Moraes Leonardo Iezzi de, Nicola Thaís Coutinho, Jesus Julyanna Silva Araújo de, Alves Eduardo Roberty Badiani, Giovaninni Nayara Paula Bernurdes, Marcato Daniele Gasparini, Sampaio Jéssica Dutra, Fuly Jeanne Teixeira Bessa, Costalonga Everlayny Fiorot
Universidade Vila Velha, Vila Velha, ES, Brasil.
Arq Bras Cardiol. 2014 Feb;102(2):175-80. doi: 10.5935/abc.20130233. Epub 2013 Nov 9.
Several authors have correlated the increase of cardiovascular risk with the nutritional status, however there are different criteria for the classification of overweight and obesity in children.
To evaluate the performance of three nutritional classification criteria in children, as definers of the presence of obesity and predictors of high blood pressure in schoolchildren.
Eight hundred and seventeen children ranging 6 to 13 years old, enrolled in public schools in the municipality of Vila Velha (ES) were submitted to anthropometric evaluation and blood pressure measurement. The classification of the nutritional status was established by two international criteria (CDC/NCHS 2000 and IOTF 2000) and one Brazilian criterion (Conde e Monteiro 2006).
The prevalence of overweight was higher when the criterion of Conde e Monteiro (27%) was used, and inferior by the IOTF (15%) criteria. High blood pressure was observed in 7.3% of children. It was identified a strong association between the presence of overweight and the occurrence of high blood pressure, regardless of the test used (p<0.001). The test showing the highest sensitivity in predicting elevated BP was the Conde e Monteiro (44%), while the highest specificity (94%) and greater overall accuracy (63%), was the CDC criterion.
The prevalence of overweight in Brazilian children is higher when using the classification criterion of Conde e Monteiro, and lower when the criterion used is IOTF. The Brazilian classification criterion proved to be the most sensitive predictor of high BP risk in this sample.
几位作者已将心血管风险的增加与营养状况相关联，然而儿童超重和肥胖的分类标准各不相同。
评估三种儿童营养分类标准作为肥胖存在的定义因素和学童高血压预测指标的性能。
对817名6至13岁就读于维拉黑市（圣埃斯皮里图州）公立学校的儿童进行人体测量评估和血压测量。营养状况分类依据两个国际标准（疾病控制与预防中心/国家卫生统计中心2000年标准和国际肥胖工作组2000年标准）和一个巴西标准（康德和蒙泰罗2006年标准）来确定。
使用康德和蒙泰罗标准时超重患病率较高（27%），而国际肥胖工作组标准下较低（15%）。7.3%的儿童被观察到患有高血压。无论使用何种检测方法，超重的存在与高血压的发生之间均存在强烈关联（p<0.001）。在预测血压升高方面显示出最高敏感性的检测方法是康德和蒙泰罗标准（44%），而最高特异性（94%）和总体准确性更高（63%）的是疾病控制与预防中心标准。
使用康德和蒙泰罗分类标准时巴西儿童超重患病率较高，而使用国际肥胖工作组标准时较低。在该样本中，巴西分类标准被证明是高血压风险最敏感的预测指标。
