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Updated: May 28, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
[Association between adiposity and cardiovascular risk factors in prepubertal children]
Robinson Ramírez-Vélez1, Milton Fabian Suaréz-Ortegón, Ana Cecilia Aguilar de Plata
1Grupo de Nutrición, Departamento de Ciencias Fisiológicas, Escuela de Ciencias Básicas, Facultad de Salud, Universidad del Valle, San Fernando, Cali, Colombia. robin640@hotmail.com
Insights
Children with higher adiposity measures, like waist circumference and BMI, show increased cardiovascular risk factors even before puberty. Subscapular skinfold measurements indicated the highest risk, highlighting early detection importance.
Area of Science:
- Pediatric Endocrinology
- Cardiovascular Health
- Obesity Research
Context:
- Cardiovascular risk factors (CVRFs) are increasingly prevalent in childhood.
- Early identification of adiposity markers is crucial for preventing future cardiovascular disease.
- Prepubertal children represent a critical window for intervention.
Purpose:
- To investigate the association between four adiposity measures (waist circumference, BMI, subscapular skinfold, abdominal skinfold) and CVRFs in prepubertal children.
- To determine which adiposity measure is most strongly linked to cardiovascular risk.
- To assess the prevalence of CVRFs in this age group.
Summary:
- This cross-sectional study analyzed 494 children aged 6-10 years, measuring adiposity and CVRFs (blood pressure, glucose, lipids).
- Higher levels in adiposity measures (upper quartile) were associated with elevated triglycerides and glucose.
- The presence of two or more CVRFs was significantly linked to all adiposity measures, with subscapular skinfold showing the strongest association.
Impact:
- Findings underscore the link between unfavorable adiposity profiles and increased cardiovascular risk in prepubertal children.
- Highlights the importance of monitoring adiposity and CVRFs from an early age.
- Suggests that subscapular skinfold may be a particularly sensitive indicator of cardiovascular risk in children.
Introduction And Objectives:
To examine the relationships between of four measures of adiposity, namely waist circumference (WC), body mass index (BMI), and subscapular and abdominal skinfolds, with different cardiovascular risk factors in prepubertal children.
Methods:
Four hundred and ninety-four prepubertal children aged 6-10 years participated in this cross-sectional study. The subscapular and abdominal skinfolds, WC, and BMI were measured to assess adiposity, and cardiovascular risk factors (CVRFs) were assessed by measuring systolic (SBP) and diastolic blood pressures (DBP), glucose, triglycerides (TG), and high density (HDL-C) and low density lipoprotein cholesterol (LDL-C). Dichotomous variables were created based on whether or not the subjects were in the upper quartile (Q4) for the WC, BMI, and skinfold variables.
Results:
No CVRF was found in 52.8% of children, 33.4% had one factor, and 10.9% and 2.8% had 2 and 3 factors respectively. An adjusted logistic regression analysis showed that being in Q4 of anthropometric variables and CVRFs was associated to TG levels ≥ 100 mg/dL. Glucose levels ≥ 96 mg/dL were associated to Q4 and abdominal fold. Presence of 2 or more CVRFs was significantly associated to Q4 in all anthropometric variables despite adjustment for age, gender, and calorie intake. The subscapular skinfold was the adiposity marker associated to the highest risk.
Conclusions:
Children with a more unfavorable adiposity profile tend to have a greater cardiovascular risk in the prepubertal stage.
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