Precisión diagnóstica del índice cintura-talla para la identificación del sobrepeso y de la obesidad infantil

Marrodán, María Dolores; Martínez-Álvarez, Jesús Román; Espinosa, Marisa González Montero de; López‐Ejeda, Noemí; Cabañas, María Dolores; Martínez, Consuelo Prado

doi:10.1016/j.medcli.2012.01.032

Cited by 37 publications

(30 citation statements)

References 21 publications

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“…Scientific evidence shows that WHtR was strongly associated with abdominal fat measured by advanced imaging techniques such as computed tomography and magnetic resonance imaging [18]. Several studies of sensitivity and specificity demonstrated the WHtR as a method to use for identifying childhood overweight, obesity, and tracking of inflammatory and cardiometabolic risk in 6-to 16-year-old children [4,6,7,[10][11][12].…”

Section: Discussionmentioning

confidence: 99%

“…Waist circumference, trunk adiposity index (TAI), and waist-to-height ratio (WHtR) have a good correlation with central adiposity and the low cost make these available and easily applicable indicators in clinical practice and research [6][7][8][9]. Some studies have shown that waist circumference in children tends to increase with growth, requiring specific references for sex and age [10]. Waist-to-height ratio has the advantage of not requiring such references or points of cut-offs, which facilitates its use [10][11][12].…”

Section: Introductionmentioning

confidence: 99%

“…Some studies have shown that waist circumference in children tends to increase with growth, requiring specific references for sex and age [10]. Waist-to-height ratio has the advantage of not requiring such references or points of cut-offs, which facilitates its use [10][11][12].…”

Section: Introductionmentioning

confidence: 99%

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Resistin and visfatin concentrations are related to central obesity and inflammation in Brazilian children

Simões

Domingos

Oliveira

et al. 2018

Nutrire

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Background: The evidence that cardiovascular disease begins in childhood and adolescence, especially in the presence of excess weight, is associated with dysfunction on adipokine pro-inflammatory secretion. These affect glucose metabolism and lead to other complications related to insulin resistance and cardiovascular disease. This study assessed the association of anthropometric and metabolic parameters related to obesity, cardiovascular risk, and insulin resistance with concentrations of resistin and visfatin, in children. Methods: A cross-sectional study was developed with 178 children of 6-10 years old enrolled in public city schools. Anthropometric data, composition body, clinical, and biochemical were measured according to standard procedures. We used multiple regression models by stepwise method to evaluate the associations of resistin and visfatin with variables of interest. Results: In healthy weight children, resistin was associated with LDL cholesterol, visfatin, atherogenic index, and waist-to-height ratio, whereas in obese children resistin was associated with visfatin and interaction between conicity index and HOMA-AD. Furthermore, in healthy weight children, visfatin was associated to resistin and triceps skinfold thickness and negatively associated to HOMA-AD, while in obese ones visfatin was associated with waistto-height ratio, atherogenic index, resistin, and interaction between trunk adiposity index and adiponectin and was negatively associated with the HOMA-IR index. Conclusions: Our study shows an association between anthropometric and biochemical variables related to visceral fat and inflammation. These results suggest the resistin and visfatin as good pro-inflammatory markers. In addition, both adipokines are strongly related to central obesity, in children.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Resistin and visfatin concentrations are related to central obesity and inflammation in Brazilian children

Simões

Domingos

Oliveira

et al. 2018

Nutrire

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“…Conversely, the study by Marrodán et al 34 demonstrated that WHR was an effective method to predict relative adiposity in children and adolescents aged 6-14 years. Brambilla et al 35 observed that, when compared to WC and BMI, WHR was the best predictor of adiposity in children and adolescents, suggesting that this parameter may be a useful substitute for measuring body fat when other measures are not available.…”

Section: Introductionmentioning

confidence: 96%

“…Regarding the methodological aspects, some studies used the classification of overweight/obesity by BMI according to the IOTF for the ROC curve analysis,34 , 40 , 41 while others considered the high percentage of body fat and upper body fat in relation to the study population, measured by bioelectrical impedance,32 DXA,49 and skinfold thickness42 as reference methods. There was also no agreement regarding the anatomical site for WC measurement, which leads to changes in WHR measurements.…”

Section: Introductionmentioning

confidence: 99%

Perímetro da cintura, relação cintura/estatura e perímetro do pescoço como parâmetros na avaliação da obesidade central em crianças

Magalhães

Sant’Ana

Priore

et al. 2014

Revista Paulista de Pediatria

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Objective:To analyze studies that assessed the anthropometric parameters waist circumference (WC), waist-to-height ratio (WHR) and neck circumference (NC) as indicators of central obesity in children. Data sources:We searched PubMed and SciELO databases using the combined descriptors: "Waist circumference", "Waist-to-height ratio", "Neck circumference", "Children" and "Abdominal fat" in Portuguese, English and Spanish. Inclusion criteria were original articles with information about the WC, WHR and NC in the assessment of central obesity in children. We excluded review articles, short communications, letters and editorials. Data synthesis:1,525 abstracts were obtained in the search, and 68 articles were selected for analysis. Of these, 49 articles were included in the review. The WC was the parameter more used in studies, followed by the WHR. Regarding NC, there are few studies in children. The predictive ability of WC and WHR to indicate central adiposity in children was controversial. The cutoff points suggested for the parameters varied among studies, and some differences may be related to ethnicity and lack of standardization of anatomical site used for measurement. Conclusions:More studies are needed to evaluate these parameters for determination of central obesity children. Scientific literature about NC is especially scarce, mainly in the pediatric population. There is a need to standardize site measures and establish comparable cutoff points between different populations.

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Effect of a combined exercise program on physical fitness, lung function, and quality of life in patients with controlled asthma and exercise symptoms: A randomized controlled trial

Santiago

Díez-Vega

Santana‐Sosa

et al. 2020

Pediatric Pulmonology

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Background Asthmatic patients may benefit from exercise training, although the effects of a combined aerobic and resistance training program are still poorly investigated in children and adolescents. Objective To analyze the effects of a combined exercise training (resistance and aerobic) program on aerobic fitness, lung function, asthma control and quality of life in a group of mild‐moderate asthmatic children with exercise symptoms. Methods This was a 12‐week randomized controlled trial including children and adolescents diagnosed with mild‐moderate asthma and presenting exercise‐induced symptoms. The intervention group (IG) performed the exercise training (resistance and aerobic) 3 days/week, for 60 minutes. The control group (CG) followed routine clinical orientations. The main outcomes were cardiorespiratory fitness, muscle strength, lung function, quality of life, asthma control, and functional tests after 3 months of the intervention. Results Fifty‐three patients (IG = 25 and CG = 28) with a mean age of 11.5 ± 2.6 years were included. No significant differences were found between groups regarding lung function, asthma control, quality of life, and functional tests. Ventilatory equivalent for oxygen consumption at ventilatory threshold (P = .025; η p 2 = 0.083), peak oxygen consumption (P = .008; η p 2 = 0.116) and test duration (P = .014; η p 2 = 0.1) presented greater improvements in the IG. In addition, improvements were observed in leg press (P < .001; η p 2 = 0.36), hamstring curl (P = .001; η p 2 = 0.217), high row (P = .003; η p 2 = .167), low row (P = .009; η p 2 = 0.128) and quadriceps leg extension (P = .015; η p 2 = 0.108) in the IG. Conclusion Combined exercise training (resistance and aerobic) improved cardiorespiratory fitness and muscle strength in children and adolescents with controlled asthma and exercise symptoms.

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Precisión diagnóstica del índice cintura-talla para la identificación del sobrepeso y de la obesidad infantil

Cited by 37 publications

References 21 publications

Resistin and visfatin concentrations are related to central obesity and inflammation in Brazilian children

Resistin and visfatin concentrations are related to central obesity and inflammation in Brazilian children

Perímetro da cintura, relação cintura/estatura e perímetro do pescoço como parâmetros na avaliação da obesidade central em crianças

Effect of a combined exercise program on physical fitness, lung function, and quality of life in patients with controlled asthma and exercise symptoms: A randomized controlled trial

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