Comparison analysis of childhood body mass index cut-offs in predicting adulthood carotid intima media thickness: Tehran lipid and glucose study

Abstract Background The prevalence of obesity among children and adolescences have been increased, which can consequently increase the prevalence of metabolic and cardiovascular diseases later in life. The objective of this study is to compare the ability of different childhood body mass index cut-o...

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Autores principales: Farhad Hosseinpanah, Amirhosein Seyedhoseinpour, Maryam Barzin, Maryam Mahdavi, Erfan Tasdighi, Pooneh Dehghan, Amin Momeni Moghaddam, Fereidoun Azizi, Majid Valizadeh
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spelling oai:doaj.org-article:a164dd1af2b84e62bcddfd5a8cc27cd62021-11-08T11:04:52ZComparison analysis of childhood body mass index cut-offs in predicting adulthood carotid intima media thickness: Tehran lipid and glucose study10.1186/s12887-021-02963-y1471-2431https://doaj.org/article/a164dd1af2b84e62bcddfd5a8cc27cd62021-11-01T00:00:00Zhttps://doi.org/10.1186/s12887-021-02963-yhttps://doaj.org/toc/1471-2431Abstract Background The prevalence of obesity among children and adolescences have been increased, which can consequently increase the prevalence of metabolic and cardiovascular diseases later in life. The objective of this study is to compare the ability of different childhood body mass index cut-offs in prediction of carotid intima media thickness (CIMT) as an indicator of subclinical atherosclerosis. Methods Participants were categorized into normal weight, overweight and obesity group, based on world health organization (WHO), center for disease control and prevention (CDC), international obesity task force (IOTF) and local IOTF cut-offs. After 18 years of follow up CIMT was measured. Akaike’s information criterion and relative efficiency were measured in order to compare regression models on the role of obesity on CIMT. Results In this prospective cohort study, 1295 subjects aged 3 to 18 years old were enrolled. The overall prevalence of overweight was 15.4, 11.5, 16.3 and 14.1 along with obesity prevalence of 6.6, 8.5, 7.7 and 5.0% based on WHO, CDC, local IOTF and international IOTF criteria, respectively. CIMT was higher in obese compare to normal groups across all classification criteria. After regression analysis, international IOTF was the best to predict adulthood CIMT, followed by local IOTF and WHO. CDC had the least discriminatory ability. Conclusion Due to the results of this study, IOTF could be a better tool in national and international surveillances of children in order to define overweight and obesity, which can help us to intervene more effectively in reducing the burden of cardiovascular diseases.Farhad HosseinpanahAmirhosein SeyedhoseinpourMaryam BarzinMaryam MahdaviErfan TasdighiPooneh DehghanAmin Momeni MoghaddamFereidoun AziziMajid ValizadehBMCarticleObesity-pediatrics-adolescent-cardiovascular disease-subclinical atherosclerosisPediatricsRJ1-570ENBMC Pediatrics, Vol 21, Iss 1, Pp 1-13 (2021)
institution DOAJ
collection DOAJ
language EN
topic Obesity-pediatrics-adolescent-cardiovascular disease-subclinical atherosclerosis
Pediatrics
RJ1-570
spellingShingle Obesity-pediatrics-adolescent-cardiovascular disease-subclinical atherosclerosis
Pediatrics
RJ1-570
Farhad Hosseinpanah
Amirhosein Seyedhoseinpour
Maryam Barzin
Maryam Mahdavi
Erfan Tasdighi
Pooneh Dehghan
Amin Momeni Moghaddam
Fereidoun Azizi
Majid Valizadeh
Comparison analysis of childhood body mass index cut-offs in predicting adulthood carotid intima media thickness: Tehran lipid and glucose study
description Abstract Background The prevalence of obesity among children and adolescences have been increased, which can consequently increase the prevalence of metabolic and cardiovascular diseases later in life. The objective of this study is to compare the ability of different childhood body mass index cut-offs in prediction of carotid intima media thickness (CIMT) as an indicator of subclinical atherosclerosis. Methods Participants were categorized into normal weight, overweight and obesity group, based on world health organization (WHO), center for disease control and prevention (CDC), international obesity task force (IOTF) and local IOTF cut-offs. After 18 years of follow up CIMT was measured. Akaike’s information criterion and relative efficiency were measured in order to compare regression models on the role of obesity on CIMT. Results In this prospective cohort study, 1295 subjects aged 3 to 18 years old were enrolled. The overall prevalence of overweight was 15.4, 11.5, 16.3 and 14.1 along with obesity prevalence of 6.6, 8.5, 7.7 and 5.0% based on WHO, CDC, local IOTF and international IOTF criteria, respectively. CIMT was higher in obese compare to normal groups across all classification criteria. After regression analysis, international IOTF was the best to predict adulthood CIMT, followed by local IOTF and WHO. CDC had the least discriminatory ability. Conclusion Due to the results of this study, IOTF could be a better tool in national and international surveillances of children in order to define overweight and obesity, which can help us to intervene more effectively in reducing the burden of cardiovascular diseases.
format article
author Farhad Hosseinpanah
Amirhosein Seyedhoseinpour
Maryam Barzin
Maryam Mahdavi
Erfan Tasdighi
Pooneh Dehghan
Amin Momeni Moghaddam
Fereidoun Azizi
Majid Valizadeh
author_facet Farhad Hosseinpanah
Amirhosein Seyedhoseinpour
Maryam Barzin
Maryam Mahdavi
Erfan Tasdighi
Pooneh Dehghan
Amin Momeni Moghaddam
Fereidoun Azizi
Majid Valizadeh
author_sort Farhad Hosseinpanah
title Comparison analysis of childhood body mass index cut-offs in predicting adulthood carotid intima media thickness: Tehran lipid and glucose study
title_short Comparison analysis of childhood body mass index cut-offs in predicting adulthood carotid intima media thickness: Tehran lipid and glucose study
title_full Comparison analysis of childhood body mass index cut-offs in predicting adulthood carotid intima media thickness: Tehran lipid and glucose study
title_fullStr Comparison analysis of childhood body mass index cut-offs in predicting adulthood carotid intima media thickness: Tehran lipid and glucose study
title_full_unstemmed Comparison analysis of childhood body mass index cut-offs in predicting adulthood carotid intima media thickness: Tehran lipid and glucose study
title_sort comparison analysis of childhood body mass index cut-offs in predicting adulthood carotid intima media thickness: tehran lipid and glucose study
publisher BMC
publishDate 2021
url https://doaj.org/article/a164dd1af2b84e62bcddfd5a8cc27cd6
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