Relationship between waist‐height index and body adiposity index with cardiovascular risk factors in children and adolescents with obesity (641.5)

Abstract Body adiposity index (BAI) is a relatively recent evaluation method for the diagnosis of overweight and obesity, which takes into account simple measures. The aim of this study was to verify the association between BAI and cardiovascular risk factors in teachers. A cross-sectional study was conducted with 495 teachers from the city of Viçosa-MG. BAI, body mass index (BMI), abdominal circumference (AC), waist-to-hip ratio (WtHR), body fat percentage (%BF), systolic and diastolic blood pressure, fasting glucose, total cholesterol and triglycerides were evaluated. Associations between BAI (independent variable) and other variables (dependent variable) were evaluated through simple linear regression. Of the total participants, 32.12% presented high BAI and higher anthropometric, blood pressure and biochemical values (p<0.05). Higher percentage of high BAI was observed among men and with advancing age. Linear regression analysis showed positive association between BAI and other anthropometric measurements (p<0.001), with glucose (R²=0.024; p=0.001) and total cholesterol (R²=0.028; p<0.001). BAI was positively associated with the other anthropometric measures (BMI, %BF, AC and WtHR), and with the glucose and total cholesterol of evaluated teachers. Higher BAI was observed among men and with advancing age.

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Impact of Fat Intake on Blood Glucose Control and Cardiovascular Risk Factors in Children and Adolescents with Type 1 Diabetes

Nutrients ◽

10.3390/nu13082625 ◽

2021 ◽

Vol 13 (8) ◽

pp. 2625

Author(s):

Chiara Garonzi ◽

Gun Forsander ◽

Claudio Maffeis

Keyword(s):

Risk Factors ◽

Type 1 Diabetes ◽

Cardiovascular Risk ◽

Glycemic Control ◽

Children And Adolescents ◽

Cardiovascular Risk Factors ◽

Specific Role ◽

Fat Intake ◽

High Fat

Nutrition therapy is a cornerstone of type 1 diabetes (T1D) management. Glycemic control is affected by diet composition, which can contribute to the development of diabetes complications. However, the specific role of macronutrients is still debated, particularly fat intake. This review aims at assessing the relationship between fat intake and glycemic control, cardiovascular risk factors, inflammation, and microbiota, in children and adolescents with T1D. High fat meals are followed by delayed and prolonged hyperglycemia and higher glycated hemoglobin A1c levels have been frequently reported in individuals with T1D consuming high amounts of fat. High fat intake has also been associated with increased cardiovascular risk, which is higher in people with diabetes than in healthy subjects. Finally, high fat meals lead to postprandial pro-inflammatory responses through different mechanisms, including gut microbiota modifications. Different fatty acids were proposed to have a specific role in metabolic regulation, however, further investigation is still necessary. In conclusion, available evidence suggests that a high fat intake should be avoided by children and adolescents with T1D, who should be encouraged to adhere to a healthy and balanced diet, as suggested by ISPAD and ADA recommendations. This nutritional choice might be beneficial for reducing cardiovascular risk and inflammation.

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Association of Age and Sex With Cardiovascular Risk Factors and Insulin Sensitivity in Overweight Children and Adolescents

Journal of the CardioMetabolic Syndrome ◽

10.1111/j.1559-4564.2006.05695.x ◽

2006 ◽

Vol 1 (4) ◽

pp. 253-258 ◽

Cited By ~ 7

Author(s):

Joanna Koenigsberg ◽

Gillian S. Boyd ◽

Samuel S. Gidding ◽

Sandra G. Hassink ◽

Bonita Falkner

Keyword(s):

Risk Factors ◽

Cardiovascular Risk ◽

Insulin Sensitivity ◽

Children And Adolescents ◽

Cardiovascular Risk Factors ◽

Overweight Children ◽

Age And Sex

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Agreement of body adiposity index (BAI) and paediatric body adiposity index (BAIp) in determining body fat in Brazilian children and adolescents

Public Health Nutrition ◽

10.1017/s1368980018002458 ◽

2018 ◽

Vol 22 (1) ◽

pp. 132-139

Author(s):

Mariana De Santis Filgueiras ◽

Roberta Stofeles Cecon ◽

Eliane Rodrigues de Faria ◽

Franciane Rocha de Faria ◽

Patrícia Feliciano Pereira ◽

...

Keyword(s):

Children And Adolescents ◽

Body Fat ◽

Operating Characteristic ◽

Characteristic Curve ◽

The Body ◽

Body Adiposity Index ◽

Adiposity Index ◽

Body Adiposity ◽

Operating Characteristic Curve ◽

Brazilian Children

AbstractObjectiveTo evaluate agreement of the body adiposity index (BAI) and paediatric body adiposity index (BAIp) in estimating body fat compared with dual-energy X-ray absorptiometry (DXA) and to propose cut-off points for these indices to classify excess adiposity in Brazilian children and adolescents.DesignCross-sectional study. Measures of weight, height, hip circumference, BMI and body fat percentage (%BF) assessed by DXA were taken, and BAI and BAIp were calculated. The Bland–Altman plot was used to estimate agreement between the methods, and the receiver-operating characteristic curve to determine the cut-off points for BAI and BAIp per age and sex in comparison with DXA.SettingViçosa, Minas Gerais, Brazil.SubjectsChildren and adolescents aged 8–19 years (n 1049).ResultsOf the children and adolescents, 52·4 % were girls. BAI and BAIp had satisfactory performance by the receiver-operating characteristic curve, except for the 18–19 years age group, whose BAIp had better predictive capacity than BAI. The agreement analysis showed that BAI overestimated %BF by 2·64 %, on average, using DXA; while BAIp underestimated %BF by 3·37 %.ConclusionsBAI and BAIp showed low agreement with the body fat obtained by DXA, requiring caution when interpreting body composition data in children and adolescents.

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Cardiovascular risk factors in Finnish children and adolescents

Acta Paediatrica ◽

10.1111/j.1651-2227.1985.tb10077.x ◽

1985 ◽

Vol 74 (s318) ◽

pp. 5-6 ◽

Cited By ~ 6

Author(s):

Hans K. Åkerblom ◽

Jorma Viikari ◽

Kauko Kouvalainen

Keyword(s):

Risk Factors ◽

Cardiovascular Risk ◽

Children And Adolescents ◽

Cardiovascular Risk Factors

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Cardiovascular determinants of renal dysfunction among children and adolescents in South West Nigeria

Nigerian Journal of Paediatrics ◽

10.4314/njp.v47i2.3 ◽

2020 ◽

Vol 47 (2) ◽

pp. 68-73

Author(s):

A.A. Akinbodewa ◽

O.A. Adejumo ◽

A. Ogunleye ◽

T.T. Oluwafemi ◽

O.A. Lamidi

Keyword(s):

Risk Factors ◽

Cardiovascular Risk ◽

Children And Adolescents ◽

Cardiovascular Risk Factors ◽

Renal Dysfunction ◽

Body Mass ◽

Cross Sectional Study ◽

P Value ◽

Chi Square ◽

Cross Sectional

Background: New evidences reveal significant association of cardiovascular risk factors to development of chronic kidney disease among children and adolescents but there is paucity of data from Africa. Objectives: We examined the association of cardiovascular risk factors to renal dysfunction among Nigerian pediatric subjects. Materials and method: This was a prospective, cross-sectional study of pediatrics aged 2 to 17 years. Blood pressure, body mass index, serum lipids and creatinine were determined. Their glomerular filtration rate was calculated using the revised Schwartz equation. Data was analyzed with SPSS 20. Test of association was by Chi square at P <0.05. Results: We studied 114 children and adolescents. There were 55 (48.2%) males and 59 (51.8%) females with mean age of 8.99±4.26 years. There were 68 (53.5%) children and 53 adolescents (46.5%). Four (3.5%) subjects had proteinuria ≥1+. Renal dysfunction (eGFR <60ml/ min/1.73m2) was found among 9 (7.9%) participants. Renal dysfunction was higher among children than adolescents (13.1% v 1.9%) (p = 0.027). The presence and clustering of risk factors were higher among subjects with renal dysfunction (p value 0.466, 95% CI 0.19-28.3). Low HDL-c (44.4%), prehypertension(22.2%) and overweight (22.2%) were the most prevalent risk factors among those with renal dysfunction. Only age demonstrated relationship to renal dysfunction in terms of mean difference (p value 0.007, 95% CI, 1.125-6.818). Conclusions: The prevalence and clustering of cardiovascular risk factors is higher among children with renal dysfunction. Age showed association to renal dysfunction. Dyslipidemia and high body mass have propensity to influence the development of pediatric CKD. Keywords: Cardiovascular risk factors, renal dysfunction, association, pediatrics, Nigeria, Africa.

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