The utility of anthopometric indicators to identify cardiovascular risk factors in vietnamese children.

THE UTILITY OF ANTHOPOMETRIC INDICATORS TO IDENTIFY CARDIOVASCULAR RISK FACTORS IN VIETNAMESE CHILDREN. Br J Nutr. 2020 Jan 22;:1-29 Authors: Mai TMT, Gallegos D, Jones L, Tran QC, Tran TMH, van der Pols JC Abstract Body mass index (BMI), waist circumference (WC), and waist-to-height ratio (WHtR) can be used for discriminating children and adolescents at risk of cardiovascular diseases. However, consensus on how to use these anthropometric indicators is lacking for children and adolescents in Asia. Discrete criteria are promoted internationally, but continuous variables could be used. Data from a survey of 10,949 Vietnamese school-aged children (6-18 year) was used to evaluate the performance of anthropometric indicators to identify elevated blood pressure (BP), dyslipidaemia, or at least three cardiovascular risk factors (CVRF). Weight, height, waist circumference, and BP were measured using standardised protocols; 1,009 participants had blood lipids were analysed. Area-under-the-curve (AUC) was used to assess the performance, and the Youden Index to identify optimal cut-offs. Prevalence of elevated BP, dyslipidaemia, and CVRF was 26∙5%, 49∙3%, and 12∙2%, respectively. BMI, WC and WHtR, had low capacity to identify elevated BP and dyslipidaemia (AUCs range 0∙61-0∙66), but moderate capacity to identify CVRF (0∙72-0∙74). Optimal BMIZ cut-offs to identify elevated BP, dyslipidaemia, and CVRF were 0∙40 SD, 1∙01 SD, and...
Source: The British Journal of Nutrition - Category: Nutrition Authors: Tags: Br J Nutr Source Type: research