title: Relationship between anthropometric measures and cardiovascular risk factors in children and adolescents.
abstract: BACKGROUND
  Obesity has been identified as an important risk factor in the development of cardiovascular diseases; however, other factors, combined or not with obesity, can influence cardiovascular risk and should be considered in cardiovascular risk stratification in pediatrics.
  
  
  OBJECTIVE
  To analyze the association between anthropometry measures and cardiovascular risk factors, to investigate the determinants to changes in blood pressure (BP), and to propose a prediction equation to waist circumference (WC) in children and adolescents.
  
  
  METHODS
  We evaluated 1,950 children and adolescents, aged 7 to 18 years. Visceral fat was assessed by WC and waist-hip relationship, BP and body mass index (BMI). In a randomly selected subsample of these volunteers (n = 578), total cholesterol, glucose and triglycerides levels were evaluated.
  
  
  RESULTS
  WC was positively correlated with BMI (r = 0.85; p < 0.001) and BP (SBP r = 0.45 and DBP = 0.37; p < 0.001). Glycaemia and triglycerides showed a weak correlation with WC (r = 0.110; p = 0.008 e r = 0.201; p < 0.001, respectively). Total cholesterol did not correlate with any of the variables. Age, BMI and WC were significant predictors on the regression models for BP (p < 0.001). We propose a WC prediction equation for children and adolescents: boys: y = 17.243 + 0.316 (height in cm); girls: y = 25.197 + 0.256 (height in cm).
  
  
  CONCLUSIONS
  WC is associated with cardiovascular risk factors and presents itself as a risk factor predictor of hypertension in children and adolescents. The WC prediction equation proposed by us should be tested in future studies.
authors: Miria Suzana
authors: MS
authors: Burgos
authors: Leandro Tibiriçá
authors: LT
authors: Burgos
authors: Marcelo Dias
authors: MD
authors: Camargo
authors: Silvia Isabel Rech
authors: SI
authors: Franke
authors: Daniel
authors: D
authors: Prá
authors: Antônio Marcos Vargas da
authors: AM
authors: Silva
authors: Tássia Silvana
authors: TS
authors: Borges
authors: Pâmela Ferreira
authors: PF
authors: Todendi
authors: Miriam Beatris
authors: MB
authors: Reckziegel
authors: Cézane Priscila
authors: CP
authors: Reuter
mesh_terms: D000293:Adolescent; D000367:Age Factors; D000886:Anthropometry; D001786:Blood Glucose; D001794:Blood Pressure; D002318:Cardiovascular Diseases / Q000097:blood / Q000209:etiology*; D002648:Child; D002784:Cholesterol / Q000097:blood; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D016014:Linear Models; D008297:Male; D009765:Obesity / Q000150:complications; D012016:Reference Values; D012307:Risk Factors; D012680:Sensitivity and Specificity; D014280:Triglycerides / Q000097:blood; D055105:Waist Circumference
chemical_list: D001786:Blood Glucose; D014280:Triglycerides; D002784:Cholesterol
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