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Waist circumference predicts increased cardiometabolic risk in normal weight adolescent males.
Int J Pediatr Obes. 2011 Jun; 6(2-2):e307-11.IJ

Abstract

OBJECTIVE

The aims of the study were to establish waist circumference (WC) cut-off points that identify clustering of obesity-related conditions and determine if the cut-off points identified an increased risk of disease when used within BMI categories.

METHODS

This is a secondary analysis of the Centers for Disease Control NHANES III complex, multistage probability weighted data set collected between 1988 and 1994 from multiple locations in the United States. There were 2003 adolescents ages 12-19 years. Main outcome measures were low (<2 risk factors) or high (≥2 risk factors) risk for cardiometabolic disease based on the number of abnormal serum measurements for fasting glucose, high-density lipoprotein (HDL), triglycerides, and blood pressure. Receiver-operating characteristic curve analysis created the WC cut-off points and logistic regression determined if cut-off points predicted of within BMI categories.

RESULTS

Analysis identified cut-off points of ≥80.5 cm for males and ≥81 cm for females. Cut-off points predicted abnormal values for all outcome variables except fasting serum glucose in females, p < 0.05. Males with a normal BMI and elevated waist circumference were more likely to be high risk (OR = 5.23, CI = 1.79, 15.24, p < 0.013) and have increased odds of abnormal serum triglycerides, HDL and blood pressure. Overweight females (BMI ≥ 85-94%) with elevated waist circumference were more likely to have elevated blood pressure (OR = 9.05, 95% CI: 1.44, 56.83).

CONCLUSION

WC within BMI categories may identify those who have cardiometabolic disease risk factors despite having normal or overweight BMI.

Authors+Show Affiliations

Baylor College of Medicine, Department of Pediatrics, Adolescent Medicine and Sports Medicine Section, Texas Children's Hospital, Houston, TX, USA. sjtaylor@bcm.eduNo affiliation info available

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

21649469

Citation

Taylor, Sharonda Alston, and Albert C. Hergenroeder. "Waist Circumference Predicts Increased Cardiometabolic Risk in Normal Weight Adolescent Males." International Journal of Pediatric Obesity : IJPO : an Official Journal of the International Association for the Study of Obesity, vol. 6, no. 2-2, 2011, pp. e307-11.
Taylor SA, Hergenroeder AC. Waist circumference predicts increased cardiometabolic risk in normal weight adolescent males. Int J Pediatr Obes. 2011;6(2-2):e307-11.
Taylor, S. A., & Hergenroeder, A. C. (2011). Waist circumference predicts increased cardiometabolic risk in normal weight adolescent males. International Journal of Pediatric Obesity : IJPO : an Official Journal of the International Association for the Study of Obesity, 6(2-2), e307-11. https://doi.org/10.3109/17477166.2011.575149
Taylor SA, Hergenroeder AC. Waist Circumference Predicts Increased Cardiometabolic Risk in Normal Weight Adolescent Males. Int J Pediatr Obes. 2011;6(2-2):e307-11. PubMed PMID: 21649469.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Waist circumference predicts increased cardiometabolic risk in normal weight adolescent males. AU - Taylor,Sharonda Alston, AU - Hergenroeder,Albert C, Y1 - 2011/06/07/ PY - 2011/6/9/entrez PY - 2011/6/9/pubmed PY - 2011/10/29/medline SP - e307 EP - 11 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 - 6 IS - 2-2 N2 - OBJECTIVE: The aims of the study were to establish waist circumference (WC) cut-off points that identify clustering of obesity-related conditions and determine if the cut-off points identified an increased risk of disease when used within BMI categories. METHODS: This is a secondary analysis of the Centers for Disease Control NHANES III complex, multistage probability weighted data set collected between 1988 and 1994 from multiple locations in the United States. There were 2003 adolescents ages 12-19 years. Main outcome measures were low (<2 risk factors) or high (≥2 risk factors) risk for cardiometabolic disease based on the number of abnormal serum measurements for fasting glucose, high-density lipoprotein (HDL), triglycerides, and blood pressure. Receiver-operating characteristic curve analysis created the WC cut-off points and logistic regression determined if cut-off points predicted of within BMI categories. RESULTS: Analysis identified cut-off points of ≥80.5 cm for males and ≥81 cm for females. Cut-off points predicted abnormal values for all outcome variables except fasting serum glucose in females, p < 0.05. Males with a normal BMI and elevated waist circumference were more likely to be high risk (OR = 5.23, CI = 1.79, 15.24, p < 0.013) and have increased odds of abnormal serum triglycerides, HDL and blood pressure. Overweight females (BMI ≥ 85-94%) with elevated waist circumference were more likely to have elevated blood pressure (OR = 9.05, 95% CI: 1.44, 56.83). CONCLUSION: WC within BMI categories may identify those who have cardiometabolic disease risk factors despite having normal or overweight BMI. SN - 1747-7174 UR - https://www.unboundmedicine.com/medline/citation/21649469/Waist_circumference_predicts_increased_cardiometabolic_risk_in_normal_weight_adolescent_males_ L2 - https://doi.org/10.3109/17477166.2011.575149 DB - PRIME DP - Unbound Medicine ER -