Waist circumference for the screening of the metabolic syndrome in children |
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Authors: | Moreno L A Pineda I Rodríguez G Fleta J Sarría A Bueno M |
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Affiliation: | E. U. Ciencias de la Salud, Universidad de Zaragoza, Zaragoza, Spain. lmoreno@posta.unizar.es |
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Abstract: | Aim: To identify the best anthropometric predictor of the metabolic syndrome in children. Methods: Screening performance was evaluated in a clinical setting. The study included 140 children: 72 non-obese and 68 with non-syndromal obesity. Body mass index (BMI), waist circumference and triceps/subscapular skinfolds ratio were used as predictor variables, and systolic blood pressure, diastolic blood pressure, glucose, uric acid, fasting insulin, triglycerides and HDLC as metabolic syndrome variables. Results: The areas under the receiver operating characteristic (ROC) curves were 0.849 (95% CI: 0.780, 0.919) for BMI, 0.868 (95% CI: 0.801, 0.934) for waist circumference and 0.834 (95% CI: 0.757, 0.910) for the triceps/subscapular skinfolds ratio. No statistically significant differences were found for the three areas under the ROC curves. The point on the ROC curve closest to 1 corresponded to the 65th percentile for BMI, to the 70th percentile for waist, and to the 40th percentile for the triceps/subscapular skinfolds ratio. Conclusion: Waist circumference seems to be the best predictor of children with the metabolic syndrome in paediatric clinical settings. |
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Keywords: | Body Mass Index Metabolic Syndrome Obesity Skinfolds Waist Circumference |
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