Pereira PF, Faria FRD, Faria ERD, Hermsdorff HHM, Peluzio MDCG, Franceschini SDCC, Priore SE. [Anthropometric indices to identify metabolic syndrome and hypertriglyceridemic waist phenotype: a comparison between the three stages of adolescence].
REVISTA PAULISTA DE PEDIATRIA 2015;
33:194-203. [PMID:
25913494 PMCID:
PMC4516374 DOI:
10.1016/j.rpped.2014.10.001]
[Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/25/2014] [Accepted: 10/14/2014] [Indexed: 01/19/2023]
Abstract
OBJECTIVE:
To determine the prevalence of metabolic syndrome (MS) and the
hypertriglyceridemic waist phenotype (HW) in a representative adolescent sample;
as well as to establish which anthropometric indicator better identifies MS and
HW, according to gender and adolescent age.
METHODS:
This cross sectional study had the participation of 800 adolescents (414 girls)
from 10-19 years old. Anthropometric indicators (body mass index, waist perimeter,
waist/stature ratio, waist/hip ratio, and central/peripheral skinfolds) were
determined by standard protocols. For diagnosis of MS, the criteria proposed by de
Ferranti et al. (2004) were used. HW was defined by the simultaneous presence of
increased waist perimeter (>75th percentile for age and sex) and high
triglycerides (>100 mg/dL). The ability of anthropometric indicators was
evaluated by Receiver Operating Characteristic curve.
RESULTS:
The prevalence of MS was identical to HW (6.4%), without differences between
genders and the adolescence phases. The waist perimeter showed higher area under
the curve for the diagnosis of MS, except for boys with 17-19 years old, for whom
the waist/stature ratio exhibited better performance. For diagnosing HW, waist
perimeter also showed higher area under the curve, except for boys in initial and
final phases, in which the waist/stature ratio obtained larger area under the
curve. The central/peripheral skinfolds had the lowest area under the curve for
the presence of both MS and HW phenotype.
CONCLUSIONS:
The waist perimeter and the waist/stature showed a better performance to identify
MS and HW in both genders and in all three phases of adolescence.
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