Intra-abdominal fat measurement by ultrasonography: association with anthropometry and metabolic syndrome in adolescents,
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Jornal de Pediatria (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0021-75572019000400342 |
Resumo: | Abstract Objective: To associate intra-abdominal fat thickness measured by ultrasonography to the factors related to metabolic syndrome and to determine cutoff points of intra-abdominal fat measurement associated with a greater chance of metabolic syndrome in adolescents. Methods: This was a cross-sectional study, with 423 adolescents from public schools. Intra-abdominal fat was measured by ultrasonography. Anthropometric data were collected, and biochemical analyses were performed. Results: Intra-abdominal fat was measured by ultrasonography, showing a statistically significant association with the diagnosis of metabolic syndrome (p = 0.037), body mass index (p < 0.001), elevated triglyceride levels (p = 0.012), decreased plasma HDL levels (p = 0.034), and increased systemic blood pressure values (p = 0.023). Cutoff values of intra-abdominal fat thickness measurements were calculated by ultrasound to estimate the individuals most likely to develop metabolic syndrome. In the logistic regression models, the cutoff values that showed the highest association with metabolic syndrome in males were 4.50, 5.35, 5.46, 6.24, and 6.50 cm for the ages of 14, 15, 16, 17, and 18/19 years, respectively. In the female gender, the cutoff values defined for the same age groups were 4.46, 4.55, 4.45, 4.90, and 6.46 cm. In an overall analysis using the ROC curve, without gender and age stratification, the cut-off of 3.67 cm showed good sensitivity, but low specificity. Conclusion: Ultrasonography is a useful method to estimate intra-abdominal adipose tissue in adolescents, which is associated with the main factors related to obesity and metabolic syndrome. |
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Intra-abdominal fat measurement by ultrasonography: association with anthropometry and metabolic syndrome in adolescents,Intra-abdominal fatUltrasonographyMetabolic syndromeAdolescentsAbstract Objective: To associate intra-abdominal fat thickness measured by ultrasonography to the factors related to metabolic syndrome and to determine cutoff points of intra-abdominal fat measurement associated with a greater chance of metabolic syndrome in adolescents. Methods: This was a cross-sectional study, with 423 adolescents from public schools. Intra-abdominal fat was measured by ultrasonography. Anthropometric data were collected, and biochemical analyses were performed. Results: Intra-abdominal fat was measured by ultrasonography, showing a statistically significant association with the diagnosis of metabolic syndrome (p = 0.037), body mass index (p < 0.001), elevated triglyceride levels (p = 0.012), decreased plasma HDL levels (p = 0.034), and increased systemic blood pressure values (p = 0.023). Cutoff values of intra-abdominal fat thickness measurements were calculated by ultrasound to estimate the individuals most likely to develop metabolic syndrome. In the logistic regression models, the cutoff values that showed the highest association with metabolic syndrome in males were 4.50, 5.35, 5.46, 6.24, and 6.50 cm for the ages of 14, 15, 16, 17, and 18/19 years, respectively. In the female gender, the cutoff values defined for the same age groups were 4.46, 4.55, 4.45, 4.90, and 6.46 cm. In an overall analysis using the ROC curve, without gender and age stratification, the cut-off of 3.67 cm showed good sensitivity, but low specificity. Conclusion: Ultrasonography is a useful method to estimate intra-abdominal adipose tissue in adolescents, which is associated with the main factors related to obesity and metabolic syndrome.Sociedade Brasileira de Pediatria2019-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0021-75572019000400342Jornal de Pediatria v.95 n.3 2019reponame:Jornal de Pediatria (Online)instname:Sociedade Brasileira de Pediatria (SBP)instacron:SBPE10.1016/j.jped.2018.03.004info:eu-repo/semantics/openAccessNovais,Rommel L.R.Café,Ana Carolina C.Morais,Aisha A.Bila,Wendell C.Santos,Gilson D. da S.Lopes,Carlos Alexandre de O.Belo,Vinícius S.Romano,Márcia Christina C.Lamounier,Joel A.eng2019-06-26T00:00:00Zoai:scielo:S0021-75572019000400342Revistahttp://www.jped.com.br/https://old.scielo.br/oai/scielo-oai.php||jped@jped.com.br1678-47820021-7557opendoar:2019-06-26T00:00Jornal de Pediatria (Online) - Sociedade Brasileira de Pediatria (SBP)false |
dc.title.none.fl_str_mv |
Intra-abdominal fat measurement by ultrasonography: association with anthropometry and metabolic syndrome in adolescents, |
title |
Intra-abdominal fat measurement by ultrasonography: association with anthropometry and metabolic syndrome in adolescents, |
spellingShingle |
Intra-abdominal fat measurement by ultrasonography: association with anthropometry and metabolic syndrome in adolescents, Novais,Rommel L.R. Intra-abdominal fat Ultrasonography Metabolic syndrome Adolescents |
title_short |
Intra-abdominal fat measurement by ultrasonography: association with anthropometry and metabolic syndrome in adolescents, |
title_full |
Intra-abdominal fat measurement by ultrasonography: association with anthropometry and metabolic syndrome in adolescents, |
title_fullStr |
Intra-abdominal fat measurement by ultrasonography: association with anthropometry and metabolic syndrome in adolescents, |
title_full_unstemmed |
Intra-abdominal fat measurement by ultrasonography: association with anthropometry and metabolic syndrome in adolescents, |
title_sort |
Intra-abdominal fat measurement by ultrasonography: association with anthropometry and metabolic syndrome in adolescents, |
author |
Novais,Rommel L.R. |
author_facet |
Novais,Rommel L.R. Café,Ana Carolina C. Morais,Aisha A. Bila,Wendell C. Santos,Gilson D. da S. Lopes,Carlos Alexandre de O. Belo,Vinícius S. Romano,Márcia Christina C. Lamounier,Joel A. |
author_role |
author |
author2 |
Café,Ana Carolina C. Morais,Aisha A. Bila,Wendell C. Santos,Gilson D. da S. Lopes,Carlos Alexandre de O. Belo,Vinícius S. Romano,Márcia Christina C. Lamounier,Joel A. |
author2_role |
author author author author author author author author |
dc.contributor.author.fl_str_mv |
Novais,Rommel L.R. Café,Ana Carolina C. Morais,Aisha A. Bila,Wendell C. Santos,Gilson D. da S. Lopes,Carlos Alexandre de O. Belo,Vinícius S. Romano,Márcia Christina C. Lamounier,Joel A. |
dc.subject.por.fl_str_mv |
Intra-abdominal fat Ultrasonography Metabolic syndrome Adolescents |
topic |
Intra-abdominal fat Ultrasonography Metabolic syndrome Adolescents |
description |
Abstract Objective: To associate intra-abdominal fat thickness measured by ultrasonography to the factors related to metabolic syndrome and to determine cutoff points of intra-abdominal fat measurement associated with a greater chance of metabolic syndrome in adolescents. Methods: This was a cross-sectional study, with 423 adolescents from public schools. Intra-abdominal fat was measured by ultrasonography. Anthropometric data were collected, and biochemical analyses were performed. Results: Intra-abdominal fat was measured by ultrasonography, showing a statistically significant association with the diagnosis of metabolic syndrome (p = 0.037), body mass index (p < 0.001), elevated triglyceride levels (p = 0.012), decreased plasma HDL levels (p = 0.034), and increased systemic blood pressure values (p = 0.023). Cutoff values of intra-abdominal fat thickness measurements were calculated by ultrasound to estimate the individuals most likely to develop metabolic syndrome. In the logistic regression models, the cutoff values that showed the highest association with metabolic syndrome in males were 4.50, 5.35, 5.46, 6.24, and 6.50 cm for the ages of 14, 15, 16, 17, and 18/19 years, respectively. In the female gender, the cutoff values defined for the same age groups were 4.46, 4.55, 4.45, 4.90, and 6.46 cm. In an overall analysis using the ROC curve, without gender and age stratification, the cut-off of 3.67 cm showed good sensitivity, but low specificity. Conclusion: Ultrasonography is a useful method to estimate intra-abdominal adipose tissue in adolescents, which is associated with the main factors related to obesity and metabolic syndrome. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-06-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0021-75572019000400342 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0021-75572019000400342 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1016/j.jped.2018.03.004 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Pediatria |
publisher.none.fl_str_mv |
Sociedade Brasileira de Pediatria |
dc.source.none.fl_str_mv |
Jornal de Pediatria v.95 n.3 2019 reponame:Jornal de Pediatria (Online) instname:Sociedade Brasileira de Pediatria (SBP) instacron:SBPE |
instname_str |
Sociedade Brasileira de Pediatria (SBP) |
instacron_str |
SBPE |
institution |
SBPE |
reponame_str |
Jornal de Pediatria (Online) |
collection |
Jornal de Pediatria (Online) |
repository.name.fl_str_mv |
Jornal de Pediatria (Online) - Sociedade Brasileira de Pediatria (SBP) |
repository.mail.fl_str_mv |
||jped@jped.com.br |
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1752122321858985984 |