PMID- 19838466 OWN - NLM STAT- MEDLINE DCOM- 20101215 LR - 20191210 IS - 1678-4170 (Electronic) IS - 0066-782X (Linking) VI - 93 IP - 1 DP - 2009 Jul TI - Body mass index as a marker of dyslipidemia in children. PG - 22-7 LID - S0066-782X2009000700005 [pii] AB - BACKGROUND: Obesity is very frequently associated with conditions such as dyslipidemia and diabetes. OBJECTIVE: To verify the diagnostic value of the cut-off points proposed by the International Obesity Task Force (IOTF) and Conde & Monteiro (C&M) for the screening and identification of dyslipidemia in children between 10 and 12 years of age. METHODS: The Body Mass Index (BMI) of 374 children of the school network of the city of Santa Maria-RS was ascertained. The children were selected in a stratified manner from a population of 4,083 children. Lipid levels (reference standard) were determined by means of analysis of total cholesterol (TC), LDL-C, HDL-C and triglycerides (TG). The cut-off points of the IOTF and C&M were used to classify the BMI. Descriptive statistics and analysis of sensitivity and specificity were employed. RESULTS: There was a statistical difference in excess weight prevalence between both proposals (24.7% and 28.6% for IOTF and C&M, respectively). A variation was observed in sensitivity (33% to 83%) and specificity (62% to 80%) between the cut-off points as to the detection of dyslipidemia. The percentage of false negatives was lower than the percentage of false positives. CONCLUSION: The proposals may be used to screen elevated TC and LDL-C in male individuals. Either the IOTF or the C&M classification may be used to identify subjects without dyslipidemia, as these proposals presented high specificity. FAU - Lunardi, Claudia Cruz AU - Lunardi CC AD - Universidade Federal de Santa Catarina, Florianopolis, SC, Brazil. cclunardi@hotmail.com FAU - Petroski, Edio Luiz AU - Petroski EL LA - eng LA - por LA - spa PT - Evaluation Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Brazil TA - Arq Bras Cardiol JT - Arquivos brasileiros de cardiologia JID - 0421031 RN - 0 (Biomarkers) RN - 0 (Lipids) SB - IM MH - Age Distribution MH - Biomarkers/blood MH - *Body Composition MH - *Body Mass Index MH - Child MH - Dyslipidemias/blood/*diagnosis MH - Female MH - Humans MH - Lipids/*blood MH - Male MH - *Mass Screening MH - Obesity/*classification MH - Reference Standards MH - Sensitivity and Specificity MH - Sex Factors EDAT- 2009/10/20 06:00 MHDA- 2010/12/16 06:00 CRDT- 2009/10/20 06:00 PHST- 2007/10/09 00:00 [received] PHST- 2008/02/26 00:00 [accepted] PHST- 2009/10/20 06:00 [entrez] PHST- 2009/10/20 06:00 [pubmed] PHST- 2010/12/16 06:00 [medline] AID - S0066-782X2009000700005 [pii] AID - 10.1590/s0066-782x2009000700005 [doi] PST - ppublish SO - Arq Bras Cardiol. 2009 Jul;93(1):22-7. doi: 10.1590/s0066-782x2009000700005.