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TRI-PONDERAL MASS INDEX IS USEFUL FOR SCREENING CHILDREN AND ADOLESCENTS WITH INSULIN RESISTANCE
OBJECTIVE: To investigate whether tri-ponderal mass index and body mass index Z scores are equivalent for screening children and adolescents with insulin resistance. METHODS: Cross-sectional study with 296 children and adolescents enrolled at public schools of Vitória, Espírito Santo, Brazil, aged e...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Sociedade de Pediatria de São Paulo
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7077798/ https://www.ncbi.nlm.nih.gov/pubmed/32187302 http://dx.doi.org/10.1590/1984-0462/2020/38/2019066 |
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author | Neves, Felipe Silva Alvim, Rafael de Oliveira Zaniqueli, Divanei Pani, Virgilia Oliveira Martins, Caroline Resende Peçanha, Marcos Alves de Souza Barbosa, Míriam Carmo Rodrigues de Faria, Eliane Rodrigues Mill, José Geraldo |
author_facet | Neves, Felipe Silva Alvim, Rafael de Oliveira Zaniqueli, Divanei Pani, Virgilia Oliveira Martins, Caroline Resende Peçanha, Marcos Alves de Souza Barbosa, Míriam Carmo Rodrigues de Faria, Eliane Rodrigues Mill, José Geraldo |
author_sort | Neves, Felipe Silva |
collection | PubMed |
description | OBJECTIVE: To investigate whether tri-ponderal mass index and body mass index Z scores are equivalent for screening children and adolescents with insulin resistance. METHODS: Cross-sectional study with 296 children and adolescents enrolled at public schools of Vitória, Espírito Santo, Brazil, aged eight to 14 years. The tri-ponderal mass index was calculated as the ratio between weight and height cubed. The body mass index was calculated as the ratio between weight and height squared. Insulin resistance was defined with the homeostatic model assessment (HOMA-IR). RESULTS: The HOMA-IR was higher in the 4(th) quartile of body mass index Z scores and tri-ponderal mass index compared to 1(st) and 2(nd) quartiles for both girls and boys. The areas under the age-adjusted receiver operating characteristic curves were similar between the indices for girls (body mass index Z scores=0.756; tri-ponderal mass index=0.763) and boys (body mass index Z scores=0.831; tri-ponderal mass index=0.843). In addition, according to the simple linear regression analyses estimations, both body mass index Z scores and tri-ponderal mass index explained a significant fraction of the homeostatic model assessment variability for girls (body mass index Z scores: R(2)=0.269; tri-ponderal mass index: R(2)=0.289; p<0.001) and boys (body mass index Z scores: R(2)=0.175; tri-ponderal mass index: R(2)=0.210; p<0.001). CONCLUSIONS: The tri-ponderal mass index and body mass index Z scores were similar to discriminate children and adolescents with insulin resistance. It is noteworthy that the use of tri-ponderal mass index is clearly advantageous, because it can be calculated with no concerns on adjustments for the age, a fact that makes it very applicable in the clinical practice. |
format | Online Article Text |
id | pubmed-7077798 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Sociedade de Pediatria de São Paulo |
record_format | MEDLINE/PubMed |
spelling | pubmed-70777982020-03-23 TRI-PONDERAL MASS INDEX IS USEFUL FOR SCREENING CHILDREN AND ADOLESCENTS WITH INSULIN RESISTANCE Neves, Felipe Silva Alvim, Rafael de Oliveira Zaniqueli, Divanei Pani, Virgilia Oliveira Martins, Caroline Resende Peçanha, Marcos Alves de Souza Barbosa, Míriam Carmo Rodrigues de Faria, Eliane Rodrigues Mill, José Geraldo Rev Paul Pediatr Original Article OBJECTIVE: To investigate whether tri-ponderal mass index and body mass index Z scores are equivalent for screening children and adolescents with insulin resistance. METHODS: Cross-sectional study with 296 children and adolescents enrolled at public schools of Vitória, Espírito Santo, Brazil, aged eight to 14 years. The tri-ponderal mass index was calculated as the ratio between weight and height cubed. The body mass index was calculated as the ratio between weight and height squared. Insulin resistance was defined with the homeostatic model assessment (HOMA-IR). RESULTS: The HOMA-IR was higher in the 4(th) quartile of body mass index Z scores and tri-ponderal mass index compared to 1(st) and 2(nd) quartiles for both girls and boys. The areas under the age-adjusted receiver operating characteristic curves were similar between the indices for girls (body mass index Z scores=0.756; tri-ponderal mass index=0.763) and boys (body mass index Z scores=0.831; tri-ponderal mass index=0.843). In addition, according to the simple linear regression analyses estimations, both body mass index Z scores and tri-ponderal mass index explained a significant fraction of the homeostatic model assessment variability for girls (body mass index Z scores: R(2)=0.269; tri-ponderal mass index: R(2)=0.289; p<0.001) and boys (body mass index Z scores: R(2)=0.175; tri-ponderal mass index: R(2)=0.210; p<0.001). CONCLUSIONS: The tri-ponderal mass index and body mass index Z scores were similar to discriminate children and adolescents with insulin resistance. It is noteworthy that the use of tri-ponderal mass index is clearly advantageous, because it can be calculated with no concerns on adjustments for the age, a fact that makes it very applicable in the clinical practice. Sociedade de Pediatria de São Paulo 2020-03-16 /pmc/articles/PMC7077798/ /pubmed/32187302 http://dx.doi.org/10.1590/1984-0462/2020/38/2019066 Text en https://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License |
spellingShingle | Original Article Neves, Felipe Silva Alvim, Rafael de Oliveira Zaniqueli, Divanei Pani, Virgilia Oliveira Martins, Caroline Resende Peçanha, Marcos Alves de Souza Barbosa, Míriam Carmo Rodrigues de Faria, Eliane Rodrigues Mill, José Geraldo TRI-PONDERAL MASS INDEX IS USEFUL FOR SCREENING CHILDREN AND ADOLESCENTS WITH INSULIN RESISTANCE |
title | TRI-PONDERAL MASS INDEX IS USEFUL FOR SCREENING CHILDREN AND
ADOLESCENTS WITH INSULIN RESISTANCE |
title_full | TRI-PONDERAL MASS INDEX IS USEFUL FOR SCREENING CHILDREN AND
ADOLESCENTS WITH INSULIN RESISTANCE |
title_fullStr | TRI-PONDERAL MASS INDEX IS USEFUL FOR SCREENING CHILDREN AND
ADOLESCENTS WITH INSULIN RESISTANCE |
title_full_unstemmed | TRI-PONDERAL MASS INDEX IS USEFUL FOR SCREENING CHILDREN AND
ADOLESCENTS WITH INSULIN RESISTANCE |
title_short | TRI-PONDERAL MASS INDEX IS USEFUL FOR SCREENING CHILDREN AND
ADOLESCENTS WITH INSULIN RESISTANCE |
title_sort | tri-ponderal mass index is useful for screening children and
adolescents with insulin resistance |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7077798/ https://www.ncbi.nlm.nih.gov/pubmed/32187302 http://dx.doi.org/10.1590/1984-0462/2020/38/2019066 |
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