Waist circumference curves by BMI-age category and sex in colombian adolescents
DOI:
https://doi.org/10.14306/renhyd.30.1.2629Keywords:
Waist Circumference, BMI-age, ROC Curve, Adolescents, Anthropometry, ColombiaAbstract
Introduction: The most widely used anthropometric indicator in health to assess excess weight is BMI. However, it does not provide information on fat location. Therefore, the objective was to design waist circumference (WC) curves by BMI-age and sex for Colombian adolescents.
Methodology: Analytical cross-sectional study of secondary databases from the 2015 National Nutritional Status Survey and Durán P et al. in 2016, with data on waist circumference, weight, and height. Generalized Additive Models of Location, Scale, and Shape with Box-Cox Power Exponential (BCPE) transformation were used, and internal validation procedures were performed to ensure that the models fit the data.
Results: 18,843 adolescents, 51.5% of whom were female. WC increased with each BMI category and had higher values in males. The area under the curve was ≥0.84, and the sensitivity of each WC cutoff point was ≥0.77 at different ages. The total increase in median WC was higher in males (10.6 cm) than in females (5.4 cm). The curves differed by age and sex. In men, the increase was continuous and progressive from age 13, while in women it was flatter. The P90 in women was higher than in men at ages 13 and 14. The internal validation of the estimated curve models showed good fit (the differences in each percentile did not exceed 1% of the information).
Conclusion: The increase in the median WC by age is greater in men from age 13 onwards, as are the percentiles of change in BMI-age for WC. The WC curves for age, adjusted with the BCPE distribution, explained the increasing behavior of the waist, in addition to the predictive capacity of the model.
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Copyright (c) 2020 MARIA VICTORIA BENJUMEA RINCÓN, Cristian David Santa E, Alejandro Estrada Restrepo, Claudia Emilia Heredia Ramírez, Paola Durán Ventura, Audrey Mary Matallana, Germán Darío Briceño, Jaime Aurelio Céspedes Londoño, Verónica Abad
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