Agreement between anthropometric measures and lipid profile applied in the nutritional assessment of overweight children and adolescents.
DOI:
https://doi.org/10.12873/423andradeKeywords:
Nutrition Assessment; Child; Adolescent; Overweight; ObesityAbstract
Introduction: There are different methods for assessing nutritional status, however, there are few studies that performed the agreement between anthropometric measurements applied to the pediatric age group to assess excess weight. Objective: To verify the agreement between anthropometric measurements and the lipid profile applied in the nutritional assessment of overweight children and adolescents. Methods: A cross-sectional study carried out with 84 overweight patients aged between 5 and 19 years, both sexes, treated at the northeast reference center, between January 2018 and April 2019. Nutritional status was assessed using the index of body mass for age (BMI/A) of the World Health Organization 2006/2007, arm circumference, waist circumference and waist-to-height ratio. Agreement was measured using the weighted kappa index. Results: An altered lipid profile was observed in all BMI/A categories. The kappa test showed significant disagreement between the body mass index for age indicators and the other anthropometric measurements (waist circumference, arm circumference, waist-to-height ratio) with the following values: r= 0.001 (p= 0.007), r= 0.102 (p=0.021) and r=0.021 (p=0.000) respectively, in the group of adolescents, being similar in the group of children who presented the same disagreement for the evaluated variables. Discussion: It was observed that the methods used for nutritional assessment of overweight children and adolescents show disagreement, reinforcing the need to use more than one anthropometric measurement measure for this population. Conclusion: The study suggests that different measures used to assess the nutritional status of children and adolescents differ from the body mass index for age indicator, the most used in this population, underestimating or overestimating excess weight.
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