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Waist-to-height ratio percentiles and cutoffs for obesity: a cross-sectional study in brazilian adolescents.
de Pádua Cintra, Isa; Zanetti Passos, Maria Aparecida; Dos Santos, Luana Caroline; da Costa Machado, Helymar; Fisberg, Mauro.
Afiliação
  • de Pádua Cintra I; Adolescent Sector, Department of Pediatrics, Universidade Federal de São Paulo, São Paulo, SP, Brazil.
  • Zanetti Passos MA; Adolescent Sector, Department of Pediatrics, Universidade Federal de São Paulo, São Paulo, SP, Brazil.
  • Dos Santos LC; Department of Nutrition, School of Nursing, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
  • da Costa Machado H; Statistics Division, Universidade Estadual de Campinas, Brazil.
  • Fisberg M; Adolescent Sector, Department of Pediatrics, Universidade Federal de São Paulo, São Paulo, SP, Brazil.
J Health Popul Nutr ; 32(3): 411-9, 2014 Sep.
Article em En | MEDLINE | ID: mdl-25395904
This study aimed to describe the distribution of waist-to-height ratio (WHtR) percentiles and cutoffs for obesity in Brazilian adolescents. A cross-sectional study including adolescents aged 10 to 15 years was conducted in the city of São Paulo, Brazil; anthropometric measurements (weight, height, and waist-circumference) were taken, and WHtRs were calculated and then divided into percentiles derived by using Least Median of Squares (LMS) regression. The receiver operating characteristic (ROC) curve was used in determining cutoffs for obesity (BMI ≥ 97th percentile) and Mann-Whitney and Kruskal-Wallis tests were used for comparing variables. The study included 8,019 adolescents from 43 schools, of whom 54.5% were female, and 74.8% attended public schools. Boys had higher mean WHtR than girls (0.45 ± 0.06 vs 0.44 ± 0.05; p=0.002) and higher WHtR at the 95th percentile (0.56 vs 0.54; p<0.05). The WHtR cutoffs according to the WHO criteria ranged from 0.467 to 0.506 and 0.463 to 0.496 among girls and boys respectively, with high sensitivity (82.8-95%) and specificity (84-95.5%). The WHtR was significantly associated with body adiposity measured by BMI. Its age-specific percentiles and cutoffs may be used as additional surrogate markers of central obesity and its co-morbidities.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Obesidade Infantil / Razão Cintura-Estatura Tipo de estudo: Diagnostic_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Limite: Adolescent / Child / Female / Humans / Male País/Região como assunto: America do sul / Brasil Idioma: En Revista: J Health Popul Nutr Assunto da revista: CIENCIAS DA NUTRICAO / GASTROENTEROLOGIA / SAUDE PUBLICA Ano de publicação: 2014 Tipo de documento: Article País de afiliação: Brasil País de publicação: Bangladesh

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Obesidade Infantil / Razão Cintura-Estatura Tipo de estudo: Diagnostic_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Limite: Adolescent / Child / Female / Humans / Male País/Região como assunto: America do sul / Brasil Idioma: En Revista: J Health Popul Nutr Assunto da revista: CIENCIAS DA NUTRICAO / GASTROENTEROLOGIA / SAUDE PUBLICA Ano de publicação: 2014 Tipo de documento: Article País de afiliação: Brasil País de publicação: Bangladesh