2013, Número 5
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Bol Med Hosp Infant Mex 2013; 70 (5)
Circunferencia de cintura y su asociación con factores de riesgo cardiovascular en niños y adolescentes con obesidad
Romero-Velarde E, Vásquez-Garibay EM, Álvarez-Román YA, Fonseca-Reyes S, Casillas TE, Troyo SR
Idioma: Español
Referencias bibliográficas: 26
Paginas: 358-363
Archivo PDF: 131.78 Kb.
RESUMEN
Introducción. Se ha demostrado que algunos indicadores indirectos de adiposidad, como el índice de masa corporal, se asocian con alteraciones metabólicas que incluyen los factores de riesgo cardiovascular. El objetivo de este trabajo fue evaluar la asociación de los valores del índice de masa corporal (IMC) y circunferencia de cintura (CC) con factores de riesgo cardiovascular en niños y adolescentes con obesidad.
Métodos. Se llevó a cabo un estudio transversal en 115 niños y adolescentes con obesidad (IMC › + 2.0 DE). Se determinaron los valores de peso, talla y circunferencia de cintura. Se midió la presión arterial (PA) y las concentraciones séricas del perfil de lípidos, glucosa e insulina. Se calculó el índice HOMA-IR. Se identificó la correlación entre IMC y CC con parámetros bioquímicos y PA. Se realizaron modelos multivariados para evaluar la asociación de IMC y CC con factores de riesgo cardiovascular.
Resultados. La edad promedio fue de 9.75 ± 3.1 años. Se identificó una correlación positiva y significativa de IMC y CC con PA, insulina y HOMA-IR. En modelos multivariados, tanto IMC como CC mostraron asociación con PA y alteraciones metabólicas.
Conclusiones. En niños y adolescentes con obesidad, tanto la CC como el IMC se asocian con las alteraciones de la PA, insulina y HOMA-IR.
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