Alynne Christian Ribeiro Andaki1, Adelson Luiz Araújo Tinoco2, Edmar Lacerda Mendes3, Roberto Andaki Júnior4, Andrew P Hills5, Paulo Roberto S Amorim4. 1. Nutrition and Health Department, Viçosa Federal University, Viçosa/MG, Brazil. Electronic address:alynneandaki@yahoo.com.br. 2. Nutrition and Health Department, Viçosa Federal University, Viçosa/MG, Brazil. 3. Sport Science Department, Triângulo Mineiro Federal University, Uberaba/MG, Brazil. 4. Physical Education Department, Viçosa Federal University, Viçosa/MG, Brazil. 5. Mater Mother's Hospital, Mater Medical Research Institute and Griffith Health Institute, Griffith University, Brisbane, Australia.
Abstract
OBJECTIVE: To compare the effectiveness of three waist circumference (WC) measurement sites to predict cardiovascular risk factors and metabolic syndrome (MS) in Brazilian children. METHODS: 187 children (mean age = 9.9 ± 0.7 years) were evaluated for weight, height, WC at three different sites: midpoint between the lower rib and iliac crest (WC1), umbilicus (WC2), and narrowest waist (WC3). Skinfolds (triceps and subscapular) and blood pressure were also measured. Analyses for triglycerides, HDL-C and glucose were carried out in 141 children. RESULTS: For boys, the most accurate predictor of overweight and obesity (from body mass index, BMI) and low HDL-C levels was WC3, and for high percentage of body fat (from skinfolds) was WC1. For girls, WC2 was the most accurate predictor of MS, and hypertriglyceridemia, and for overweight and obesity, high body fat percentage, and low HDL-C levels, WC3 was the best predictor. WC1 was the most accurate in the prediction of high blood pressure. CONCLUSIONS: Each WC measurement site was accurate in predicting cardiovascular risk factors and MS. However, our results indicate that WC3 was the best predictor of cardiovascular risk factors and MS in boys and girls. Â
OBJECTIVE: To compare the effectiveness of three waist circumference (WC) measurement sites to predict cardiovascular risk factors and metabolic syndrome (MS) in Brazilian children. METHODS: 187 children (mean age = 9.9 ± 0.7 years) were evaluated for weight, height, WC at three different sites: midpoint between the lower rib and iliac crest (WC1), umbilicus (WC2), and narrowest waist (WC3). Skinfolds (triceps and subscapular) and blood pressure were also measured. Analyses for triglycerides, HDL-C and glucose were carried out in 141 children. RESULTS: For boys, the most accurate predictor of overweight and obesity (from body mass index, BMI) and low HDL-C levels was WC3, and for high percentage of body fat (from skinfolds) was WC1. For girls, WC2 was the most accurate predictor of MS, and hypertriglyceridemia, and for overweight and obesity, high body fat percentage, and low HDL-C levels, WC3 was the best predictor. WC1 was the most accurate in the prediction of high blood pressure. CONCLUSIONS: Each WC measurement site was accurate in predicting cardiovascular risk factors and MS. However, our results indicate that WC3 was the best predictor of cardiovascular risk factors and MS in boys and girls. Â
Authors: Fernanda Faria; Cheryl Howe; Ricardo Faria; Alynne Andaki; João Carlos Marins; Paulo Roberto Amorim Journal: Int J Environ Res Public Health Date: 2019-12-24 Impact factor: 3.390