Association of anthropometric indices with cardiovascular disease risk factors among children and adolescents: CASPIAN Study

Kelishadi, Roya; Gheiratmand, Riaz; Ardalan, Gelayol; Adeli, Khosrow; Gouya, Mohammad Mehdí; Razaghi, Emran; Majdzadeh, Reza; Delavari, Alireza; Shariatinejad, Keyvan; Motaghian, Molouk; Heshmat, Ramin; Heidarzadeh, Abtin; Barekati, Hamed; Mahmoud-Arabi, Minoo Sadat; Riazi, Mohammad Mehdi

doi:10.1016/j.ijcard.2006.06.012

Cited by 92 publications

(94 citation statements)

References 39 publications

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“…As in prior reports from Colombia and other developing countries 31,37 , the most frequent dyslipidemia was low HDLc (13.3%), followed by hypertriglyceridemia (9.2%) and then hypercholesterolemia (6.0%). Given that 40 to 55% of children and adolescents with high levels of TC and LDLc will track these high levels up to 15 years later 38 , the possibility that these dyslipidemic young individuals will become adults at high risk of cardiovascular disease justifies early intervention strategies.…”

Section: Discussionsupporting

confidence: 73%

“…This agrees with prior studies where adolescents with high BMI not only present higher lipid and blood pressure levels 39,40 , but also higher fasting insulinemia 41 and insulin resistance 42 . To contextualize our findings regarding WC and abdominal obesity is difficult because: I) Although WC is a good predictor of CVRF in children 43 , the same is not true for young men 37 , for whom the BMI seems to have a better predictive value to identify CVRF, II) The WC value does not affect therapeutic management when BMI and other CVRF are determined simultaneously 44 and III) Despite the existence of WC reference values in Mexican-American, African -American, Brazilian, Spanish, Australian, British and Canadian teenagers 44 there is no agreement about a cutoff point for WC in children and adolescents that can be associated with morbidity later in life.…”

Section: Discussionmentioning

confidence: 99%

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Cardiovascular risk factors and metabolic syndrome in a population of young students from the National University of Colombia

Feliciano-Alfonso¹,

Mendivil²,

Ariza³

et al. 2010

Rev. Assoc. Med. Bras.

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SummaryObjective. To estimate prevalence and distribution of cardiovascular risk factors and Metabolic Syndrome (MS) in young individuals admitted to the National University of Colombia in Bogotá.MethOds. An analytic cross-sectional study was conducted in a sample of 249 individuals of both genders aged 15 to 20 years. A questionnaire was personally administered to collect demographic, socioeconomic, smoking, perinatal, and women's health data. Anthropometric measurements, blood pressure, and a fasting blood sample were taken. Prevalence of MS was determined and compared using criteria from several qualified institutions. Results. We found a high prevalence of smoking (18.9%), arterial prehypertension (14.1%) and overweight (11.2%), 9.2% of study participants had prediabetes, and the most frequent dyslipidemia was low HDL cholesterol (13.3%). Alcoholic beverage consumption was declared by 60.6% of study participants. Body mass index was associated with significant increases in blood pressure, LDL cholesterol and plasma triglyceride levels. Gestational age at birth was inversely associated with presence of low HDL cholesterol levels and high blood pressure. Prevalence of the MS varied markedly according to the definition employed: 9.2% using REGODCI (Research Group on Diabetes and Chronic Illnesses) criteria, 2% using IDF (International Diabetes Federation) criteria, and 2.4% using AHA (American Heart Association) criteria. cOnclusiOn. The encountered prevalence of modifiable cardiovascular risk factors justifies promotion of therapeutic lifestyle changes among this age group in Colombia. Further harmonization of MS criteria in young individuals is needed. caRdiOvasculaR Risk factORs and MetabOlic syndROMe in a pOpulatiOn Of yOung students fROM the natiOnal univeRsity Of cOlOMbia jOhn edwin felicianO-alfOnsO 1* , caRlOs OliMpO Mendivil 2 , iván daRíO sieRRa aRiza 3 , claRa eugenia péRez 4 Study conducted at

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Section: Discussionsupporting

confidence: 73%

Section: Discussionmentioning

confidence: 99%

Cardiovascular risk factors and metabolic syndrome in a population of young students from the National University of Colombia

Feliciano-Alfonso¹,

Mendivil²,

Ariza³

et al. 2010

Rev. Assoc. Med. Bras.

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“…The results of studies were complicated even in Asian children. The CASPIAN study conducted in Iran showed that BMI, WC, and WSR have equal abilities for predicting CVD risk factors among children 10) . However, the study of Hara et al showed that WSR is the best predictor in Japanese school children 11) .…”

Section: Cvd Risk Factorsmentioning

confidence: 99%

Waist Circumference is Better Than Other Anthropometric Indices for Predicting Cardiovascular Disease Risk Factors in Chinese Children—a Cross-Sectional Study in Guangzhou

Cai

Deng

et al. 2016

J Atheroscler Thromb

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Aim:To determine the best anthropometric index among body mass index (BMI), waist circumference (WC), waist-to-hip ratio (WHR), and waist-to-stature ratio (WSR) and to derive optimal thresholds for predicting CVD risk factors in Chinese children. Methods: A total of 2563 children aged 8 -12 years were recruited in Guangzhou, China. Anthropometric indices were measured in all participants. Systolic and diastolic blood pressure (SBP and DBP, respectively), glucose, triglyceride (TG), total cholesterol, high-density lipoprotein cholesterol (HDL-C) and low-density lipoprotein cholesterol (LDL-C) were measured in a subsample of 1609 children. Results: In partial correlation analyses, the highest coefficients were found for WC in four risk factors in both genders. The receiver operating characteristic (ROC) analyses showed that WC was comparably consistent among the best in predicting BP and risk factor clustering, WC and WSR were the best in predicting HDL-C and TG in boys; WC, slightly better than BMI, was the best in distinguishing high BP and risk factor clustering in girls. In contrast, WHR was consistently the poorest index in both genders. Optimal age-and gender-specific thresholds to identify individual and clustering risk factors were provided; the thresholds for WC were 57.4 -80.4 cm and 55.8 -69.6 cm in boys and girls, respectively. Conclusions: WC was the comparatively consistent and best predictor of CVD risk factors compared with WSR and BMI, although the differences were small and depended on the type of risk factor and gender, and WHR was consistently the poorest predictor in Chinese children. See

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“…General obesity is strongly associated with atherogenic dyslipidemia in youth [60]. Several studies show an association between AO and abnormal lipid profile in children and adolescents [11,35,58,[61][62][63][64][65][66], especially associated with high low-density lipoprotein cholesterol (LDL-C), low high-density lipoprotein cholesterol (HDL-C), and hypertriglyceridemia at all ages [67][68][69][70].…”

Section: Lipid Abnormalitiesmentioning

confidence: 99%

Abdominal obesity and cardiometabolic risk in children and adolescents, are we aware of their relevance?

Forkert

Rendo-Urteaga

Nascimento-Ferreira

et al. 2016

Nutrire

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Obesity prevalence has increased worldwide over the last decades and has reached alarming rates in low middleincome countries. Childhood has been affected by this epidemic, leading to premature dramatic health problems. Adipose tissue is currently considered as an endocrine organ modulating an inflammatory state and important metabolic processes (insulin resistance, hypertension, glucose intolerance) leading to consequences of the cardiovascular system. This situation may be worst if the excess of body fat distribution such as abdominal obesity (AO) is involved because it is associated with a more atherogenic risk profile determining the cardiometabolic risks mainly in children and adolescents. Hence, the knowledge regarding the association between AO and cardiometabolic factors aims to prevent and treat the obesity in this young population, avoiding early harmful consequences of adulthood health.

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Association of anthropometric indices with cardiovascular disease risk factors among children and adolescents: CASPIAN Study

Cited by 92 publications

References 39 publications

Cardiovascular risk factors and metabolic syndrome in a population of young students from the National University of Colombia

Cardiovascular risk factors and metabolic syndrome in a population of young students from the National University of Colombia

Waist Circumference is Better Than Other Anthropometric Indices for Predicting Cardiovascular Disease Risk Factors in Chinese Children—a Cross-Sectional Study in Guangzhou

Abdominal obesity and cardiometabolic risk in children and adolescents, are we aware of their relevance?

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