Letter to the Editor
Reply to Letter to: Reference values of waist circumference and waist/hip ratio in children and adolescents of Mérida, Venezuela: Comparison with international references
Respuesta a Carta a: Valores de referencia de la circunferencia de la cintura e índice de la cintura/cadera en escolares y adolescentes de Mérida, Venezuela: comparación con referencias internacionales
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We agree with the comments in the letter to the editor that any confusion should be avoided from the start of any article. This recommendation will therefore be taken into account, and the title of future CREDEFAR reports will state that data were collected in Municipio Libertador, Mérida, Venezuela.</p><p id="par0010" class="elsevierStylePara elsevierViewall">Our study was observational and cross-sectional. We confirm that both the educational centers and the schoolchildren and adolescents participating were randomly selected following a rigorous plan, as stated in the article: “The sample was selected using proportional stratified, multistage random sampling that guaranteed adequate participation by sex, public or private institution (socioeconomic level), and geographical location”. The study population consisted of approximately 4000 children and adolescents for each year of age, in accordance with information provided by the educational area of the state of Mérida. As regards sample size, this was estimated based on the mean waist circumference of 58<span class="elsevierStyleHsp" style=""></span>cm and a standard deviation of 10<span class="elsevierStyleHsp" style=""></span>cm, as measured in a prior study conducted in our city,<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> with an alpha error of 5%, a beta error of 20%, a 2% precision, and an a priori power of 80%. Sample size was 94 participants per year of age, i.e. a total of 846 children and adolescents aged 9 to 17 years. This sample size was exceeded, as 919 students were enrolled into our study. Post hoc power was 96.63%. Calculations were also made to ensure that this sample size was adequate to obtain reference values of other anthropometric, clinical, and biochemical measurements, which will be reported soon. As in other publications,<a class="elsevierStyleCrossRefs" href="#bib0015"><span class="elsevierStyleSup">3–5</span></a> such detailed information was not included in the article. However, it was reported in detail in the work project submitted for evaluation to funding agencies, both academic (Consejo de Desarrollo Científico, Humanístico, Tecnológico y del Arte de la Universidad de Los Andes-CDCHTA-ULA) and governmental (Fondo Nacional de Ciencia, Tecnología e Innovación del Ministerio del Poder Popular para la Ciencia, Tecnología e Innovación-FONACIT-MCTI).</p><p id="par0015" class="elsevierStylePara elsevierViewall">The article recommends the use of our references at regional level, because they come from a population in Mérida, in the Andes region, and although some differences exist in its population, our references are undoubtedly closer to reality than those used to date, coming from other countries<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">6</span></a> where the population is clearly different. As stated in the letter to the editor, national references are available in Venezuela for the vast majority of anthropometric variables, although references for waist circumference are not available yet.</p><p id="par0020" class="elsevierStylePara elsevierViewall">Unfortunately, the literature review made could not find the reference of Hidalgo et al. reference<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">7</span></a> entitled <span class="elsevierStyleItalic">Measurement of cut-off points for waist circumference through ROC curves in pediatric population from three Venezuelan regions assessed at the SENACREDH</span> referred to in the letter to the editor, which would have been worth discussing in our study. This journal has a year's delay in its publications, and was therefore not available at the time of writing our study. It should be noted that as of the current date, October 2013, the most recent number available is the one issued in October 2012.</p><p id="par0025" class="elsevierStylePara elsevierViewall">We hope that the questions posed have been clarified. Research should be stimulated, particularly in training young people. The more that studies of this type, adequately and responsibly designed, are conducted, the greater the knowledge obtained about the behavior of the different anthropometric, clinical, and biochemical variables in our population, so allowing for the establishing of potential differences between the different geographic areas.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Mederico M, Paoli M, Zerpa Y, Briceño Y, Gómez-Pérez R, Camacho N, et al. Respuesta a <span class="elsevierStyleItalic">Carta a: Valores de referencia de la circunferencia de la cintura e índice de la cintura/cadera en escolares y adolescentes de Mérida, Venezuela: comparación con referencias internacionales</span>. Endocrinol Nutr. 2014;61:115–116. See related article: 2013;60:235–242.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:7 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Valores de referencia de la circunferenciade la cintura eíndice de la cintura/cadera en escolares y ado-lescentes de Mérida, Venezuela: comparación con referenciasinternacionales" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "M. Mederico" 1 => "M. Paoli" 2 => "Y. Zerpa" 3 => "Y. Briceñno" 4 => "R. 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González" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "An VenezNutr" "fecha" => "2011" "volumen" => "24" "paginaInicial" => "13" "paginaFinal" => "20" ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib0030" "etiqueta" => "6" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Waist circumference percentiles in nationally representative samples of African-American, European-American, and Mexican-American children and adolescents" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "J.R. Fernández" 1 => "D.T. Redden" 2 => "A. Pietrobelli" 3 => "D.B. Allison" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.jpeds.2004.06.044" "Revista" => array:6 [ "tituloSerie" => "J Pediatr" "fecha" => "2004" "volumen" => "145" "paginaInicial" => "439" "paginaFinal" => "444" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15480363" "web" => "Medline" ] ] ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib0035" "etiqueta" => "7" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Determinación de puntos de corte para la circunferencia de cintura a través de curvas ROC en población pediátrica de tres regiones de Venezuela evaluada en el SENACREDH" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "G. Hidalgo" 1 => "J. Flores-Torres" 2 => "A.J. Rodríguez-Morales" 3 => "E. Vásquez" 4 => "W. Sánchez" 5 => "O. 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 5 | 0 | 5 |
| 2024 October | 12 | 6 | 18 |
| 2024 September | 9 | 9 | 18 |
| 2024 August | 14 | 5 | 19 |
| 2024 July | 11 | 0 | 11 |
| 2024 June | 20 | 8 | 28 |
| 2024 May | 11 | 1 | 12 |
| 2024 April | 14 | 23 | 37 |
| 2024 March | 24 | 6 | 30 |
| 2024 February | 17 | 7 | 24 |
| 2024 January | 15 | 3 | 18 |
| 2023 December | 16 | 4 | 20 |
| 2023 November | 18 | 3 | 21 |
| 2023 October | 15 | 6 | 21 |
| 2023 September | 15 | 7 | 22 |
| 2023 August | 15 | 4 | 19 |
| 2023 July | 10 | 5 | 15 |
| 2023 June | 20 | 3 | 23 |
| 2023 May | 43 | 39 | 82 |
| 2023 April | 32 | 13 | 45 |
| 2023 March | 22 | 3 | 25 |
| 2023 February | 18 | 17 | 35 |
| 2023 January | 14 | 12 | 26 |
| 2022 December | 25 | 8 | 33 |
| 2022 November | 38 | 6 | 44 |
| 2022 October | 17 | 18 | 35 |
| 2022 September | 34 | 39 | 73 |
| 2022 August | 12 | 12 | 24 |
| 2022 July | 8 | 8 | 16 |
| 2022 June | 10 | 8 | 18 |
| 2022 May | 7 | 9 | 16 |
| 2022 April | 15 | 10 | 25 |
| 2022 March | 13 | 8 | 21 |
| 2022 February | 8 | 7 | 15 |
| 2022 January | 14 | 5 | 19 |
| 2021 December | 8 | 11 | 19 |
| 2021 November | 5 | 5 | 10 |
| 2021 October | 11 | 15 | 26 |
| 2021 September | 9 | 11 | 20 |
| 2021 August | 6 | 4 | 10 |
| 2021 July | 13 | 8 | 21 |
| 2021 June | 12 | 35 | 47 |
| 2021 May | 20 | 9 | 29 |
| 2021 April | 10 | 18 | 28 |
| 2021 March | 15 | 6 | 21 |
| 2021 February | 10 | 6 | 16 |
| 2021 January | 11 | 12 | 23 |
| 2020 December | 16 | 10 | 26 |
| 2020 November | 14 | 6 | 20 |
| 2020 October | 5 | 10 | 15 |
| 2020 September | 7 | 9 | 16 |
| 2020 August | 2 | 1 | 3 |
| 2020 July | 7 | 5 | 12 |
| 2020 June | 8 | 12 | 20 |
| 2020 May | 9 | 8 | 17 |
| 2020 April | 13 | 4 | 17 |
| 2020 March | 6 | 10 | 16 |
| 2020 February | 6 | 1 | 7 |
| 2020 January | 13 | 8 | 21 |
| 2019 December | 14 | 5 | 19 |
| 2019 November | 14 | 10 | 24 |
| 2019 October | 15 | 5 | 20 |
| 2019 September | 12 | 6 | 18 |
| 2019 August | 8 | 10 | 18 |
| 2019 July | 14 | 8 | 22 |
| 2019 June | 22 | 29 | 51 |
| 2019 May | 90 | 58 | 148 |
| 2019 April | 9 | 27 | 36 |
| 2019 March | 5 | 9 | 14 |
| 2019 February | 8 | 10 | 18 |
| 2019 January | 6 | 9 | 15 |
| 2018 December | 5 | 5 | 10 |
| 2018 November | 14 | 5 | 19 |
| 2018 October | 9 | 7 | 16 |
| 2018 September | 8 | 4 | 12 |
| 2018 August | 4 | 0 | 4 |
| 2018 July | 4 | 0 | 4 |
| 2018 June | 5 | 2 | 7 |
| 2018 May | 7 | 0 | 7 |
| 2018 April | 9 | 1 | 10 |
| 2018 March | 7 | 0 | 7 |
| 2018 February | 8 | 0 | 8 |
| 2018 January | 7 | 1 | 8 |
| 2017 December | 17 | 1 | 18 |
| 2017 November | 9 | 0 | 9 |
| 2017 October | 18 | 1 | 19 |
| 2017 September | 8 | 1 | 9 |
| 2017 August | 20 | 3 | 23 |
| 2017 July | 8 | 2 | 10 |
| 2017 June | 14 | 3 | 17 |
| 2017 May | 12 | 5 | 17 |
| 2017 April | 17 | 0 | 17 |
| 2017 March | 25 | 18 | 43 |
| 2017 February | 36 | 4 | 40 |
| 2017 January | 8 | 1 | 9 |
| 2016 December | 16 | 6 | 22 |
| 2016 November | 20 | 3 | 23 |
| 2016 October | 30 | 2 | 32 |
| 2016 September | 21 | 3 | 24 |
| 2016 August | 22 | 3 | 25 |
| 2016 July | 22 | 1 | 23 |
| 2016 June | 29 | 7 | 36 |
| 2016 May | 24 | 15 | 39 |
| 2016 April | 24 | 9 | 33 |
| 2016 March | 26 | 8 | 34 |
| 2016 February | 30 | 12 | 42 |
| 2016 January | 28 | 15 | 43 |
| 2015 December | 26 | 8 | 34 |
| 2015 November | 15 | 8 | 23 |
| 2015 October | 0 | 1 | 1 |
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