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Updated: Jun 5, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Prediction of metabolic syndrome in children through anthropometric indicators
Aparecido Pimentel Ferreira1, Cristiane Batisti Ferreira, Ciro José Brito
1Universidade Paulista, Brasilia, Brazil. cidopimentel@yahoo.com.br
Insights
This study identified key anthropometric indicators for predicting metabolic syndrome in children. Waist circumference, body fat percentage, and BMI are effective predictors, aiding early diagnosis and intervention.
Area of Science:
- Pediatrics
- Metabolic Health
- Anthropometry
Background:
- Diagnosing metabolic syndrome in children requires complex measurements, posing challenges for large-scale studies.
- There's a critical need for accessible, accurate, and cost-effective tools for early metabolic syndrome detection in pediatric populations.
Purpose of the Study:
- To determine the prevalence of metabolic syndrome in children aged 7-11 years.
- To evaluate the predictive capability of various anthropometric indicators for metabolic syndrome.
Main Methods:
- A cross-sectional study involving 109 children (ages 7-11).
- Metabolic syndrome diagnosed using the age-adjusted National Cholesterol Education Program criteria.
- Evaluated predictors included body mass index (BMI), waist circumference (WC), waist-to-hip ratio (WHR), conicity index (C index), and body fat percentage.
Main Results:
- Metabolic syndrome prevalence was 13.3% in boys and 36% in girls.
- Significant anthropometric indicators identified: BMI (0.81), WC (0.79), and body fat percentage (0.79).
- Waist-to-hip ratio (WHR) showed weaker predictive value (0.37).
Conclusions:
- Waist circumference (>78 cm), body fat percentage (>41%), and BMI (>24.5 kg/m²) predict metabolic syndrome in children.
- Conicity index and WHR were not found to be reliable predictors in this cohort.
Background:
Because of the need to measure anthropometric, biochemical and hemodynamic variables for the diagnosis of metabolic syndrome, we realize how difficult it is to analyze large populations, especially children, due to the poor accessibility and the invasive character. There is an urgent need to develop easy-to-use, accurate and low-cost diagnostic tools in order to predict metabolic syndrome at early ages.
Objective:
To verify the prevalence of metabolic syndrome in children and to test predictive anthropometric indicators.
Methods:
Cross-sectional study conducted among 109 children aged 7 to 11 years. The age-adjusted National Cholesterol Education Program definition was used for the diagnosis of metabolic syndrome. The following parameters were tested as possible predictors: body mass index (BMI), waist circumference (WC), waist-to-hip ratio (WHR), conicity index (C index), and body fat percentage.
Results:
The prevalence of metabolic syndrome was 13.3% and 36% for boys and girls, respectively. The main anthropometric indicators were: BMI = 0.81 (0.69 - 0.94), WC = 0.79 (0.64 - 0.94), body fat = 0.79 (0.66 - 0.92) and WHR = 0.37 (0.21 - 0.54).
Conclusion:
WC higher than 78 cm, body fat higher than 41%, and BMI higher than 24.5 kg/m² were considered predictors of metabolic syndrome. The C index and WHR were not considered predictors.
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