Prevalence of abdominal obesity in Spanish children and adolescents. Do we need waist circumference measurements in pediatric practice?

Mostra el registre complet Registre parcial de l'ítem

• dc.contributor.author Schröder, Helmut, 1958-ca
• dc.contributor.author Ribas-Barba, Lourdesca
• dc.contributor.author Koebnick, Corinnaca
• dc.contributor.author Funtikova, Anna N.ca
• dc.contributor.author Gómez Santos, Santiago Felipeca
• dc.contributor.author Fitó Colomer, Montserratca
• dc.contributor.author Perez-Rodrigo, Carmenca
• dc.contributor.author Serra-Majem, Luisca
• dc.date.accessioned 2017-06-15T10:28:43Z
• dc.date.available 2017-06-15T10:28:43Z
• dc.date.issued 2014
• dc.description.abstract BACKGROUND: Evidence indicates that central adiposity has increased to a higher degree than general adiposity in children and adolescents in recent decades. However, waist circumference is not a routine measurement in clinical practice. OBJECTIVE: This study aimed to determine the prevalence of abdominal obesity based on waist circumferences (WC) and waist to height ratio (WHtR) in Spanish children and adolescents aged 6 to 17 years. Further, the prevalence of abdominal obesity (AO) among normal and overweight individuals was analyzed. DESIGN: Data were obtained from a study conducted from 1998 to 2000 in a representative national sample of 1521 children and adolescents aged 6 to 17 years (50.0% female) in Spain. WC and WHtR measurements were obtained in addition to BMI. AO was defined as WHtR ≥0.50 (WHtR-AO), sex and age specific WC≥90(th) percentile (WC-AO1), and sex and age specific WC cut-off values associated with high trunk fat measured by by dual-energy X-ray absorptiometry (WC-AO2). RESULTS: IOTF- based overweight and obsity prevalence was 21.5% and 6.6% in children and 17.4% and 5.2% in adolescents, respectively. Abdominal obesity (AO) was defined as WHtR≥0.50 (WHtR-AO), sex- and age-specific WC≥90th percentile (WC-AO1), and sex- and age-specific WC cut-off values associated with high trunk fat measured by dual-energy X-ray absorptiometry (WC-AO2). The respective prevalence of WHtR-AO, WC-AO1, and WC-AO2 was 21.3% (24.6% boys; 17.9% girls), 9.4% (9.1% boys; 9.7% girls), and 26.8% (30.6% boys;22.9% girls) in children and 14.3% (20.0% boys; 8.7% girls), 9.6% (9.8% boys; 9.5% girls), and 21.1% (28.8% boys; 13.7% girls) in adolescents. CONCLUSION: The prevalence of AO in Spanish children and adolescents is of concern. The high proportion of AO observed in young patients who are normal weight or overweight indicates a need to include waist circumference measurements in routine clinical practice.
• dc.description.sponsorship This work was supported by grants from Instituto de Salud Carlos III-FEDER, (PI11/01900), the Spanish Ministry of Health [RED: Alimentación saludable en la prevención primaria de enfermedades crónicas: la Red Predimed, one of the Redes Temáticas de Investigación Cooperativa Sanitaria (RETICs)] Fundación Dieta Mediterránea, Spain; and Kellogg’s España SA and Kellogg’s Company, Battle Creek, USA via the Fundación Universitaria de Las Palmas de Gran Canaria and the Fundación para la Investigación Nutricional and by a joint contract (Miguel Servet CP03/00115) with the Instituto de Salud Carlos III and the Health Department of the Catalan Government (Generalitat de Catalunya). The CIBERESP and the CIBEROBN and the RETIC Predimed are initiatives of the Instituto de Salud Carlos III, Madrid, Spain
• dc.format.mimetype application/pdfca
• dc.identifier.citation Schröder H, Ribas L, Koebnick C, Funtikova A, Gomez SF, Fíto M et al. Prevalence of abdominal obesity in Spanish children and adolescents. Do we need waist circumference measurements in pediatric practice? PLoS One. 2014 Jan 27; 9(1): e87549. DOI: 10.1371/journal.pone.0087549
• dc.identifier.doi http://dx.doi.org/10.1371/journal.pone.0087549
• dc.identifier.issn 1932-6203
• dc.identifier.uri http://hdl.handle.net/10230/32303
• dc.language.iso eng
• dc.publisher Public Library of Science (PLoS)ca
• dc.relation.ispartof PLoS One. 2014 Jan 27;9(1):e87549
• dc.rights © 2014 Schröder et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited
• dc.rights.accessRights info:eu-repo/semantics/openAccess
• dc.rights.uri http://creativecommons.org/licenses/by/3.0/
• dc.subject.other Pediatria
• dc.subject.other Obesitat en els infants
• dc.subject.other Obesitat en els adolescents
• dc.title Prevalence of abdominal obesity in Spanish children and adolescents. Do we need waist circumference measurements in pediatric practice?ca
• dc.type info:eu-repo/semantics/article
• dc.type.version info:eu-repo/semantics/publishedVersion