Relación del índice cintura-talla (ICT) con cintura e Índice de Cintura Cadera como predictor para obesidad y riesgo metabólico en adolescentes de secundaria

Authors

DOI:

https://doi.org/10.29105/respyn19.3-3

Keywords:

Índice Cintura Talla, Adolescentes, Obesidad.

Abstract

Introducción: El sobrepeso y obesidad en adolescentes son un problema nutricional, el aumento en la prevalencia combinada es preocupante por los efectos adversos del exceso del peso en salud. El Índice cintura Talla (ICT) ≥0.5 es aceptado como un punto de corte universal y puede ser utilizado para predecir obesidad abdominal/riesgo cardiovascular.

Objetivo: Identificar el riesgo de obesidad/riesgo metabólico mediante ICT comparando las medidas antropométricas circunferencia cintura (CC.) e Índice de Cintura Cadera (ICC.) en adolescentes.

Material y Método: Se estudiaron 378 adolescentes de 11-17 años, se diagnosticó obesidad abdominal un ICT ≥0.5. Se determinó sensibilidad, especificidad, valor predictivo positivo y negativo, área bajo la curva e intervalo de confianza con base a ICT, CC. y ICC para detectar obesidad, comparándolos y determinar mejor validez para diagnostico en adolescentes.

Resultados: El ICT ≥0.5 se observó en 122 (32.7%) adolescentes con un promedio de 0.47±0.07, siendo el predominio en género masculino con 63(51.6%), difiriendo del género femenino con 59(48.4%). Presentando ICT una sensibilidad del 95% y especificidad 77%.

Conclusiones: El ICT ≥0.5 es una medida sensible para identificar obesidad en adolescentes y encontrar relación con riesgo metabólico pudiendo ser utilizada de diagnóstico en adolescentes.

 

Palabras Clave: Índice Cintura Talla, Adolescentes, Obesidad.

Downloads

Download data is not yet available.

Author Biographies

Pablo Zermeño Ugalde, Universidad Autónoma de San Luis Potosí (UASLP)

Profesor Investigador de Tiempo Completo en Universidad Autónoma de San Luis Potosí (UASLP), Facultad de Enfermería y Nutrición

Verónica Gallegos García, Universidad Autónoma de San Luis Potosí (UASLP)

Profesor Investigador de Tiempo Completo en Universidad Autónoma de San Luis Potosí (UASLP), Facultad de Enfermería y Nutrición

Darío Gaytán Hernández, Universidad Autónoma de San Luis Potosí (UASLP)

Profesor Investigador de Tiempo Completo en Universidad Autónoma de San Luis Potosí (UASLP), Facultad de Enfermería y Nutrición

Raúl Arcadio Castro Ramírez, Instituto Tecnológico y de Estudios Superiores de Monterrey (ITESM)

Profesor de cátedra Instituto Tecnológico y de Estudios Superiores de Monterrey (ITESM)

References

Adesina, A. F. (2012). Weight status of adolescents in secondary schools in port Harcourt using Body Mass Index (BMI). Italian Journal of Pediatrics, 38(1), 11–15. https://doi.org/10.1186/1824-7288-38-31 DOI: https://doi.org/10.1186/1824-7288-38-31

Arnaiz, P. (2014). La razón cintura estatura en escolares no varía con el género, la edad ni la maduración puberal. Rev Med Chile, 142, 574–578. DOI: https://doi.org/10.4067/S0034-98872014000500004

Ashwell, M. (2005). Six reasons why the waist-to-height ratio is a rapid and effective global indicator for health risks of obesity and how its use could simplify the international public health message on obesity. International Journal of Food Sciences and Nutrition, 56(August), 303–307. https://doi.org/10.1080/09637480500195066 DOI: https://doi.org/10.1080/09637480500195066

Ashwell, M. (2014). Waist-to-Height Ratio Is More Predictive of Years of Life Lost than Body Mass Index. PLoS ONE, 9(9), 1–11. https://doi.org/10.1371/journal.pone.0103483 DOI: https://doi.org/10.1371/journal.pone.0103483

Ashwell, M. (2016). Waist-to-height ratio as an indicator of ‘ early health risk ’ : simpler and more predictive than using a ‘ matrix ’ based on BMI and waist circumference. BMJ Open, 6, 1–7. https://doi.org/10.1136/bmjopen-2015-010159 DOI: https://doi.org/10.1136/bmjopen-2015-010159

Bacopoulou, F. (2015). Waist circumference , waist-to-hip ratio and waist-to-height ratio reference percentiles for abdominal obesity among Greek adolescents. BMC Pediatrics, 15(50), 1–9. https://doi.org/10.1186/s12887-015-0366-z DOI: https://doi.org/10.1186/s12887-015-0366-z

Caballero, B. (2007). The Global Epidemic of Obesity : An Overview. Epidemiol Rev, 29(7), 1–5. https://doi.org/10.1093/epirev/mxm012 DOI: https://doi.org/10.1093/epirev/mxm012

Carter, R. C. (2002). The Impact of Public Schools on Childhood Obesity. Journal of the American Medical Association, 288(17), 2176. https://doi.org/10.1001/jama.288.17.2176-JMS1106-2-1 DOI: https://doi.org/10.1001/jama.288.17.2176-a

Corrêa, M. M. (2019). The ability of waist-to-height ratio to identify health risk. Revista de Saúde Pública, 53(66), 1–12. DOI: https://doi.org/10.11606/s1518-8787.2019053000895

Cossio, S. (2009). How Do Different Indices of Obesity Correlate with Cardiometabolic Disease Risk Factors in Multiethnic Youths? ENDOCRINE PRACTICE, 15(5), 403–409. https://doi.org/10.4158/EP08354.OR DOI: https://doi.org/10.4158/EP08354.OR

Eun-Gyong, Y. (2016). Waist-to-height ratio as a screening tool for obesity and cardiometabolic risk. Korean J Pediatr, 59(11), 425–431. DOI: https://doi.org/10.3345/kjp.2016.59.11.425

Hoelscher, D. M. (2017). Surveillance Systems to Track and Evaluate Obesity Prevention Efforts. Annual Review of Public Health, 38(1), 187–214. https://doi.org/10.1146/annurev-publhealth-031816-044537 DOI: https://doi.org/10.1146/annurev-publhealth-031816-044537

Huamán, J. (2017). Índice cintura-estatura como prueba diagnóstica del Síndrome metabólico en adultos de Trujillo. Rev.Med Hered, 28, 13–20. DOI: https://doi.org/10.20453/rmh.v28i1.3068

Huang, P. L. (2009). A comprehensive definition for metabolic syndrome. Disease Models & Mechanisms, 237, 231–237. https://doi.org/10.1242/dmm.001180 DOI: https://doi.org/10.1242/dmm.001180

Kahn, H. S. (2005). A population-based comparison of bmi percentiles and waist-to-height ratio for identifying cardiovascular risk in youth. The Journal of Pediatrics, 146, 482–488. DOI: https://doi.org/10.1016/j.jpeds.2004.12.028

Kelly, A. S. (2013). Severe Obesity in Children and Adolescents : Identification , Associated Health Risks , and Treatment Approaches. AHA Journals, 128, 1689–1712. https://doi.org/10.1161/CIR.0b013e3182a5cfb3 DOI: https://doi.org/10.1161/CIR.0b013e3182a5cfb3

Kooy, K. van der. (1993). Techniques for the measurement of visceral fat: a practical guide. International Journal of Obesity and Related Metabolic Disorders, 17(4), 187–196.

Kriemler, S. (2011). Effect of school-based interventions on physical activity and fitness in children and adolescents: A review of reviews and systematic update. British Journal of Sports Medicine, 45(11), 923–930. https://doi.org/10.1136/bjsports-2011-090186 DOI: https://doi.org/10.1136/bjsports-2011-090186

López-González, D. (2016). Diagnostic performance of waist circumference measurements for predicting cardiometabolic riesk in mexican children. Endocrine Practice, 22(10), 1170–1176. https://doi.org/10.4158/EP161291.OR DOI: https://doi.org/10.4158/EP161291.OR

Ma, L. (2016). Waist Circumference is Better Than Other Anthropometric Indices for Predicting Cardiovascular Disease Risk Factors in Chinese Children--a Cross-Sectional Study in Guangzhou. Journal of Atherosclerosis and Trombosis, 22, 320–329. DOI: https://doi.org/10.5551/jat.31302

Morales, P. K. (2016). Encuesta Nacional de Salud y Epidemiología de Medio Camino 2016. Informe final de resultados. Resultados Nacionales, 2016, 1–149. Retrieved from https://www.gob.mx/cms/uploads/attachment/file/209093/ENSANUT.pdf

Muñoz, K. A. (1997). Food Intakes of US Children and Adolescents Compared With Recommendations. Pediatrics, 100, 323–329. DOI: https://doi.org/10.1542/peds.100.3.323

Muñoz, M. (2016). El Índice cintura-Talla como predictor del daño cardiovascular. Rrevista Cubana de Alimentación y Nutrición, 26(2), 239–251.

Power, C. (1997). Measurement and long-term health risks of child and adolescent fatness. International Journal of Obesity, 21(7), 507–526. https://doi.org/10.1038/sj.ijo.0800454 DOI: https://doi.org/10.1038/sj.ijo.0800454

Rodea-Montero. (2014). Waist-to-Height Ratio Is a Better Anthropometric Index than Waist Circumference and BMI in Predicting Metabolic Syndrome among Obese Mexican Adolescents. International Journal of Endocrinology, 2014(195407), 1–9. DOI: https://doi.org/10.1155/2014/195407

Rodríguez, J. H. (2018). Utilidad del índice cintura / cadera en la detección del riesgo cardiometabólico en individuos sobrepesos y obesos. Revista Cubana de Endocrinología, 29(2), 1–16.

Roswall, J., Bergman, S., Almqvist-tangen, G., Alm, B., Niklasson, A., & Nierop, A. F. M. (2009). Population-based waist circumference and waist-to-height ratio reference values in preschool children, 1632–1636. https://doi.org/10.1111/j.1651-2227.2009.01430.x DOI: https://doi.org/10.1111/j.1651-2227.2009.01430.x

S Yajnik, C. (2004). Clinical picture The Y-Y paradox. The Lancet, 363(9403), 163. DOI: https://doi.org/10.1016/S0140-6736(03)15269-5

Sabah, N. (2014). Body mass index and waist / height ratio for prediction of severity of coronary artery disease. BMC Research Notes, 7(1), 1–7. https://doi.org/10.1186/1756-0500-7-246 DOI: https://doi.org/10.1186/1756-0500-7-246

Shen, S. (2017). Waist-to-height ratio is an effective indicator for comprehensive cardiovascular health. Scientific Reports, 7(1), 1–7. https://doi.org/10.1038/srep43046 DOI: https://doi.org/10.1038/srep43046

Taylor R. (2009). Predictive Ability of Waist-to-Height in Relation to Adiposity in Children Is Not Improved With Age and Sex-Specific Values. Obesity, 19(5), 1062–1068. https://doi.org/10.1038/oby.2010.217 DOI: https://doi.org/10.1038/oby.2010.217

Valle-leal, J. (2016). Índice cintura-estatura como indicador de riesgo metabólico en niños. Revista Chilena de Pediatría, 87(3), 180–185. https://doi.org/10.1016/j.rchipe.2015.10.011 DOI: https://doi.org/10.1016/j.rchipe.2015.10.011

Van Den Broeck, J. . (2009). The World Health Organization child growth standards : expected implications for clinical and epidemiological research. European Journal of Pediatrics, 168, 247–251. https://doi.org/10.1007/s00431-008-0796-9 DOI: https://doi.org/10.1007/s00431-008-0796-9

Veugelers, P. J. (2005). Effectiveness of school programs in preventing childhood obesity: A multilevel comparison. American Journal of Public Health, 95(3), 432–435. https://doi.org/10.2105/AJPH.2004.045898 DOI: https://doi.org/10.2105/AJPH.2004.045898

Vieira, S. A. (2018). Waist-to-height ratio index or the prediction of overweight in children. Rev Paul Pediatr, 36(1), 52–58.

WHO. (2008). Waist Circumference and Waist-Hip Ratio Report of a WHO Expert Consultation. (WHO Document Production, Ed.). Geneva, Switzerland.

Williams, E. P. (2015). Overweight and Obesity : Prevalence , Consequences , and Causes of a Growing Public Health Problem. Curr Obes Rep, 4, 363–370. https://doi.org/10.1007/s13679-015-0169-4 DOI: https://doi.org/10.1007/s13679-015-0169-4

Yang, H. (2017). Waist-to-height ratio is better than body mass index and waist circumference as a screening criterion for metabolic syndrome in Han Chinese adults. Medicine, 96(39), 1–8. DOI: https://doi.org/10.1097/MD.0000000000008192

Published

2020-09-29

How to Cite

Zermeño Ugalde, P., Gallegos García, V., Gaytán Hernández, D., & Castro Ramírez, R. A. (2020). Relación del índice cintura-talla (ICT) con cintura e Índice de Cintura Cadera como predictor para obesidad y riesgo metabólico en adolescentes de secundaria. RESPYN Revista Salud Pública Y Nutrición, 19(3), 19–27. https://doi.org/10.29105/respyn19.3-3

Issue

Section

Artículo Original

Most read articles by the same author(s)

Similar Articles

<< < 4 5 6 7 8 9 10 11 12 13 > >> 

You may also start an advanced similarity search for this article.