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| Format: | Artículo científico |
| Language: | en |
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Universidad del Valle
2023
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| Online Access: | 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 |
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Table of 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