Waist Circumference Percentiles and Cut-Off Values for Obesity in a Large Sample of Students from 6 To 10 Years Old Of The Sao Paulo State, Brazil

Imagem de Miniatura
Arquivos
art_SANTOS_Waist_Circumference_Percentiles_and_CutOff_Values_for_Obesity_2020.PDF (382.74 KB)
Citações na Scopus
7
Tipo de produção
article
Data de publicação
2020
DOI
SciELO
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
ARQUIVOS BRASILEIROS CARDIOLOGIA
Autores
SANTOS, Jose Luiz F.
VALERIO, Valentin P.
FERNANDES, Rafael N.
DUARTE, Ligia
ASSUMPCAO, Antonio C.
GUERREIRO, Jayme
SICKLER, Antonio L.
LEMOS, Alvaro A. R.
GOULART FILHO, Jayro G.
Citação
ARQUIVOS BRASILEIROS DE CARDIOLOGIA, v.114, n.3, p.530-537, 2020
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Backgroud: The prevalence of obesity has systematically been increased in the population, including children and adolescents, around the world. Objectives: To describe reference percentile curves for waist circumference (WC) in Brazilian children and provide cut-off values of WC to identify children at risk for obesity. Methods: A multicenter, prospective, cross-sectional study was performed with children aged from 6 to 10 years old, enrolled in public and private elementary schools from 13 cities of the Sao Paulo State. Height, weight, and WC were measured in duplicate in 22,000 children (11,199 boys). To establish the WC best cut-off value for obesity diagnosis, ROC curves with children dassified as normal weight and obese were calculated, according to BMI curves, stratified by gender and age, and the Youden Index was utilized as the maximum potential effectiveness of this biomarker. A p < 0.05 was considered statistically significant. Results: WC values increased with age in both boys and girls. The prevalence of obesity in each age group varied from 17% (6 years old) to 21.6% (9 years old) among boys, and from 14.1% (7 years old) to 17.3 % (9 years old) among girls. ROC analyses have shown the 75th percentile as a cut-off for obesity risk, and the diagnosis of obesity is classified on the 85th percentile or more. Conclusion: Age and gender specific reference curves of WC for Brazilian children and cut-off values for obesity risk may be used for national screening and interventional studies to reduce the obesity burden in Brazil.
Palavras-chave
Child, Waist Circunference/physiology, Obesity, Students, Parameters, Anthropometry
URI
https://observatorio.fm.usp.br/handle/OPI/35880
Referências
  1. Barbosa VC, 2016, CIENC SAUDE COLETIVA, V21, P213, DOI 10.1590/1413-81232015211.00262015
  2. Bassali R, 2010, INT J PEDIATR OBES, V5, P97, DOI 10.3109/17477160903111722
  3. Brannsether B, 2011, ACTA PAEDIATR, V100, P1576, DOI 10.1111/j.1651-2227.2011.02370.x
  4. Brown T, 2009, OBES REV, V10, P110, DOI 10.1111/j.1467-789X.2008.00515.x
  5. Damasceno MMC, 2010, ACTA PAUL ENFERM, V23, P652, DOI 10.1590/S0103-21002010000500011
  6. Cole TJ, 2000, BRIT MED J, V320, P1240, DOI 10.1136/bmj.320.7244.1240
  7. Cook Stephen, 2009, J Pediatr, V155, DOI 10.1016/j.jpeds.2009.04.051
  8. de Assis AAA, 2007, BRIT J NUTR, V97, P799, DOI 10.1017/S0007114507657936
  9. de Onis M, 2007, B WORLD HEALTH ORGAN, V85, P660, DOI 10.2471/BLT.07.043497
  10. Dehghan M, 2005, NUTR J, V4, DOI 10.1186/1475-2891-4-24
  11. Department of Health and Human Services, 2011, CHILDR FOOD ENV STAT
  12. Doyon A, 2013, NEPHROL DIAL TRANSPL, V28, P50, DOI 10.1093/ndt/gft263
  13. Eisenmann JC, 2005, ACTA PAEDIATR, V94, P1182, DOI 10.1080/08035250510029352
  14. Fernandez JR, 2004, J PEDIATR-US, V145, P439, DOI 10.1016/j.jpeds.2004.06.044
  15. Franks PW, 2010, NEW ENGL J MED, V362, P485, DOI 10.1056/NEJMoa0904130
  16. Fredriks AM, 2005, EUR J PEDIATR, V164, P216, DOI 10.1007/s00431-004-1586-7
  17. Gomez-Diaz RA, 2005, DIABETES OBES METAB, V7, P716, DOI 10.1111/j.1463-1326.2004.00461.x
  18. Guimaraes GV, 2008, ARQ BRAS CARDIOL, V91, P39
  19. Han JC, 2010, LANCET, V375, P1737, DOI 10.1016/S0140-6736(10)60171-7
  20. Hatipoglu N, 2013, EUR J PEDIATR, V172, P59, DOI 10.1007/s00431-012-1822-5
  21. Ji CY, 2010, BIOMED ENVIRON SCI, V23, P12, DOI 10.1016/S0895-3988(10)60026-8
  22. Katzmarzyk PT, 2004, PEDIATRICS, V114, P198
  23. Katzmarzyk PT, 2004, EUR J CLIN NUTR, V58, P1011, DOI 10.1038/sj.ejcn.1601924
  24. Kelishadi R, 2007, J TROP PEDIATRICS, V53, P158, DOI 10.1093/tropej/fml090
  25. Khadilkar A, 2014, J PEDIATR-US, V164, P1358, DOI 10.1016/j.jpeds.2014.02.018
  26. Kuschnir MCC, 2016, REV SAUDE PUBL, V50, DOI 10.1590/S01518-8787.2016050006701
  27. Lee S, 2006, J PEDIATR-US, V148, P188, DOI 10.1016/j.jpeds.2005.10.001
  28. Sant'Anna MDL, 2009, J PEDIAT-BRAZIL, V85, P61, DOI [10.1590/S0021-75572009000100011, 10.2223/JPED.1871]
  29. Liu AL, 2010, BMC PUBLIC HEALTH, V10, DOI 10.1186/1471-2458-10-82
  30. Maffeis C, 2001, OBES RES, V9, P179, DOI 10.1038/oby.2001.19
  31. MARTINEZ E, 1994, INT J OBESITY, V18, P557
  32. McCarthy HD, 2001, EUR J CLIN NUTR, V55, P902, DOI 10.1038/sj.ejcn.1601240
  33. Mederico M, 2013, ENDOCRINOL NUTR, V60, P235, DOI 10.1016/j.endonu.2012.12.003
  34. Moreno LA, 1999, EUR J CLIN NUTR, V53, P429, DOI 10.1038/sj.ejcn.1600769
  35. Morimoto A, 2007, DIABETES RES CLIN PR, V75, P96, DOI 10.1016/j.diabres.2006.05.022
  36. Mushtaq MU, 2011, BMC PEDIATR, V11, DOI 10.1186/1471-2431-11-105
  37. Nawarycz LO, 2010, OBES REV, V11, P281, DOI 10.1111/j.1467-789X.2009.00694.x
  38. Niehues JR, 2014, INT J PEDIAT, DOI 10.1155/2014/583207
  39. Pinto SL, 2011, CAD SAUDE PUBLICA, V27, P1065, DOI 10.1590/S0102-311X2011000600004
  40. Poh BK, 2011, INT J PEDIATR OBES, V6, P229, DOI 10.3109/17477166.2011.583658
  41. Reilly JJ, 2000, INT J OBESITY, V24, P1623, DOI 10.1038/sj.ijo.0801436
  42. Ricardo Gabriela Dalsasso, 2012, Rev. bras. cineantropom. desempenho hum., V14, P636, DOI 10.5007/1980-0037.2012v14n6p636
  43. Rosini N, 2013, CLIN BIOCHEM, V46, P1837, DOI 10.1016/j.clinbiochem.2013.08.015
  44. Rousham EK, 2011, AM J CLIN NUTR, V94, P571, DOI 10.3945/ajcn.110.008300
  45. Savva SC, 2000, INT J OBESITY, V24, P1453, DOI 10.1038/sj.ijo.0801401
  46. Savva SC, 2001, OBES RES, V9, P754, DOI 10.1038/oby.2001.104
  47. Schwandt P, 2008, WORLD J PEDIATR, V4, P257, DOI 10.1007/s12519-008-0048-0
  48. Taylor RW, 2000, AM J CLIN NUTR, V72, P490
  49. Todd AS, 2015, INT J ENV RES PUB HE, V12, P2306, DOI 10.3390/ijerph120202306
  50. Uauy R., 2004, OBES REV, V5, P4, DOI [10.1111/j.1467-789X.2004.00133.x, DOI 10.1111/J.1467-789X.2004.00133.X]
  51. Wang YF, 2012, INT REV PSYCHIATR, V24, P176, DOI 10.3109/09540261.2012.688195
  52. Wang Y, 2006, INT J PEDIATR OBES, V1, P11, DOI 10.1080/17477160600586747
  53. YOUDEN WJ, 1950, CANCER, V3, P32, DOI 10.1002/1097-0142(1950)3:1<32::AID-CNCR2820030106>3.0.CO;2-3
  54. Zannolli R, 1996, ACTA PAEDIATR, V85, P1368, DOI 10.1111/j.1651-2227.1996.tb13928.x
  55. Zimmerman FJ, 2010, AM J PUBLIC HEALTH, V100, P334, DOI 10.2105/AJPH.2008.155119
  56. Zimmet P, 2007, PEDIATR DIABETES, V8, P299, DOI 10.1111/j.1399-5448.2007.00271.x

Coleções
Artigos e Materiais de Revistas Científicas - FM/MCP
Artigos e Materiais de Revistas Científicas - HC/InCor
Artigos e Materiais de Revistas Científicas - ODS/03