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2013 ; 101
(4
): 288-96
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Relationship between anthropometric measures and cardiovascular risk factors in
children and adolescents
#MMPMID23979777
Burgos MS
; Burgos LT
; Camargo MD
; Franke SI
; Prá D
; Silva AM
; Borges TS
; Todendi PF
; Reckziegel MB
; Reuter CP
Arq Bras Cardiol
2013[Oct]; 101
(4
): 288-96
PMID23979777
show ga
BACKGROUND: Obesity has been identified as an important risk factor in the
development of cardiovascular diseases; however, other factors, combined or not
with obesity, can influence cardiovascular risk and should be considered in
cardiovascular risk stratification in pediatrics. OBJECTIVE: To analyze the
association between anthropometry measures and cardiovascular risk factors, to
investigate the determinants to changes in blood pressure (BP), and to propose a
prediction equation to waist circumference (WC) in children and adolescents.
METHODS: We evaluated 1,950 children and adolescents, aged 7 to 18 years.
Visceral fat was assessed by WC and waist-hip relationship, BP and body mass
index (BMI). In a randomly selected subsample of these volunteers (n = 578),
total cholesterol, glucose and triglycerides levels were evaluated. RESULTS: WC
was positively correlated with BMI (r = 0.85; p < 0.001) and BP (SBP r = 0.45 and
DBP = 0.37; p < 0.001). Glycaemia and triglycerides showed a weak correlation
with WC (r = 0.110; p = 0.008 e r = 0.201; p < 0.001, respectively). Total
cholesterol did not correlate with any of the variables. Age, BMI and WC were
significant predictors on the regression models for BP (p < 0.001). We propose a
WC prediction equation for children and adolescents: boys: y = 17.243 + 0.316
(height in cm); girls: y = 25.197 + 0.256 (height in cm). CONCLUSION: WC is
associated with cardiovascular risk factors and presents itself as a risk factor
predictor of hypertension in children and adolescents. The WC prediction equation
proposed by us should be tested in future studies.