Performance of mid-upper arm circumference to identify adolescents with obesity and metabolic syndrome: NHANES 2011–2018 analysis

IF 2.7 3区医学 Q1 PEDIATRICS Pediatric Obesity Pub Date : 2024-02-06 DOI:10.1111/ijpo.13107

Beshada Rago Jima, Binyam Girma Sisay, Ilili Feyesa, Hamid Yimam Hassen

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Abstract

Background

Mid-upper arm circumference (MUAC) was recommended for screening of adolescents with obesity, although its diagnostic performance with respect to high-precision assessment of body composition remains unknown.

Objective

To evaluate the diagnostic performance of MUAC in identifying obesity and metabolic syndrome in U.S. adolescents.

Methods

A cross-sectional study was conducted using National Health and Nutrition Examination Survey (NHANES) data (2011–2018) of adolescents aged 12–19. We calculated the area under the receiver operating characteristic curve, sensitivity, specificity, positive and negative predictive values and likelihood ratios of MUAC in identifying obesity and metabolic syndrome.

Results

In our study, data of 5496 adolescents, including 2665 females, were analysed. The prevalence of obesity was higher in boys (14%) than girls (10%), whilst metabolic syndrome was more common in males (2.6%) than females (1.7%). The area under the curve (AUC) of MUAC in identifying obesity was 0.69 in boys and 0.86 in girls, whilst the AUC of MUAC in identifying metabolic syndrome was 0.91 in boys and 0.87 in girls. The optimal MUAC cut-off for identifying adolescents with obesity was 28.3 cm in boys (sensitivity: 64.8%, specificity: 85.5%) and 30.8 cm in girls (sensitivity: 67.9%, specificity: 90.1%).

Conclusions

MUAC was a good indicator of both obesity and metabolic syndrome, with higher accuracy in girls.

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中上臂围识别肥胖和代谢综合征青少年的性能：NHANES 2011-2018 分析。

背景：中上臂围（MUAC）被推荐用于青少年肥胖症筛查，但其在高精度评估身体成分方面的诊断性能仍然未知：评估 MUAC 在识别美国青少年肥胖和代谢综合征方面的诊断性能：我们利用美国国家健康与营养调查（NHANES）数据（2011-2018 年）对 12-19 岁的青少年进行了一项横断面研究。我们计算了 MUAC 在识别肥胖和代谢综合征方面的接收器操作特征曲线下面积、灵敏度、特异性、阳性和阴性预测值以及似然比：我们的研究分析了 5496 名青少年的数据，其中包括 2665 名女性。肥胖症在男生中的发病率（14%）高于女生（10%），而代谢综合征在男生中的发病率（2.6%）高于女生（1.7%）。在识别肥胖症方面，MUAC 的曲线下面积（AUC）在男孩中为 0.69，在女孩中为 0.86，而在识别代谢综合征方面，MUAC 的曲线下面积（AUC）在男孩中为 0.91，在女孩中为 0.87。识别肥胖青少年的最佳 MUAC 临界值为：男孩 28.3 厘米（灵敏度：64.8%，特异性：85.5%），女孩 30.8 厘米（灵敏度：67.9%，特异性：90.1%）：MUAC是肥胖和代谢综合征的良好指标，女孩的准确性更高。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pediatric Obesity PEDIATRICS-

CiteScore

7.30

自引率

5.30%

发文量

117

审稿时长

6-12 weeks

期刊介绍： Pediatric Obesity is a peer-reviewed, monthly journal devoted to research into obesity during childhood and adolescence. The topic is currently at the centre of intense interest in the scientific community, and is of increasing concern to health policy-makers and the public at large. Pediatric Obesity has established itself as the leading journal for high quality papers in this field, including, but not limited to, the following: Genetic, molecular, biochemical and physiological aspects of obesity – basic, applied and clinical studies relating to mechanisms of the development of obesity throughout the life course and the consequent effects of obesity on health outcomes Metabolic consequences of child and adolescent obesity Epidemiological and population-based studies of child and adolescent overweight and obesity Measurement and diagnostic issues in assessing child and adolescent adiposity, physical activity and nutrition Clinical management of children and adolescents with obesity including studies of treatment and prevention Co-morbidities linked to child and adolescent obesity – mechanisms, assessment, and treatment Life-cycle factors eg familial, intrauterine and developmental aspects of child and adolescent obesity Nutrition security and the "double burden" of obesity and malnutrition Health promotion strategies around the issues of obesity, nutrition and physical activity in children and adolescents Community and public health measures to prevent overweight and obesity in children and adolescents.