Resumen

HERNANDEZ-ARDILA, Laura et al. Anthropometric indicators as a prognosis of the thickness of the epicardic adipose tissue and cardiometabolic risk in pediatrics. Arch Venez Puer Ped [online]. 2020, vol.83, n.3, pp.70-77.  Epub 16-Mayo-2021. ISSN 0004-0649.

The thickness of the Epicardial Adipose Tissue is an emerging tool, predictor of cardiometabolic risk, in patients with overweight and obesity, related to infant morbidity and mortality. The current Venezuelan context, it requires the approach of alternative measures, such as anthropometric measures, by example: neck circumference and waist/height ratio, among others, that would be economically accessible. The objective of this research was to evaluate the neck circumference and the W/Hr as prognostic indicators of the thickness of the thickness EAT and of cardiometabolic risk factors, in children and adolescents, through a cross-sectional study, of 77 children and adolescents. Among the main findings were: the W/Hr was significant to predict, both the thickness of the EAT, and the presence of CMRFs, with limit values, for that index, of 0.53 (p <0.0001) and 0.55 (p < 0.004); respectively. While the neck circumference was only a significant predictor of the thickness of the EAT, with a limit value of 32.7 cm (p < 0.002); It is concluded by establishing that the W/Hr was the variable that was most related, both with the thickness of the EAT, and with the presence of CMRFs, which confirms the evidence that excess nutritional disorders (overweight and obesity) are predisposing factors for the increase of epicardial fat; Therefore, W/Hr is a simple measure that can be widely used in the assessment of visceral adiposity in children and adolescents, for diagnose early cardiometabolic disease.

Palabras clave : Neck circumference; Waist/height ratio; Epicardial adipose tissue; Cardiometabolic risk factors.

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