Predicción temprana de riesgo cardiometabólico mediante el índice cintura talla, en niños y adolescentes con sobrepeso y obesidad en el Hospital General del Norte de Guayaquil, Los Ceibos, 2020 2021.

Abstract

This research and development project aimed to predict early cardio-metabolic risk using the waistto- height ratio (WHR) in overweight and obese children and adolescents. Given the approach, they sought a characterization of the research population, which determined the validity of the waist-toheight ratio (WHR) in the identification of metabolic syndrome in comparison with other indicators (anthropometric and biochemical); and the respective implementation of the waistto-height ratio in the early screening of the syndrome. For this work, they decided to select all pediatric patients with a diagnosis of overweight and obesity according to BMI for age, who attended the outpatient clinic of the Hospital General Norte de Guayaquil - Los Ceibos, in the last quarter of the year 2021. The information was collected from patients who underwent procedures to measure weight, height, and waist circumference. In addition to laboratory tests performed according to standards and protocols authorized by the institution's laboratory. The qualitative data were presented in frequency and percentage tables, while the quantitative data were presented in tables of means and standard deviation. To analyze the predictive factor they used ROC curves, and measured the sensitivity and specificity by criteria, comparing BMI and CTI. In the present investigation, they found that in the present investigation, they found figures of Sensitivity of 43% and specificity of 57 for BMI (p=0.626), and sensitivity of 43% and specificity of 58%, for CTI. The present study suggests that the CTI has an impact on decision-making to evaluate metabolic syndrome and that it should be part of the screening of children and adolescents at the Hospital General del Norte de Guayaquil Los Ceibos, in addition to accompanying laboratory tests that support this diagnosis.