Performance of Waist-To-Height Ratio, Waist Circumference, and Body Mass Index in Discriminating Cardio-Metabolic Risk Factors in a Sample of School-Aged Mexican Children
The most common tools used to screen for abdominal obesity are waist circumference (WC) and waist-to-height ratio (WHtR); the latter may represent a more suitable tool for the general non-professional population. The objective of this study was to evaluate the association of WHtR, WC, and body mass...
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doaj-1fdbbf72f9c644d7aa5baac40b5decad2020-11-25T00:55:45ZengMDPI AGNutrients2072-66432018-12-011012185010.3390/nu10121850nu10121850Performance of Waist-To-Height Ratio, Waist Circumference, and Body Mass Index in Discriminating Cardio-Metabolic Risk Factors in a Sample of School-Aged Mexican ChildrenIbiza Aguilar-Morales0Eloisa Colin-Ramirez1Susana Rivera-Mancía2Maite Vallejo3Clara Vázquez-Antona4Department of Social Medicine Research, National Institute of Cardiology ‘Ignacio Chávez’, Juan Badiano 1, Sección XVI, Mexico City C.P. 14080, MexicoDepartment of Social Medicine Research, National Institute of Cardiology ‘Ignacio Chávez’, Juan Badiano 1, Sección XVI, Mexico City C.P. 14080, MexicoDepartment of Social Medicine Research, National Institute of Cardiology ‘Ignacio Chávez’, Juan Badiano 1, Sección XVI, Mexico City C.P. 14080, MexicoDepartment of Social Medicine Research, National Institute of Cardiology ‘Ignacio Chávez’, Juan Badiano 1, Sección XVI, Mexico City C.P. 14080, MexicoDepartment of Pediatric Echocardiography, National Institute of Cardiology ‘Ignacio Chávez’, Juan Badiano 1, Sección XVI, Mexico City C.P. 14080, MexicoThe most common tools used to screen for abdominal obesity are waist circumference (WC) and waist-to-height ratio (WHtR); the latter may represent a more suitable tool for the general non-professional population. The objective of this study was to evaluate the association of WHtR, WC, and body mass index with lipidic and non-lipidic cardio-metabolic risk factors and the prediction capability of each adiposity indicator in a sample of school-aged Mexican children. Overall, 125 children aged 6 to 12 years were analyzed. Anthropometric, biochemical, and dietary parameters were assessed. Receiving operating characteristic (ROC) analysis and univariate and multivariate linear and logistic regression analyses were performed. All the three adiposity indicators showed significant areas under the ROC curve (AURC) greater than 0.68 for high low-density lipoprotein cholesterol (LDL-c), triglycerides, and atherogenic index of plasma, and low high-density lipoprotein cholesterol (HDL-c). A significant increased risk of having LDL-c ≥ 3.4 mmol/L was observed among children with WHtR ≥ 0.5 as compared to those with WHtR < 0.5 (odds ratio, OR: 2.82; 95% confidence interval, CI: 0.75⁻7.68; <i>p</i> = 0.003). Fasting plasma glucose was not associated with any of the adiposity parameters. WHtR performed similarly to WC and z-BMI in predicting lipidic cardio-metabolic risk factors; however, a WHtR ≥ 0.5 was superior in detecting an increased risk of elevated LDL-c.https://www.mdpi.com/2072-6643/10/12/1850waist-to-height ratiochildrenobesitybody mass indexwaist circumferencecardio-metabolic risk |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Ibiza Aguilar-Morales Eloisa Colin-Ramirez Susana Rivera-Mancía Maite Vallejo Clara Vázquez-Antona |
spellingShingle |
Ibiza Aguilar-Morales Eloisa Colin-Ramirez Susana Rivera-Mancía Maite Vallejo Clara Vázquez-Antona Performance of Waist-To-Height Ratio, Waist Circumference, and Body Mass Index in Discriminating Cardio-Metabolic Risk Factors in a Sample of School-Aged Mexican Children Nutrients waist-to-height ratio children obesity body mass index waist circumference cardio-metabolic risk |
author_facet |
Ibiza Aguilar-Morales Eloisa Colin-Ramirez Susana Rivera-Mancía Maite Vallejo Clara Vázquez-Antona |
author_sort |
Ibiza Aguilar-Morales |
title |
Performance of Waist-To-Height Ratio, Waist Circumference, and Body Mass Index in Discriminating Cardio-Metabolic Risk Factors in a Sample of School-Aged Mexican Children |
title_short |
Performance of Waist-To-Height Ratio, Waist Circumference, and Body Mass Index in Discriminating Cardio-Metabolic Risk Factors in a Sample of School-Aged Mexican Children |
title_full |
Performance of Waist-To-Height Ratio, Waist Circumference, and Body Mass Index in Discriminating Cardio-Metabolic Risk Factors in a Sample of School-Aged Mexican Children |
title_fullStr |
Performance of Waist-To-Height Ratio, Waist Circumference, and Body Mass Index in Discriminating Cardio-Metabolic Risk Factors in a Sample of School-Aged Mexican Children |
title_full_unstemmed |
Performance of Waist-To-Height Ratio, Waist Circumference, and Body Mass Index in Discriminating Cardio-Metabolic Risk Factors in a Sample of School-Aged Mexican Children |
title_sort |
performance of waist-to-height ratio, waist circumference, and body mass index in discriminating cardio-metabolic risk factors in a sample of school-aged mexican children |
publisher |
MDPI AG |
series |
Nutrients |
issn |
2072-6643 |
publishDate |
2018-12-01 |
description |
The most common tools used to screen for abdominal obesity are waist circumference (WC) and waist-to-height ratio (WHtR); the latter may represent a more suitable tool for the general non-professional population. The objective of this study was to evaluate the association of WHtR, WC, and body mass index with lipidic and non-lipidic cardio-metabolic risk factors and the prediction capability of each adiposity indicator in a sample of school-aged Mexican children. Overall, 125 children aged 6 to 12 years were analyzed. Anthropometric, biochemical, and dietary parameters were assessed. Receiving operating characteristic (ROC) analysis and univariate and multivariate linear and logistic regression analyses were performed. All the three adiposity indicators showed significant areas under the ROC curve (AURC) greater than 0.68 for high low-density lipoprotein cholesterol (LDL-c), triglycerides, and atherogenic index of plasma, and low high-density lipoprotein cholesterol (HDL-c). A significant increased risk of having LDL-c ≥ 3.4 mmol/L was observed among children with WHtR ≥ 0.5 as compared to those with WHtR < 0.5 (odds ratio, OR: 2.82; 95% confidence interval, CI: 0.75⁻7.68; <i>p</i> = 0.003). Fasting plasma glucose was not associated with any of the adiposity parameters. WHtR performed similarly to WC and z-BMI in predicting lipidic cardio-metabolic risk factors; however, a WHtR ≥ 0.5 was superior in detecting an increased risk of elevated LDL-c. |
topic |
waist-to-height ratio children obesity body mass index waist circumference cardio-metabolic risk |
url |
https://www.mdpi.com/2072-6643/10/12/1850 |
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