Waist circumference as screening instrument for cardiovascular disease risk factors in schoolchildren

Jornal de Pediatria

Volumn 86, Issue 5, 2010, Pages 411-416

  Bergmann, Gabriel G ^a   Gaya, Adroaldo ^b   Halpern, Ricardo ^a   Bergmann, Mauren L A ^c   Rech, Ricardo R ^c   Constanzi, Cristine B ^c   Alli, Lidiane R ^c  

^a FEDERAL UNIVERSITY OF RIO GRANDE DO SUL   (Brazil)

^b UNIVERSITY OF PORTO   (Portugal)

^c UNIVERSIDADE LUTERANA DO BRASIL   (Brazil)

Author keywords

Anthropometry; Children; ROC curve; Sensitivity; Specificity

Indexed keywords

CHOLESTEROL;

ADOLESCENT; ARTICLE; BIVARIATE ANALYSIS; CARDIOVASCULAR DISEASE; CARDIOVASCULAR RISK; CHILD; CHOLESTEROL BLOOD LEVEL; CROSS-SECTIONAL STUDY; DATA ANALYSIS; DIASTOLIC BLOOD PRESSURE; FEMALE; HUMAN; MALE; RANDOM SAMPLE; RECEIVER OPERATING CHARACTERISTIC; SCHOOL CHILD; SENSITIVITY AND SPECIFICITY; SYSTOLIC BLOOD PRESSURE; WAIST CIRCUMFERENCE;

AGE FACTORS; BRAZIL; CARDIOVASCULAR DISEASES; CHILD; CROSS-SECTIONAL STUDIES; FEMALE; HEALTH STATUS; HUMANS; MALE; REFERENCE VALUES; REPRODUCIBILITY OF RESULTS; RISK ASSESSMENT; RISK FACTORS; ROC CURVE; SEX FACTORS; WAIST CIRCUMFERENCE;

EID: 78649665783     PISSN: 00217557     EISSN: None     Source Type: Journal    
DOI: 10.2223/JPED.2026     Document Type: Article

References (30)

1. Fox CS, Massaro JM, Hoffmann U, Pou KM, Maurovich-Horvat P, Liu CY, et al. Abdominal visceral and subcutaneous adipose tissue compartments: association with metabolic risk factors in the Framingham Heart Study. Circulation. 2007;116:39-48. (Pubitemid 47016245)
2. Rezende FA, Rosado LE, Ribeiro Rde C, Vidigal Fde C, Vasques AC, Bonard IS, et al. Body mass index and waist circumference: association with cardiovascular risk factors. Arq Bras Cardiol. 2006;87:728-34.
3. Zhu S, Wang Z, Heshka S, Heo M, Faith MS, Heymsfield SB. Waist circumference and obesity-associated risk factors among whites in the third National Health and Nutrition Examination Survey: clinical action thresholds. Am J Clin Nutr. 2002;76:743-9.
4. World Health Organization (WHO). Physical status: the use and interpretation of anthropometry. Report of a WHO Expert Committee. Technical. Report Series, No. 854. Geneva: WHO; 1995.
5. Goran MI, Gower BA, Treuth M, Nagy TR. Prediction of intra-abdominal and subcutaneous abdominal adipose tissue in healthy pre-pubertal children. Int J Obes Relat Metab Disord. 1998;22:549-58. (Pubitemid 28254486)
6. Goran MI. Visceral fat in prepubertal children: influence of obesity, anthropometry, ethnicity, gender, diet, and growth. Am J Hum Biol. 1999;11:201-7.
7. Brambilla P, Bedogni G, Moreno LA, Goran MI, Gutin B, Fox KR, et al. Crossvalidation of anthropometry against magnetic resonance imaging for the assessment of visceral and subcutaneous adipose tissue in children. Int J Obes (London). 2006;30:23-30.
8. Freedman DS, Serdula MK, Srinivasan SR, Berenson GS. Relation of circumferences and skinfold thicknesses to lipid and insulin concentrations in children and adolescents: the Bogalusa Heart Study. Am J Clin Nutr. 1999;69:308-17.
9. Guimarães IC, de Almeida AM, Santos AS, Barbosa DB, Guimarães AC. Blood pressure: effect of body mass index and of waist circumference on adolescents. Arq Bras Cardiol. 2008;90:393-9.
10. Rosa ML, Mesquita ET, da Rocha ER, Fonseca Vde M. Body mass index and waist circumference as markers of arterial hypertension in adolescents. Arq Bras Cardiol. 2007;88:573-8.
11. Wang GJ. Standardization of waist circumference reference data. Am J Clin Nutr. 2006;83:3-4.
12. Taylor RW, Jones IE, Williams SM, Goulding A. Evaluation of waist circumference, waist-to-hip ratio, and the conicity index as screening tools for high trunk fat mass, as measured by dualenergy X-ray absorptiometry, in children aged 3-19 y. Am J Clin Nutr. 2000;72:490-5.
13. Fernández JR, Redden DT, Pietrobelli A, Allison DB. Waist circumference percentiles in nationally representative samples of African-American, European-American, and Mexican-American children and adolescents. J Pediatr. 2004;145:439-44.
14. Lunardi CC, Petroski EL. Índice de Massa Corporal, circunferência da cintura e dobra cutânea triciptal na predição de alterações lipídicas em crianças com 11 anos de idade. Arq Bras Endocrinol Metab. 2008;52:1009-14.
15. Coronelli CL, de Moura EC. Hipercolesterolemia em escolares e seus fatores de risco. Rev Saude Publica. 2003;37:24-31.
16. Moura AA, Silva MA, Ferraz MR, Rivera IR. Prevalência de pressão arterial elevada em escolares e adolescentes de Maceió. J Pediatr (Rio J). 2004;80:35-40.
17. McCarthy HD, Jarret KV, Crawley HF. The development of waist circumference percentiles in British children aged 5.0-16.9 y. Eur J Clin Nutr. 2001;55:902-7.
18. Santos RD; Sociedade Brasileira de Cardiologia. III Diretrizes brasileiras sobre dislipidemias e diretriz de prevenção da aterosclerose do Departamento de Aterosclerose da Sociedade Brasileira de Cardiologia. Arq Bras Cardiol. 2001;77 Suppl 3:1-48.
19. Martinez TL, Santos RD, Armaganijan D, Torres KP, Loures-Vale A, Magalhães ME, et al. National alert campaign about increased cholesterol: determination of cholesterol levels in 81,262 Brazilians. Arq Bras Cardiol. 2003;80:635-8.
20. National High Blood Pressure Education Program Working Group on High Blood Pressure in Children and Adolescent. The fourth report on the diagnosis, evaluation, end treatment of high blood pressure in children and adolescents. Pediatrics. 2004;114:555-76.
21. Erdreich LS, Lee ET. Use of relative operating characteristic analysis in epidemiology: a method for dealing with subjective judgement. Am J Epidemiol. 1981;114:649-62.
22. Raitakari OT, Juonala M, Kähönen M, Taittonen L, Laitinen T, Mäki-Torkko N, et al. Cardiovascular risk factors in childhood and carotid artery intima-media thickness in adulthood: the Cardiovascular Risk in Young Finns Study. JAMA. 2003;290:2277-83.
23. Costa RS, Sichieri R. Relação entre sobrepeso, adiposidade e distribuição de gordura com a pressão arterial de adolescentes no município do Rio de Janeiro. Rev Bras Epidemiol. 1998;1:268-79.
24. Forti N, Diogo Giannini S, Diament J, Issa J, Fukushima J, Dal Bó C, et al. Fatores de risco para doença Arterial coronariana em crianças e adolescentes filhos de coronariopatias jovens. Arq Bras Cardiol. 1996;66:119-23. (Pubitemid 126731513)
25. Brage S, Wedderkopp N, Ekelund U, Franks PW, Wareham NJ, Andersen LB, et al; European Youth Heart Study (EYHS). Features of the metabolic syndrome are associated with objectively measured physical activity and fitness in Danish children: the European Youth Heart Study (EYHS). Diabetes Care. 2004;27:2141-8.
26. Hopper CA, Gruber MB, Munoz KD, MacConnie SE, Pfingston YM, Nguyen K. Relationship of blood cholesterol to body composition, physical fitness, and dietary intake measures in third-grade children and their parents. Res Q Exerc Sport. 2001;72:182-8. (Pubitemid 33604384)
27. Duarte JA, Ribeiro JC, Oliveira J, Mota J. The relationship between physical activity cholesterol levels in children and adolescents. Rev Bras Saude Matern Infant. 2004;4:185-92.
28. Ruiz JR, Ortega FB, Loit HM, Veidebaum T, Sjostrom M. Body fat is associated with blood pressure in school-aged girls with low cardiorespiratory fitness: the European Youth Heart Study. J Hypertens. 2007;25:2027-34. (Pubitemid 47476298)
29. Santos MG, Pegoraro M, Sandrini F, Macuco EC. Risk factors for the development of atherosclerosis in childhood and adolescence. Arq Bras Cardiol. 2008;90:276-283.
30. de Almeida CA, Pinho AP, Ricco RG, Elias CP. Abdominal circumference as an indicator of clinical and laboratory parameters associated with obesity in children and adolescents: comparison between two reference tables. J Pediatr (Rio J). 2007;83:181-5.