Correlation of body mass index and waist to height ratio with cardiovascular risk factors in Colombian preschool and school children

Colombia Medica (Online)

article

Juan Carlos Aristizabal¹  Jacqueline Barona-Acevedo²  Alejandro Estrada-Restrepo³ 

[1] Physiology and Biochemistry Research Group-PHYSIS, Universidad de Antioquia, Medellín, Colombia. 2 School of Nutrition and Dietetics, Universidad de Antioquia;Food and therapeutic alternatives area, Ophidism Program, School of Microbiology, Universidad de Antioquia;School of Nutrition and Dietetics, Universidad de Antioquia, Medellín, Colombia., Demography and Health Research Group, Universidad de Antioquia

关键词: Obesity;    Abdominal obesity;    Nutritional screening;    Waist-to-height Ratio;    body mass index;    Cardiovascular risk factors;    Pediatric Obesity;    Overweight;   

DOI  :  10.25100/cm.v54i1.4113

学科分类：医学（综合）

来源: Universidad del Valle * Facultad de Salud / Universidad del Valle, Faculty of Health

【 摘 要 】

Objective : To analyze the agreement between body mass index (BMI) and waist-to-height Ratio (WHtR) to identify preschool and school children with cardiovascular risk factors (CRFs). Methods : 321 kids were included in this cross-sectional study, divided into preschool (3 to 5 years) and school children (6 to 10 years). BMI was used to classify children as overweight or obese. Abdominal obesity was defined with a WHtR≥0.50. Fasting blood lipids, glucose and insulin were measured, and the homeostasis model assessment of insulin resistance (HOMA-IR) was calculated. The presence of CRFs and multiple non-waist circumference (non-WC) metabolic syndrome factors (MetS-Factors) [high HOMA-IR, high triglycerides and low high-density lipoprotein cholesterol (HDL-C)] were analyzed. Results : 112 preschool and 209 school children were evaluated. WHtR≥0.50 classified abdominal obesity in more than half of the preschool children, exceeding those classified with overweight+obesity by BMI (59.5% vs. 9.8%; p0.05). There was substantial agreement between WHtR and BMI to identify school children with high total cholesterol values, low-density lipoprotein cholesterol (LDL-C), triglycerides, non-HDL-C, insulin, HOMA-IR, low HDL-C values, and the presence of multiple non-WC MetS-Factors (kappa: 0.616 to 0.857, p<0.001). Conclusion : =0.5 disagree with BMI results, but in school kids, it has good agreement with the BMI to classify the children´s nutritional status and to identify those with CRFs.

【 授权许可】

CC BY