Using LMS tables to determine waist circumference and waist-to-height ratios in colombian children and adolescents: the FUPRECOL study

dc.contributor.authorRamírez Vélez, Robinson
dc.contributor.authorMoreno-Jiménez, Javier
dc.contributor.authorCorrea Bautista, Jorge Enrique
dc.contributor.authorMartínez Torres, Javier
dc.contributor.authorGonzález-Ruíz, Katherine
dc.contributor.authorGonzález-Jiménez, Emilio
dc.contributor.authorSchmidt Río-Valle, Jacqueline
dc.contributor.authorLobelo, Felipe
dc.contributor.authorGarcía Hermoso, Antonio
dc.contributor.departmentCiencias de la Saludes_ES
dc.contributor.departmentOsasun Zientziakeu
dc.date.accessioned2024-10-01T16:23:03Z
dc.date.available2024-10-01T16:23:03Z
dc.date.issued2017
dc.date.updated2024-10-01T16:01:14Z
dc.description.abstractBackground: Waist circumference (WC) and waist-to-height ratio (WHtR) are often used as indices predictive of central obesity. The aims of this study were: 1) to obtain smoothed centile charts and LMS tables for WC and WHtR among Colombian children and adolescents; 2) to evaluate the utility of these parameters as predictors of overweight and obesity. Method: A cross-sectional study was conducted of a sample population of 7954 healthy Colombian schoolchildren [3460 boys and 4494 girls, mean age 12.8 (±2.3) years]. Weight, height, body mass index (BMI), WC and WHtR were measured, and percentiles were calculated using the LMS method (Box-Cox, median and coefficient of variation). Appropriate cut-off points of WC and WHtR for overweight and obesity, according to International Obesity Task Force definitions, were selected using receiver operating characteristic (ROC) analysis. The discriminating power of WC and WHtR is expressed as area under the curve (AUC). Results: Reference values for WC and WHtR are presented. Mean WC increased and WHtR decreased with age for both genders. A moderate positive correlation was observed between WC and BMI (r = 0.756, P < 0.01) and between WHtR and BMI (r = 0.604, P < 0.01). ROC analysis revealed strong discrimination power in the identification of overweight and obesity for both measures in our sample population. Overall, WHtR was a slightly better predictor of overweight/obesity (AUC 95% CI 0.868-0.916) than WC (AUC 95% CI 0.862-0.904). Conclusion: This paper presents the first sex and age-specific WC and WHtR percentiles for Colombian children and adolescents aged 9.0-17.9 years. The LMS tables obtained, based on Colombian reference data, can be used as quantitative tools for the study of obesity and its comorbidities.en
dc.description.sponsorshipThe FUPRECOL Study was carried out with financial support from Instituto Colombiano para el Desarrollo de la Ciencia y la Tecnología 'Francisco José de Caldas' COLCIENCIAS (Contract N° 671–2014 Code 122265743978).
dc.format.mimetypeapplication/pdfen
dc.identifier.citationRamírez-Vélez, R., Moreno-Jiménez, J., Correa-Bautista, J. E., Martínez-Torres, J., González-Ruiz, K., González-Jiménez, E., Schmidt-RioValle, J., Lobelo, F., Garcia-Hermoso, A. (2017) Using LMS tables to determine waist circumference and waist-to-height ratios in colombian children and adolescents: the FUPRECOL study. BMC Pediatrics, 17(1), 1-11. https://doi.org/10.1186/s12887-017-0919-4.
dc.identifier.doi10.1186/s12887-017-0919-4
dc.identifier.issn1471-2431
dc.identifier.urihttps://academica-e.unavarra.es/handle/2454/51928
dc.language.isoeng
dc.publisherBioMed Central
dc.relation.ispartofBMC Pediatrics (2017), 17:162
dc.relation.publisherversionhttps://doi.org/10.1186/s12887-017-0919-4
dc.rights© The Author(s). 2017 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License
dc.rights.accessRightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjectAnthropometric indicesen
dc.subjectCentral obesityen
dc.subjectReference valuesen
dc.titleUsing LMS tables to determine waist circumference and waist-to-height ratios in colombian children and adolescents: the FUPRECOL studyen
dc.typeinfo:eu-repo/semantics/article
dc.type.versioninfo:eu-repo/semantics/publishedVersion
dspace.entity.typePublication
relation.isAuthorOfPublicationd0c2c11e-01d0-46ff-93b4-36b11beaf269
relation.isAuthorOfPublicatione84ae68a-fa4a-4e00-be27-bedfffc8612e
relation.isAuthorOfPublication.latestForDiscoveryd0c2c11e-01d0-46ff-93b4-36b11beaf269

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