Acurácia da gordura corporal e do perímetro da cintura para predizer alterações metabólicas de risco cardiovascular em adolescentes

Moraes, Milena Miranda de; Veiga, Glória Valéria da

doi:10.1590/0004-2730000002865

Cited by 10 publications

(11 citation statements)

References 26 publications

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“…However, regardless of the criterion used to classify BMI, sensitivity was low. Moraes et al 15 tested the BMI cut-off points proposed by IOTF 19 , CDC 21 , and Conde and Monteiro 22 to predict high BP in 817 young people aged 6 to 13 years. As in the present study, sensitivity showed low values (31 to 44%), no matter the criterion used, with the Brazilian one being the most sensitive.…”

Section: Discussionmentioning

confidence: 99%

“…In addition, cut-off points from high-income countries do not seem to be the most suitable to use in middle-and low-income ones 42 . Previous studies that tested cut-off points developed based on their samples showed high values for both sensitivity and specificity 15,39,42 . Thus, we can reasonably affirm that the success of screening for cardiovascular risk factors in children and adolescents using anthropometric indices might be related to the development and use of specific cut-off points for each population.…”

Section: Discussionmentioning

confidence: 99%

“…Several studies have investigated the power of BMI, WC, and WHtR in predicting high BP in young people, but it is still not clear which of these anthropometric indices would be more suitable for high BP screening 9,10,[12][13][14][15] . In addition, the definition of the BMI, WC, and WHtR classification criterion with better sensitivity and specificity in detecting high BP among young Brazilians remains open, as previous investigations tested few cut-off points of these indices 10,12,15 . These gaps are even more evident in children given that a large part of national studies included only adolescents in their sample 10,12,15 .…”

Section: Introductionmentioning

confidence: 99%

“…In addition, the definition of the BMI, WC, and WHtR classification criterion with better sensitivity and specificity in detecting high BP among young Brazilians remains open, as previous investigations tested few cut-off points of these indices 10,12,15 . These gaps are even more evident in children given that a large part of national studies included only adolescents in their sample 10,12,15 . Thus, the objective of this study was to:…”

Section: Introductionmentioning

confidence: 99%

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Triagem da pressão arterial elevada em crianças e adolescentes de Amargosa, Bahia: utilidade de indicadores antropométricos de obesidade

Quadros

Gordia

Andaki

et al. 2019

Rev. bras. epidemiol.

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RESUMO: Objetivo: Determinar o poder preditivo do índice de massa corporal (IMC), perímetro da cintura (PC) e razão da cintura pela estatura (RCEst) e de seus respectivos pontos de corte para triagem de pressão arterial (PA) elevada em crianças e adolescentes brasileiros. Método: Estudo transversal realizado com1.139 escolares de 6 a 17 anos de idade. A massa corporal, a estatura, o PC e a PA foram mensurados. A PA elevada foi classificada como sistólica ou diastólica≥ percentil 95. Curvas Receiver Operating Characteristic (ROC) foram construídas e a área sob a curva, a sensibilidade e a especificidade foram calculadas. Resultados: A prevalência de PA elevada foi de 27,0%. Os indicadores antropométricos apresentaram associação significativa com PA elevada (acurácia variando de 0,62 - 0,81), exceto RCEst entre adolescentes do sexo masculino.Observou-se baixa sensibilidade, independentemente do indicador antropométrico, do sexo e da faixa etária. Conclusão: OIMC, o PC e a RCEst estiveram associados a PA elevada, porém os pontos de corte testados apresentaram baixa sensibilidade. A determinação de pontos de corte específicos para cada população pode viabilizar a triagem de PA elevada por meio de indicadores antropométricos.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Triagem da pressão arterial elevada em crianças e adolescentes de Amargosa, Bahia: utilidade de indicadores antropométricos de obesidade

Quadros

Gordia

Andaki

et al. 2019

Rev. bras. epidemiol.

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“…When linked to indexes or predictive equations, these body measurements, also referred to as anthropometric indicators, can provide information on the quantity of the individual's fat mass 17,18 . Several studies have been carried out with the objective of investigating the accuracy of anthropometric measurements in the description of body fat quantity in different populations, justified by the need to gather measurements in a shorter timeframe, with lower cost and greater simplicity [19][20][21][22] . Therefore, this review proposes a response to the following central question: Can anthropometry accurately measure the body fat of PLWHA?…”

Section: Introductionmentioning

confidence: 99%

Can anthropometry measure the body fat of people living with HIV/AIDS?: A systematic review

Guimarães

Fausto

Kakehasi

et al. 2017

Rev Esp Nutr Hum Diet

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Introduction: Assessment of the quantity and distribution of body fat in people living with HIV/AIDS is of great importance in clinical practice, due to the association of body fat changes with clinical conditions. The aim of this systematic review was to answer the central question: Can anthropometry accurately measure the body fat in people living with HIV/AIDS? Material and Methods: Systematic review carried out using four databases: Medline, LILACS, Scopus and BDTD. Results:Of the 581 studies found, 11 met the eligibility criteria. To assess the validate of anthropometry, only two studies employed regress analysis to development of predictive body fat equations in people living with HIV/AIDS and nine studies employed correlation analysis. This coefficient only measures the strength of the relation between two variables, and there is not concordance between them and therefore, these studies did not accurately evaluate whether or not the anthropometric information showed good concordance with the gold standard. The other two studies developed five equations to evaluate the total fat and limbs (arm, leg and trunk) in people living with HIV/AIDS using antiretrovirals and showed R 2 between 0.50 and 0.83. Conclusions:Further research needs to be conducted to answer the central question of this review, as the small number of articles that applied the correct statistical test and the absence of research on people living with HIV/AIDS without the use of antiretrovirals. Más información: http://creativecommons.org/licenses/by-nc-sa/4.0/ Introducción: La evaluación de la cantidad y distribución de la grasa corporal en personas que viven con el VIH/SIDA es de gran importancia en la práctica clínica, debido a la asociación de los cambios de grasa corporal con condiciones clínicas. El objetivo de esta revisión es responder a la pregunta central: ¿Puede la antropometría medir con precisión la grasa corporal en las personas que viven con el VIH/SIDA? Material y Métodos: Revisión sistemática llevada a cabo por medio de cuatro bases de datos: Medline, LILACS, Scopus y BDTD. ABSTRACT Can anthropometry measure the body fat of people living with HIV/AIDS? A systematic review R E S E A R C H A R T I C L E Resultados:De los 581 estudios encontrados, 11 cumplieron con los criterios de elegibilidad. Para evaluar la validación de la antropometría, sólo dos estudios emplearon análisis de regresión para el desarrollo de las ecuaciones de predicción de grasa corporal en las personas que viven con el VIH/SIDA y nueve estudios emplearon análisis de correlación. Este coeficiente sólo mide la fuerza de la relación entre dos variables, y no hay concordancia entre ellos y, por lo tanto, estos estudios no evaluaron con precisión si la información antropométrica mostró buena concordancia con el estándar de oro. Los otros dos estudios desarrollaron cinco ecuaciones para evaluar la grasa total y en las extremidades (brazos, piernas y tronco) en personas que viven con el VIH/SIDA y usan antirretrovirales y mostraron R 2 entre 0,50 y 0,83. Conclu...

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Predictive capacity and cut-off points of adiposity indices for body fat prediction according to adolescent periods

et al. 2021

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Overweight is increasing in the adolescent population, being a public health problem in the world. This study aimed to identify the body adiposity indices with the best capacity to predict excess fat tissue and propose cutoff points for them, according to sex and adolescence period. This is a cross-sectional study. We calculated Body Mass Index (BMI), Conicity Index (CI), Body Adiposity Index (BAI), Body Roundness Index (BRI), Waist-to-Height Ratio (WtHR) and Waist-Hip Ratio (WHR). Predictive capacity and cutoff points of adiposity indices were established by ROC (Receiver Operating Characteristic) curves. We determined areas under the ROC curves and confidence intervals, stratified by sex and adolescence period. The best index to identify excess body fat in 10 to 13 years old female adolescents was the WtHR (AUC=0.92), like the BAI in girls aged from 14 to 16 years old (AUC=0.87) and 17 to 19 years old (AUC=0.80). In male adolescents aged from 10 to 13 years old and 14 to 16 years old, the best index was the WtHR (AUC=0.93 and AUC=0.8, respectively), like the BAI in boys aged from 17 to 19 years old (AUC=0.95). The use of indices with specific cutoff points for each period of adolescence and according to sex is important for the reliable diagnosis of excess body fat. It is advisable to use indices together to obtain a more accurate assessment. Thus, the WtHR and BAI are reproducible and reliable, with high sensitivity and specificity values and can be used together with the BMI.

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Acurácia da gordura corporal e do perímetro da cintura para predizer alterações metabólicas de risco cardiovascular em adolescentes

Cited by 10 publications

References 26 publications

Triagem da pressão arterial elevada em crianças e adolescentes de Amargosa, Bahia: utilidade de indicadores antropométricos de obesidade

Triagem da pressão arterial elevada em crianças e adolescentes de Amargosa, Bahia: utilidade de indicadores antropométricos de obesidade

Can anthropometry measure the body fat of people living with HIV/AIDS?: A systematic review

Predictive capacity and cut-off points of adiposity indices for body fat prediction according to adolescent periods

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