Predictive Ability of Waist Circumference and Waist-to-Height Ratio for Cardiometabolic Risk Screening among Spanish Children

An excess of fat mass has been associated with adverse cardiometabolic risk factors. Different anthropometric measures have been proposed as alternative non-invasive measures for obesity-related cardiometabolic risk. To evaluate the magnitude of association between waist circumference (WC) and waist...

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Bibliographic Details
Published in:Nutrients 2020-02, Vol.12 (2), p.415
Main Authors: Arellano-Ruiz, Paola, García-Hermoso, Antonio, García-Prieto, Jorge C, Sánchez-López, Mairena, Vizcaíno, Vicente Martínez, Solera-Martínez, Montserrat
Format: Article
Language:English
Subjects:
Abdomen
Abnormalities
Age
anthropometric indicators
Anthropometry
Blood pressure
Body fat
Body height
Body mass index
Body measurements
Children
Cholesterol
Diabetes
Diagnostic systems
Gender
Health risks
High density lipoprotein
Hypertension
Insulin
Insulin resistance
Metabolic disorders
metabolic risk factors
Metabolic syndrome
Obesity
Pediatrics
Risk analysis
Risk assessment
Risk factors
Schools
Triglycerides
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Summary:An excess of fat mass has been associated with adverse cardiometabolic risk factors. Different anthropometric measures have been proposed as alternative non-invasive measures for obesity-related cardiometabolic risk. To evaluate the magnitude of association between waist circumference (WC) and waist-to-height ratio (WtHR) with cardiometabolic risk factors and metabolic syndrome and to determine the WtHR cutoff associated with a more favorable cardiometabolic risk profile in Spanish children, data were taken from a cross-sectional survey conducted in 2010 among 848 schoolchildren aged 8-11 years from 20 public schools in the province of Cuenca (Spain). Anthropometric variables, glucose, insulin, triglycerides (TG), high-density lipoprotein cholesterol (HDL-C), systolic (SBP) and diastolic blood pressure (DBP) and metabolic syndrome (MetS) were also analyzed. WtHR and WC had a good accuracy for TG, insulin, and MetS. The diagnostic odds ratio ranged from 2.95 to 9.07 for WtHR and from 5.30 to 27.40 for WC. The main result of the present study suggests that both WtHR and WC could be used as a screening tool to identify children with cardiometabolic abnormalities.
ISSN:2072-6643
2072-6643
DOI:10.3390/nu12020415