Jáuregui-Ulloa Edtna, Gaytán-González Alejandro, Elizalde-Villarreal Mayra, González-Navarro Esmeralda, Ocampo-Chavarría Alberto, López-Taylor Juan
Institute of Applied Sciences for Physical Activity and Sport, Department of Human Movement Sciences, Education, Sport, Recreation and Dance, University Health Sciences Center, University of Guadalajara, Guadalajara 44430, Mexico.
Cardiometabolic Program, Department of Preventive Medicine, Board for Health Prevention and Promotion, Jalisco Health Services, Guadalajara 44280, Mexico.
Children (Basel). 2021 Feb 24;8(3):172. doi: 10.3390/children8030172.
A high waist circumference (WC) is used as a risk factor for impaired fasting blood glucose (IFG) in adults. This association is less studied in children and teenagers. The purpose of this study was to analyze the association between having a high WC and IFG by sex and age in a sample of Mexican children and teenagers. We analyzed the data of 12979 participants aged 5 to 17 years to calculate percentile references for uncorrected WC, corrected for height (WC/HT) and by height squared (WC/HT2) with quantile regression. A subsample of 2309 participants with fasting blood glucose samples (FBG), WC, WC/HT and WC/HT2 values was analyzed with logistic regression. A high WC, WC/HT, and WC/HT2 were considered at the sex- and age-specific 90th percentile from the subsample. The IFG was considered as FBG ≥100 mg/dL. Having a high WC, WC/HT, nor WC/HT2 was not significantly associated with IFG for either sex and age group (all > 0.05). A high WC, either on its uncorrected or corrected for height values, was not an important assessment for predicting IFG in a sample of Mexican children and teenagers. This study provides percentile reference values specific for sex and age.
高腰围（WC）被用作成年人空腹血糖受损（IFG）的一个风险因素。在儿童和青少年中，这种关联的研究较少。本研究的目的是分析墨西哥儿童和青少年样本中，按性别和年龄划分的高腰围与IFG之间的关联。我们分析了12979名5至17岁参与者的数据，通过分位数回归计算未校正的WC、校正身高后的WC（WC/HT）以及身高平方后的WC（WC/HT2）的百分位数参考值。对2309名有空腹血糖样本（FBG）、WC、WC/HT和WC/HT2值的参与者子样本进行了逻辑回归分析。高腰围、WC/HT和WC/HT2被定义为来自子样本的特定性别和年龄的第90百分位数。IFG被定义为FBG≥100mg/dL。对于任何性别和年龄组，高腰围、WC/HT或WC/HT2与IFG均无显著关联（所有P>0.05）。在墨西哥儿童和青少年样本中，无论未校正还是校正身高后的高腰围，都不是预测IFG的重要指标。本研究提供了特定于性别和年龄的百分位数参考值。
