Sarni Roseli Saccardo, de Souza Fabíola Isabel Suano, Schoeps Denise de Oliveira, Catherino Priscila, de Oliveira Maria Carolina Cozzi Pires, Pessotti Cristiane Félix Ximenes, Kochi Cristiane, Colugnati Fernando Antonio Basile
Faculdade de Medicina do ABC e UNIFESP-EPM, São Paulo, SP.
Arq Bras Cardiol. 2006 Aug;87(2):153-8. doi: 10.1590/s0066-782x2006001500013.
To evaluate anthropometric data, blood lipid levels, blood pressure (BP) and waist circumference (WC) in preschool children. To relate WC with blood lipid levels and BP in obese and non-obese children.
In a transversal study we investigated 65 preschool children of low socioeconomic level in Santo André, São Paulo. The evaluation consisted of BP measurement (Task Force, 1996), weight (W), height (H) expressed as z score (WHO, 1995) and body mass index (BMI), triglycerides, total and fractions of cholesterol blood levels (Kwiterovich and AHA).
Fisher test and correlations.
We observed high BP and lipid levels unrelated to nutritional status. WC was significantly and positively correlated to BMI and ZWH (r = 0.87 and r = 0.83, respectively). Using as a cut-off 75 percentile of WC we found an accuracy of 89.1% with 87.2% specificity and 70.6% sensitivity and predictive value (+) 66.7% and (-) 66.7%. There was no relationship between WC and lipid and BP levels.
WC showed direct correlation with anthropometric indexes commonly used and in preschool children wasn't predictor of cardiovascular risk.
评估学龄前儿童的人体测量数据、血脂水平、血压（BP）和腰围（WC）。探讨肥胖和非肥胖儿童的腰围与血脂水平及血压之间的关系。
在一项横断面研究中，我们调查了圣保罗州圣安德烈市65名社会经济水平较低的学龄前儿童。评估内容包括血压测量（工作组，1996年）、体重（W）、身高（H）以z评分表示（世界卫生组织，1995年）以及体重指数（BMI）、甘油三酯、胆固醇血液水平的总量和各组分（基特罗维奇和美国心脏协会）。
费舍尔检验和相关性分析。
我们观察到高血压和血脂水平与营养状况无关。腰围与体重指数和身高体重z评分显著正相关（分别为r = 0.87和r = 0.83）。以腰围的第75百分位数作为临界值，我们发现准确率为89.1%，特异性为87.2%，敏感性为70.6%，预测值（+）为66.7%，预测值（-）为66.7%。腰围与血脂和血压水平之间没有关系。
腰围与常用的人体测量指标呈直接相关，在学龄前儿童中不是心血管风险的预测指标。
