Research Article

A New Approach to Define and Diagnose Cardiometabolic Disorder in Children

Table 4

Sensitivity analyses of changing one parameter in the MetS outcome with another covering the same trait. At the bottom CRF and waist circumference are compared against the same MetS outcome. For each comparison a cutoff point in -score was chosen, which selected the same proportion of cases.

Odds ratios (95% CI) for quartiles of fitness
1st quartile2nd quartile3rd quartile4th quartile

MetS without fatness (TG + HOMA + BP − HDL)5.2 (3.8–7.2)2.0 (1.4–2.9)1.8 (1.2–2.6)1 (ref.)
 MetS with waist19.5 (10.8–35.1)3.7 (2.0–7.1)2.7 (1.4–5.3)1 (ref.)
 MetS with sum4skin30.0 (15.3–58.6)5.0 (2.4–10.3)3.2 (1.5–6.8)1 (ref.)
 MetS with BMI21.8 (12.2–39.3)4.8 (2.5–9.0)2.7 (1.4–5.2)1 (ref.)
 MetS with bioimpedance (%fat)11.7 (5.2–26.6)2.2 (0.8–5.6)1.0 (0.3–3.0)1 (ref.)
MetS with waist circumference10.9 (4.2–28.4)2.3 (0.8–6.9)1.6 (0.5–5.2)1 (ref.)

MetS with HOMA19.5 (10.8–35.1)3.7 (2.0–7.1)2.7 (1.4–5.3)1 (ref.)
MetS with glucose13.0 (7.7–21.8)2.3 (1.3–4.3)1.2 (0.6–2.4)1 (ref.)

MetS (TG + HOMA + sysBP + waist − HDL)18.3 (7.8–43.3)3.2 (1.2–8.6)2.6 (1.0–7.1)1 (ref.)
Adding leptin75.2 (18.2–309.8)7.6 (1.6–35.4)5.2 (1.1–25.0)1 (ref.)

MetS (TG + HOMA + sysBP + waist − HDL)22.7 (10.8–47.7)3.1 (1.3–7.5)2.3 (0.9–5.6)1 (ref.)
 Adding APOA119.8 (9.8–40.1)2.8 (1.2–6.4)2.0 (0.8–4.8)1 (ref.)
 Adding APOB24.3 (10.4–56.7)4.5 (1.7–11.6)2.5 (0.9–7.0)1 (ref.)
 Adding adiponectin13.5 (6.5–27.9)1.9 (0.8–4.9)2.0 (0.8–4.7)1 (ref.)
 Adding CRP12.7 (7.4–21.7)2.8 (1.5–5.3)1.8 (1.0–3.5)1 (ref.)

MetS (TG + HOMA + BP − HDL) against CRF quartiles#5.2 (3.8–7.2)2.0 (1.4–2.9)1.8 (1.2–2.6)1 (ref.)
MetS (TG + HOMA + BP − HDL) against waist quartiles#1 (ref.)1.1 (0.8–1.6)1.2 (0.9–1.7)4.1 (3.1–5.4)
Adding CRF against waist quartiles1 (ref.)1.8 (1.1–3.0)2.5 (1.5–4.1)14.8 (9.6–22.9)

These two analyses compare the strength between quartiles of fitness and quartiles of waist circumference against the same MetS outcome.
Data only available in CoSCIS, which is why estimates of quartiles of fitness in relation to MetS including waist circumference differ from analysis above.