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2000 CDC or 2007 WHO – What is the most sensitive anthropometric reference for determination of overweight and cardio-metabolic risk in children aged 6–10 years?
Kuba, Valesca Mansur; Leone, Claudio; Damiani, Durval.
  • Kuba, Valesca Mansur; Referral Center for the Treatment of Children and Adolescents. Rio de Janeiro. BR
  • Leone, Claudio; Referral Center for the Treatment of Children and Adolescents. Rio de Janeiro. BR
  • Damiani, Durval; Referral Center for the Treatment of Children and Adolescents. Rio de Janeiro. BR
Arch. endocrinol. metab. (Online) ; 59(3): 220-225, 06/2015. tab
Article in English | LILACS | ID: lil-751315
ABSTRACT
Objective To compare the two anthropometric standards for screening of overweight and cardio-metabolic risk in 6–10-year-old children.Subjects and methods This cross-sectional study included 175 subjects attending the Referral Center for the Treatment of Children and Adolescents in Campos, Rio de Janeiro. They were classified according to CDC and WHO BMI z scores as normal-weight (z-score > –1 and < 1), overweight (z-score ≥ 1 and < 2) or obese (z-score ≥ 2). Sensitivities and specificities in predicting systolic (SBP), diastolic (DBP) blood pressure and homeostatic model assessment insulin resistance index (HOMA-IR) alterations were calculated.Results There was a major difference in 11 children who rated overweight by the CDC but were reclassified as obese by the WHO. Their mean z-scores for SBP (1.71 ± 1.54), DBP (2.64 ± 1.83) and HOMA-IR (1.84 ± 0.98) were higher than those classified as overweight by both references (SBP = 0.49 ± 1.34, p < 0.023, DBP = 1.45 ± 0.97, p < 0.04 and HOMA = 1.24 ± 0.67, p < 0.04), but were similar to those classified as obese by both criteria (SBP = 1.25 ± 2.04, p = 0.60, DBP = 1.94 ± 1.19, p = 0.50 and HOMA = 2.09 ± 1.12, p = 0.76).Conclusion the 2007 WHO reference was the most sensitive in screening for overweight and alterations in blood pressure and HOMA-IR in 6–10-year-old children. Arch Endocrinol Metab. 2015;59(3)220-5.
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Full text: Available Index: LILACS (Americas) Main subject: Vomiting / Breeding / Motion Sickness / Isoflurane Type of study: Diagnostic study / Etiology study / Practice guideline / Observational study / Prognostic study / Risk factors Limits: Animals Language: English Journal: Arch. endocrinol. metab. (Online) Journal subject: Endocrinology / Metabolism Year: 2015 Type: Article Affiliation country: Brazil Institution/Affiliation country: Referral Center for the Treatment of Children and Adolescents/BR

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Full text: Available Index: LILACS (Americas) Main subject: Vomiting / Breeding / Motion Sickness / Isoflurane Type of study: Diagnostic study / Etiology study / Practice guideline / Observational study / Prognostic study / Risk factors Limits: Animals Language: English Journal: Arch. endocrinol. metab. (Online) Journal subject: Endocrinology / Metabolism Year: 2015 Type: Article Affiliation country: Brazil Institution/Affiliation country: Referral Center for the Treatment of Children and Adolescents/BR