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Utility of waist circumference percentile for risk evaluation in obese children.
Int J Pediatr Obes. 2010; 5(1):97-101.IJ

Abstract

OBJECTIVE

Increased waist circumference has been shown to contribute to cardiovascular risk in obese adults. This study was designed to examine whether routinely assessing waist circumference in obese children adds predictive value for the development of diabetes and other cardiovascular risk factors.

METHODS

This is a cross-sectional study on a community sample of 188 apparently healthy obese children 7-11 years, 60% black, 39% male. Anthropometry, fasting lipid profile, oral glucose tolerance test, and magnetic resonance imaging of abdominal fat were done. High waist circumference was defined as > or = 90(th) percentile for age and sex. Statistical analyses were done to examine the relationship between waist circumference and the different cardiovascular risk factors.

RESULTS

Those with a high waist circumference had significantly lower high-density lipoprotein, higher triglycerides, fasting insulin, insulin response to glucose, subcutaneous and visceral abdominal fat than those with a normal waist circumference. Children with a high waist circumference were 3.6 times more likely than those with a normal waist status to have a low high-density lipoprotein level, 3.0 times more likely to have high triglycerides, and 3.7 times more likely to have a high fasting insulin level.

CONCLUSIONS

Obese children with waist circumference at or above the 90th percentile are at higher risk for dyslipidemia and insulin resistance than obese children with normal waist circumference. These results indicate that routine waist circumference evaluation in obese children may help clinicians identify which obese children are at greater risk of diabetes and other cardiovascular disease.

Authors+Show Affiliations

Georgia Prevention Institute, Pediatrics, Medical College of Georgia, Augusta, USA. rbassali@mcg.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Evaluation Study
Journal Article
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

19606372

Citation

Bassali, Reda, et al. "Utility of Waist Circumference Percentile for Risk Evaluation in Obese Children." International Journal of Pediatric Obesity : IJPO : an Official Journal of the International Association for the Study of Obesity, vol. 5, no. 1, 2010, pp. 97-101.
Bassali R, Waller JL, Gower B, et al. Utility of waist circumference percentile for risk evaluation in obese children. Int J Pediatr Obes. 2010;5(1):97-101.
Bassali, R., Waller, J. L., Gower, B., Allison, J., & Davis, C. L. (2010). Utility of waist circumference percentile for risk evaluation in obese children. International Journal of Pediatric Obesity : IJPO : an Official Journal of the International Association for the Study of Obesity, 5(1), 97-101. https://doi.org/10.3109/17477160903111722
Bassali R, et al. Utility of Waist Circumference Percentile for Risk Evaluation in Obese Children. Int J Pediatr Obes. 2010;5(1):97-101. PubMed PMID: 19606372.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Utility of waist circumference percentile for risk evaluation in obese children. AU - Bassali,Reda, AU - Waller,Jennifer L, AU - Gower,Barbara, AU - Allison,Jerry, AU - Davis,Catherine L, PY - 2009/7/17/entrez PY - 2009/7/17/pubmed PY - 2010/7/7/medline SP - 97 EP - 101 JF - International journal of pediatric obesity : IJPO : an official journal of the International Association for the Study of Obesity JO - Int J Pediatr Obes VL - 5 IS - 1 N2 - OBJECTIVE: Increased waist circumference has been shown to contribute to cardiovascular risk in obese adults. This study was designed to examine whether routinely assessing waist circumference in obese children adds predictive value for the development of diabetes and other cardiovascular risk factors. METHODS: This is a cross-sectional study on a community sample of 188 apparently healthy obese children 7-11 years, 60% black, 39% male. Anthropometry, fasting lipid profile, oral glucose tolerance test, and magnetic resonance imaging of abdominal fat were done. High waist circumference was defined as > or = 90(th) percentile for age and sex. Statistical analyses were done to examine the relationship between waist circumference and the different cardiovascular risk factors. RESULTS: Those with a high waist circumference had significantly lower high-density lipoprotein, higher triglycerides, fasting insulin, insulin response to glucose, subcutaneous and visceral abdominal fat than those with a normal waist circumference. Children with a high waist circumference were 3.6 times more likely than those with a normal waist status to have a low high-density lipoprotein level, 3.0 times more likely to have high triglycerides, and 3.7 times more likely to have a high fasting insulin level. CONCLUSIONS: Obese children with waist circumference at or above the 90th percentile are at higher risk for dyslipidemia and insulin resistance than obese children with normal waist circumference. These results indicate that routine waist circumference evaluation in obese children may help clinicians identify which obese children are at greater risk of diabetes and other cardiovascular disease. SN - 1747-7174 UR - https://www.unboundmedicine.com/medline/citation/19606372/Utility_of_waist_circumference_percentile_for_risk_evaluation_in_obese_children_ L2 - https://doi.org/10.3109/17477160903111722 DB - PRIME DP - Unbound Medicine ER -