Correlation of body mass index and waist to height ratio with cardiovascular risk factors in Colombian preschool and school children
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| Format: | Artículo científico |
| Language: | en |
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Universidad del Valle
2023
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| _version_ | 1876463974135889920 |
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| author | Juan Carlos Aristizabal |
| author_facet | Juan Carlos Aristizabal |
| contents | Correlation of body mass index and waist to height ratio with cardiovascular risk factors in Colombian preschool and school children Juan Carlos Aristizabal Jacqueline Barona-Acevedo Alejandro Estrada-Restrepo Medicina to waist Obesity height ratio body mass index 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: Three-hundred-twenty-one kids were divided into preschool (3-5 years) and school children (6-10 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: One-hundred-twelve 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%; p<0.001). There was no agreement between WHtR and BMI to identify preschool kids with CRFs and multiple non-WC MetS-Factors (kappa: 0.0 to 0.23, p>0.05). There were similar proportions of school children classified with abdominal obesity by the WHtR and overweight+obesity by the BMI (18.7% vs. 24.9%; p>0.05). 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: In preschool children WHtR ≥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. 2023 artículo científico 0120-8322 https://www.redalyc.org/articulo.oa?id=28375672003 https://www.redalyc.org/journal/283/28375672003/ https://www.redalyc.org/journal/283/28375672003/html/ https://www.redalyc.org/journal/283/28375672003/28375672003.epub https://www.redalyc.org/journal/283/28375672003/movil https://doi.org/10.25100/cm.v54i1.4113 en http://www.redalyc.org/revista.oa?id=283 Colombia Médica application/pdf Universidad del Valle Colombia Médica (Colombia) Num.1 Vol.54 |
| format | Artículo científico |
| id | redalyc_28375672003 |
| institution | Redalyc |
| language | en |
| publishDate | 2023 |
| publisher | Universidad del Valle |
| spellingShingle | Correlation of body mass index and waist to height ratio with cardiovascular risk factors in Colombian preschool and school children Juan Carlos Aristizabal Medicina to waist Obesity height ratio body mass index Correlation of body mass index and waist to height ratio with cardiovascular risk factors in Colombian preschool and school children Juan Carlos Aristizabal Jacqueline Barona-Acevedo Alejandro Estrada-Restrepo Medicina to waist Obesity height ratio body mass index 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: Three-hundred-twenty-one kids were divided into preschool (3-5 years) and school children (6-10 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: One-hundred-twelve 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%; p<0.001). There was no agreement between WHtR and BMI to identify preschool kids with CRFs and multiple non-WC MetS-Factors (kappa: 0.0 to 0.23, p>0.05). There were similar proportions of school children classified with abdominal obesity by the WHtR and overweight+obesity by the BMI (18.7% vs. 24.9%; p>0.05). 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: In preschool children WHtR ≥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. 2023 artículo científico 0120-8322 https://www.redalyc.org/articulo.oa?id=28375672003 https://www.redalyc.org/journal/283/28375672003/ https://www.redalyc.org/journal/283/28375672003/html/ https://www.redalyc.org/journal/283/28375672003/28375672003.epub https://www.redalyc.org/journal/283/28375672003/movil https://doi.org/10.25100/cm.v54i1.4113 en http://www.redalyc.org/revista.oa?id=283 Colombia Médica application/pdf Universidad del Valle Colombia Médica (Colombia) Num.1 Vol.54 |
| title | Correlation of body mass index and waist to height ratio with cardiovascular risk factors in Colombian preschool and school children |
| topic | Medicina to waist Obesity height ratio body mass index |
| url | https://www.redalyc.org/articulo.oa?id=28375672003 https://www.redalyc.org/journal/283/28375672003/ https://www.redalyc.org/journal/283/28375672003/html/ https://www.redalyc.org/journal/283/28375672003/28375672003.epub https://www.redalyc.org/journal/283/28375672003/movil https://doi.org/10.25100/cm.v54i1.4113 |