OBJECTIVE: To determine whether using a combination of body mass index (BMI) and waist circumference (WC) or waist-to-height ratio (W/Hr) is clinically helpful in identifying children with high metabolic and cardiovascular risks. STUDY DESIGN: Caucasian children (M/F: 740/739; n = 1479; ages 5 to 15 years) were studied. Anthropometry, blood pressure, and venous fasting blood samples tested for triacylglycerol, HDL cholesterol, and glucose were measured. RESULTS: Overweight children with a large waist (>90(th) percentile) or high W/Hr (>0.5) but not obese or normal-weight children had significantly greater chances of being at high metabolic and cardiovascular risk than normal-weight children (OR: 7; 95% CI: 3.63-13.48; P < .001, OR: 8.16; 95% CI: 3.87-17.23; P < .001, respectively) with a low waist measurement (</=90(th) percentile) or W/Hr (</=0.5). Interestingly, waist and W/Hr cutoffs (90(th) percentile and 0.5, respectively) were both able to identify children with the highest metabolic and cardiovascular risks among those who were overweight. However, contrary to waist circumference, W/Hr has the advantage of not requiring population specific reference tables as well as age and sex specific cutoffs. CONCLUSIONS: Waist circumference and W/Hr are helpful in detecting, among overweight children, those with a higher likelihood of having metabolic and cardiovascular risks.
OBJECTIVE: To determine whether using a combination of body mass index (BMI) and waist circumference (WC) or waist-to-height ratio (W/Hr) is clinically helpful in identifying children with high metabolic and cardiovascular risks. STUDY DESIGN: Caucasian children (M/F: 740/739; n = 1479; ages 5 to 15 years) were studied. Anthropometry, blood pressure, and venous fasting blood samples tested for triacylglycerol, HDL cholesterol, and glucose were measured. RESULTS: Overweight children with a large waist (>90(th) percentile) or high W/Hr (>0.5) but not obese or normal-weight children had significantly greater chances of being at high metabolic and cardiovascular risk than normal-weight children (OR: 7; 95% CI: 3.63-13.48; P < .001, OR: 8.16; 95% CI: 3.87-17.23; P < .001, respectively) with a low waist measurement (</=90(th) percentile) or W/Hr (</=0.5). Interestingly, waist and W/Hr cutoffs (90(th) percentile and 0.5, respectively) were both able to identify children with the highest metabolic and cardiovascular risks among those who were overweight. However, contrary to waist circumference, W/Hr has the advantage of not requiring population specific reference tables as well as age and sex specific cutoffs. CONCLUSIONS: Waist circumference and W/Hr are helpful in detecting, among overweight children, those with a higher likelihood of having metabolic and cardiovascular risks.
Authors: Kelsey N Dancause; Miguel Vilar; Chim Chan; Christa DeHuff; Michelle Wilson; Laura E Soloway; Len Tarivonda; Ralph Regenvanu; Akira Kaneko; Ralph M Garruto; J Koji Lum Journal: Public Health Nutr Date: 2011-08-11 Impact factor: 4.022
Authors: C Maffeis; M Tommasi; F Tomasselli; J Spinelli; E Fornari; N Scattolo; M Marigliano; A Morandi Journal: Eur J Clin Nutr Date: 2015-10-14 Impact factor: 4.016
Authors: Sara Bonafini; Angela Tagetti; Rossella Gaudino; Paolo Cavarzere; Martina Montagnana; Elisa Danese; Marco Benati; Diego Alberto Ramaroli; Sara Raimondi; Alice Giontella; Anna Mantovani; Angela Donato; Andrea Dalbeni; Pietro Minuz; Franco Antoniazzi; Claudio Maffeis; Cristiano Fava Journal: Eur J Nutr Date: 2018-03-28 Impact factor: 5.614
Authors: Kristen Sgambat; Sarah Clauss; K Y Lei; Jiuzhou Song; Shaik O Rahaman; Margaret Lasota; Asha Moudgil Journal: Pediatr Nephrol Date: 2017-12-30 Impact factor: 3.714
Authors: T Tzotzas; E Kapantais; K Tziomalos; I Ioannidis; A Mortoglou; S Bakatselos; M Kaklamanou; L Lanaras; D Kaklamanou Journal: Hippokratia Date: 2011-01 Impact factor: 0.471
Authors: Trang H H D Nguyen; Hong K Tang; Patrick Kelly; Hidde P van der Ploeg; Michael J Dibley Journal: BMC Public Health Date: 2010-03-17 Impact factor: 3.295