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Background: Obesity in adolescence is associated with cardiometabolic problems in adulthood. It is necessary to have an easily applicable obesity index to predict cardiometabolic risk in adolescents. Objective: To compare the usefulness of waist to-height ratio (WHtR), waist circumference (WC), and...
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2019
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| On-line přístup: | https://revistadigital.uce.edu.ec/index.php/CIENCIAS_MEDICAS/article/view/1898 |
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Přidat tag | _version_ | 1858471307628249088 |
|---|---|
| author | Estrella, Ramiro |
| author2 | Salazar, Fernando Paredes, Yolanda Racines, Marcia |
| author2_role | author author author |
| author_facet | Estrella, Ramiro Salazar, Fernando Paredes, Yolanda Racines, Marcia |
| author_role | author |
| collection | Revista Ciencias Médicas |
| dc.creator.none.fl_str_mv | Estrella, Ramiro Salazar, Fernando Paredes, Yolanda Racines, Marcia |
| dc.date.none.fl_str_mv | 2019-12-02 |
| dc.format.none.fl_str_mv | application/pdf |
| dc.identifier.none.fl_str_mv | https://revistadigital.uce.edu.ec/index.php/CIENCIAS_MEDICAS/article/view/1898 10.29166/ciencias_medicas.v44i1.1898 |
| dc.language.none.fl_str_mv | spa |
| dc.publisher.none.fl_str_mv | Quito: Universidad Central del Ecuador |
| dc.relation.none.fl_str_mv | https://revistadigital.uce.edu.ec/index.php/CIENCIAS_MEDICAS/article/view/1898/1835 |
| dc.rights.none.fl_str_mv | Derechos de autor 2019 Gustavo Cadena info:eu-repo/semantics/openAccess |
| dc.source.none.fl_str_mv | Revista de la Facultad de Ciencias Médicas (Quito); Vol. 44 No. 1 (2019): Revista de la Facultad de Ciencias Médicas (Quito) ; 13-25 Revista de la Facultad de Ciencias Médicas (Quito); Vol. 44 Núm. 1 (2019): Revista de la Facultad de Ciencias Médicas (Quito) ; 13-25 2737-6141 2588-0691 10.29166/ciencias_medicas.v44i1 reponame:Revista Ciencias Médicas instname:Universidad Central del Ecuador instacron:UCE |
| dc.subject.none.fl_str_mv | Obesidad síndrome metabólico predictores riesgo cardiometabólico Obesity metabolic syndrome predictors cardiometabolic risks |
| dc.title.none.fl_str_mv | Español Predictores de riesgo cardiometabólico en adolescentes de Quito |
| dc.type.none.fl_str_mv | info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Artículo evaluado por pares |
| description | Background: Obesity in adolescence is associated with cardiometabolic problems in adulthood. It is necessary to have an easily applicable obesity index to predict cardiometabolic risk in adolescents. Objective: To compare the usefulness of waist to-height ratio (WHtR), waist circumference (WC), and body mass index (BMI) to determine obesity and predict cardiometabolic risks in adolescents. Methods: In this cross-sectional study, under the criteria of the International Diabetes Federation (IDF), obesity, hypertension, hyperglycemia, hypertriglyceridemia and low HDL rates were determined in 931 Ecuadorian mestizo adolescents. The association of the three obesity indices with the cardiometabolic risk factors was determined by means of adjusted Odds radios and area under the Receiver Operating Characteristic curve (AUC-ROC). Results: WHtR ≥0.5 determined the highest percentage of obesity (36.6%) with respect to WC (17.4%) and BMI (6.7%). BMI ≥95 percentile was significantly associated with the four cardiometabolic risk factors, while WC and WHtR were associated with three out of four factors. The three obesity indices determine the concurrence of three or more cardiometabolic risk factors with high sensitivity and specificity with an AUC greater than 0.80. Conclusions: BMI ≥95th percentile is a better predictor of cardiometabolic risk, but it is not a good determinant of obesity. The WHtR seems to be the most suitable anthropometric indicator to detect obesity and predict cardiometabolic risk in mestizo adolescents due to its easy determination and use. Keywords: Obesity, metabolic syndrome, predictors, cardiometabolic risks |
| eu_rights_str_mv | openAccess |
| format | article |
| id | REVCMED_e1c33c77f7c7efeda9727f9212c64770 |
| identifier_str_mv | 10.29166/ciencias_medicas.v44i1.1898 |
| instacron_str | UCE |
| institution | UCE |
| instname_str | Universidad Central del Ecuador |
| language | spa |
| network_acronym_str | REVCMED |
| network_name_str | Revista Ciencias Médicas |
| oai_identifier_str | oai:revistadigital.uce.edu.ec:article/1898 |
| publishDate | 2019 |
| publisher.none.fl_str_mv | Quito: Universidad Central del Ecuador |
| reponame_str | Revista Ciencias Médicas |
| repository.mail.fl_str_mv | * |
| repository.name.fl_str_mv | Revista Ciencias Médicas - Universidad Central del Ecuador |
| repository_id_str | * |
| rights_invalid_str_mv | Derechos de autor 2019 Gustavo Cadena |
| spelling | EspañolPredictores de riesgo cardiometabólico en adolescentes de QuitoEstrella, Ramiro Salazar, Fernando Paredes, Yolanda Racines, Marcia Obesidadsíndrome metabólicopredictoresriesgo cardiometabólicoObesitymetabolic syndromepredictorscardiometabolic risksBackground: Obesity in adolescence is associated with cardiometabolic problems in adulthood. It is necessary to have an easily applicable obesity index to predict cardiometabolic risk in adolescents. Objective: To compare the usefulness of waist to-height ratio (WHtR), waist circumference (WC), and body mass index (BMI) to determine obesity and predict cardiometabolic risks in adolescents. Methods: In this cross-sectional study, under the criteria of the International Diabetes Federation (IDF), obesity, hypertension, hyperglycemia, hypertriglyceridemia and low HDL rates were determined in 931 Ecuadorian mestizo adolescents. The association of the three obesity indices with the cardiometabolic risk factors was determined by means of adjusted Odds radios and area under the Receiver Operating Characteristic curve (AUC-ROC). Results: WHtR ≥0.5 determined the highest percentage of obesity (36.6%) with respect to WC (17.4%) and BMI (6.7%). BMI ≥95 percentile was significantly associated with the four cardiometabolic risk factors, while WC and WHtR were associated with three out of four factors. The three obesity indices determine the concurrence of three or more cardiometabolic risk factors with high sensitivity and specificity with an AUC greater than 0.80. Conclusions: BMI ≥95th percentile is a better predictor of cardiometabolic risk, but it is not a good determinant of obesity. The WHtR seems to be the most suitable anthropometric indicator to detect obesity and predict cardiometabolic risk in mestizo adolescents due to its easy determination and use. Keywords: Obesity, metabolic syndrome, predictors, cardiometabolic risksIntroducción: Obesidad en la adolescencia se asocia con trastornos cardiometabólicos en la edad adulta. Es necesario contar con un índice de obesidad fácilmente aplicable para predecir riesgo cardiometabólico en adolescentes. Objetivo: Comparar la utilidad de los índices radio Cintura/Talla (r-CT), circunferencia de cintura (CC) y el índice de masa corporal (IMC) para determinar obesidad y predecir riesgos cardiometabólicos en adolescentes. Métodos: En este estudio trasversal, bajo criterios de la International Diabetes Federation (IDF) se determinó obesidad mediante tres índices, hipertensión arterial, hiperglicemia, hipertrigliceridemia y bajo HDL en 931 adolescentes mestizos ecuatorianos. La asociación de los índices de obesidad (r-CT, IMC y CC) con los factores de riesgo cardiometabólico se determinaron mediante radios de Odds ajustados y áreas bajo la curva (AUC, siglas en inglés) ROC (Característica Operativa del Receptor, siglas en inglés). Resultados: El r-CT ≥0.5 determinó mayor porcentaje de obesidad (36.6%) respecto a CC (17.4%) e IMC (6.7%). IMC ≥95 percentil se asoció significativamente con los cuatro factores de riesgo cardiometabólico, mientras que CC y r-CT se asociaron con tres de los cuatro factores. Los tres índices de obesidad determinan la concurrencia de tres o más factores de riesgo cardiometabólico con alta sensibilidad y especificidad con un AUC mayor de 0.80. Conclusiones: El IMC ≥ al percentil 95 es mejor predictor de riesgo cardiometabólico, pero no determina bien obesidad. El r-CT parece ser el indicador antropométrico más adecuado para detectar obesidad y predecir riesgo cardiometabólico en adolescentes mestizos debido a su fácil determinación y uso.Quito: Universidad Central del Ecuador2019-12-02info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtículo evaluado por paresapplication/pdfhttps://revistadigital.uce.edu.ec/index.php/CIENCIAS_MEDICAS/article/view/189810.29166/ciencias_medicas.v44i1.1898Revista de la Facultad de Ciencias Médicas (Quito); Vol. 44 No. 1 (2019): Revista de la Facultad de Ciencias Médicas (Quito) ; 13-25Revista de la Facultad de Ciencias Médicas (Quito); Vol. 44 Núm. 1 (2019): Revista de la Facultad de Ciencias Médicas (Quito) ; 13-252737-61412588-069110.29166/ciencias_medicas.v44i1reponame:Revista Ciencias Médicasinstname:Universidad Central del Ecuadorinstacron:UCEspahttps://revistadigital.uce.edu.ec/index.php/CIENCIAS_MEDICAS/article/view/1898/1835Derechos de autor 2019 Gustavo Cadenainfo:eu-repo/semantics/openAccess2023-02-14T12:30:59Zoai:revistadigital.uce.edu.ec:article/1898Portal de revistashttps://revistadigital.uce.edu.ec/Universidad públicahttps://uce.edu.ec/**Ecuador*2737-61412588-0691opendoar:*2023-02-14T12:30:59Revista Ciencias Médicas - Universidad Central del Ecuadorfalse |
| spellingShingle | Español Estrella, Ramiro Obesidad síndrome metabólico predictores riesgo cardiometabólico Obesity metabolic syndrome predictors cardiometabolic risks |
| status_str | publishedVersion |
| title | Español |
| title_full | Español |
| title_fullStr | Español |
| title_full_unstemmed | Español |
| title_short | Español |
| title_sort | Español |
| topic | Obesidad síndrome metabólico predictores riesgo cardiometabólico Obesity metabolic syndrome predictors cardiometabolic risks |
| url | https://revistadigital.uce.edu.ec/index.php/CIENCIAS_MEDICAS/article/view/1898 |