Twenty-year trend in the prevalence of increased cardiometabolic risk, measured by abdominal obesity, among Spanish children and adolescents across body mass index categories.

Autor: Schröder H; CIBER de Epidemiología y Salud Pública (CIBERESP), Instituto de Salud Carlos III, Madrid, Spain. hschroder@researchmar.net.; Cardiovascular Risk and Nutrition Research Group (CARIN), Hospital del Mar Research Institute, Barcelona, Spain. hschroder@researchmar.net., Juton C; Department of Health Information, Nutrition and Health, Sciensano, Brussels, Belgium., Goran MI; Division of Endocrinology, Diabetes and Metabolism, Department of Pediatrics, Children's Hospital Los Angeles, Los Angeles, CA, USA., Wärnberg J; EpiPhaan Research Group, Universidad de Málaga - Institute of Biomedical Research of Malaga (IBIMA), Málaga, Spain.; Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, Madrid, Spain., Osés M; Institute for Sustainability and Food Chain Innovation (IS-FOOD), Department of Health Sciences, ELIKOS Group, Public University of Navarre, Pamplona, Spain., Gonzalez-Gross M; Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, Madrid, Spain.; ImFINE Research Group, Department of Health and Human Performance, Universidad Politécnica de Madrid, Madrid, Spain., Gusi N; Physical Activity and Quality of Life Research Group (AFYCAV), Faculty of Sport Sciences, University of Extremadura, Cáceres, Spain., Aznar S; PAFS Research Group, Faculty of Sports Sciences, University of Castilla-La Mancha-Toledo Campus, Toledo, Spain., Marín-Cascales E; UCAM Research Center for High Performance Sport, UCAM Universidad Católica de Murcia, Murcia, Spain.; Facultad de Deporte, UCAM Universidad Católica de Murcia, Murcia, Spain., González-Valeiro M; Faculty of Sports Sciences and Physical Education, Universidade da Coruña, Coruña, Spain., Herrera-Ramos E; Research Institute of Biomedical and Health Sciences (IUIBS), University of Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, Spain., Terrados N; Regional Unit of Sports Medicine of Principado de Asturias, Municipal Sports Foundation of Avilés, Avilés, Spain., Tur JA; Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, Madrid, Spain.; Research Group on Community Nutrition and Oxidative Stress, University of Balearic Islands-IUNICS, Palma de Mallorca, Spain.; Health Research Institute of Balearic Islands (IdISBa), Balearic Islands, Spain., Segú M; FC Barcelona Foundation, Barcelona, Spain., Fitó M; Cardiovascular Risk and Nutrition Research Group (CARIN), Hospital del Mar Research Institute, Barcelona, Spain.; Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, Madrid, Spain., Ribas-Barba L; Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, Madrid, Spain.; Research Institute of Biomedical and Health Sciences (IUIBS), University of Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, Spain., Bautista-Castaño I; Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, Madrid, Spain.; Research Institute of Biomedical and Health Sciences (IUIBS), University of Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, Spain., Peña-Quintana L; Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, Madrid, Spain.; Research Institute of Biomedical and Health Sciences (IUIBS), University of Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, Spain.; Centro Hospitalario Universitario Insular Materno Infantil (CHUIMI), Canarian Health Service, Las Palmas, Spain., Berruezo P; Gasol Foundation Europe, Sant Boi de Llobregat, Barcelona, Spain.; Public Health and Epidemiology Research Group, University of Alcalá, Alcalá de Henares, Madrid, Spain., Benavente-Marín JC; EpiPhaan Research Group, Universidad de Málaga - Institute of Biomedical Research of Malaga (IBIMA), Málaga, Spain., Labayen I; Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, Madrid, Spain.; Institute for Sustainability and Food Chain Innovation (IS-FOOD), Department of Health Sciences, ELIKOS Group, Public University of Navarre, Pamplona, Spain., Zapico AG; ImFINE Research Group, Department of Health and Human Performance, Universidad Politécnica de Madrid, Madrid, Spain., Sánchez-Gómez J; Physical Activity and Quality of Life Research Group (AFYCAV), Faculty of Sport Sciences, University of Extremadura, Cáceres, Spain., Jiménez-Zazo F; PAFS Research Group, Faculty of Sports Sciences, University of Castilla-La Mancha-Toledo Campus, Toledo, Spain., Alcaraz PE; UCAM Research Center for High Performance Sport, UCAM Universidad Católica de Murcia, Murcia, Spain.; Facultad de Deporte, UCAM Universidad Católica de Murcia, Murcia, Spain., Sevilla-Sanchez M; Faculty of Sports Sciences and Physical Education, Universidade da Coruña, Coruña, Spain., Pulgar S; Regional Unit of Sports Medicine of Principado de Asturias, Municipal Sports Foundation of Avilés, Avilés, Spain., Bouzas C; Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, Madrid, Spain.; Research Group on Community Nutrition and Oxidative Stress, University of Balearic Islands-IUNICS, Palma de Mallorca, Spain.; Health Research Institute of Balearic Islands (IdISBa), Balearic Islands, Spain., Serra-Majem L; Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, Madrid, Spain.; Research Institute of Biomedical and Health Sciences (IUIBS), University of Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, Spain.; Centro Hospitalario Universitario Insular Materno Infantil (CHUIMI), Canarian Health Service, Las Palmas, Spain., Gómez SF; CIBER de Epidemiología y Salud Pública (CIBERESP), Instituto de Salud Carlos III, Madrid, Spain.; Cardiovascular Risk and Nutrition Research Group (CARIN), Hospital del Mar Research Institute, Barcelona, Spain.; Gasol Foundation Europe, Sant Boi de Llobregat, Barcelona, Spain.; Nursing and Physiotherapy Department, University of Lleida, Lleida, Spain.
Jazyk: angličtina
Zdroj: BMC medicine [BMC Med] 2024 Nov 05; Vol. 22 (1), pp. 509. Date of Electronic Publication: 2024 Nov 05.
DOI: 10.1186/s12916-024-03719-y
Abstrakt: Background: Identifying children and adolescents with cardiometabolic risk at an early stage is crucial for effective treatment and prevention. From a practical perspective, this could be accomplished by assessing the presence of abdominal obesity, which serves as a surrogate indicator of increased cardiometabolic risk and is easy to measure. However, the assessment of abdominal obesity via waist circumference has not yet become a standard procedure in pediatric healthcare. The present study aimed to analyze the secular trends in increased cardiometabolic risk, as indicated by waist circumference among Spanish children and adolescents.
Methods: This study included 4861 children and adolescents aged 8 to 16 years from two nationwide representative cross-sectional surveys, the EnKid study and the PASOS study, conducted in 1998-2000 and 2019-2020, respectively. Anthropometric variables were measured in both surveys by trained personnel. Three different waist-to-height (WHtR) cutoffs were used to define abdominal obesity as criteria for cardiometabolic risk. BMI categories were defined according to the IOTF and WHO growth charts.
Results: Abdominal obesity [waist to height ratio (cm/cm) > 0.49] significantly increased from 40.7 to 56.1% and 93.8 to 97.2% in participants with overweight and obesity, respectively, between 1998-2000 and 2019-2020 (p < 0.05). Logistic regression analysis, adjusted for sex and age, revealed that the odds of being at increased cardiometabolic risk in 2019-2020 was 1.99 (95% CI 1.48-2.67) in participants with overweight in comparison with 1998-2000. The effect size was comparable among the three WHtR criteria for abdominal obesity or the BMI categories according to IOTF and WHO boundaries.
Conclusions: The prevalence of Spanish children with increased cardiometabolic risk, identified by abdominal obesity, significantly increased among those with overweight during the last two decades. This finding underlines the need of including the measurement of waist circumference as a standard procedure in pediatric practice.
(© 2024. The Author(s).)
Databáze: MEDLINE
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