Prevalence of Abdominal Obesity and Excess Weight among Portuguese Children and Why Abdominal Obesity Should Be Included in Clinical Practice

Detalhes bibliográficos
Autor(a) principal: Rodrigues, Daniela
Data de Publicação: 2018
Outros Autores: Padez, Cristina, Machado-Rodrigues, Aristides M.
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9000
Resumo: Introduction: Central adiposity in children has increased to a higher degree than general adiposity however it is not a routine measurement in clinical practice. We aimed to estimate the prevalence of overweight, obesity, and abdominal fat distribution and observe the prevalence of abdominal obesity among non-obese 6-10-year-old children.Material and Methods: Weight, height, and waist circumference were measured in a sample of 793 children (408 girls). International Obesity Task Force cut-offs were used to define overweight and obesity. Abdominal obesity was defined as waist-to-height ratio ≥ 0.50. Chi-square tests were used to observe the prevalence of the obesity indicators among boys and girls, and the relation between International Obesity Task Force cut-offs and abdominal obesity.Results: The prevalence of overweight, including obesity among children was 21.9% (18.9 – 25.0), 6.1% (4.2 – 8.0) were obese and 21.9% (18.6 – 25.0) had a waist-to-height ratio ≥ 0.50. Girls had significantly higher prevalence of overweight, including obesity compared to boys (χ2 = 4.59, p = 0.03), but no differences were found for abdominal obesity according to children’s gender (χ2 = 3.32, p = 0.07). A proportion of normal (8.2%; 5.9 – 10.6) and overweight children (59.5%; 50.9 – 69.0) were abdominally obese.Discussion: The prevalence of general and abdominal obesity in children living in central Portugal is of concern. Many children with abdominal obesity would not be considered obese with the International Obesity Task Force cut-off points.Conclusion: A high proportion of abdominal obesity was observed in children with normal weight or overweight, suggesting that waist-to-height ratio should be included in routine clinical practice and might be particularly useful to assess the health status of the child.
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spelling Prevalence of Abdominal Obesity and Excess Weight among Portuguese Children and Why Abdominal Obesity Should Be Included in Clinical PracticePrevalência de Obesidade Abdominal e Excesso Ponderal em Crianças Portuguesas e a Importância de Incluir a Obesidade Abdominal nas Consultas MédicasAdiposityBody Mass IndexChildObesityAbdominalPediatric ObesityPortugalAdiposidadeCriançaÍndice de Massa CorporalObesidade AbdominalObesidade PediátricaPortugalIntroduction: Central adiposity in children has increased to a higher degree than general adiposity however it is not a routine measurement in clinical practice. We aimed to estimate the prevalence of overweight, obesity, and abdominal fat distribution and observe the prevalence of abdominal obesity among non-obese 6-10-year-old children.Material and Methods: Weight, height, and waist circumference were measured in a sample of 793 children (408 girls). International Obesity Task Force cut-offs were used to define overweight and obesity. Abdominal obesity was defined as waist-to-height ratio ≥ 0.50. Chi-square tests were used to observe the prevalence of the obesity indicators among boys and girls, and the relation between International Obesity Task Force cut-offs and abdominal obesity.Results: The prevalence of overweight, including obesity among children was 21.9% (18.9 – 25.0), 6.1% (4.2 – 8.0) were obese and 21.9% (18.6 – 25.0) had a waist-to-height ratio ≥ 0.50. Girls had significantly higher prevalence of overweight, including obesity compared to boys (χ2 = 4.59, p = 0.03), but no differences were found for abdominal obesity according to children’s gender (χ2 = 3.32, p = 0.07). A proportion of normal (8.2%; 5.9 – 10.6) and overweight children (59.5%; 50.9 – 69.0) were abdominally obese.Discussion: The prevalence of general and abdominal obesity in children living in central Portugal is of concern. Many children with abdominal obesity would not be considered obese with the International Obesity Task Force cut-off points.Conclusion: A high proportion of abdominal obesity was observed in children with normal weight or overweight, suggesting that waist-to-height ratio should be included in routine clinical practice and might be particularly useful to assess the health status of the child.Introdução: A obesidade abdominal em crianças tem aumentado a ritmo alarmante, mas esse indicador não é avaliado em consultas médicas de rotina. Este estudo pretende avaliar a prevalência de excesso ponderal e obesidade abdominal e a relação entre os dois indicadores de obesidade, em crianças dos 6 aos 10 anos.Material e Métodos: Numa amostra de 793 crianças (408 raparigas) foram medidos o peso, altura e a circunferência abdominal. Os critérios da International Obesity Task Force foram usados para definir o excesso ponderal e obesidade. Obesidade abdominal foi estimada como a relação cintura/altura ≥ 0,50. Testes estatísticos foram usados para testar os objetivos supramencionados.Resultados: A prevalência de excesso ponderal, incluindo obesidade foi de 21,9% (18,9 – 25,0), sendo significativamente mais elevada nas raparigas do que nos rapazes (χ2 = 4,59, p = 0,03). A prevalência de obesidade abdominal foi de 21,9% (18,6 – 25,0), sem diferenças significativas em relação ao género (χ2 = 3,32, p = 0,07). Verificámos que 8,2% (5,9 – 10,6) das crianças com peso normal e 59,5% (50,9 – 69,0) de crianças com excesso ponderal tinham obesidade abdominal.Discussão: A prevalência de obesidade, incluindo abdominal, é elevada nas crianças portuguesas, mas parece ter estabilizado nos últimos anos. Várias crianças com obesidade abdominal foram consideradas não obesas segundo os indicadores da International Obesity Task Force.Conclusão: Dado que várias crianças não obesas apresentam valores elevados de obesidade abdominal, a medição da relação cintura/altura deve ser incluída em consultas médicas de rotina, de modo a permitir uma melhor avaliação do estado de saúde da criança.Ordem dos Médicos2018-03-29info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfapplication/pdfapplication/pdfapplication/vnd.openxmlformats-officedocument.wordprocessingml.documentapplication/mswordapplication/pdfhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9000oai:ojs.www.actamedicaportuguesa.com:article/9000Acta Médica Portuguesa; Vol. 31 No. 3 (2018): March; 159-164Acta Médica Portuguesa; Vol. 31 N.º 3 (2018): Março; 159-1641646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9000https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9000/5376https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9000/9398https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9000/9399https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9000/9557https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9000/10067https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9000/10084Direitos de Autor (c) 2018 Acta Médica Portuguesainfo:eu-repo/semantics/openAccessRodrigues, DanielaPadez, CristinaMachado-Rodrigues, Aristides M.2022-12-20T11:05:40Zoai:ojs.www.actamedicaportuguesa.com:article/9000Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:19:40.060916Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Prevalence of Abdominal Obesity and Excess Weight among Portuguese Children and Why Abdominal Obesity Should Be Included in Clinical Practice
Prevalência de Obesidade Abdominal e Excesso Ponderal em Crianças Portuguesas e a Importância de Incluir a Obesidade Abdominal nas Consultas Médicas
title Prevalence of Abdominal Obesity and Excess Weight among Portuguese Children and Why Abdominal Obesity Should Be Included in Clinical Practice
spellingShingle Prevalence of Abdominal Obesity and Excess Weight among Portuguese Children and Why Abdominal Obesity Should Be Included in Clinical Practice
Rodrigues, Daniela
Adiposity
Body Mass Index
Child
Obesity
Abdominal
Pediatric Obesity
Portugal
Adiposidade
Criança
Índice de Massa Corporal
Obesidade Abdominal
Obesidade Pediátrica
Portugal
title_short Prevalence of Abdominal Obesity and Excess Weight among Portuguese Children and Why Abdominal Obesity Should Be Included in Clinical Practice
title_full Prevalence of Abdominal Obesity and Excess Weight among Portuguese Children and Why Abdominal Obesity Should Be Included in Clinical Practice
title_fullStr Prevalence of Abdominal Obesity and Excess Weight among Portuguese Children and Why Abdominal Obesity Should Be Included in Clinical Practice
title_full_unstemmed Prevalence of Abdominal Obesity and Excess Weight among Portuguese Children and Why Abdominal Obesity Should Be Included in Clinical Practice
title_sort Prevalence of Abdominal Obesity and Excess Weight among Portuguese Children and Why Abdominal Obesity Should Be Included in Clinical Practice
author Rodrigues, Daniela
author_facet Rodrigues, Daniela
Padez, Cristina
Machado-Rodrigues, Aristides M.
author_role author
author2 Padez, Cristina
Machado-Rodrigues, Aristides M.
author2_role author
author
dc.contributor.author.fl_str_mv Rodrigues, Daniela
Padez, Cristina
Machado-Rodrigues, Aristides M.
dc.subject.por.fl_str_mv Adiposity
Body Mass Index
Child
Obesity
Abdominal
Pediatric Obesity
Portugal
Adiposidade
Criança
Índice de Massa Corporal
Obesidade Abdominal
Obesidade Pediátrica
Portugal
topic Adiposity
Body Mass Index
Child
Obesity
Abdominal
Pediatric Obesity
Portugal
Adiposidade
Criança
Índice de Massa Corporal
Obesidade Abdominal
Obesidade Pediátrica
Portugal
description Introduction: Central adiposity in children has increased to a higher degree than general adiposity however it is not a routine measurement in clinical practice. We aimed to estimate the prevalence of overweight, obesity, and abdominal fat distribution and observe the prevalence of abdominal obesity among non-obese 6-10-year-old children.Material and Methods: Weight, height, and waist circumference were measured in a sample of 793 children (408 girls). International Obesity Task Force cut-offs were used to define overweight and obesity. Abdominal obesity was defined as waist-to-height ratio ≥ 0.50. Chi-square tests were used to observe the prevalence of the obesity indicators among boys and girls, and the relation between International Obesity Task Force cut-offs and abdominal obesity.Results: The prevalence of overweight, including obesity among children was 21.9% (18.9 – 25.0), 6.1% (4.2 – 8.0) were obese and 21.9% (18.6 – 25.0) had a waist-to-height ratio ≥ 0.50. Girls had significantly higher prevalence of overweight, including obesity compared to boys (χ2 = 4.59, p = 0.03), but no differences were found for abdominal obesity according to children’s gender (χ2 = 3.32, p = 0.07). A proportion of normal (8.2%; 5.9 – 10.6) and overweight children (59.5%; 50.9 – 69.0) were abdominally obese.Discussion: The prevalence of general and abdominal obesity in children living in central Portugal is of concern. Many children with abdominal obesity would not be considered obese with the International Obesity Task Force cut-off points.Conclusion: A high proportion of abdominal obesity was observed in children with normal weight or overweight, suggesting that waist-to-height ratio should be included in routine clinical practice and might be particularly useful to assess the health status of the child.
publishDate 2018
dc.date.none.fl_str_mv 2018-03-29
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dc.language.iso.fl_str_mv eng
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dc.relation.none.fl_str_mv https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9000
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9000/5376
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9000/9398
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9000/9399
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9000/9557
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9000/10067
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9000/10084
dc.rights.driver.fl_str_mv Direitos de Autor (c) 2018 Acta Médica Portuguesa
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Direitos de Autor (c) 2018 Acta Médica Portuguesa
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application/pdf
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dc.publisher.none.fl_str_mv Ordem dos Médicos
publisher.none.fl_str_mv Ordem dos Médicos
dc.source.none.fl_str_mv Acta Médica Portuguesa; Vol. 31 No. 3 (2018): March; 159-164
Acta Médica Portuguesa; Vol. 31 N.º 3 (2018): Março; 159-164
1646-0758
0870-399X
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