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Waist‐to‐height ratio remains an accurate and practical way of identifying cardiometabolic risks in children and adolescents
Author(s) -
Jiang Yuan,
Dou Yalan,
Xiong Feng,
Zhang Lan,
Zhu Gaohui,
Wu Ting,
Zhang Yi,
Yan Weili
Publication year - 2018
Publication title -
acta paediatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/apa.14323
Subject(s) - medicine , dyslipidemia , waist , receiver operating characteristic , body mass index , obesity , population , area under the curve , pediatrics , environmental health
Aim We evaluated how effectively the waist‐to‐height ratio ( WH tR) identified cardiometabolic risk ( CMR ) in children and adolescents, compared with the tri‐ponderal mass index, percentage of body fat and other obesity indexes. Methods Eligible subjects were recruited from three metropolitan regions of China from May 2013 to June 2014. Subjects with at least three of the following abnormalities – hypertension, dyslipidemia, elevated fasting blood glucose and central obesity – were defined as CMR 1 and children with at least two were defined as CMR 2. The area under the curve ( AUC ) of the receiver operating characteristic curve was used to compare how effectively obesity indexes predicted CMR . Results We recruited 3556 subjects aged 7–18 years. All five obesity indexes showed good, comparable performances in identifying CMR and the AUC s ranged from 0.89 to 0.90 for CMR 1 and 0.83 to 0.85 for CMR 2. The cut‐off of 0.467 for WH tR achieved a sensitivity of 0.91 and specificity of 0.80 for predicting CMR 1, with the best cut‐offs being 0.463 for boys and 0.469 for girls. Conclusion The WH tR was a superior and practical screening tool for detecting CMR in this paediatric population, as it provided comparable accuracy to other methods and just required a simple calculation.