Circunferência do pescoço como medida complementar para identificar excesso de peso em crianças de 2 a 9 anos de idade
DOI:
https://doi.org/10.1590/Palavras-chave:
Sobrepeso, Pescoço, Criança, Indice de Massa Corporal, Antropometria.Resumo
A circunferência do pescoço (CP) é um
indicador do estado nutricional e uma medida indireta
da gordura subcutânea da parte superior do corpo, e
identificada como um preditor independente de doenças
cardiometabólicas. O objetivo deste estudo foi analisar a
acurácia da CP como medida de avaliação do excesso de
peso corporal em crianças de dois a nove anos de idade,
segundo o sexo. Participaram 435 crianças integrantes
do Estudo PREDI, um estudo de coorte de nascimentos
realizado no Brasil nas residências dos participantes. Este
utilizou dados coletados entre janeiro de 2012 e outubro
de 2021. Foram obtidas medidas antropométricas, dados
demográficos e socioeconômicos. Houve correlação
positiva (p<0,05) entre CP e peso, estatura e índice de
massa corporal em homens e mulheres ao longo dos
acompanhamentos. Exceto para a faixa etária de um a
dois anos (AUC=0,73; IC 95% 0,65-0,81 para meninos e
meninas), a precisão da CP em identificar o excesso de
peso corporal foi de 0,80 ou superior (AUC=0,80-0,95; IC 95%: 0,71-1,00). Nossos achados mostraram que a CP pode ser
utilizada para rastrear crianças brasileiras de dois a nove anos
quanto ao excesso de peso corporal. No entanto, mais estudos
envolvendo tamanhos amostrais maiores e outras populações
são necessários para complementar os dados aqui relatados.
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