Sudhir Ken Mehta1. 1. Cleveland Clinic Lerner College of Medicine, Cleveland Clinic Children's, Cleveland, OH, USA Fairview Hospital, Cleveland Clinic Health System, Cleveland, OH, USA kemeht@ccf.org.
Abstract
BACKGROUND: Waist circumference (WC) to height ratio (WC/HT) is used as a measure of central obesity. However, the optimum ratio that will separate populations with high from low cardiovascular risk remains controversial. This investigation evaluates an optimum WC/HT value to define central obesity in children. METHODS: The sensitivity and specificity of WC/HT in 649 children (age 2-18 years) without evidence of heart disease were analyzed for WC and for body mass index (BMI). RESULTS: A WC/HT ≥0.5 resulted in sensitivity:specificity of 99%:72% for detecting central obesity and 83%:77% for detecting overweight (BMI ≥85th percentile) subjects. A value of WC/HT ≥0.55 yielded sensitivity:specificity of 80%:96% for detecting central obesity and 75%:94% for detecting subjects with obesity (BMI ≥95th percentile). CONCLUSIONS: The use of WC/HT between ≥0.5 and <0.55 identified subjects at-risk for central obesity and WC/HT ≥0.55 identified central obesity with a high probability.
BACKGROUND: Waist circumference (WC) to height ratio (WC/HT) is used as a measure of central obesity. However, the optimum ratio that will separate populations with high from low cardiovascular risk remains controversial. This investigation evaluates an optimum WC/HT value to define central obesity in children. METHODS: The sensitivity and specificity of WC/HT in 649 children (age 2-18 years) without evidence of heart disease were analyzed for WC and for body mass index (BMI). RESULTS: A WC/HT ≥0.5 resulted in sensitivity:specificity of 99%:72% for detecting central obesity and 83%:77% for detecting overweight (BMI ≥85th percentile) subjects. A value of WC/HT ≥0.55 yielded sensitivity:specificity of 80%:96% for detecting central obesity and 75%:94% for detecting subjects with obesity (BMI ≥95th percentile). CONCLUSIONS: The use of WC/HT between ≥0.5 and <0.55 identified subjects at-risk for central obesity and WC/HT ≥0.55 identified central obesity with a high probability.
Authors: Monica Serrano-Gonzalez; Megan M Herting; Seung-Lark Lim; Nicolette J Sullivan; Robert Kim; Juan Espinoza; Christina M Koppin; Joyce R Javier; Mimi S Kim; Shan Luo Journal: Front Psychol Date: 2021-05-18
Authors: Sarah L Taylor; Whitney B Curry; Zoe R Knowles; Robert J Noonan; Bronagh McGrane; Stuart J Fairclough Journal: Int J Environ Res Public Health Date: 2017-05-16 Impact factor: 3.390
Authors: Michael B Owen; Charlotte Kerner; Sarah L Taylor; Robert J Noonan; Lisa Newson; Maria-Christina Kosteli; Whitney B Curry; Stuart J Fairclough Journal: Children (Basel) Date: 2018-05-31
Authors: Sarah L Taylor; Robert J Noonan; Zoe R Knowles; Michael B Owen; Bronagh McGrane; Whitney B Curry; Stuart J Fairclough Journal: Int J Environ Res Public Health Date: 2018-05-17 Impact factor: 3.390
Authors: Laura Mihaela Trandafir; Georgiana Russu; Mihaela Moscalu; Ingrith Miron; Vasile Valeriu Lupu; Maria Magdalena Leon Constantin; Elena Cojocaru; Ancuta Lupu; Otilia Elena Frasinariu Journal: Medicine (Baltimore) Date: 2020-07-24 Impact factor: 1.817