Waist-to-height ratio is as reliable as biochemical markers to discriminate pediatric insulin resistance
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=S0021-75572019000500428 |
Resumo: | Abstract Objective: Given the importance of incorporating simple and low-cost tools into the pediatric clinical setting to provide screening for insulin resistance, the present study sought to investigate whether waist-to-height ratio is comparable to biochemical markers for the discrimination of insulin resistance in children and adolescents. Methods: This cross-sectional study involved students from nine public schools. In total, 296 children and adolescents of both sexes, aged 8 -14 years, composed the sample. Waist-to-height ratio, triglycerides/glucose index, and triglycerides-to-HDL-C ratio were determined according to standard protocols. Insulin resistance was defined as homeostatic model assessment for insulin resistance with cut-off point ≥ 3.16. Results: Age, body mass index, frequency of overweight, waist circumference, waist-to-height ratio, insulin, glucose, homeostatic model assessment for insulin resistance, triglycerides, triglycerides/glucose index, and triglycerides-to-HDL-C were higher among insulin resistant boys and girls. Moderate correlation of all indicators (waist-to-height ratio, triglycerides/glucose index, and triglycerides-to-HDL-C ratio) with homeostatic model assessment for insulin resistance was observed for both sexes. The areas under the receiver operational characteristic curves ware similar between waist-to-height ratio and biochemical markers. Conclusion: The indicators provided similar discriminatory power for insulin resistance. However, taking into account the cost-benefit ratio, we suggest that waist-to-height ratio may be a useful tool to provide screening for insulin resistance in pediatric populations. |
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Jornal de Pediatria (Online) |
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Waist-to-height ratio is as reliable as biochemical markers to discriminate pediatric insulin resistanceChildrenAdolescentsInsulin resistanceTriglycerides/glucose indexTriglycerides-to-HDL-C ratioWaist-height ratioAbstract Objective: Given the importance of incorporating simple and low-cost tools into the pediatric clinical setting to provide screening for insulin resistance, the present study sought to investigate whether waist-to-height ratio is comparable to biochemical markers for the discrimination of insulin resistance in children and adolescents. Methods: This cross-sectional study involved students from nine public schools. In total, 296 children and adolescents of both sexes, aged 8 -14 years, composed the sample. Waist-to-height ratio, triglycerides/glucose index, and triglycerides-to-HDL-C ratio were determined according to standard protocols. Insulin resistance was defined as homeostatic model assessment for insulin resistance with cut-off point ≥ 3.16. Results: Age, body mass index, frequency of overweight, waist circumference, waist-to-height ratio, insulin, glucose, homeostatic model assessment for insulin resistance, triglycerides, triglycerides/glucose index, and triglycerides-to-HDL-C were higher among insulin resistant boys and girls. Moderate correlation of all indicators (waist-to-height ratio, triglycerides/glucose index, and triglycerides-to-HDL-C ratio) with homeostatic model assessment for insulin resistance was observed for both sexes. The areas under the receiver operational characteristic curves ware similar between waist-to-height ratio and biochemical markers. Conclusion: The indicators provided similar discriminatory power for insulin resistance. However, taking into account the cost-benefit ratio, we suggest that waist-to-height ratio may be a useful tool to provide screening for insulin resistance in pediatric populations.Sociedade Brasileira de Pediatria2019-08-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0021-75572019000500428Jornal de Pediatria v.95 n.4 2019reponame:Jornal de Pediatria (Online)instname:Sociedade Brasileira de Pediatria (SBP)instacron:SBPE10.1016/j.jped.2018.04.004info:eu-repo/semantics/openAccessAlvim,Rafael de OliveiraZaniqueli,DivaneiNeves,Felipe SilvaPani,Virgilia OliveiraMartins,Caroline ResendePeçanha,Marcos Alves de SouzaBarbosa,Míriam Carmo RodriguesFaria,Eliane Rodrigues deMill,José Geraldoeng2019-09-09T00:00:00Zoai:scielo:S0021-75572019000500428Revistahttp://www.jped.com.br/https://old.scielo.br/oai/scielo-oai.php||jped@jped.com.br1678-47820021-7557opendoar:2019-09-09T00:00Jornal de Pediatria (Online) - Sociedade Brasileira de Pediatria (SBP)false |
dc.title.none.fl_str_mv |
Waist-to-height ratio is as reliable as biochemical markers to discriminate pediatric insulin resistance |
title |
Waist-to-height ratio is as reliable as biochemical markers to discriminate pediatric insulin resistance |
spellingShingle |
Waist-to-height ratio is as reliable as biochemical markers to discriminate pediatric insulin resistance Alvim,Rafael de Oliveira Children Adolescents Insulin resistance Triglycerides/glucose index Triglycerides-to-HDL-C ratio Waist-height ratio |
title_short |
Waist-to-height ratio is as reliable as biochemical markers to discriminate pediatric insulin resistance |
title_full |
Waist-to-height ratio is as reliable as biochemical markers to discriminate pediatric insulin resistance |
title_fullStr |
Waist-to-height ratio is as reliable as biochemical markers to discriminate pediatric insulin resistance |
title_full_unstemmed |
Waist-to-height ratio is as reliable as biochemical markers to discriminate pediatric insulin resistance |
title_sort |
Waist-to-height ratio is as reliable as biochemical markers to discriminate pediatric insulin resistance |
author |
Alvim,Rafael de Oliveira |
author_facet |
Alvim,Rafael de Oliveira Zaniqueli,Divanei Neves,Felipe Silva Pani,Virgilia Oliveira Martins,Caroline Resende Peçanha,Marcos Alves de Souza Barbosa,Míriam Carmo Rodrigues Faria,Eliane Rodrigues de Mill,José Geraldo |
author_role |
author |
author2 |
Zaniqueli,Divanei Neves,Felipe Silva Pani,Virgilia Oliveira Martins,Caroline Resende Peçanha,Marcos Alves de Souza Barbosa,Míriam Carmo Rodrigues Faria,Eliane Rodrigues de Mill,José Geraldo |
author2_role |
author author author author author author author author |
dc.contributor.author.fl_str_mv |
Alvim,Rafael de Oliveira Zaniqueli,Divanei Neves,Felipe Silva Pani,Virgilia Oliveira Martins,Caroline Resende Peçanha,Marcos Alves de Souza Barbosa,Míriam Carmo Rodrigues Faria,Eliane Rodrigues de Mill,José Geraldo |
dc.subject.por.fl_str_mv |
Children Adolescents Insulin resistance Triglycerides/glucose index Triglycerides-to-HDL-C ratio Waist-height ratio |
topic |
Children Adolescents Insulin resistance Triglycerides/glucose index Triglycerides-to-HDL-C ratio Waist-height ratio |
description |
Abstract Objective: Given the importance of incorporating simple and low-cost tools into the pediatric clinical setting to provide screening for insulin resistance, the present study sought to investigate whether waist-to-height ratio is comparable to biochemical markers for the discrimination of insulin resistance in children and adolescents. Methods: This cross-sectional study involved students from nine public schools. In total, 296 children and adolescents of both sexes, aged 8 -14 years, composed the sample. Waist-to-height ratio, triglycerides/glucose index, and triglycerides-to-HDL-C ratio were determined according to standard protocols. Insulin resistance was defined as homeostatic model assessment for insulin resistance with cut-off point ≥ 3.16. Results: Age, body mass index, frequency of overweight, waist circumference, waist-to-height ratio, insulin, glucose, homeostatic model assessment for insulin resistance, triglycerides, triglycerides/glucose index, and triglycerides-to-HDL-C were higher among insulin resistant boys and girls. Moderate correlation of all indicators (waist-to-height ratio, triglycerides/glucose index, and triglycerides-to-HDL-C ratio) with homeostatic model assessment for insulin resistance was observed for both sexes. The areas under the receiver operational characteristic curves ware similar between waist-to-height ratio and biochemical markers. Conclusion: The indicators provided similar discriminatory power for insulin resistance. However, taking into account the cost-benefit ratio, we suggest that waist-to-height ratio may be a useful tool to provide screening for insulin resistance in pediatric populations. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-08-01 |
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=S0021-75572019000500428 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0021-75572019000500428 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1016/j.jped.2018.04.004 |
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.4 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 |
_version_ |
1752122321875763200 |