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Waist-to-height ratio, waist circumference and BMI as indicators of percentage fat mass and cardiometabolic risk factors in children aged 3-7 years.
Clin Nutr. 2014 Apr; 33(2):311-5.CN

Abstract

OBJECTIVE

To assess whether waist-to-height-ratio (WHtR) is a better estimate of body fat percentage (BF%) and a better indicator of cardiometabolic risk factors than BMI or waist circumference (WC) in young children.

METHODS

WHtR, WC and BMI were measured by trained staff according to standardized procedures. (2)H2O and (2)H2(18)O isotope dilution were used to assess BF% in 61 children (3-7 years) from the general population, and bioelectrical impedance (Horlick equation) was used to assess BF% in 75 overweight/obese children (3-5 years). Cardiometabolic risk factors, including diastolic and systolic blood pressure, HOMA2-IR, leptin, adiponectin, triglycerides, total cholesterol, HDL- and LDL-cholesterol, TNFα and IL-6 were determined in the overweight/obese children.

RESULTS

In the children from the general population, after adjustments for age and gender, BMI had the highest explained variance for BF% compared to WC and WHtR (R(2) = 0.32, 0.31 and 0.23, respectively). In the overweight/obese children, BMI and WC had a higher explained variance for BF% compared to WHtR (R(2) = 0.68, 0.70 and 0.50, respectively). In the overweight/obese children, WHtR, WC and BMI were all significantly positively correlated with systolic blood pressure (r = 0.23, 0.30, 0.36, respectively), HOMA2-IR (r = 0.53, 0.62, 0.63, respectively), leptin (r = 0.70, 0.77, 0.78, respectively) and triglycerides (r = 0.33, 0.36, 0.24, respectively), but not consistently with other parameters.

CONCLUSION

In young children, WHtR is not superior to WC or BMI in estimating BF%, nor is WHtR better correlated with cardiometabolic risk factors than WC or BMI in overweight/obese children. These data do not support the use of WHtR in young children.

Authors+Show Affiliations

Department of Epidemiology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.Department of Pediatrics, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.Department of Pediatrics, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.Department of Pediatrics, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.Department of Pediatrics, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.Department of Epidemiology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands. Electronic address: e.corpeleijn@umcg.nl.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

23768783

Citation

Sijtsma, Anna, et al. "Waist-to-height Ratio, Waist Circumference and BMI as Indicators of Percentage Fat Mass and Cardiometabolic Risk Factors in Children Aged 3-7 Years." Clinical Nutrition (Edinburgh, Scotland), vol. 33, no. 2, 2014, pp. 311-5.
Sijtsma A, Bocca G, L'abée C, et al. Waist-to-height ratio, waist circumference and BMI as indicators of percentage fat mass and cardiometabolic risk factors in children aged 3-7 years. Clin Nutr. 2014;33(2):311-5.
Sijtsma, A., Bocca, G., L'abée, C., Liem, E. T., Sauer, P. J., & Corpeleijn, E. (2014). Waist-to-height ratio, waist circumference and BMI as indicators of percentage fat mass and cardiometabolic risk factors in children aged 3-7 years. Clinical Nutrition (Edinburgh, Scotland), 33(2), 311-5. https://doi.org/10.1016/j.clnu.2013.05.010
Sijtsma A, et al. Waist-to-height Ratio, Waist Circumference and BMI as Indicators of Percentage Fat Mass and Cardiometabolic Risk Factors in Children Aged 3-7 Years. Clin Nutr. 2014;33(2):311-5. PubMed PMID: 23768783.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Waist-to-height ratio, waist circumference and BMI as indicators of percentage fat mass and cardiometabolic risk factors in children aged 3-7 years. AU - Sijtsma,Anna, AU - Bocca,Gianni, AU - L'abée,Carianne, AU - Liem,Eryn T, AU - Sauer,Pieter J J, AU - Corpeleijn,Eva, Y1 - 2013/05/23/ PY - 2013/01/08/received PY - 2013/05/06/revised PY - 2013/05/17/accepted PY - 2013/6/18/entrez PY - 2013/6/19/pubmed PY - 2014/11/19/medline KW - Anthropometry KW - Blood pressure KW - Body composition KW - Cholesterol KW - Insulin KW - Lipid SP - 311 EP - 5 JF - Clinical nutrition (Edinburgh, Scotland) JO - Clin Nutr VL - 33 IS - 2 N2 - OBJECTIVE: To assess whether waist-to-height-ratio (WHtR) is a better estimate of body fat percentage (BF%) and a better indicator of cardiometabolic risk factors than BMI or waist circumference (WC) in young children. METHODS: WHtR, WC and BMI were measured by trained staff according to standardized procedures. (2)H2O and (2)H2(18)O isotope dilution were used to assess BF% in 61 children (3-7 years) from the general population, and bioelectrical impedance (Horlick equation) was used to assess BF% in 75 overweight/obese children (3-5 years). Cardiometabolic risk factors, including diastolic and systolic blood pressure, HOMA2-IR, leptin, adiponectin, triglycerides, total cholesterol, HDL- and LDL-cholesterol, TNFα and IL-6 were determined in the overweight/obese children. RESULTS: In the children from the general population, after adjustments for age and gender, BMI had the highest explained variance for BF% compared to WC and WHtR (R(2) = 0.32, 0.31 and 0.23, respectively). In the overweight/obese children, BMI and WC had a higher explained variance for BF% compared to WHtR (R(2) = 0.68, 0.70 and 0.50, respectively). In the overweight/obese children, WHtR, WC and BMI were all significantly positively correlated with systolic blood pressure (r = 0.23, 0.30, 0.36, respectively), HOMA2-IR (r = 0.53, 0.62, 0.63, respectively), leptin (r = 0.70, 0.77, 0.78, respectively) and triglycerides (r = 0.33, 0.36, 0.24, respectively), but not consistently with other parameters. CONCLUSION: In young children, WHtR is not superior to WC or BMI in estimating BF%, nor is WHtR better correlated with cardiometabolic risk factors than WC or BMI in overweight/obese children. These data do not support the use of WHtR in young children. SN - 1532-1983 UR - https://www.unboundmedicine.com/medline/citation/23768783/Waist_to_height_ratio_waist_circumference_and_BMI_as_indicators_of_percentage_fat_mass_and_cardiometabolic_risk_factors_in_children_aged_3_7_years_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0261-5614(13)00149-0 DB - PRIME DP - Unbound Medicine ER -