人体测量指标作为HIV感染儿童和青少年高体脂的鉴别指标:与参考方法的比较

IF 2.6 4区医学 Q2 Medicine

Minerva pediatrica Pub Date : 2023-12-01 Epub Date: 2020-05-15 DOI:10.23736/S2724-5276.20.05720-5

Carlos A Souza Alves Jr, Luiz R Augustemak DE Lima, Yara M Franco Moreno, Diego A Santos Silva

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引用次数: 0

摘要

背景:需要对艾滋病毒感染者进行体脂评估。目的是确定腹部皮褶(ASF)、三头皮褶(TSF)、肩胛下皮褶(SSF)、小腿皮褶(CSF)、体脂指数(BAI)、体重指数、圆锥度指数(IC)、中上臂围(MUAC)、腰围(WC)、颈周长(PN)和腰高比(WHtR)对HIV儿童和青少年高体脂的鉴别能力，并比较双能x线吸收仪(DXA)和空气置换体积脉搏图(ADP)。方法:描述性研究、横断面研究，对65例经垂直传播的儿童和青少年HIV进行分析。采用DXA和ADP法测定体脂。测量方法采用国际标准化。通过ROC曲线下面积(AUC)评估高体脂的诊断特性。结果:男孩以DXA作为参考脂肪，ASF (AUC: 0.920)、TSF (AUC: 0.792)、SSF (AUC: 0.766)、CSF (AUC: 0.866)、BAI具有满意的区分能力。以ADP为参考方法，ASF (AUC: 0.920)、TSF (AUC: 0.921)、SSF (AUC: 0.766)、CSF (AUC: 0.901)、BAI (AUC: 0.756)和BMI (AUC: 0.699)均获得满意结果。对于女孩，以DXA作为脂肪参考，ASF (AUC: 0.838)、TSF (AUC: 0.842)、SSF (AUC: 0.840)、CSF (AUC: 0.887)、BAI (AUC: 0.846)和BMI (AUC: 0.859)具有令人满意的区分能力。以ADP为脂肪参考，ASF (AUC [0.799]， TSF [0.825]， SSF [AUC: 0.767]， CSF [AUC: 0.897]， BAI 0.788)均令人满意。结论:ASF、TSF、SSF、CSF、BAI、BMI等人体测量指标可能是最适合检测儿童和青少年HIV高体脂的指标。

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Anthropometric indicators as discriminators of high body fat in children and adolescents with HIV: comparison with reference methods.

Background: Body fat assessment is needed in individuals with HIV. The objective was to identify the discriminatory capacity of the abdominal skinfold (ASF) tricipital skinfold (TSF), subscapular fold (SSF), calf skinfold (CSF), body adiposity index (BAI), body mass index, conicity index (IC), mid-upper arm circumference (MUAC), waist circumference (WC), perimeter of neck (PN) and waist-to-height ratio (WHtR) for high body fat in children and adolescents with HIV, compared Dual energy X-ray absorptiometry (DXA) and air displacement plethysmography (ADP).

Methods: Descriptive study, cross - sectional study, with 65 children and adolescents with HIV by vertical transmission. Body fat was measured by DXA and ADP. Measures were measured by international standardization. The diagnostic properties for high body fat were assessed by area under the ROC curve (AUC).

Results: For boys, having DXA as a reference for fat, ASF (AUC: 0.920), TSF (AUC: 0.792), SSF (AUC: 0.766), CSF (AUC: 0.866), BAI satisfactory discriminatory capacity. With ADP as the reference method, ASF (AUC: 0.920), TSF (AUC: 0.921), SSF (AUC: 0.766), CSF (AUC: 0.901), BAI (AUC: 0.756) and BMI (AUC: 0.699) presented satisfactory results. For girls, having DXA as a reference for fat, ASF (AUC: 0.838), TSF (AUC: 0.842), SSF (AUC: 0.840), CSF (AUC: 0.887), BAI (AUC: 0.846), and BMI (AUC: 0.859) presented satisfactory discriminatory capacity. Assuming ADP as a reference for fat, ASF (AUC [AUC: 0.799], TSF [AUC: 0.825], SSF [AUC: 0.767], CSF [AUC: 0.897], BAI 0.788), were satisfactory.

Conclusions: The ASF, TSF, SSF, CSF, BAI and BMI anthropometric indicators may be suggested as the most suitable for the detection of high body fat in children and adolescents with HIV.

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来源期刊

Minerva pediatrica PEDIATRICS-

CiteScore

2.70

自引率

3.80%

发文量

审稿时长

>12 weeks

期刊介绍： Minerva Pediatrica publishes scientific papers on pediatrics, neonatology, adolescent medicine, child and adolescent psychiatry and pediatric surgery. Manuscripts may be submitted in the form of editorials, original articles, review articles, special articles, letters to the Editor and guidelines. The journal aims to provide its readers with papers of the highest quality and impact through a process of careful peer review and editorial work.