Accuracy of abdominal circumference for diagnosing overweight in six-to-seven-years-old children
DOI:
https://doi.org/10.33448/rsd-v11i1.24638Keywords:
Pediatric obesity; Body mass index; Abdominal circumference.Abstract
Objective: To estimate the accuracy of abdominal circumference measurement as a method of diagnosing overweight in six-to-seven-years-old children. Methods: A cross-sectional study involving 1026 six-to-seven-years-old schoolchildren in southern Brazil was carried out. Children’s weight and height were collected at schools. Body mass index were calculated and categorized in z-score in eutrophy, overweight and obesity. Abdominal circumference was measured in centimeters with a tape with children in standing position at midpoint between the lower ribs margin and the iliac crest. Correlation between abdominal circumference and body mass index was performed through Pearson's correlation coefficient. Sensitivity, specificity, positive and negative predictive values of abdominal circumference were estimated. The Receiver Operating Characteristic Curve was used to measure the accuracy. Results: A positive linear correlation value of 0.582 and a determination coefficient 0.39 were observed. The accuracy value of 0.859 was observed. Sensitivity, specificity, positive and negative predictive values varied according to each value in centimeters of abdominal circumference. Conclusion: Abdominal circumference measure showed to be an accurate method for detecting overweight and obesity in six-to-seven-years-old children.
References
Associação Brasileira para o Estudo da Obesidade e da Síndrome Metabólica. (2016). Diretrizes brasileiras de obesidade. 4ª. ed. São Paulo: ABESO.
Brasil. (2020). Ministério da Saúde. Secretaria de Atenção à Saúde, Departamento de Atenção Básica, Coordenação Geral da Política de Alimentação e Nutrição. Incorporação das curvas de crescimento da Organização Mundial de Saúde de 2006 e 2007 no SISVAN. http://www.nutricao.saude.gov.br/docs/geral/curvas_oms_2006_2007.pdf.
Dias, L. C. G. D., Cintra, R. M. G. C., Arruda, C. M., Nunes, C. M. & Gomes, C. B. (2013). Relação entre circunferência abdominal e estado nutricional em pré-escolares de Botucatu, SP. Revista Ciência em Extensão. 9(1): 95-104.
Ferreira, A. A. (2014). Antropometria aplicada à saúde e ao desempenho esportivo: uma abordagem a partir da metodologia ISAK. Rio de Janeiro: Rubio.
Franks, P. W., Hanson, R. L., Knowler, W. C., Sievers, M. L., Bennett, P. H., & Looker, H. C. (2010). Childhood obesity, other cardiovascular risk factors, and premature death. New England Journal of Medicine. 362(6): 485-493. https://doi.org/10.1056/NEJMoa0904130.
Freedman, D. & Berenson, G. (2017). Tracking of BMI z Scores for severe obesity. Pediatrics. 140(3): e20171072. https://doi.org/ 0.1542/peds.2017-1072.
Freedman, D., Serdula, M., Srinivasan, S., & Berenson, G. S. (1999). Relation of circumferences and skinfold thicknesses to lipid and insulin concentrations in children and adolescents: the Bogalusa Heart Study. The American Journal of Clinical Nutrition. 69(2): 308-317. https://doi.org/ 10.1093/ajcn/69.2.308.
Klein, S., Allison, D. B., Heymsfield, S.B., Kelley, D. E., Leibel, R. L., Nonas, C., Kahn, R., Association for Weight Management and Obesity Prevention; NAASO, The Obesity Society, American Society for Nutrition & American Diabetes Association. (2007). Waist circumference and cardiometabolic risk: a consensus statement from Shaping America's Health: Association for Weight Management and Obesity Prevention; NAASO, The Obesity Society; the American Society for Nutrition; and the American Diabetes Association. The American Journal of Clinical Nutrition. 85: 1197-1202. https://doi.org/10.1093/ajcn/85.5.1197.
Lee, S., Bacha, F., Gungor, N. & Silva, A. A. (2006). Waist circumference is an independent predictor of insulin resistance in black and white youths. Jornal de Pediatria. 148(2): 188-194. https://doi.org/10.1016/j.jpeds.2005.10.001.
Lima, R. D. L., Pereira, R. M., Munõz, V. R., Canciglieri, R. S., & Canciglieri, P. H. (2020). Occurrence of overweight in schoolchildren and analysis of agreement between anthropometric methods. Revista Brasileira de Cineantropometria & Desempenho Humano. 22: e67037. https://doi.org/10.1590/1980-0037.2020v22e67037.
Lohman, T.G., Roche, A. F. & Martorell, R. (1988). Anthropometric standardization reference manual. Champaign: Human Kinetics.
Magalhães, E. I. S., Sant’Ana, L. F. R., Priore, S.E. & Franceschini, S. C. C. (2014). Waist circumference, waist/height ratio, and neck circumference as parameters of central obesity assessment in children. Revista Paulista de Pediatria. 32(3): 273-282. https://doi.org/10.1590/0103-0582201432320.
Mandviwala, T., Khalid. U. & Deswal, A. (2016). Obesity and cardiovascular disease: A risk factor or a risk marker? Current Atherosclerosis Reports. 18(5): 21. https://doi.org/10.1007/s11883-016-0575-4.
Medronho, R., Bloch, K. V., Luiz, R. R. (2009). Epidemiologia. São Paulo: Atheneu.
National Institutes of Health (2000). The practical guide identification, evaluation, and treatment of overweight and obesity in adults. Bethesda: NIH.
Pérez, B.M., Landaeta-Jiménez, M., Amador, J., Vásquez, M. & Marrodán, M. D. (2009). Sensitivity and specificity of anthropometric indicators of adiposity and fat distribution in Venezuelan children and adolescents. Interciencia. 34(2): 84-90.
Ribeiro, A. G., Leal, D. B. & Assis, M. A. A. (2014). Diagnostic accuracy of anthropometric indices in predicting excess body fat among seven to ten-year-old children. Revista Brasileira de Epidemiologia. 17(1): 243-254. https://doi.org/10.1590/1415-790x201400010019eng.
Risica, P. M., Ebbesson, S. O., Schraer, C.D., Nobmann, E. D & Caballero, B. H. (2000). Body fat distribution in Alaskan Eskimos of the Bering Straits region: the Alaskan Siberia Project. International Journal of Obesity and Related Metabolic Disorders. 24: 171-179. https://doi.org/10.1038/sj.ijo.0801103.
Santos, I., Passos, M., Cintra, I., Mauro Fisberg, M, Ferreti, R. L, & Ganen, A. P (2018). Cut off values for waist circumference to predict overweight in Brazilian adolescents, according to puberal staging. Revista Paulista de Pediatria. 29(4): 546-552. https://doi.org/10.1590/1984‐0462/;2019;37;1;00003
Taylor, R., Jones. I., Williams, S., & Goulding, A. (2000). Evaluation of waist circumference, waist-to-hip ratio, and the conicity index as screening tools for high trunk fat mass, as measured by dual-energy X-ray absorptiometry, in children aged 3–19 y. The American Journal of Clinical Nutrition. 72(2): 490-495. https://doi.org/ 10.1093/ajcn/72.2.490.
Traebert, J., Lunardelli, S. E., Martins, L. G., Santos, K., Nunes, R. D., Lunardelli, A. N., & Traebert, E. (2018) Methodological description and preliminary results of a cohort study on the influence of the first 1,000 days of life on the children’s future health. Anais da Academia Brasileira de Ciências. 90: 305-314. https://doi.org/10.1590/0001-3765201820170937.
Vieira AS, Ribeiro AQ, Hermsdorff HHM, Pereira, P. F., Priore, S. E., & Franceschini, S. C. C. (2018). Waist-to-height ratio index or the prediction of overweight in children. Revista Paulista de Pediatria. 36(1): 52-58. https://doi.org/10.1590/1984-0462/;2018;36;1;00002.
Wannmacher, L. (2016). Obesidade como fator de risco para morbidade e mortalidade: evidências sobre o manejo com medidas não medicamentosas. São Paulo: OPAS/OMS – Representação Brasil.
WHO. (2000). Obesity: preventing and managing the global epidemic. Report of a WHO Consultation. Geneva: World Health Organization.
WHO (2008). Waist circumference and waist-hip ratio: report of a WHO expert consultation. Geneva: World Health Organization.
WHO. (2020). Obesity and overweight: fact sheet. https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight.
WHO. (2021). Global strategy on diet, physical activity and health: childhood overweight and obesity. http://www.who.int/dietphysicalactivity/childhood/en/.
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