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ArticleArquivos brasileiros de cardiologia

Waist Circumference Percentiles and Cut-Off Values for Obesity in a Large Sample of Students from 6 To 10 Years Old Of The São Paulo State, Brazil.

José Luiz F Santos, Valentin P Valério, Rafael N Fernandes, Ligia Duarte, Antonio C Assumpção, Jayme Guerreiro, Antonio L Sickler, Álvaro A R Lemos, Jayro G Goulart Filho, Luiz Antonio Machado Cesar and 7 more

Open access · diamondAbstract read
In one paragraph

Article in Arquivos brasileiros de cardiologia. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.3field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Body mass index and abdominal waist values are related to increased cardiometabolic risk in schoolchildren aged five to ten years.Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo · 2023
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 6 institutions in 2 countries.

José Luiz F SantosSociedade de Cardiologia do Estado de São Paulo, São Paulo, SP - Brasil.
Valentin P ValérioSociedade de Cardiologia do Estado de São Paulo, São Paulo, SP - Brasil.
Rafael N FernandesSociedade de Cardiologia do Estado de São Paulo, São Paulo, SP - Brasil.
Ligia DuarteSociedade de Cardiologia do Estado de São Paulo, São Paulo, SP - Brasil.
Antonio C AssumpçãoSociedade de Cardiologia do Estado de São Paulo, São Paulo, SP - Brasil.
Jayme GuerreiroSociedade de Cardiologia do Estado de São Paulo, São Paulo, SP - Brasil.
Antonio L SicklerSociedade de Cardiologia do Estado de São Paulo, São Paulo, SP - Brasil.
Álvaro A R LemosSociedade de Cardiologia do Estado de São Paulo, São Paulo, SP - Brasil.
Jayro G Goulart FilhoSociedade de Cardiologia do Estado de São Paulo, São Paulo, SP - Brasil.
Luiz Antonio Machado CesarInstituto do Coração (InCor) - Cardiopneumologia,São Paulo, SP - Brasil.ORCID 0000-0003-4436-1791
Ibraim Masciarelli PintoInstituto Dante Pazzanese de Cardiologia - Cardiologia,São Paulo, SP - Brasil.
Carlos MagalhãesUniversidade Nove de Julho, São Paulo, SP - Brasil.
Maria Fernanda HussidUniversidade Nove de Julho, São Paulo, SP - Brasil.ORCID 0000-0001-6900-5959
Cleber CamachoUniversidade Nove de Julho, São Paulo, SP - Brasil.
Alvaro AvezumSociedade de Cardiologia do Estado de São Paulo, São Paulo, SP - Brasil.
Carine T SangaletiUniversidade Estadual do Centro-Oeste - Enfermagem, Guarapuava, PR - Brasil.ORCID 0000-0002-0696-325X
Fernanda Marciano Consolim-ColomboUniversidade de Sao Paulo Faculdade de Medicina Hospital das Clínicas Instituto do Coração, São Paulo, SP - Brasil.
Sociedade Brasileira de Cardiologia · BRUniversidade Nove de Julho · BRHospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo · BRInstituto Dante Pazzanese de Cardiologia · BRInstituto do Coração · PTUniversidade Estadual do Centro-Oeste · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroudThe prevalence of obesity has systematically been increased in the population, including children and adolescents, around the world.

objectivesTo describe reference percentile curves for waist circumference (WC) in Brazilian children and provide cut-off values of WC to identify children at risk for obesity.

methodsA multicenter, prospective, cross-sectional study was performed with children aged from 6 to 10 years old, enrolled in public and private elementary schools from 13 cities of the São Paulo State. Height, weight, and WC were measured in duplicate in 22,000 children (11,199 boys). To establish the WC best cut-off value for obesity diagnosis, ROC curves with children classified as normal weight and obese were calculated, according to BMI curves, stratified by gender and age, and the Youden Index was utilized as the maximum potential effectiveness of this biomarker. A p < 0.05 was considered statistically significant.

resultsWC values increased with age in both boys and girls. The prevalence of obesity in each age group varied from 17% (6 years old) to 21.6% (9 years old) among boys, and from 14.1% (7 years old) to 17.3 % (9 years old) among girls. ROC analyses have shown the 75th percentile as a cut-off for obesity risk, and the diagnosis of obesity is classified on the 85th percentile or more.

conclusionAge and gender specific reference curves of WC for Brazilian children and cut-off values for obesity risk may be used for national screening and interventional studies to reduce the obesity burden in Brazil. (Arq Bras Cardiol. 2020; 114(3):530-537).

Indexed as

ObesityStudentsBody Mass IndexBrazilChildCross-Sectional StudiesFemaleHumansMaleProspective StudiesReference ValuesWaist Circumference

Identifiers

PMID32267326
PMCPMC7792724
OpenAlexW3015168453

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.