License.
Baxter-Jones ADG, Sherar LB. Growth and maturation. In: Armstrong N, editor. Paediatric exercise physiology. London: Elsevier. 2006;1–30.
Malina RM, Rogol AD, Cumming SP, Coelho e Silva MJ, Figueiredo AJ. Biological maturation of youth athletes: assessment and implications. Br J Sports Med. 2015;49(13):852–9. Available from: https://doi.org/10.1136/bjsports-2015-094623 DOI: https://doi.org/10.1136/bjsports-2015-094623
Baxter-Jones ADG, Barbour-Tuck EN, Dale D, Sherar LB, Knight CJ, Cumming SP, et al. The role of growth and maturation during adolescence on team-selection and short-term sports participation. Ann Hum Biol. 2020;47(4):316–23. Available from: https://doi.org/10.1080/03014460.2019.1707870 DOI: https://doi.org/10.1080/03014460.2019.1707870
Lloyd RS, Oliver JL, Faigenbaum AD, Myer GD, De Ste Croix MBA. Chronological age vs biological maturation: implications for exercise programming in youth. J Strength Cond Res. 2014;28(5):1454–64. Available from: https://doi.org/10.1519/jsc.0000000000000391 DOI: https://doi.org/10.1519/JSC.0000000000000391
Gómez-Campos R, Hespanhol JE, Portella D, Vargas Vitoria R, De Arruda M, Cossio-Bolaños MA. Predicting somatic maturation from anthropometric variables: validation and proposed equations to school in Brazil. Nutr Clin Diet Hosp. 2012;32(3):7–17. Available from: https://revista.nutricion.org/PDF/PREDICCION.pdf
Fransen J, Bush S, Woodcock S, Novak A, Deprez D, Baxter-Jones ADG, et al. Improving the prediction of maturity using a maturity ratio. Pediatr Exerc Sci. 2018;30(2):296–307. Available from: https://doi.org/10.1123/pes.2017-0009 DOI: https://doi.org/10.1123/pes.2017-0009
Moore SA, McKay HA, Macdonald H, Nettlefold L, Baxter-Jones ADG, Mirwald RL, et al. Enhancing a somatic maturity prediction model. Med Sci Sports Exerc. 2015;47(8):1756–64. Available from: https://doi.org/10.1249/mss.0000000000000588 DOI: https://doi.org/10.1249/MSS.0000000000000588
López-Laiseca JD, Massuça LM. Age of pubertal height growth spurt in children and adolescents from Huila, Colombia. Rev Fac Med. 2023;71:e102130. Available from: https://doi.org/10.15446/revfacmed.v71n4.102130 DOI: https://doi.org/10.15446/revfacmed.v71n4.102130
Laiseca JDL, Norton KI, Massuça LM. Body size of children and adolescents from sports schools in Neiva-Huila, Colombia. Sports. 2025;13(11):371. Available from: https://doi.org/10.3390/sports13110371 DOI: https://doi.org/10.3390/sports13110371
López-Laiseca JD, Massuça LM. Reference values for height, weight, and body mass index in Colombian children and adolescents. Rev Fac Med. 2021;69(3):e300.
Cediel-Giraldo G, Castaño-Moreno E, Gaitán-Charry D. Doble carga de malnutrición durante el crecimiento en Colombia. Rev Salud Publica (Bogota). 2016;18(4):527–39. DOI: https://doi.org/10.15446/rsap.v18n4.47769
Mazariegos M, Sánchez BN, Ortigoza A, Moore K, Kroker-Lobos MF, Ramírez-Zea M, et al. Double burden of malnutrition in 115 Latin American cities: ecological analysis. Rev Fac Cienc Salud. 2024;2(103). Available from: https://doi.org/10.1002/rfc2.103 DOI: https://doi.org/10.1002/rfc2.103
Instituto Colombiano de Bienestar Familiar. Encuesta Nacional de Situación Nutricional en Colombia (ENSIN 2015). Bogotá: ICBF; 2017.
Jung C, Fischer N, Fritzenwanger M, Pernow J, Brehm BR, Figulla HR. Association of waist circumference and cardiovascular risk factors in adolescents. Pediatr Diabetes. 2009;10(5):329–35. Available from: https://doi.org/10.1111/j.1399-5448.2008.00486.x DOI: https://doi.org/10.1111/j.1399-5448.2008.00486.x
Organización Mundial de la Salud. Crecimiento y desarrollo del niño y del adolescente. Ginebra: OMS; 1993. Available from: https://www.who.int/es/health-topics/adolescent-health#tab=tab_1
Balasundaram P, Avulakunta ID. Human growth and development. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023. Available from: https://www.ncbi.nlm.nih.gov/books/NBK567767/
Beunen GP, Malina RM. Growth and biologic maturation: relevance to athletic performance. In: Hebestreit H, Bar-Or O, editors. The young athlete. Oxford: Blackwell Publishing; 2008. p. 3–17. Available from: https://doi.org/10.1002/9780470696255.ch1 DOI: https://doi.org/10.1002/9780470696255.ch1
Malina RM, Bouchard C, Bar-Or O. Growth, maturation, and physical activity. 2nd ed. Champaign (IL): Human Kinetics; 2004. Available from: https://doi.org/10.5040/9781492596837 DOI: https://doi.org/10.5040/9781492596837
Eisenmann JC, Till K, Baker J. Growth, maturation, and youth sports: issues and practical solutions. Ann Hum Biol. 2020;47(4):324–7. Available from: https://doi.org/10.1080/03014460.2020.1764099 DOI: https://doi.org/10.1080/03014460.2020.1764099
World Medical Association. Declaration of Helsinki: ethical principles for medical research involving human subjects. JAMA. 2013;310(20):2191–4. Available from: https://doi.org/10.1001/jama.2013.281053 DOI: https://doi.org/10.1001/jama.2013.281053
Ministerio de Salud. Resolución 008430 de 1993: normas éticas para la investigación en salud. Bogotá: Ministerio de Salud; 1993. Available from: https://tinyurl.com/ydm34yuv
Stewart A, Marfell-Jones M, Olds T, De Ridder J. International standards for anthropometric assessment. Lower Hutt: ISAK; 2011. Available from: https://www.researchgate.net/publication/236891109_International_Standards_for_Anthropometric_Assessment
Lohman TG, Roche AF, Martorell R. Anthropometric standardization reference manual. Champaign (IL): Human Kinetics; 1988. Available from: https://www.ngds-ku.org/Papers/J78/Lohmann.pdf
Kobel S, Kirsten J, Kelso A. Anthropometry – assessment of body composition. Dtsch Z Sportmed. 2022;73:106–11. Available from: https://www.germanjournalsportsmedicine.com/archive/archive-2022/issue-3/anthropometry-assessment-of-body-composition/ DOI: https://doi.org/10.5960/dzsm.2022.527
World Health Organization. WHO Child Growth Standards. Geneva: World Health Organization; 2006.
Ministerio de Salud y Protección Social. Resolución 2465 de 2016: indicadores antropométricos para Colombia. Bogotá: Ministerio de Salud y Protección Social; 2016.
Areekal SA, Goel P, Khadilkar A, Khadilkar V, Cole TJ. Assessment of height growth in Indian children using growth centiles. Ann Hum Biol. 2022;49(5–6):228–35. Available from: https://doi.org/10.1080/03014460.2022.2107238 DOI: https://doi.org/10.1080/03014460.2022.2107238
Tsutsui T, Iizuka S, Sakamaki W, Maemichi T, Torii S. Growth until peak height velocity occurs rapidly in early maturing adolescent boys. Children. 2022;9(10):1570. Available from: https://doi.org/10.3390/children9101570 DOI: https://doi.org/10.3390/children9101570
Müller L, Müller E, Hildebrandt C, Kapelari K, Raschner C. Assessment of biological maturation for talent selection. Sportverletz Sportschaden. 2015;29(1):56–63. Available from: https://doi.org/10.1055/s-0034-1399043 DOI: https://doi.org/10.1055/s-0034-1399043
Charbonnet B, Sieghartsleitner R, Schmid J, Zuber C, Zibung M, Conzelmann A. Maturity-based correction mechanism for talent identification. J Sports Sci Med. 2022;21:640–57. Available from: https://doi.org/10.52082/jssm.2022.639 DOI: https://doi.org/10.52082/jssm.2022.640
Carter JEL, Heath BH. Somatotyping: development and applications. Cambridge: Cambridge University Press; 1990. Available from: http://catdir.loc.gov/catdir/samples/cam034/89035775.pdf
Hernández Vásquez LA. Determinación del perfil antropométrico y físico en escolares de 10–16 años. Educ Ciudad. 2022;43:237–59. DOI: https://doi.org/10.36737/01230425.n43.2022.2705
Rogol AD, Clark PA, Roemmich JN. Growth and pubertal development: effects of diet and physical activity. Am J Clin Nutr. 2000;72(2 Suppl):521S–8S. Available from: https://doi.org/10.1093/ajcn/72.2.521s DOI: https://doi.org/10.1093/ajcn/72.2.521S
Naddeh D, AlSharei ASAG. Nutrition and puberty. World Fam Med. 2022;20(1):152–165. Available from: https://doi.org/10.5742/MEWFM.2022.95221 DOI: https://doi.org/10.5742/MEWFM.2022.95221
Martínez F, Silva J, Lagos F, Saguez R. Relación entre maturity offset, somatotipo y composición corporal en futbolistas. Retos. 2023;50:124–31.
Curilem Gatica C, Sanzana DT, Curilem NT, Curilem ET. Relación entre maduración biológica y composición corporal en adolescentes. Rev Chil Nutr. 2019;46(6):701–7.
Kang E, Chun D, Kang J, Kim J, Rhie YJ. Biological maturity and body composition changes in Korean adolescents. Endocr Abstr. 2025;110:P916. Available from: https://www.endocrine-abstracts.org/ea/0110/ea0110p916
Bouchard C, Malina RM, Pérusse L. Genetics of fitness and physical performance. Champaign (IL): Human Kinetics; 1997. Available from: https://www.scirp.org/reference/referencespapers?referenceid=2109477
Kim DS, Wheeler MT, Ashley EA. The genetics of human performance. Nat Rev Genet. 2022;23:40–54. Available from: https://doi.org/10.1038/s41576-021-00400-5 DOI: https://doi.org/10.1038/s41576-021-00400-5
Fernández JR, Redden DT, Pietrobelli A, Allison DB. Waist circumference percentiles by ethnicity in youth. J Pediatr. 2004;145(4):439–44. Available from: https://doi.org/10.1016/j.jpeds.2004.06.044 DOI: https://doi.org/10.1016/j.jpeds.2004.06.044
Fernández JR, Redden DT, Pietrobelli A, Allison DB. Waist-to-hip ratio vs BMI in predicting risk factors. Int J Obes. 2000;24(11):1453–8. DOI: https://doi.org/10.1038/sj.ijo.0801401
Trandafir LM, Russu G, Moscalu M, Miron I, Lupu VV, Leon Constantin MM, et al. Waist circumference as a clinical criterion for prediction of cardiovascular complications in children and adolescents with overweight and obesity. Medicine (Baltimore). 2020;99(30):e20923. Available from: https://doi.org/10.1097/md.0000000000020923 DOI: https://doi.org/10.1097/MD.0000000000020923
Nevill AM, Bryant E, Wilkinson K, Gomes TN, Chaves R, Pereira S, et al. Waist circumference as a third dimension to BMI. Pediatr Obes. 2019;14(4):e12491. Available from: https://doi.org/10.1111/ijpo.12491 DOI: https://doi.org/10.1111/ijpo.12491
Shu W, Li M, Vermund SH, Li H, Hu Y. Body composition trajectories during childhood predict skeletal maturation at puberty. Heliyon. 2024;10(16):e36381. Available from: https://doi.org/10.1016/j.heliyon.2024.e36381 DOI: https://doi.org/10.1016/j.heliyon.2024.e36381
Silva HMB, Oliveira CC, Souza ALC, Aguiar LBV. Relationship between BMI and bone age. Nutr Hosp. 2019;36(5):1037–1042. Available from: https://doi.org/10.20960/nh.02068 DOI: https://doi.org/10.20960/nh.02068
Chun D, Kim SJ, Suh J, Kim J. Pubertal changes in body composition. Pediatr Res. 2025;97(1):293–300. DOI: https://doi.org/10.1038/s41390-024-03299-w
World Health Organization. The double burden of malnutrition: policy brief. Geneva: WHO; 2017. Available from: https://www.who.int/publications/i/item/WHO-NMH-NHD-17.3
López-Laiseca JD, Massuça LM. Percentiles y curvas de crecimiento en Huila. Rev Fac Med. 2023;71:e102119. DOI: https://doi.org/10.15446/revfacmed.v71n3.102119
Ré AHN. Growth, maturation, and development: implications for sports practice. Motricidade. 2011;7(3):55–67. Available from: https://doi.org/10.6063/motricidade.103 DOI: https://doi.org/10.6063/motricidade.7(3).103
Jovanović J. The evaluation of biological maturity in sport. Sport Sci Pract. 2019;9(1):46–55. Available from: https://sportnaukaipraksa.vss.edu.rs/pdf/SNP-09-01_EN/5-Jovanovic.pdf
Faigenbaum AD, Lloyd RS, Malina RM. Sequential training for young athletes. Br J Sports Med. 2015;49(17):1092–5.
Vega SA, Martinez MG, Vera CE, Sacchi CE, Belzunce Lagos NV, et al. Maturational age and body composition in adolescent athletes. Int J Kinanthropometry. 2024;4(3):84–91. Available from: https://ijok.org/index.php/ijok/article/view/146 DOI: https://doi.org/10.34256/ijk2439
Flores Olivares LA, De León LG, Fragoso MI. Skeletal age prediction model. Sci Rep. 2020;10:15768. Available from: https://doi.org/10.1038/s41598-020-72835-5 DOI: https://doi.org/10.1038/s41598-020-72835-5
Boyer ME, Middleton KM, Duren DL, Leary EV. Estimating peak height velocity: comparison of methods. Ann Hum Biol. 2020;47(5):434–45. Available from: https://doi.org/10.1080/03014460.2020.1763458 DOI: https://doi.org/10.1080/03014460.2020.1763458
Cao Z, Hui LL, Wong MY. New approaches to obtaining PHV using SITAR. Comput Methods Programs Biomed. 2018;163:79–85. Available from: https://doi.org/10.1016/j.cmpb.2018.05.030 DOI: https://doi.org/10.1016/j.cmpb.2018.05.030