PMID- 33342218
OWN - NLM
STAT- MEDLINE
DCOM- 20211029
LR  - 20220420
IS  - 1699-5198 (Electronic)
IS  - 0212-1611 (Linking)
VI  - 38
IP  - 1
DP  - 2021 Feb 23
TI  - Waist circumference as a prognostic index of childhood abdominal obesity: 
      findings in the Spanish population.
PG  - 85-93
LID - 10.20960/nh.03197 [doi]
AB  - Introduction: early detection of childhood obesity plays a crucial role in the 
      prevention of diseases during adulthood. At present, the most commonly used 
      screening tool for detecting overweight/obesity in children is the percentile for 
      age of body mass index, although this rate is unable to provide information about 
      fat distribution. An emerging marker of abdominal fat distribution is waist 
      circumference (WC). Objective: the aim of this study was to evaluate the 
      differences between the different diagnostic criteria available to define 
      overweight and obesity in order to establish the optimal WC cut-off values for 
      the Spanish children population. Methods: a cross-sectional study was carried out 
      in 8,241 schoolchildren aged 3 to 12 years from Villanueva de la Canada (Madrid, 
      Spain). WC (cm), weight (kg) and height (cm) were measured according to the 
      recommendations of the Society for the Advancement of Kineanthropometry (ISAK). 
      The values obtained for the diagnostic criteria (Spanish Orbegozo Foundation 
      (OF), the International Obesity Task Force (IOTF), and the World Health 
      Organization (WHO) were compared using McNemar's test for paired proportions. The 
      kappa coefficient (kappa) was used to assess the degree of agreement of the three 
      classifications. We analyzed the validity of body mass index (BMI) and WC using 
      the receiver operating characteristic (ROC) curve analysis. The Youden index was 
      used to determine cut-off values for WC that identify childhood obesity Results: 
      overweight and obesity prevalences were calculated according to the OF, IOTF, and 
      WHO criteria. There was a "substantial" agreement for the overweight and obesity 
      categories between the Spanish criteria and IOTF (kappa = 0.636), while agreement was 
      "slight" between the Spanish criteria and those of WHO (kappa = 0.198). The estimated 
      cut-off WC criteria ranged from 54.5 to 88.0, varying according to sex and age. 
      Conclusion: the proposed WC cut-off values, stated for the first time in a young 
      Spanish population, are a simple and valid alternative as diagnostic criteria of 
      abdominal obesity.
FAU - Sanchez Campayo, Elena
AU  - Sanchez Campayo E
AD  - Facultad de Farmacia. Universidad CEU San Pablo.
FAU - Puga Gimenez de Azcarate, Ana M feminine
AU  - Puga Gimenez de Azcarate AM
AD  - Facultad de Farmacia. Universidad CEU San Pablo.
FAU - Angulo Diaz-Parreno, Santiago
AU  - Angulo Diaz-Parreno S
AD  - Facultad de Farmacia. Universidad CEU San Pablo.
FAU - Avila Torres, Jose Manuel
AU  - Avila Torres JM
AD  - Fundacion Espanola de la Nutricion.
FAU - Varela-Moreiras, Gregorio
AU  - Varela-Moreiras G
AD  - Facultad de Farmacia. Universidad CEU San Pablo.
FAU - Partearroyo, Teresa
AU  - Partearroyo T
AD  - Facultad de Farmacia. Universidad CEU San Pablo.
LA  - eng
PT  - Journal Article
TT  - Circunferencia de la cintura como indice pronostico de obesidad abdominal 
      infantil: hallazgos en la poblacion espanola.
PL  - Spain
TA  - Nutr Hosp
JT  - Nutricion hospitalaria
JID - 9100365
SB  - IM
MH  - Abdominal Fat/anatomy & histology
MH  - Body Height
MH  - Body Mass Index
MH  - Body Weight
MH  - Child
MH  - Child, Preschool
MH  - Cross-Sectional Studies
MH  - Female
MH  - Humans
MH  - Male
MH  - Obesity, Abdominal/*diagnosis/epidemiology
MH  - Overweight/diagnosis/epidemiology
MH  - Pediatric Obesity/*diagnosis/epidemiology
MH  - Prevalence
MH  - Primary Prevention/methods
MH  - Prognosis
MH  - ROC Curve
MH  - Reference Values
MH  - Sex Factors
MH  - Spain/epidemiology
MH  - *Waist Circumference
OTO - NOTNLM
OT  - Indice de masa corporal. Circunferencia de la cintura. Obesidad abdominal. Ninos. 
      Adolescentes.
EDAT- 2020/12/22 06:00
MHDA- 2021/10/30 06:00
CRDT- 2020/12/21 05:30
PHST- 2020/12/22 06:00 [pubmed]
PHST- 2021/10/30 06:00 [medline]
PHST- 2020/12/21 05:30 [entrez]
AID - 10.20960/nh.03197 [doi]
PST - ppublish
SO  - Nutr Hosp. 2021 Feb 23;38(1):85-93. doi: 10.20960/nh.03197.