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Coordinación General de Investigación de la Facultad de Salud Pública y Nutrición y la Dirección General de Sistemas e Informática de la Universidad Autónoma de Nuevo León

2023, Number 1

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Rev Salud Publica Nutr 2023; 22 (1)

Efficiency of anthropometric indicators in diagnosis of children abdominal obesity

Talavera-Hernandez LF, Méndez-Estrada RO, Contreras-Paniagua AD, Jiménez Pavón D, Caire-Juvera G, Ortega-Velez MI

Language: Spanish
References: 35
Page: 1-10
PDF size: 385.31 Kb.


ABSTRACT

Introduction: Abdominal obesity, determined by excess in Visceral Adipose Tissue (VAT), increases the risk of metabolic syndrome. The most common method to evaluate childhood obesity is body mass index (BMI), but recently studies also suggest the use of waist circumference (WC) and waist to height ratio (WHR).
Objective: Evaluate the efficiency of anthropometric indicators in VAT prediction and classify overweight-obesity (OW/OB).
Material and method: Crosssectional, analytical and comparative study. 59 children (47.5% girls) of 10.6 ± 2.1 years of age in public schools of Hermosillo, Sonora, Mexico were evaluated; anthropometric variables were examined, estimating BMI and WHR, VAT was determined by Dual Energy X-ray Absorptiometry (DEXA); multiple linear regression, Bland Altman's concordance and Cohen's Kappa index were analysed.
Results: The most efficient model to predict VAT was the WC (R2=0.90). The anthropometric indicators reported good concordance with each other in the diagnosis of OW/OB (Kappa ≥ 0.6), although the Bland Altman analysis only reported good agreement between WC-TAV and WHR-TAV.
Conclusions: WC and WHR were better predictors of VAT. Results suggest that WC and WHR can be used to assess abdominal obesity and diagnose OW/OB in Mexican children.


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