38
views
0
recommends
+1 Recommend
1 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Antropometría y lípidos séricos en niños y adolescentes obesos de la ciudad de Salta: 2006 Translated title: Anthropometry and serum lipids in obese children and adolescents of Salta City: 2006

      research-article

      Read this article at

      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Introducción. La alteración en las concentraciones séricas de los lípidos, constituye un factor de riesgo para la enfermedad cardiovascular y diabetes tipo II. En niños obesos, ésta podría manifestarse tempranamente y variar según la composición corporal. Objetivo. Estudiar las relaciones entre medidas antropométricas y concentraciones séricas de lípidos en un grupo de niños y adolescentes obesos. Población, material y métodos. Estudio transversal, retrospectivo, descriptivo y analítico. Se evaluaron 255 niños y adolescentes con sobrepeso y obesidad, concurrentes a consultorios externos (1996- 2006). Se calcularon los índices de masa corporal, peso/talla, y cintura/talla. Para el análisis se dividió la muestra según sexo, edad y valores límite críticos en las variables antropométricas y lipídicas. Resultados. Se evaluaron 112 varones y 143 mujeres (116 < 10 años y 139 ≥ 10 años). En las mujeres con obesidad por índice de masa corporal (IMC), peso/ talla ≥ 70 y cintura/talla ≥ 0,55, las concentraciones medias de triglicéridos fueron significativamente mayores (p= 0,02; p= 0,008 y p= 0,03 respectivamente). Se encontraron diferencias significativas con los mismos indicadores antropométricos y las concentraciones de triglicéridos en el grupo etario ≥ 10 años (p= 0,0008; p= 0,02 y p= 0,003 respectivamente). Asimismo, la asociación entre obesidad por IMC, circunferencia cintura ≥ Pc. 90 y cintura/talla ≥ 0,55 fue significativa con los valores críticos de triglicéridos (≥ 110) en la muestra en general (p= 0,005; p= 0,05; p= 0,05 respectivamente). Conclusión. El IMC, la circunferencia de cintura y el índice cintura/talla, se relacionaron con los valores alterados de triglicéridos. Estas mediciones permitirían predecir el riesgo potencial de trastornos metabólicos en niños y adolescentes obesos.

          Translated abstract

          Introduction. The alteration of serum lipids concentrations constitutes a risk factor of cardiovascular illness and diabetes type II. Adverse patterns of blood lipids begin in childhood and could vary according to the corporal composition. Objective. To study the relationships among anthropometrics measures and serum lipids concentrations in a group of a children and adolescents with overweight. Population, materials and methods. Cross-sectional, retrospective, descriptive and analytic study. 255 children and adolescents with overweight and obesity concurrent to the outpatient clinic (1996-2006) were evaluated. The indexes of corporal mass, weight to height, and waist to height were calculated. For the analysis, the sample was divided according to sex, age and critical cut-points of the anthropometrics and lipidics variables. Results. 112 males and 143 women were evaluated (116 < 10 years and 139 ≥10 years). In the women with obesity by BMI, W/H ≥ 70 and waist to height ≥ 0.55, the mean levels of triglycerides were significantly higher (p= 0.02; p= 0.008 and p= 0.03 respectively). We met significant differences with the same anthropometrics measures and the concentrations of triglycerides in the group ≥10 years (p = 0.0008; p= 0.02 and p= 0.003, respectively). Also, the association among obesity by BMI, circumference waist ≥ Pc.90 and waist to height ≥ 0.55 was significant with the levels of triglycerides ≥ 110 in the sample in general (p= 0.005; p = 0.05; p=0.05 respectively). Conclusion. The BMI, the waist circumference and the index of waist to height, showed association with the altered levels of triglycerides. These measures would allow to predict the potential risk of metabolic disorders in obese children and adolescents.

          Related collections

          Most cited references40

          • Record: found
          • Abstract: found
          • Article: not found

          Waist circumference and cardiovascular risk factors in prepubertal children.

          Intra-abdominal fat has been identified as being the most clinically relevant type of fat in humans. Therefore, an assessment of body-fat distribution could possibly identify subjects with the highest risk of adverse lipid profile and hypertension. Few data on the relationship between body-fat distribution and cardiovascular risk factors are available in children, especially before puberty. This cross-sectional study was undertaken to explore the relationship between anthropometric variables, lipid concentrations, and blood pressure (BP) in a sample of 818 prepubertal children (ages 3 to 11 years) and to assess the clinical relevance of waist circumference in identifying prepubertal children with higher cardiovascular risk. Height, weight, triceps and subscapular skinfolds, waist circumference, and BP were measured. Plasma levels for triacylglycerol, total cholesterol, high-density lipoprotein (HDL) cholesterol, low-density lipoprotein cholesterol, apolipoprotein A1 (ApoA1), and apolipoprotein B (ApoB) were determined. Females were fatter than males (5.8 [3.5] vs. 4.8 [3.3] kg of fat mass; p < 0.01). Males had higher HDL cholesterol and ApoA1/ApoB plasma concentrations than females (p < 0.001 and p < 0.01, respectively). Waist circumference had a higher correlation with systolic and diastolic BP (r = 0.40 and 0.29, respectively; p < 0.001) than triceps (r = 0.35 and 0.21, respectively; p < 0.001) and subscapular (r = 0.28 and 0.16, respectively; p < 0.001) skinfolds and relative body weight (0.33 and 0.23, respectively; p < 0.001). Multivariate linear model analysis showed that ApoA1/ApoB, HDL cholesterol, total cholesterol/HDL cholesterol, and systolic as well as diastolic BP were significantly associated with waist circumference and triceps and subscapular skinfolds, independently of age, gender, and body mass index. Waist circumference as well as subscapular and triceps skinfolds may be helpful parameters in identifying prepubertal children with an adverse blood-lipids profile and hypertension. However, waist circumference, which is easy to measure and more easily reproducible than skinfolds, may be considered in clinical practice. Children with a waist circumference greater than the 90th percentile are more likely to have multiple risk factors than children with a waist circumference that is less than or equal to the 90th percentile.
            Bookmark
            • Record: found
            • Abstract: found
            • Article: not found

            Association of body fat distribution and cardiovascular risk factors in children and adolescents.

            Obesity is associated with increased risk of cardiovascular disease in adults and less favorable cardiovascular risk factor status in children and adolescents. In adults, fat distribution has been shown to be related to lipid and lipoprotein concentrations, blood pressure levels, and left ventricular mass. These relationships have not been extensively studied in young subjects. This was a cross-sectional study of 127 children and adolescents 9 to 17 years of age. Dual-energy x-ray absorptiometry was used to measure total and regional fat mass. The dependent variables were fasting lipid and lipoprotein concentrations, systolic and diastolic blood pressures, and left ventricular mass. There were significant (P<0.05) univariate correlations between fat distribution and log triglycerides (r=0.27), log HDL cholesterol (r=-0.23), systolic blood pressure (r=0.26), and left ventricular mass (r=0.37). Multiple regression analysis showed that the significant independent correlates for triglycerides and HDL cholesterol were age and fat distribution; for systolic blood pressure, height and fat distribution; and for left ventricular mass, height, race, sex, and fat distribution. These results demonstrate that fat distribution is a more important independent correlate of cardiovascular risk factors than percent body fat in children and adolescents. Greater deposition of central fat (an android fat pattern) is associated with less favorable plasma lipid and lipoprotein concentrations, blood pressure, and left ventricular mass.
              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              Waist circumference and waist-to-height ratio are better predictors of cardiovascular disease risk factors in children than body mass index.

              Visceral adipose tissue is associated with increased risk for cardiovascular disease risk factors and morbidity from cardiovascular diseases. Waist measurement and waist-to-height ratio (WHtR) have been used as proxy measures of visceral adipose tissue, mainly in adults. To validate body mass index (BMI), waist circumference and WHtR as predictors for the presence of cardiovascular disease risk factors in children of Greek-Cypriot origin. A total of 1,037 boys and 950 girls with mean age 11.4+/-0.4 y were evaluated. Dependent variables for the study were total cholesterol (TC), triglycerides (TG), high-density lipoprotein cholestrol (HDL-C), low-density lipoprotein cholesterol (LDL-C), and systolic (SBP) and diastolic (DBP) blood pressure. When children were divided into two groups according to the 75th percentile for BMI, waist circumference and WHtR, all dependent variables had higher mean values in the highest percentile groups in WHtR groups and almost all variables in BMI and waist circumference groups. Adjusted odds ratios for predicting pathological values of cardiovascular disease risk factors were slightly higher for the highest WHtR group for predicting lipid and lipoprotein pathological values and for the highest BMI groups in predicting high blood pressure measurement. Using stepwise multiple regression analysis to explain the variance of the dependent variables, waist circumference was the most significant predictor for all variables both for boys and girls, whereas BMI had the lowest predictive value for the detection of cardiovascular disease risk factors. Waist circumference and WHtR are better predictors of cardiovascular disease risk factors in children than BMI. Further studies are necessary to determine the cutoff points for these indices for an accurate prediction of risk factors.
                Bookmark

                Author and article information

                Contributors
                Role: ND
                Role: ND
                Journal
                aap
                Archivos argentinos de pediatría
                Arch. argent. pediatr.
                Sociedad Argentina de Pediatría (Buenos Aires, , Argentina )
                0325-0075
                1668-3501
                October 2007
                : 105
                : 5
                : 411-417
                Affiliations
                [01] orgnameDepartamento Investigación Clínica
                [02] Salta orgnameCentro Nacional de Investigaciones Nutricionales orgdiv1Departamento Investigación Epidemiológica Argentina
                Article
                S0325-00752007000500007
                e02c6b66-3bf5-4913-b6e4-eb43ff4a7ad0

                This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

                History
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 25, Pages: 7
                Product

                SciELO Argentina


                Lípidos séricos,Obesidad,Antropometría,Serum lipids,Obesity,Anthropometrics measures,Overweight

                Comments

                Comment on this article