Waist:height ratio, waist circumference and metabolic syndrome abnormalities in Colombian schooled adolescents: a multivariate analysis considering located adiposity.
Very few large studies in Latin America have evaluated the association between waist:height ratio (W-HtR) and cardiometabolic risk in children and adolescents. Further, multivariable analyses verifying the independence of located subcutaneous fat have not been conducted so far. The aim of this study was to evaluate the associations of W-HtR and waist circumference (WC) with metabolic syndrome abnormalities and high LDL-cholesterol levels in schooled adolescents before and after adjusting for trunk skinfolds and BMI. The sample consisted of 831 boys and 841 girls aged 10-17 years. Biochemical, blood pressure and anthropometrical variables were measured. Age- and sex-specific quartiles of W-HtR and WC were used in Poisson regression models to evaluate the associations. High WC values (highest quartile v. quartiles 1-3) were associated with high TAG levels in both sexes (prevalence ratio, boys: 2·57 (95 % CI 1·91, 3·44); girls: 1·92 (95 % CI 1·49, 2·47); P0·05). High W-HtR (highest quartile v. quartiles 1-3) was only independently associated with high TAG in female adolescents (1·99 (95 % CI 1·55, 2·56); P<0·05). In conclusion, WC showed better association with cardiometabolic risk than W-HtR in the children of this study. This observation does not support W-HtR as a relevant adiposity marker for cardiovascular and metabolic risk in adolescence.
1Research Group into Human Movement and Health, Faculty of Health Sciences,Universidad de San Buenaventura,Cartagena,Colombia.
Ricardo Antonio
RA
Agredo-Zúñiga
3Department of Physiological Sciences,Universidad del Valle,Cali,Colombia.
Cecilia
C
Aguilar-de Plata
4Nutrition Group,Universidad del Valle,Cali,Colombia.
Milton Fabian
MF
Suárez-Ortegón
D050154:Adiposity; D000293:Adolescent; D001827:Body Height; D015992:Body Mass Index; D001835:Body Weight; D002318:Cardiovascular Diseases / Q000097:blood / Q000209:etiology*; D002648:Child; D008078:Cholesterol, LDL / Q000097:blood; D003105:Colombia; D005260:Female; D006801:Humans; D008297:Male; D024821:Metabolic Syndrome / Q000097:blood / Q000150:complications / Q000473:pathology*; D015999:Multivariate Analysis; D056128:Obesity, Abdominal / Q000097:blood / Q000150:complications*; D012307:Risk Factors; D014280:Triglycerides / Q000097:blood; D055105:Waist Circumference; D065927:Waist-Height Ratio
D008078:Cholesterol, LDL; D014280:Triglycerides
Adolescents; Cardiovascular risk; Children; MetS metabolic syndrome; SS subscapular skinfold; W-HtR waist:height ratio; WC waist circumference; Waist:height ratio