Tags

Type your tag names separated by a space and hit enter

Utility of waist-to-height ratio in assessing the status of central obesity and related cardiometabolic risk profile among normal weight and overweight/obese children: the Bogalusa Heart Study.
BMC Pediatr. 2010 Oct 11; 10:73.BPed

Abstract

BACKGROUND

Body Mass Index (BMI) is widely used to assess the impact of obesity on cardiometabolic risk in children but it does not always relate to central obesity and varies with growth and maturation. Waist-to-Height Ratio (WHtR) is a relatively constant anthropometric index of abdominal obesity across different age, sex or racial groups. However, information is scant on the utility of WHtR in assessing the status of abdominal obesity and related cardiometabolic risk profile among normal weight and overweight/obese children, categorized according to the accepted BMI threshold values.

METHODS

Cross-sectional cardiometabolic risk factor variables on 3091 black and white children (56% white, 50% male), 4-18 years of age were used. Based on the age-, race- and sex-specific percentiles of BMI, the children were classified as normal weight (5th - 85th percentiles) and overweight/obese (≥ 85th percentile). The risk profiles of each group based on the WHtR (<0.5, no central obesity versus ≥ 0.5, central obesity) were compared.

RESULTS

9.2% of the children in the normal weight group were centrally obese (WHtR ≥0.5) and 19.8% among the overweight/obese were not (WHtR < 0.5). On multivariate analysis the normal weight centrally obese children were 1.66, 2.01, 1.47 and 2.05 times more likely to have significant adverse levels of LDL cholesterol, HDL cholesterol, triglycerides and insulin, respectively. In addition to having a higher prevalence of parental history of type 2 diabetes mellitus, the normal weight central obesity group showed a significantly higher prevalence of metabolic syndrome (p < 0.0001). In the overweight/obese group, those without central obesity were 0.53 and 0.27 times less likely to have significant adverse levels of HDL cholesterol and HOMA-IR, respectively (p < 0.05), as compared to those with central obesity. These overweight/obese children without central obesity also showed significantly lower prevalence of parental history of hypertension (p = 0.002), type 2 diabetes mellitus (p = 0.03) and metabolic syndrome (p < 0.0001).

CONCLUSION

WHtR not only detects central obesity and related adverse cardiometabolic risk among normal weight children, but also identifies those without such conditions among the overweight/obese children, which has implications for pediatric primary care practice.

Authors+Show Affiliations

Center for Cardiovascular Health, Department of Epidemiology, Tulane University health Sciences Center, New Orleans, LA, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

20937123

Citation

Mokha, Jasmeet S., et al. "Utility of Waist-to-height Ratio in Assessing the Status of Central Obesity and Related Cardiometabolic Risk Profile Among Normal Weight and Overweight/obese Children: the Bogalusa Heart Study." BMC Pediatrics, vol. 10, 2010, p. 73.
Mokha JS, Srinivasan SR, Dasmahapatra P, et al. Utility of waist-to-height ratio in assessing the status of central obesity and related cardiometabolic risk profile among normal weight and overweight/obese children: the Bogalusa Heart Study. BMC Pediatr. 2010;10:73.
Mokha, J. S., Srinivasan, S. R., Dasmahapatra, P., Fernandez, C., Chen, W., Xu, J., & Berenson, G. S. (2010). Utility of waist-to-height ratio in assessing the status of central obesity and related cardiometabolic risk profile among normal weight and overweight/obese children: the Bogalusa Heart Study. BMC Pediatrics, 10, 73. https://doi.org/10.1186/1471-2431-10-73
Mokha JS, et al. Utility of Waist-to-height Ratio in Assessing the Status of Central Obesity and Related Cardiometabolic Risk Profile Among Normal Weight and Overweight/obese Children: the Bogalusa Heart Study. BMC Pediatr. 2010 Oct 11;10:73. PubMed PMID: 20937123.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Utility of waist-to-height ratio in assessing the status of central obesity and related cardiometabolic risk profile among normal weight and overweight/obese children: the Bogalusa Heart Study. AU - Mokha,Jasmeet S, AU - Srinivasan,Sathanur R, AU - Dasmahapatra,Pronabesh, AU - Fernandez,Camilo, AU - Chen,Wei, AU - Xu,Jihua, AU - Berenson,Gerald S, Y1 - 2010/10/11/ PY - 2010/04/13/received PY - 2010/10/11/accepted PY - 2010/10/13/entrez PY - 2010/10/13/pubmed PY - 2011/2/24/medline SP - 73 EP - 73 JF - BMC pediatrics JO - BMC Pediatr VL - 10 N2 - BACKGROUND: Body Mass Index (BMI) is widely used to assess the impact of obesity on cardiometabolic risk in children but it does not always relate to central obesity and varies with growth and maturation. Waist-to-Height Ratio (WHtR) is a relatively constant anthropometric index of abdominal obesity across different age, sex or racial groups. However, information is scant on the utility of WHtR in assessing the status of abdominal obesity and related cardiometabolic risk profile among normal weight and overweight/obese children, categorized according to the accepted BMI threshold values. METHODS: Cross-sectional cardiometabolic risk factor variables on 3091 black and white children (56% white, 50% male), 4-18 years of age were used. Based on the age-, race- and sex-specific percentiles of BMI, the children were classified as normal weight (5th - 85th percentiles) and overweight/obese (≥ 85th percentile). The risk profiles of each group based on the WHtR (<0.5, no central obesity versus ≥ 0.5, central obesity) were compared. RESULTS: 9.2% of the children in the normal weight group were centrally obese (WHtR ≥0.5) and 19.8% among the overweight/obese were not (WHtR < 0.5). On multivariate analysis the normal weight centrally obese children were 1.66, 2.01, 1.47 and 2.05 times more likely to have significant adverse levels of LDL cholesterol, HDL cholesterol, triglycerides and insulin, respectively. In addition to having a higher prevalence of parental history of type 2 diabetes mellitus, the normal weight central obesity group showed a significantly higher prevalence of metabolic syndrome (p < 0.0001). In the overweight/obese group, those without central obesity were 0.53 and 0.27 times less likely to have significant adverse levels of HDL cholesterol and HOMA-IR, respectively (p < 0.05), as compared to those with central obesity. These overweight/obese children without central obesity also showed significantly lower prevalence of parental history of hypertension (p = 0.002), type 2 diabetes mellitus (p = 0.03) and metabolic syndrome (p < 0.0001). CONCLUSION: WHtR not only detects central obesity and related adverse cardiometabolic risk among normal weight children, but also identifies those without such conditions among the overweight/obese children, which has implications for pediatric primary care practice. SN - 1471-2431 UR - https://www.unboundmedicine.com/medline/citation/20937123/Utility_of_waist_to_height_ratio_in_assessing_the_status_of_central_obesity_and_related_cardiometabolic_risk_profile_among_normal_weight_and_overweight/obese_children:_the_Bogalusa_Heart_Study_ L2 - https://bmcpediatr.biomedcentral.com/articles/10.1186/1471-2431-10-73 DB - PRIME DP - Unbound Medicine ER -