Cardiometabolic index in pediatric patients with overweight and obesity A single center observational study

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Andrea Nathaly Jumbo Guayasamín
Carlos Cepeda Mora
Carlos Erazo

Abstract

Introduction: Childhood obesity has become a public health problem since it increases the risk of having chronic non-communicable diseases in children. In adults, the cardio-metabolic index (CMI) is a component that takes into account the relationship between waist circumference (WC), height (T), triglyceride level (T), and HDL cholesterol, which is a powerful long-term predictor of diabetes and hypertension. Because there are few studies in children that measure this index, this study was established.


Methods: An analytical cross-sectional study was carried out in children aged 6 to 14 years with overweight and obesity (O&O), treated in 2019 at the Enrique Garcés General Hospital in Quito-Ecuador. The ICM = ((CC/T) / (TG/HDL-c)) was obtained and was associated with the study variables: sex and glucose. A descriptive analysis is done, and the ICM is analyzed by quartiles using the Analysis of Variance.


Results: 250 children entered the study. A higher frequency of O&O was evidenced in patients between 6 and 9 years old, 139/250 (55.6%), and in men, 132/250 (52.8%). There were no statistical differences in anthropometric or biochemical studies between boys and girls. The ICM, the most frequent quartile, was between Q2 to Q3 (0.16-0.21) with 34.8% (n= 87), the Greater quartile of Q3 and Less than Q1, which registered 19.6% (n= 49) respectively. There was no association between diabetes and ICM.


Conclusions: In this study in a population of Hispanic children, the cardio-metabolic index was not associated with the presence of diabetes in children with obesity.

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How to Cite
Jumbo Guayasamín, A. N., Cepeda Mora, C., & Erazo, C. (2022). Cardiometabolic index in pediatric patients with overweight and obesity: A single center observational study. Revista Ecuatoriana De Pediatría, 23(1), 35-40. https://doi.org/10.52011/147
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Original Articles
Author Biographies

Andrea Nathaly Jumbo Guayasamín, Departament of postgraduate in Pediatrics, Faculty of Medicine, Pontificia Universidad Católica del Ecuador, Quito

Physician from the Central University of Ecuador (2015), Specialist in Pediatrics (Pontificia Universidad Católica del Ecuador, 2021).

Carlos Cepeda Mora, Departament of postgraduate in Pediatrics, Faculty of Medicine, Pontificia Universidad Católica del Ecuador, Quito

Medical surgeon from the Pontifical Catholic University of Ecuador (2007), Specialist in Pediatrics from the Pontifical Catholic University of Ecuador (2013).