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Titre : | Waist Circumference Provides an Indication of Numerous Cardiometabolic Risk Factors in Adults With Cerebral Palsy (2014) |
Auteurs : | Jennifer M. Ryan ; Vivion E. Crowley ; Owen Hensey |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2014/8, 2014) |
Article en page(s) : | p. 1540-1546 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Facteurs de risque ; Indice de masse corporelle ; Maladies cardiovasculaires ; Paralysie cérébrale ; Rééducation et réadaptation ; Syndrome métabolique X |
Mots-clés: | Body mass index ; Cardiovascular diseases ; Cerebral palsy ; Metabolic syndrome X ; Risk factors ; Waist circumference ; Tour de taille |
Résumé : |
Objective To report the prevalence of cardiometabolic risk factors in a cohort of adults with cerebral palsy (CP) and to investigate the ability of anthropometric measures to predict these factors. Design Cross-sectional study. Setting Testing took place in a laboratory setting. Participants Adults with CP (N=55; mean age, 37.5+13.3y; Gross Motor Function Classification System levels, IV) participated in this study. Interventions Not applicable. Main Outcome Measures Total cholesterol, high-density lipoprotein cholesterol, low-density lipoprotein cholesterol, triglycerides, glucose, insulin, and C-reactive protein levels were measured from a fasting venous blood sample. Insulin resistance was calculated using the Homeostasis Model Assessment (HOMA-IR) index. Blood pressure, body mass index (BMI), waist circumference (WC), waist-hip ratio, and waist-height ratio were also measured. The metabolic syndrome (MetS) was defined according to the 2009 Joint Interim Statement. Results The prevalence of the MetS was 20.5% in ambulatory adults and 28.6% in nonambulatory adults. BMI was associated with HOMA-IR only (β=.451; P<.01 wc was associated with homa-ir p triglycerides and systolic blood pressure receiver operating characteristic curve analysis revealed that provided the best indication of hypertensive dyslipidemia presence multiple risk factors under .713> Conclusions A high prevalence of the MetS was observed in this relatively young sample of adults with CP. WC was a better indicator of a number of risk factors than was BMI and presents as a clinically useful method of screening for cardiometabolic risk among adults with CP. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999314002809 |