[ANTHROPOMETRIC INDICATORS AND CARDIOMETABOLIC EVENTS AMONG SCHOOL-AGED CHILDREN FROM SONORA, MEXICO].

: Introduccion: la obesidad durante la ninez es predictiva de obesidad en la adultez y se asocia a eventos adversos para la salud observables desde etapas tempranas; sin embargo, la evaluacion conjunta de obesidad y eventos adversos en los menores no es parte de la atencion medica habitual. Objetivos: evaluar la asociacion de sobrepeso y obesidad, obesidad abdominal y exceso de grasa corporal con la presion arterial sistolica [PAS] y diastolica [PAD], y el perfil de lipidos y glucosa; e identificar el mejor indicador antropometrico de dichos eventos. Material y metodos: estudio transversal en 412 escolares a quienes se les determino la presencia de sobrepeso y obesidad, obesidad abdominal y exceso de grasa corporal. Los niveles de colesterol total, trigliceridos, lipoproteinas de alta y baja densidad y glucosa se determinaron en una submuestra (n = 133). Las asociaciones se evaluaron con modelos de regresion lineal y logistica ajustados. Resultados: el 33% de los participantes tuvieron sobrepeso u obesidad. El sobrepeso, la obesidad, la obesidad abdominal y el exceso de grasa corporal se asociaron con un incremento de PAS y PAD, y con un perfil de lipidos y glucosa que representan riesgos para la salud. El sobrepeso y la obesidad fueron los mejores predictores de dichos eventos. Conclusiones: en nuestra poblacion, la obesidad se asocio con mayor posibilidad de presentar eventos adversos para la salud como PA elevada, niveles de lipidos y glucosa altos. La obesidad puede ser determinada con el IMC, que es un indice de bajo coste, no invasivo y de facil implementacion. OBJECTIVES: to assess the association of overweight and obesity, abdominal obesity, and excess body fat with systolic [SBP] and diastolic [DBP] blood pressure, lipid profile and glucose levels; and to identify the best anthropometric indicator of such events. MATERIAL AND METHODS: we conducted a cross-sectional study in a sample of 412 schoolchildren. The presence of overweight and obesity, abdominal obesity and excess body fat was determined among all participants; levels of total cholesterol, triglycerides, high and low density lipoproteins, and glucose were measured in a subsample (n = 133). The associations of interest were assessed using adjusted linear and logistic regression models. RESULTS: 33% of the children were overweight or obese. Overall, overweight, obesity, abdominal obesity, and excess body fat were associated with elevated SBP and DBP and with a lipid profile and glucose levels that could indicate health risks among these children. Overweight and obesity were the best predictors of such events. CONCLUSIONS: among these school-aged children, we observed that obesity was associated with high odds of having adverse health outcomes such as high blood pressure, lipids and glucose. Such adverse events can be predicted by the presence of obesity measured by BMI, which is a noninvasive, inexpensive and easy to implement measure.