Sie befinden Sich nicht im Netzwerk der Universität Paderborn. Der Zugriff auf elektronische Ressourcen ist gegebenenfalls nur via VPN oder Shibboleth (DFN-AAI) möglich. mehr Informationen...
ANTHROPOMETRIC MEASUREMENTS ASSOCIATED TO METABOLIC SYNDROME AND INSULIN RESISTANCE IN CHILEAN SCHOOL AGE CHILDREN
Ist Teil von
Annals of nutrition and metabolism, 2017-10, Vol.71, p.454
Ort / Verlag
Basel: S. Karger AG
Erscheinungsjahr
2017
Link zum Volltext
Quelle
Alma/SFX Local Collection
Beschreibungen/Notizen
Background and objectives: The World Health Organization has recommended determining - sex and population - specific relationships between measures of fatness and morbidity. Obesity anthropometric indicators were associated in this study of Chilean children with the metabolic syndrome (MS) and with insulin resistance (IR). Methods: A cross-sectional study enrolled 3325 subjects attending 5th and 6th grade of primary education during 2009-2011. The relationship of MS and IR with anthropometric indicators was assessed. Receiver operator characteristic (ROC) curves were used to compare discrimination and estimate optimal cutoffs of body mass index (BMI), fat mass (FM), waist circumference (WC) and waist-to-height ratio (WHtR). Sensitivity, specificity and net classification improvement (NRI) for these cut cutoffs were compared with values obtained applying international recommendations. Results: Children were 52.2% females and mean age was 11.4±1 years. All anthropometric indicators had similar ROC areas for MS and RI, both in girls and boys. Optimal cutoffs slightly improved NR when compared with international recommendations. Conclusions: The similarities observed permitted to propose two simpler anthropometric measures for clinical practice. They are BMI and WHtR; the latter has also the advantage of not needing tables to assess the specific diagnosis.