Prevalence of Abdominal Obesity in Spanish Children and Adolescents. Do We Need Waist Circumference Measurements in Pediatric Practice?
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{"title"=>"Prevalence of abdominal obesity in Spanish children and adolescents. do we need waist circumference measurements in pediatric practice?", "type"=>"journal", "authors"=>[{"first_name"=>"Helmut", "last_name"=>"Schröder", "scopus_author_id"=>"35280719100"}, {"first_name"=>"Lourdes", "last_name"=>"Ribas", "scopus_author_id"=>"7004932899"}, {"first_name"=>"Corinna", "last_name"=>"Koebnick", "scopus_author_id"=>"6701480321"}, {"first_name"=>"Anna", "last_name"=>"Funtikova", "scopus_author_id"=>"55516105100"}, {"first_name"=>"Santiago F.", "last_name"=>"Gomez", "scopus_author_id"=>"55516876500"}, {"first_name"=>"Montserat", "last_name"=>"Fíto", "scopus_author_id"=>"6602891390"}, {"first_name"=>"Carmen", "last_name"=>"Perez-Rodrigo", "scopus_author_id"=>"55916659400"}, {"first_name"=>"Lluis", "last_name"=>"Serra-Majem", "scopus_author_id"=>"35596972100"}], "year"=>2014, "source"=>"PLoS ONE", "identifiers"=>{"pui"=>"373058860", "sgr"=>"84900322194", "issn"=>"19326203", "pmid"=>"24475305", "scopus"=>"2-s2.0-84900322194", "doi"=>"10.1371/journal.pone.0087549", "isbn"=>"1932-6203"}, "id"=>"4f8bf4b3-748f-350c-b553-a9725ee3edf6", "abstract"=>"BACKGROUND Evidence indicates that central adiposity has increased to a higher degree than general adiposity in children and adolescents in recent decades. However, waist circumference is not a routine measurement in clinical practice. OBJECTIVE This study aimed to determine the prevalence of abdominal obesity based on waist circumferences (WC) and waist to height ratio (WHtR) in Spanish children and adolescents aged 6 to 17 years. Further, the prevalence of abdominal obesity (AO) among normal and overweight individuals was analyzed. DESIGN Data were obtained from a study conducted from 1998 to 2000 in a representative national sample of 1521 children and adolescents aged 6 to 17 years (50.0% female) in Spain. WC and WHtR measurements were obtained in addition to BMI. AO was defined as WHtR ≥0.50 (WHtR-AO), sex and age specific WC≥90(th) percentile (WC-AO1), and sex and age specific WC cut-off values associated with high trunk fat measured by by dual-energy X-ray absorptiometry (WC-AO2). RESULTS IOTF- based overweight and obsity prevalence was 21.5% and 6.6% in children and 17.4% and 5.2% in adolescents, respectively. Abdominal obesity (AO) was defined as WHtR≥0.50 (WHtR-AO), sex- and age-specific WC≥90th percentile (WC-AO1), and sex- and age-specific WC cut-off values associated with high trunk fat measured by dual-energy X-ray absorptiometry (WC-AO2). The respective prevalence of WHtR-AO, WC-AO1, and WC-AO2 was 21.3% (24.6% boys; 17.9% girls), 9.4% (9.1% boys; 9.7% girls), and 26.8% (30.6% boys;22.9% girls) in children and 14.3% (20.0% boys; 8.7% girls), 9.6% (9.8% boys; 9.5% girls), and 21.1% (28.8% boys; 13.7% girls) in adolescents. CONCLUSION The prevalence of AO in Spanish children and adolescents is of concern. The high proportion of AO observed in young patients who are normal weight or overweight indicates a need to include waist circumference measurements in routine clinical practice.", "link"=>"http://www.mendeley.com/research/prevalence-abdominal-obesity-spanish-children-adolescents-we-need-waist-circumference-measurements-p", "reader_count"=>94, "reader_count_by_academic_status"=>{"Unspecified"=>5, "Professor > Associate Professor"=>6, "Librarian"=>3, "Student > Doctoral Student"=>12, "Researcher"=>11, "Student > Ph. D. Student"=>17, "Student > Postgraduate"=>4, "Student > Master"=>15, "Other"=>5, "Student > Bachelor"=>11, "Lecturer"=>1, "Lecturer > Senior Lecturer"=>1, "Professor"=>3}, "reader_count_by_user_role"=>{"Unspecified"=>5, "Professor > Associate Professor"=>6, "Librarian"=>3, "Student > Doctoral Student"=>12, "Researcher"=>11, "Student > Ph. D. Student"=>17, "Student > Postgraduate"=>4, "Student > Master"=>15, "Other"=>5, "Student > Bachelor"=>11, "Lecturer"=>1, "Lecturer > Senior Lecturer"=>1, "Professor"=>3}, "reader_count_by_subject_area"=>{"Unspecified"=>12, "Engineering"=>1, "Environmental Science"=>1, "Nursing and Health Professions"=>5, "Materials Science"=>1, "Medicine and Dentistry"=>40, "Agricultural and Biological Sciences"=>14, "Sports and Recreations"=>9, "Pharmacology, Toxicology and Pharmaceutical Science"=>2, "Chemistry"=>1, "Psychology"=>3, "Social Sciences"=>5}, "reader_count_by_subdiscipline"=>{"Engineering"=>{"Engineering"=>1}, "Materials Science"=>{"Materials Science"=>1}, "Medicine and Dentistry"=>{"Medicine and Dentistry"=>40}, "Chemistry"=>{"Chemistry"=>1}, "Social Sciences"=>{"Social Sciences"=>5}, "Sports and Recreations"=>{"Sports and Recreations"=>9}, "Psychology"=>{"Psychology"=>3}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>14}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>5}, "Unspecified"=>{"Unspecified"=>12}, "Environmental Science"=>{"Environmental Science"=>1}, "Pharmacology, Toxicology and Pharmaceutical Science"=>{"Pharmacology, Toxicology and Pharmaceutical Science"=>2}}, "reader_count_by_country"=>{"Czech Republic"=>1, "Ireland"=>1, "Spain"=>3, "Russia"=>1, "Indonesia"=>1}, "group_count"=>5}

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Relative Metric

{"start_date"=>"2014-01-01T00:00:00Z", "end_date"=>"2014-12-31T00:00:00Z", "subject_areas"=>[{"subject_area"=>"/Biology and life sciences", "average_usage"=>[291]}, {"subject_area"=>"/People and places/Population groupings", "average_usage"=>[300]}]}
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