Zeinab Ahadi1, Maryam Bahreynian2, Mostafa Qorbani3,4, Ramin Heshmat1, Mohammad Esmaeil Motlagh5, Gita Shafiee1, Armita Mahdavi Gorabi1, Hasan Ziaodini6, Majzoubeh Taheri7, Tahereh Aminaei7, Roya Kelishadi8. 1. Chronic Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran. 2. Pediatrics Department, Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran. 3. Non-Communicable Diseases Research Center, Alborz University of Medical Sciences, Karaj, Iran. 4. Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, 141713137 Tehran, Iran. 5. Pediatrics Department, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran. 6. Bureau of Health and Fitness, Ministry of Education and Training, Tehran, Iran. 7. Office of Adolescents and School Health, Ministry of Health and Medical Education, Tehran, Iran. 8. Department of Pediatrics, Faculty of Medicine, Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-Communicable Disease, Isfahan University of Medical Sciences, 8174673461 Isfahan, Iran.
Abstract
BACKGROUND: The present study aims to explore the association of anthropometric indices and cardio-metabolic risk factors in normal-weight children and adolescents. METHODS: This cross-sectional nationwide study was conducted in 2015 among 4200 Iranian school students aged 7-18 years. They were selected using a multi-stage cluster random sampling method. Anthropometric indices and cardio-metabolic risk factors including fasting blood glucose (FBG), lipid profile and blood pressure (BP) were measured using standard protocols. RESULTS: The response rate was 91.5%. Systolic blood pressure (SBP) and diastolic blood pressure (DBP) had a significant positive correlation with waist circumference (WC), hip circumference (HC) and body mass index (BMI) in boys and girls. HDL-C had a significant inverse correlation with WC, HC and BMI in boys. For each unit increase in WC, HC and BMI, the risk of elevated DBP significantly increased by 2%, 1% and 11%, respectively. Likewise, for each unit increase in WC, HC and BMI, the risk of elevated BP significantly raised by 2%, 1% and 10%, respectively. For each unit increase in WC, the risk of metabolic syndrome increased by 7%. CONCLUSIONS: Anthropometric indices are considered an easy, non-invasive tool for the prediction of cardio-metabolic risk factors in normal-weight children and adolescents.
BACKGROUND: The present study aims to explore the association of anthropometric indices and cardio-metabolic risk factors in normal-weight children and adolescents. METHODS: This cross-sectional nationwide study was conducted in 2015 among 4200 Iranian school students aged 7-18 years. They were selected using a multi-stage cluster random sampling method. Anthropometric indices and cardio-metabolic risk factors including fasting blood glucose (FBG), lipid profile and blood pressure (BP) were measured using standard protocols. RESULTS: The response rate was 91.5%. Systolic blood pressure (SBP) and diastolic blood pressure (DBP) had a significant positive correlation with waist circumference (WC), hip circumference (HC) and body mass index (BMI) in boys and girls. HDL-C had a significant inverse correlation with WC, HC and BMI in boys. For each unit increase in WC, HC and BMI, the risk of elevated DBP significantly increased by 2%, 1% and 11%, respectively. Likewise, for each unit increase in WC, HC and BMI, the risk of elevated BP significantly raised by 2%, 1% and 10%, respectively. For each unit increase in WC, the risk of metabolic syndrome increased by 7%. CONCLUSIONS: Anthropometric indices are considered an easy, non-invasive tool for the prediction of cardio-metabolic risk factors in normal-weight children and adolescents.
Entities:
Keywords:
anthropometric indices; body mass index; cardio-metabolic risk factors; children and adolescents; waist and hip circumference