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Titolo:
Defining health-related obesity in prepubertal children
Autore:
Higgins, PB; Gower, BA; Hunter, GR; Goran, MI;
Indirizzi:
Univ Alabama, Dept Nutr Sci, Div Physiol & Metab, Clin Nutr Res Ctr, Birmingham, AL 35294 USA Univ Alabama Birmingham AL USA 35294 tr Res Ctr, Birmingham, AL 35294 USA Univ Alabama, Dept Human Studies, Div Physiol & Metab, Clin Nutr Res Ctr, Birmingham, AL 35294 USA Univ Alabama Birmingham AL USA 35294 tr Res Ctr, Birmingham, AL 35294 USA Univ So Calif, Dept Prevent Med, Los Angeles, CA 90089 USA Univ So Calif Los Angeles CA USA 90089 ent Med, Los Angeles, CA 90089 USA
Titolo Testata:
OBESITY RESEARCH
fascicolo: 4, volume: 9, anno: 2001,
pagine: 233 - 240
SICI:
1071-7323(200104)9:4<233:DHOIPC>2.0.ZU;2-X
Fonte:
ISI
Lingua:
ENG
Soggetto:
CARDIOVASCULAR RISK-FACTORS; X-RAY ABSORPTIOMETRY; DENSITY-LIPOPROTEIN CHOLESTEROL; CORONARY-ARTERY DISEASE; BODY-MASS INDEX; SERUM-LIPIDS; YOUNG-ADULTS; PLASMA-LIPOPROTEINS; INSULIN RESISTANCE; BLOOD-PRESSURE;
Keywords:
cardiovascular disease; percentage of body fat; waist circumference; lipids; insulin; cut-points;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Life Sciences
Citazioni:
56
Recensione:
Indirizzi per estratti:
Indirizzo: Gower, BA Univ Alabama, Dept Nutr Sci, Div Physiol & Metab, Clin Nutr Res Ctr, Birmingham, AL 35294 USA Univ Alabama Birmingham AL USA 35294 , Birmingham, AL 35294 USA
Citazione:
P.B. Higgins et al., "Defining health-related obesity in prepubertal children", OBES RES, 9(4), 2001, pp. 233-240

Abstract

Objective: The purpose of this study was to develop percentage of fat and waist circumference cut-points in prepubertal children with the intention of defining obesity associated with cardiovascular disease (CVD) risk. Research Methods and Procedures: A cross-sectional analysis of 87 prepubertal children aged it to 11 years was used. Percentage of body fat was determined by DXA, Waist circumference was measured to the nearest millimeter. Receiver Operating Characteristic analyses of percentage of fat and waist circumference were used to develop cut-points for individuals with adverse levels of CVD risk factors. Results: The risk factors selected for analyses (i.e., fasting insulin, high-density lipoprotein cholesterol, low-density lipoprotein cholesterol, triglycerides, and total cholesterol/high-density lipoprotein cholesterol) were significantly related to percentage of body fat and waist circumference. Likelihood ratios were used to identify percentage of fat and waist circumference cut-points associated with adverse cardiovascular risk profiles. Two cut-points, an upper cut-point of 33% body fat and a lower cut-point of 20% body fat, were derived. Waist circumference cut-points indicative of adverse and normal risk-factor profiles were 71 cm and 61 cm, respectively. Discussion: The data indicate that children with greater than or equal to 33% body, fat and children with a waist circumference greater than or equalto 71 cm were more likely to possess an adverse CVD risk-factor profile than a normal risk-factor profile. The likelihood of children with <20% body fat or a waist circumference <61 cm possessing an adverse CVD risk-factor profile as opposed to a normal risk-factor profile was small. The cutpoints describe an adequate health-related definition of childhood obesity.

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Documento generato il 15/08/20 alle ore 19:51:06