Comparação das curvas NCHS, CDC e OMS em crianças com risco cardiovascular

Oliveira, Grasiela Junges de; Barbiero, Sandra Mari; Cesa, Cláudia Ciceri; Pellanda, Lúcia Campos

doi:10.1016/j.ramb.2013.02.001

Cited by 14 publications

(7 citation statements)

References 17 publications

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“…In contrast, Oliveira et al 28 revealed that the cut-off points recommended by the WHO 25 are more sensitive for obesity identification compared to other criteria, such as those stipulated by the CDC 24 and the National Center for Health Statistics (NCHS). 29 In this case, we emphasize that the WHO proposal was revised and updated in 2007, 25 demonstrating the need for periodic updates concerning reference values.…”

Section: Discussionmentioning

confidence: 93%

New Reference Parameters for Body Mass Index in Children Aged Six to Ten Years

Freitas

Silveira

Santana

et al. 2021

Rev. paul. pediatr.

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Objective: To determine new body mass index (BMI) reference values to classify the nutritional status of children aged six to ten years old from the city of Montes Claros (state of Minas Gerais), Southeast Brazil. Methods: The sample consisted of 3,863 individuals from both genders. Body mass and height were measured to determine the BMI. We adopted the Lambda, Mu, and Sigma (LMS) method to obtain the cut-off points. After that, each stratum curve was smoothed using quartic polynomials by gender. Average interpolation was used to determine the biannual distribution values. We calculated the 3rd, 85th, and 95th centiles to classify underweight, overweight, and obesity, respectively, according to gender and age. Results: After tabulating the LMS parameters at biannual intervals by gender, we plotted a graphic with seven centiles of BMI distribution and calculated the new BMI parameters for children aged 6-10 years old from the city of Montes Claros. The cut-off values for underweight, overweight, and obesity classification were, respectively, 17.5, 25 and 30 kg/m2. Conclusions: For the studied children, the use of traditional BMI references may result in the overestimation of underweight and underestimation of overweight and obesity. Studies should be carried out with periodic updates, respecting the characteristics of each location in order to use BMI reference values to classify the nutritional status of children and adolescents.

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Section: Discussionmentioning

confidence: 93%

New Reference Parameters for Body Mass Index in Children Aged Six to Ten Years

Freitas

Silveira

Santana

et al. 2021

Rev. paul. pediatr.

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“…the formula: BMI = weight/height² (kg/m²). For the classification, the cutoff points of the Centers for Disease Control and Prevention (CDC)/ National Center for Health Statistics (NCHS) 15 were used. The parents' BMI was obtained through a self-reported questionnaire, and classified according to the criteria of the World Health Organisation 16 .…”

Section: Resultsmentioning

confidence: 99%

Screen time above recommendations in children and adolescents: analysis of the associated nutritional, behavioral and parental factors

Souza

Marques

Reuter

2020

jhgd

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Introduction: Sedentary routines characterised by multimedia games favour an increase in the prevalence of obesity in schoolchildren and their parents. Thus, identifying the factors associated with screen time during childhood and adolescence is essential for the development of public health strategies. Objective: To analyse whether excessive time in front of screens in children and adolescents is associated with nutritional, behavioural and parental factors. Methods: Cross-sectional study on 795 schoolchildren, of which 354 were male, aged between 7 and 17 years, and their parents (father or mother) from a municipality in southern Brazil. The screen time spent by the students was self-reported, obtained in hours, considering excessive to be ≥ 2 hours a day. The parents’ nutritional profile was assessed in terms of body mass index (BMI). For the data analysis, the prevalence ratio (PR) was used and analysed using the Poisson regression, with 95% confidence intervals (CI). Results: We found a high frequency of overweight/obese students (30.9%), with low levels of cardiorespiratory fitness (53.7%), who spend ≥ 2 hours daily on the TV, computer or video games (57.1%). Screen time was associated with the prevalence of being overweight (PR = 1.06; CI = 1.00-1.13) and obesity (PR = 1.10; CI =: 1.03-1.18) among fathers, only among adolescents. Conclusion: Excessive screen time among adolescents was associated with the father’s nutritional status. It is suggested that strategies to reduce screen time should be implemented from childhood, involving the entire family.

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“…Other studies with preschool children, comparing different criteria for classification of nutritional status, also observed higher prevalences of overweight by WHO classification 18,36 . These growth curves were identified as the most sensitive to identify obesity in a cardiovascular risk population when compared to the National Center of Health Statistics (NCHS) and CDC curves 37 .…”

Section: Discussionmentioning

confidence: 99%

Estado nutricional de crianças do baixo Amazonas: concordância entre três critérios de classificação

Duarte

Santos

Minatto

et al. 2018

J. Hum. Growth Dev.

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Introdução: A avaliação do estado nutricional é fundamental na infância, pois a desnutrição, o sobrepeso e a obesidade são estágios indicativos de desequilíbrios que podem influenciar o adequado desenvolvimento infantil e interferir nos processos de saúde/doença. Objetivo: Determinar a concordância entre três métodos de avaliação do estado nutricional de crianças de 2 a 6 anos de idade da região do Baixo Amazonas, Brasil. Método: Estudo exploratório, epidemiológico com desenho transversal de base escolar realizado em 2014 com crianças do Ensino Infantil da cidade de Parintins. Foi avaliado o estado nutricional, pelo índice de massa corporal, segundo três critérios de avaliação: Conde e Monteiro, Cole et al. e Organização Mundial da Saúde (OMS). Aplicaram-se testes descritivos e de associação para análise do comportamento das variáveis e o coeficiente de Kappa para investigar a concordância dos resultados entre os três critérios.Resultados: Participaram da pesquisa 1.387 crianças (714 meninos) com idade média de 5 anos. Os meninos apresentaram maior prevalência de sobrepeso em relação às meninas pela classificação da OMS, em contrapartida maior proporção de meninas com baixo peso, segundo o critério nacional. Os melhores níveis de concordância foram para o sexo feminino e o protocolo nacional apresentou satisfatória concordância com os protocolos de uso internacional, com destaque para o proposto pela OMS. Conclusão: Desse modo, conclui-se que houve concordância entre os critérios de avaliação do estado nutricional em crianças do Baixo Amazonas.

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Comparação das curvas NCHS, CDC e OMS em crianças com risco cardiovascular

Abstract: The new WHO curves are more sensitive to identify obesity in a population at risk, which has important implications for preventive and therapeutic management.

Cited by 14 publications

References 17 publications

New Reference Parameters for Body Mass Index in Children Aged Six to Ten Years

New Reference Parameters for Body Mass Index in Children Aged Six to Ten Years

Screen time above recommendations in children and adolescents: analysis of the associated nutritional, behavioral and parental factors

Estado nutricional de crianças do baixo Amazonas: concordância entre três critérios de classificação

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