Antropometría de importancia cardio-metabólica. Referencias bolivianas para adolescentes

Abstract

Anthropometry is a fundamental tool in the cardioendocrinologic diagnosis. However, Bolivia has no national anthropometric references for the analysis of teenagers. The objective of this cross-sectional study was to develop percentile values and graphics for weight, height, BMI, systolic and diastolic blood pressure, and abdominal circumference (AC) for teenagers from 12 to 18 years of age, with a particular focus on the acquisition of the necessary cut points for the clinical diagnosis of metabolic syndrome. The objective was also to show the differences between the different cut points of international references (CDC 2000, IOTF and 2007 WHO). Values come from the MESA study (metabolic syndrome in Bolivian teenagers)obtained from 32 samples, observing the sample proportionality with replacement. Trained staff assessed 3445 teenagers from 12 to 18 years of age, 45% men and 55% women, from urban and rural schools, following the standardized procedures. Weight, AC and blood pressure were measured. BMI was calculated by formula. Percentiles 3o, 5o, 10o, 25o, 50o, 75o, 85o, 90o, 95o and 97o are presented using regression and softened by the LMS method. Anthropometric references for Bolivian teenagers are presented for their use by the medical and scientific community