Author(s): Nascimento, H ; Catarino, C ; Mendonça, D ; Oliveira, P ; Alves, A ; Medeiros, A ; Rocha-Pereira, P ; Rêgo, C ; Mansilha, H ; Aires, L. ; Mota, J. ; Quintanilha, A. ; Santos-Silva, A. ; Belo, L.
Date: 2015
Persistent ID: http://hdl.handle.net/10400.16/1972
Origin: Repositório Científico da Unidade Local de Saúde de Santo António (ULSSA)
Subject(s): BMI z-score; CDC; WHO; Metabolic syndrome; Insulin resistance
Growth-curves are an important tool for evaluating the anthropometric development in pediatrics. The different growth-curves available are based in different populations, what leads to different cut-offs. Pediatric obesity tracks into adulthood and is associated with increased cardiovascular risk. The accurate assessment of a child nutritional status using growth-curves can indicate individuals that are either obese or in risk of becoming obese, allowing an early intervention. Moreover, the association between the data obtained from growth-curves with specific metabolic risk factors further highlights the importance of these charts. This study aimed to evaluate the associations between body mass index z-score (BMIzsc), determined using the growth-curves from the Centre for Disease Control and Prevention (CDC) and from the World Health Organization (WHO), with cardiovascular risk factors, represented here by metabolic syndrome (MS) and insulin resistance (IR) related parameters. The study involved 246 obese adolescents (10-18 years, 122 females). MS was defined according to the International Diabetes Federation. IR was considered for HOMA-IR greater than 2.5.
