Appropriate neck circumference and waist-to-height ratio cut-off points as predictors of obesity and cardiovascular risk in adolescents

Detalhes bibliográficos
Autor(a) principal: Carvalho, Wyllyane Rayana Chaves
Data de Publicação: 2023
Outros Autores: França, Ana Karina Teixeira da Cunha, Santos, Alcione Miranda dos, Padilha, Luana Lopes, Bogea, Eduarda Gomes
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Revista de Saúde Pública
DOI: 10.11606/s1518-8787.2023057004349
Texto Completo: https://www.revistas.usp.br/rsp/article/view/211901
Resumo: OBJECTIVE: To determine neck circumference (NC) and waist-to-height ratio (WHtR) cut-off points as predictors of obesity and cardiovascular risk in adolescents. METHODS: Cross-sectional study developed with a subsample of 648 adolescents aged 18 and 19 years belonging to the third phase of the “RPS” cohort (Ribeirão Preto, Pelotas and São Luís) carried out in 2016. The area under the ROC curve (AUC) was identified to assess the predictive capacity of NC and WHtR in relation to the percentage of body fat (%BF), obtained by air displacement plethysmography (ADP), and the cardiovascular risk estimated by the Pathobiological Determinants of Atherosclerosis in Youth (PDAY). RESULTS: The prevalence of obesity by %BF was 7.6% in males and 39.4% in females (p-value <0.001), and the high PDAY risk was 13.8% and 10.9%, respectively.  For males, NC cut-off point was 44.0 cm and the AUCs were 0.70 (95%CI 0.58-0.83) to predict obesity and 0.71 (95%CI 0.62-0.80) to predict high cardiovascular risk; for females, NC cut-off point was 40 cm and the AUCs were 0.75 (95%CI 0.69-0.80) and 0.63 (95%CI 0.53-0.73), respectively. WHtR cut-off point was 0.50 for both sexes; for males, the AUCs to predict obesity and high risk according to PDAY were 0.90 (95%CI 0.80-0.99) and 0.73 (95%CI 0.63-0.82), respectively; for females, they were 0.87 (95%CI 0.83-0.90) and 0.55 (95%CI 0.45-0.65), respectively.  CONCLUSION: WHtR and NC are good discriminators to assess obesity and cardiovascular risk in adolescents, especially in males.
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spelling Appropriate neck circumference and waist-to-height ratio cut-off points as predictors of obesity and cardiovascular risk in adolescentsPontos de corte da circunferência do pescoço e da relação cintura-estatura como preditores da obesidade e risco cardiovascular em adolescentesAdolescent Waist-Height RatioNeckAnthropometryHeart Disease Risk FactorsObesityAdolescenteRazão Cintura-EstaturaPescoçoAntropometriaFatores de Risco de Doenças CardíacasObesidadeOBJECTIVE: To determine neck circumference (NC) and waist-to-height ratio (WHtR) cut-off points as predictors of obesity and cardiovascular risk in adolescents. METHODS: Cross-sectional study developed with a subsample of 648 adolescents aged 18 and 19 years belonging to the third phase of the “RPS” cohort (Ribeirão Preto, Pelotas and São Luís) carried out in 2016. The area under the ROC curve (AUC) was identified to assess the predictive capacity of NC and WHtR in relation to the percentage of body fat (%BF), obtained by air displacement plethysmography (ADP), and the cardiovascular risk estimated by the Pathobiological Determinants of Atherosclerosis in Youth (PDAY). RESULTS: The prevalence of obesity by %BF was 7.6% in males and 39.4% in females (p-value <0.001), and the high PDAY risk was 13.8% and 10.9%, respectively.  For males, NC cut-off point was 44.0 cm and the AUCs were 0.70 (95%CI 0.58-0.83) to predict obesity and 0.71 (95%CI 0.62-0.80) to predict high cardiovascular risk; for females, NC cut-off point was 40 cm and the AUCs were 0.75 (95%CI 0.69-0.80) and 0.63 (95%CI 0.53-0.73), respectively. WHtR cut-off point was 0.50 for both sexes; for males, the AUCs to predict obesity and high risk according to PDAY were 0.90 (95%CI 0.80-0.99) and 0.73 (95%CI 0.63-0.82), respectively; for females, they were 0.87 (95%CI 0.83-0.90) and 0.55 (95%CI 0.45-0.65), respectively.  CONCLUSION: WHtR and NC are good discriminators to assess obesity and cardiovascular risk in adolescents, especially in males.OBJETIVO: Determinar os pontos de corte da circunferência do pescoço (CP) e da relação cintura-estatura (RCEst) para a predição da obesidade e do risco cardiovascular em adolescentes. MÉTODOS: Estudo transversal desenvolvido com uma subamostra de 634 adolescentes de 18 e 19 anos de idade pertencentes à terceira fase da coorte “RPS” (Ribeirão Preto, Pelotas e São Luís) realizada em 2017. Identificou-se a área sob a curva ROC (AUC) para avaliar a capacidade preditiva da CP e RCE em relação ao percentual de gordura corporal (%GC), obtido pela pletismografia por deslocamento de ar (PDA), e do risco cardiovascular estimado pelo Phatobiological Determinants of Atherosclerosis in Youth (PDAY). RESULTADOS: A prevalência de obesidade pelo %GC foi de 7,6% no sexo masculino e 39,4% no sexo feminino (p-valor < 0,001) e o alto risco para PDAY foi de 13,8% e 10,9%, respectivamente. Para a CP, o ponto de corte identificado para o sexo masculino foi de 44,0 cm e as AUC foram de 0,70 (IC95% 0,58-0,83) para predição de obesidade e de 0,71 (IC95% 0,62-0,80) para predição do alto risco cardiovascular; e para o sexo feminino foi de 40 cm e as AUC foram de 0,75 (IC95% 0,69-0,80) e de 0,63 (IC95% 0,53-0,73), respectivamente. Para a RCEst, o ponto de corte identificado foi de 0,50 para ambos os sexos e as AUC para a predição da obesidade e do alto risco segundo o PDAY foram de 0,90 (IC95% 0,80-0,99) e 0,73 (IC95% 0,63-0,82), respectivamente, para o sexo masculino; e de 0,87 (IC95% 0,83-0,90) e 0,55 (IC95% 0,45-0,65), respectivamente, para o sexo feminino. CONCLUSÃO: RCEst e CP como bons discriminadores para avaliar a obesidade e risco cardiovascular em adolescentes, especialmente no sexo masculino.Universidade de São Paulo. Faculdade de Saúde Pública2023-03-31info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdftext/xmlhttps://www.revistas.usp.br/rsp/article/view/21190110.11606/s1518-8787.2023057004349Revista de Saúde Pública; Vol. 57 No. 1 (2023); 24Revista de Saúde Pública; Vol. 57 Núm. 1 (2023); 24Revista de Saúde Pública; v. 57 n. 1 (2023); 241518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPporenghttps://www.revistas.usp.br/rsp/article/view/211901/194058https://www.revistas.usp.br/rsp/article/view/211901/194057https://www.revistas.usp.br/rsp/article/view/211901/194055Copyright (c) 2023 Wyllyane Rayana Chaves Carvalho, Ana Karina Teixeira da Cunha França, Alcione Miranda dos Santos, Luana Lopes Padilha, Eduarda Gomes Bogeahttp://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessCarvalho, Wyllyane Rayana ChavesFrança, Ana Karina Teixeira da CunhaSantos, Alcione Miranda dos Padilha, Luana LopesBogea, Eduarda Gomes2023-05-11T17:33:40Zoai:revistas.usp.br:article/211901Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2023-05-11T17:33:40Revista de Saúde Pública - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Appropriate neck circumference and waist-to-height ratio cut-off points as predictors of obesity and cardiovascular risk in adolescents
Pontos de corte da circunferência do pescoço e da relação cintura-estatura como preditores da obesidade e risco cardiovascular em adolescentes
title Appropriate neck circumference and waist-to-height ratio cut-off points as predictors of obesity and cardiovascular risk in adolescents
spellingShingle Appropriate neck circumference and waist-to-height ratio cut-off points as predictors of obesity and cardiovascular risk in adolescents
Appropriate neck circumference and waist-to-height ratio cut-off points as predictors of obesity and cardiovascular risk in adolescents
Carvalho, Wyllyane Rayana Chaves
Adolescent
Waist-Height Ratio
Neck
Anthropometry
Heart Disease Risk Factors
Obesity
Adolescente
Razão Cintura-Estatura
Pescoço
Antropometria
Fatores de Risco de Doenças Cardíacas
Obesidade
Carvalho, Wyllyane Rayana Chaves
Adolescent
Waist-Height Ratio
Neck
Anthropometry
Heart Disease Risk Factors
Obesity
Adolescente
Razão Cintura-Estatura
Pescoço
Antropometria
Fatores de Risco de Doenças Cardíacas
Obesidade
title_short Appropriate neck circumference and waist-to-height ratio cut-off points as predictors of obesity and cardiovascular risk in adolescents
title_full Appropriate neck circumference and waist-to-height ratio cut-off points as predictors of obesity and cardiovascular risk in adolescents
title_fullStr Appropriate neck circumference and waist-to-height ratio cut-off points as predictors of obesity and cardiovascular risk in adolescents
Appropriate neck circumference and waist-to-height ratio cut-off points as predictors of obesity and cardiovascular risk in adolescents
title_full_unstemmed Appropriate neck circumference and waist-to-height ratio cut-off points as predictors of obesity and cardiovascular risk in adolescents
Appropriate neck circumference and waist-to-height ratio cut-off points as predictors of obesity and cardiovascular risk in adolescents
title_sort Appropriate neck circumference and waist-to-height ratio cut-off points as predictors of obesity and cardiovascular risk in adolescents
author Carvalho, Wyllyane Rayana Chaves
author_facet Carvalho, Wyllyane Rayana Chaves
Carvalho, Wyllyane Rayana Chaves
França, Ana Karina Teixeira da Cunha
Santos, Alcione Miranda dos
Padilha, Luana Lopes
Bogea, Eduarda Gomes
França, Ana Karina Teixeira da Cunha
Santos, Alcione Miranda dos
Padilha, Luana Lopes
Bogea, Eduarda Gomes
author_role author
author2 França, Ana Karina Teixeira da Cunha
Santos, Alcione Miranda dos
Padilha, Luana Lopes
Bogea, Eduarda Gomes
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Carvalho, Wyllyane Rayana Chaves
França, Ana Karina Teixeira da Cunha
Santos, Alcione Miranda dos
Padilha, Luana Lopes
Bogea, Eduarda Gomes
dc.subject.por.fl_str_mv Adolescent
Waist-Height Ratio
Neck
Anthropometry
Heart Disease Risk Factors
Obesity
Adolescente
Razão Cintura-Estatura
Pescoço
Antropometria
Fatores de Risco de Doenças Cardíacas
Obesidade
topic Adolescent
Waist-Height Ratio
Neck
Anthropometry
Heart Disease Risk Factors
Obesity
Adolescente
Razão Cintura-Estatura
Pescoço
Antropometria
Fatores de Risco de Doenças Cardíacas
Obesidade
description OBJECTIVE: To determine neck circumference (NC) and waist-to-height ratio (WHtR) cut-off points as predictors of obesity and cardiovascular risk in adolescents. METHODS: Cross-sectional study developed with a subsample of 648 adolescents aged 18 and 19 years belonging to the third phase of the “RPS” cohort (Ribeirão Preto, Pelotas and São Luís) carried out in 2016. The area under the ROC curve (AUC) was identified to assess the predictive capacity of NC and WHtR in relation to the percentage of body fat (%BF), obtained by air displacement plethysmography (ADP), and the cardiovascular risk estimated by the Pathobiological Determinants of Atherosclerosis in Youth (PDAY). RESULTS: The prevalence of obesity by %BF was 7.6% in males and 39.4% in females (p-value <0.001), and the high PDAY risk was 13.8% and 10.9%, respectively.  For males, NC cut-off point was 44.0 cm and the AUCs were 0.70 (95%CI 0.58-0.83) to predict obesity and 0.71 (95%CI 0.62-0.80) to predict high cardiovascular risk; for females, NC cut-off point was 40 cm and the AUCs were 0.75 (95%CI 0.69-0.80) and 0.63 (95%CI 0.53-0.73), respectively. WHtR cut-off point was 0.50 for both sexes; for males, the AUCs to predict obesity and high risk according to PDAY were 0.90 (95%CI 0.80-0.99) and 0.73 (95%CI 0.63-0.82), respectively; for females, they were 0.87 (95%CI 0.83-0.90) and 0.55 (95%CI 0.45-0.65), respectively.  CONCLUSION: WHtR and NC are good discriminators to assess obesity and cardiovascular risk in adolescents, especially in males.
publishDate 2023
dc.date.none.fl_str_mv 2023-03-31
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.revistas.usp.br/rsp/article/view/211901
10.11606/s1518-8787.2023057004349
url https://www.revistas.usp.br/rsp/article/view/211901
identifier_str_mv 10.11606/s1518-8787.2023057004349
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv https://www.revistas.usp.br/rsp/article/view/211901/194058
https://www.revistas.usp.br/rsp/article/view/211901/194057
https://www.revistas.usp.br/rsp/article/view/211901/194055
dc.rights.driver.fl_str_mv http://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv http://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
text/xml
dc.publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Saúde Pública
publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Saúde Pública
dc.source.none.fl_str_mv Revista de Saúde Pública; Vol. 57 No. 1 (2023); 24
Revista de Saúde Pública; Vol. 57 Núm. 1 (2023); 24
Revista de Saúde Pública; v. 57 n. 1 (2023); 24
1518-8787
0034-8910
reponame:Revista de Saúde Pública
instname:Universidade de São Paulo (USP)
instacron:USP
instname_str Universidade de São Paulo (USP)
instacron_str USP
institution USP
reponame_str Revista de Saúde Pública
collection Revista de Saúde Pública
repository.name.fl_str_mv Revista de Saúde Pública - Universidade de São Paulo (USP)
repository.mail.fl_str_mv revsp@org.usp.br||revsp1@usp.br
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dc.identifier.doi.none.fl_str_mv 10.11606/s1518-8787.2023057004349

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