ASSOCIATION OF ANTHROPOMETRIC INDEXES AND CARDIO-METABOLIC RISK FACTORS AMONG OBESE CHILDREN

  • سال انتشار: 1388
  • محل انتشار: مجله آریا آترواسکلروز، دوره: 5، شماره: 1
  • کد COI اختصاصی: JR_RYA-5-1_007
  • زبان مقاله: انگلیسی
  • تعداد مشاهده: 251
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نویسندگان

Mahin Hashemipour

Professor of Pediatric Endocrinology, Endocrine&Metabolism Research Center, Isfahan University of Medical Sciences, Isfahan.

Mehrnaz Soghrati

Physician, Isfahan University of Medical Sciences, Isfahan.

Mohammad Malekahmadi

Physician, Isfahan University of Medical Sciences, Isfahan.

Mojgan Soghrati

Physician, Isfahan University of Medical Sciences, Isfahan.

Parisa Mirmoghtadaei

Specialist in Community Medicine, Isfahan University of Medical Sciences, Isfahan.

Parinaz Poursafa

Research Assistant, Pediatric Preventive Cardiology Department, Isfahan Cardiovascular Research Center, Isfahan University of Medical Sciences, Isfahan.

Roya Kelishadi

Associate Professor of Pediatrics, Pediatric Preventive Cardiology Department, Isfahan Cardiovascular Research Center, Isfahan Uni-versity of Medical Sciences, Isfahan.

چکیده

Abstract    BACKGROUND: Childhood obesity is associated with many cardio-metabolic risk factors, and different anthropometric measures have been considered to be associated with these risk factors. The aim of this study was to determine the best anthropometric index associated with cardio-metabolic risk factors among obese children and adolescents.    METHODS: This study was conducted by using data of the records of ۲۰۶۴ obese children and adolescents aged ۶-۱۸ years. Body mass index (BMI), waist circumference (WC), waist- to- hip ratio (WHR) and waist- to-stature ratio (WSR) were considered as anthropometric indexes. The cardio-metabolic risk factors were total cholesterol (TC), LDL-cholesterol (LDL-C),HDL-cholesterol (HDL-C), triglycerides (TG), fasting blood sugar (FBS), diastolic and systolic blood pressure (SBP and DBP).Data were analyzed with SPSS۱۶ using Receiver Operator Curve (ROC) and Pearson correlation analyses.    RESULTS: The prevalence of high LDL -C, TC, TG, FBS, SBP / DBP and low HDL - C was higher in boys than in girls. No single anthropometric index was found to be associated with risk factors in different sex and age groups. BMI, WC and WSR but not WHR had significant correlation with TC, LDL - C, TG, and FBS, whereas HDL - C had no significant correlation with anthropometric indexes.     CONCLUSION: Our results showed that in spite of all its limitations in differentiating fat mass and obesity pattern, BMI can be considered as a useful anthropometric index for predicting cardio-metabolic risk factors in obese children and adolescents. It may be clinically useful in pediatric population to routinely use WC and WSR -but not WHR- as a screening tool to identify at-risk children.      Keywords: Anthropometric measures, fat distribution, cardiovascular risk factors, children.  

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