Waist circumference, waist-to-height ratio and conicity index to evaluate android fat excess in Brazilian children.

Abstract:

OBJECTIVE:To evaluate the ability of anthropometric measurements to identify excess android fat and to propose cut-off points for excess central adiposity in children, according to age and sex. DESIGN:A cross-sectional study with children from a municipality of Minas Gerais, Brazil. Receiver-operating characteristic curve analyses were performed to evaluate waist circumference (WC), waist-to-height ratio (WHtR) and conicity index (C-index) in estimating excess android fat by dual energy X-ray absorptiometry (DXA). SETTING:Viçosa, Minas Gerais, Brazil. SUBJECTS:Children aged 4-9 years (n 788). RESULTS:Overweight prevalence was 29·1 % and android fat percentage was higher among girls. All central fat measurements were able to discriminate excess android fat in the age groups evaluated, especially WC and WHtR, with cut-off points showing good sensitivity and specificity overall. CONCLUSIONS:Because these methods are easy to obtain and inexpensive, it is possible to use WC, WHtR and C-index in population surveys to evaluate central obesity. The proposed cut-off points showed satisfactory values of sensitivity and specificity and can be used in epidemiological studies.

journal_name

Public Health Nutr

journal_title

Public health nutrition

authors

Filgueiras MS,Vieira SA,Fonseca PCA,Pereira PF,Ribeiro AQ,Priore SE,Franceschini SDCC,Novaes JF

doi

10.1017/S1368980018002483

subject

Has Abstract

pub_date

2019-01-01 00:00:00

pages

140-146

issue

1

eissn

1368-9800

issn

1475-2727

pii

S1368980018002483

journal_volume

22

pub_type

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