Accuracy of abdominal circumference for diagnosing overweight in six-to-seven-years-old children

Abstract

Objective: To estimate the accuracy of abdominal circumference measurement as a method of diagnosing overweight in six-to-seven-years-old children. Methods: A cross-sectional study involving 1026 six-to-seven-years-old schoolchildren in southern Brazil was carried out. Children’s weight and height were collected at schools. Body mass index were calculated and categorized in z-score in eutrophy, overweight and obesity. Abdominal circumference was measured in centimeters with a tape with children in standing position at midpoint between the lower ribs margin and the iliac crest. Correlation between abdominal circumference and body mass index was performed through Pearson's correlation coefficient. Sensitivity, specificity, positive and negative predictive values of abdominal circumference were estimated. The Receiver Operating Characteristic Curve was used to measure the accuracy. Results: A positive linear correlation value of 0.582 and a determination coefficient 0.39 were observed. The accuracy value of 0.859 was observed. Sensitivity, specificity, positive and negative predictive values varied according to each value in centimeters of abdominal circumference. Conclusion: Abdominal circumference measure showed to be an accurate method for detecting overweight and obesity in six-to-seven-years-old children.

Accuracy of neck circumference in the diagnosis of overweight in children

“…On the contrary, other diagnostic methods have been proposed to help measure childhood obesity, such as waist circumference 4 and neck circumference 5 . The latter showed an important correlation with metabolic syndrome parameters and has a very low cost 6 .…”

“…Studies 4 , 5 , 7 have shown a relationship between childhood overweight and obesity and neck circumference, being potentially as effective as waist circumference and BMI in measuring overweight and obesity. In 6-year-old children, neck circumference presented an accuracy of 77.2% as a diagnostic method for overweight.…”