Adiposity Criteria in Assessing Increased Cardiometabolic Risk in Prepubertal Children Article Swipe
Tuomo Tompuri
,
Jarmo Jääskeläinen
,
Virpi Lindi
,
David E. Laaksonen
,
Aino‐Maija Eloranta
,
Anna Viitasalo
,
Tomi Laitinen
,
Timo A. Lakka
·
YOU?
·
· 2019
· Open Access
·
· DOI: https://doi.org/10.3389/fendo.2019.00410
YOU?
·
· 2019
· Open Access
·
· DOI: https://doi.org/10.3389/fendo.2019.00410
Objective: Adiposity induces the clustering of cardiometabolic risk factors, and pediatric adiposity is a better indicator for adulthood cardiometabolic diseases than pediatric metabolic syndrome. However, the observed prevalence of pediatric adiposity depends on the methods and cut-points used. Therefore, we aimed to define diagnostic criteria for adiposity which enable more valid identification of prepubertal children at increased cardiometabolic risk. Methods: The participants were 470 prepubertal children (249 boys) aged 6-8 years. The measures of adiposity included body mass index-standard deviation score (BMI-SDS), waist-to-height ratio (WHtR) and body fat percentage (BF%) assessed by bioelectrical impedance analysis (BIA) and dual-energy X-ray absorptiometry (DXA). Criteria for adiposity were determined by increased cardiometabolic risk. Cardiometabolic risk factors which correlated with BF% assessed by DXA in the upper but not lower half of BF% (serum insulin and plasma high-density lipoprotein cholesterol, triglycerides, gamma-glutamyl transferase, high-sensitivity C-reactive protein and uric acid) were included in the cardiometabolic risk score (CMS). We computed receiver operating characteristics curves for the measures of adiposity using the ≥90th percentile of CMS as a measure of increased cardiometabolic risk, and local regression curves were graphed to demonstrate the associations of the measures of adiposity with CMS. Results: In girls, WHtR of 0.445 (area under curve 0.778, its 95% confidence interval 0.65-0.91, sensitivity and specificity 0.73) and BF% of 19.5% assessed by BIA (0.801, 0.70-0.90, 0.73) were the best overall criteria for increased cardiometabolic risk. In boys, BMI-SDS of 0.48 (0.833, 0.75-0.92, 0.76) was the best overall criterion for increased cardiometabolic risk. While local regression curves in girls showed that WHtR of 0.445 corresponds well to a point where CMS began to increase, in boys local regression curves suggest that CMS began to increase even at a lower level of BMI-SDS than 0.48. Moreover, the diagnostic ability of the measures of adiposity to exclude increased cardiometabolic risk was poorer than the ability to detect it. Conclusions: In general, the measures of adiposity have sufficient diagnostic accuracy to be utilized as the screening tool for increased cardiometabolic risk. The observed cut-points for adiposity were lower than the traditional cut-points for adiposity.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3389/fendo.2019.00410
- OA Status
- gold
- Cited By
- 30
- References
- 72
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W2955176814
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W2955176814Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.3389/fendo.2019.00410Digital Object Identifier
- Title
-
Adiposity Criteria in Assessing Increased Cardiometabolic Risk in Prepubertal ChildrenWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2019Year of publication
- Publication date
-
2019-06-26Full publication date if available
- Authors
-
Tuomo Tompuri, Jarmo Jääskeläinen, Virpi Lindi, David E. Laaksonen, Aino‐Maija Eloranta, Anna Viitasalo, Tomi Laitinen, Timo A. LakkaList of authors in order
- Landing page
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https://doi.org/10.3389/fendo.2019.00410Publisher landing page
- Open access
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YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
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https://doi.org/10.3389/fendo.2019.00410Direct OA link when available
- Concepts
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Medicine, Obesity, Endocrinology, Environmental health, Internal medicine, PediatricsTop concepts (fields/topics) attached by OpenAlex
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30Total citation count in OpenAlex
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2025: 1, 2024: 2, 2023: 2, 2022: 3, 2021: 19Per-year citation counts (last 5 years)
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72Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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