LMS tables for waist circumference and waist-to-height ratio among Colombian children and adolescents: The FUPRECOL study

Background: Indices predictive of central obesity include waist circumference (WC) and waist-to-height ratio (WHtR). The aims of this study were 1) to establish a Colombian youth smoothed centile charts and LMS tables for WC and WHtR and 2) to evaluate the utility of these parameters as predictors...

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Autor Principal: Moreno-Jiménez, Javier
Otros Autores: Ramírez-Vélez, Robinson
Formato: Tesis de maestría (Master Thesis)
Lenguaje:Español (Spanish)
Publicado: Universidad del Rosario 2016
Materias:
Acceso en línea:http://repository.urosario.edu.co/handle/10336/12314
id ir-10336-12314
recordtype dspace
institution EdocUR - Universidad del Rosario
collection DSpace
language Español (Spanish)
topic Central obesit
Reference values
Anthropometric indices
Promoción de salud
Ejercicio
Actividad motora
Crecimiento
Desarrollo del adolescente
Obesidad
spellingShingle Central obesit
Reference values
Anthropometric indices
Promoción de salud
Ejercicio
Actividad motora
Crecimiento
Desarrollo del adolescente
Obesidad
Moreno-Jiménez, Javier
LMS tables for waist circumference and waist-to-height ratio among Colombian children and adolescents: The FUPRECOL study
description Background: Indices predictive of central obesity include waist circumference (WC) and waist-to-height ratio (WHtR). The aims of this study were 1) to establish a Colombian youth smoothed centile charts and LMS tables for WC and WHtR and 2) to evaluate the utility of these parameters as predictors of overweight and obesity. Method: A cross-sectional study whose sample population comprised 7954 healthy Colombian schoolchildren [boys n=3460 and girls n=4494, mean (standard deviation) age 12.8 (2.3) years old]. Weight, height, body mass index (BMI), WC and WHtR and its percentiles were calculated. Appropriate cut-offs point of WC and WHtR for overweight and obesity, as defined by the International Obesity Task Force (IOTF) definitions, were selected using receiver operating characteristic (ROC) analysis. The discriminating power of WC and WHtR was expressed as area under the curve (AUC). Results: Reference values for WC and WHtR are presented. Mean WC increased and WHtR decreased with age for both genders. We found a moderate positive correlation between WC and BMI (r= 0.756, P < 0.01) and WHtR and BMI (r= 0.604, P < 0.01). The ROC analysis showed a high discrimination power in the identification of overweight and obesity for both measures in our sample population. Overall, WHtR was slightly a better predictor for overweight/obesity (AUC 95% CI 0.868-0.916) than the WC (AUC 95% CI 0.862-0.904). Conclusion: This paper presents the first sex- and age-specific WC and WHtR percentiles for both measures among Colombian children and adolescents aged 9–17.9 years. By providing LMS tables for Latin-American people based on Colombian reference data, we hope to provide quantitative tools for the study of obesity and its comorbidities.
author2 Ramírez-Vélez, Robinson
author_facet Ramírez-Vélez, Robinson
Moreno-Jiménez, Javier
format Tesis de maestría (Master Thesis)
author Moreno-Jiménez, Javier
author_sort Moreno-Jiménez, Javier
title LMS tables for waist circumference and waist-to-height ratio among Colombian children and adolescents: The FUPRECOL study
title_short LMS tables for waist circumference and waist-to-height ratio among Colombian children and adolescents: The FUPRECOL study
title_full LMS tables for waist circumference and waist-to-height ratio among Colombian children and adolescents: The FUPRECOL study
title_fullStr LMS tables for waist circumference and waist-to-height ratio among Colombian children and adolescents: The FUPRECOL study
title_full_unstemmed LMS tables for waist circumference and waist-to-height ratio among Colombian children and adolescents: The FUPRECOL study
title_sort lms tables for waist circumference and waist-to-height ratio among colombian children and adolescents: the fuprecol study
publisher Universidad del Rosario
publishDate 2016
url http://repository.urosario.edu.co/handle/10336/12314
_version_ 1645141563349663744
spelling ir-10336-123142019-09-19T12:37:54Z LMS tables for waist circumference and waist-to-height ratio among Colombian children and adolescents: The FUPRECOL study Moreno-Jiménez, Javier Ramírez-Vélez, Robinson Correa Bautista, Jorge Enrique Central obesit Reference values Anthropometric indices Promoción de salud Ejercicio Actividad motora Crecimiento Desarrollo del adolescente Obesidad Background: Indices predictive of central obesity include waist circumference (WC) and waist-to-height ratio (WHtR). The aims of this study were 1) to establish a Colombian youth smoothed centile charts and LMS tables for WC and WHtR and 2) to evaluate the utility of these parameters as predictors of overweight and obesity. Method: A cross-sectional study whose sample population comprised 7954 healthy Colombian schoolchildren [boys n=3460 and girls n=4494, mean (standard deviation) age 12.8 (2.3) years old]. Weight, height, body mass index (BMI), WC and WHtR and its percentiles were calculated. Appropriate cut-offs point of WC and WHtR for overweight and obesity, as defined by the International Obesity Task Force (IOTF) definitions, were selected using receiver operating characteristic (ROC) analysis. The discriminating power of WC and WHtR was expressed as area under the curve (AUC). Results: Reference values for WC and WHtR are presented. Mean WC increased and WHtR decreased with age for both genders. We found a moderate positive correlation between WC and BMI (r= 0.756, P < 0.01) and WHtR and BMI (r= 0.604, P < 0.01). The ROC analysis showed a high discrimination power in the identification of overweight and obesity for both measures in our sample population. Overall, WHtR was slightly a better predictor for overweight/obesity (AUC 95% CI 0.868-0.916) than the WC (AUC 95% CI 0.862-0.904). Conclusion: This paper presents the first sex- and age-specific WC and WHtR percentiles for both measures among Colombian children and adolescents aged 9–17.9 years. 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