Simple universal cutoff point of waist-height ratio for metabolic risk in Korean children and adolescents

Kim, Hae Soon

doi:10.3345/kjp.2019.00045

Cited by 1 publication

(3 citation statements)

References 12 publications

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“…Similar cutoff points were suggested for males and females, different ethnic groups, and age ranges. 19,34,53,54 In contrast to our finding, some cross-sectional studies revealed that WHtR is not a better predictor of hypertension than other obesity indices. For example, a crosssectional study done among Japanese males stated that WHtR is not better screening index by itself, it is only because it is highly correlated with WC.…”

Section: Categorization Of Male Employees By Anthropometric Indicescontrasting

confidence: 99%

“…Similar cutoff points were suggested for males and females, different ethnic groups, and age ranges. 19 , 34 , 53 , 54 …”

Section: Discussionmentioning

confidence: 99%

“… 18 BMI was traditionally chosen and used as the main index and it was indicated as a better index to predict hypertension than WHtR and WC. 19 , 20 However, body fat assessment using BMI could be incorrect since it measures total adiposity in the body and predicts the distribution of total body fat. This may result in overestimation of adiposity in a healthy individual that has more muscle mass and underestimation of adiposity in an at-risk individual that has more fat mass.…”

Section: Introductionmentioning

confidence: 99%

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Evaluation of Anthropometric Indices for Screening Hypertension Among Employees of Mizan Tepi University, Southwestern Ethiopia

Dereje¹,

Hassen²,

Gizaw³

2021

IBPC

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Background: Globally, hypertension is becoming a serious problem affecting the health and wellbeing of the adult population. Anthropometric indices like body mass index (BMI), waist circumference (WC), and waist-to-hip ratio (WHR) have long been utilized to screen hypertension; in contrast, other evidence indicates the superior utility of waist-to-height ratio (WHtR) to screen hypertension. There are inconclusive results from different studies done in different settings regarding the best screening index for hypertension. In addition, there is a paucity of information on the evaluation of anthropometric indices for screening hypertension in the study area. Therefore, this study evaluates the utility of anthropometric indices for screening hypertension among Mizan Tepi University employees, southwestern Ethiopia. Methods: An institution-based cross-sectional study was conducted among Mizan Tepi University employees. A gender-based stratified simple random sampling technique was used to select 585 employees. Logistic regression analysis was conducted to assess the association between anthropometric indices and hypertension. Receiver operating characteristic curve (ROC) was employed to evaluate anthropometric indices for screening hypertension, and optimal cutoff points were also developed based on Youden index (sensitivity + specificity -1) and presented with sensitivity, specificity, positive predictive value (PPV), and negative predictive values (NPV). Results: The overall prevalence of hypertension was 20.9%, which was 22.5% in males and 18.7% in females. Among males, WHtR, WHR, and BMI were significantly associated with hypertension, while, in females, only BMI was associated with hypertension. WHtR had a higher screening ability for hypertension followed by WC in both sexes. For males, the cutoff point for WHR, WC, BMI, and WHtR for screening hypertension was 0.897, 85.17cm, 24.6kg/m 2 , and 0.51, respectively. In females, the cutoff point developed for screening hypertension for WHR, WC, BMI, and WHtR were 0.92, 85.67cm, 24.8kg/m 2 , and 0.52, respectively. Conclusion:The waist-to-height ratio was found to be the best obesity index to screen hypertension than BMI, WC, and WHR. The finding supports the use of WHtR for screening hypertension in resource-limited settings.

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Section: Categorization Of Male Employees By Anthropometric Indicescontrasting

confidence: 99%

“…Similar cutoff points were suggested for males and females, different ethnic groups, and age ranges. 19 , 34 , 53 , 54 …”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Evaluation of Anthropometric Indices for Screening Hypertension Among Employees of Mizan Tepi University, Southwestern Ethiopia

Dereje¹,

Hassen²,

Gizaw³

2021

IBPC

View full text Add to dashboard Cite

show abstract

Simple universal cutoff point of waist-height ratio for metabolic risk in Korean children and adolescents

Cited by 1 publication

References 12 publications

Evaluation of Anthropometric Indices for Screening Hypertension Among Employees of Mizan Tepi University, Southwestern Ethiopia

Evaluation of Anthropometric Indices for Screening Hypertension Among Employees of Mizan Tepi University, Southwestern Ethiopia

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