Waist-to-Height Ratio: A simple, effective and practical screening tool for childhood obesity and metabolic syndrome

Zhou, Dan; Yang, Min; Yuan, Zhao-Feng; Zhang, Dandan; Li, Liang; Wang, Chunlin; Zhang, Shuai; Zhu, Hong-Hong; Lai, Maode; Zhu, Yu

doi:10.1016/j.ypmed.2014.06.025

Cited by 61 publications

(78 citation statements)

References 33 publications

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“…In Korean children aged 6–18 years, the WHtR cutoffs for overweight (85th percentile≤BMI<95th percentile) were 0.48 in boys and 0.47 in girls and those for obesity (BMI≥95 percentile) were 0.51 in boys and 0.49 in girls42). In Chinese children aged 7–17 years, the optimal WHtR cutoffs for identifying those with general and central obesity were 0.47 in boys and 0.45 in girls43).…”

Section: Optimal Whtr Cutoffmentioning

confidence: 96%

Waist-to-height ratio as a screening tool for obesity and cardiometabolic risk

2016

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The waist-to-height ratio (WHtR), calculated by dividing the waist circumference (WC) by height, has recently gained attention as an anthropometric index for central adiposity. It is an easy-to-use and less age-dependent index to identify individuals with increased cardiometabolic risk. A WHtR cutoff of 0.5 can be used in different sex and ethnic groups and is generally accepted as a universal cutoff for central obesity in children (aged ≥6 years) and adults. However, the WHtR has not been validated in preschool children, and the routine use of WHtR in children under age 6 is not recommended. Prospective studies and meta-analysis in adults revealed that the WHtR is equivalent to or slightly better than WC and superior to body mass index (BMI) in predicting higher cardiometabolic risk. In children and adolescents, studies have shown that the WHtR is similar to both BMI and WC in identifying those at an increased cardiometabolic risk. Additional use of WHtR with BMI or WC may be helpful because WHtR considers both height and central obesity. WHtR may be preferred because of its simplicity and because it does not require sex- and age-dependent cutoffs; additionally, the simple message 'keep your WC to less than half your height' may be particularly useful. This review article summarizes recent publications on the usefulness of using WHtR especially when compared to BMI and WC as a screening tool for obesity and related cardiometabolic risks, and recommends the use of WHtR in clinical practice for obesity screening in children and adolescents.

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Section: Optimal Whtr Cutoffmentioning

confidence: 96%

Waist-to-height ratio as a screening tool for obesity and cardiometabolic risk

2016

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“…This investigation was conducted in 2010 on the students aged 7e17 years in China and has been described in detail previously [29]. The study protocols were approved by the Research Ethics Committees at School of Public Health and Medical Ethics Committees at the Children's Hospital of the Zhejiang University College of Medicine.…”

Section: Subjectmentioning

confidence: 99%

“…Anthropometric indices, including weight, height, and waist circumference (WC), were measured by well-trained investigators, after a standard protocol [29]. Height and weight were measured with the participants wearing light clothing and without shoes.…”

Section: Anthropometric Measurementsmentioning

confidence: 99%

Possible role of birth weight on general and central obesity in Chinese children and adolescents: a cross-sectional study

Yuan¹,

Yang²,

Liang³

et al. 2015

Annals of Epidemiology

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“…Some studies support the cut-off point established before (5,(8)(9)(10)(11)(12)(13), while other authors report different values in children and adolescents of diverse populations (1,(14)(15)(16)18), whose values are slightly below or above to the previously described.…”

Section: Introductionmentioning

confidence: 65%

“…However, some authors have questioned the applicability of this cut-off point as a universal indicator of CMRFs, arguing some significant differences observed amongst sex, races and ages (1,14,15,34). On the contrary, other studies have not found significant differences in their populations (8)(9)(10)(11)(12)(13), attributing this characteristic to the division between waist circumference and height, which minimizes these differences (5).…”

Section: Discussionmentioning

confidence: 99%

Waist-To-Height Ratio and its relation with cardiometabolic risk factors in children from Bucaramanga, Colombia.

Delgado¹,

Urrego²,

Quintero-Lesmes

2017

Nutr Hosp

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Gamboa-Delgado EM, Domínguez-Urrego CL, Quintero-Lesmes DC. Waist-to-height ratio and its relation with cardiometabolic risk factors in children from Bucaramanga, Colombia. Nutr Hosp 2017;34:1338- Child. Metabolic syndrome X. Waistheight ratio. Palabras clave:Niño. Síndrome X metabólico. Índice cintura-talla. ResumenIntroducción: en la actualidad, el índice de cintura-talla (ICT) ha emergido como un indicador práctico y útil en la detección del riesgo cardiometabólico en población infantil y adolescente. Objetivo: evaluar la asociación entre el índice de cintura-talla y los factores de riesgo cardiometabólicos (FRCM) en una cohorte de niños de Bucaramanga, Colombia. Metodología: estudio de corte transversal analítico anidado en una cohorte poblacional. Población infantil entre 6-10 años de Bucaramanga (n = 1.282). Variables dependientes: hipertensión arterial, pre-hipertensión arterial, sobrepeso/obesidad, glucosa alterada, resistencia a la insulina, y dislipidemia. Principal variable independiente: índice cintura-talla. La asociación entre variables dependientes y las independientes fue evaluada mediante modelos de regresión binomial. Resultados: el 9,77% de los niños presentó un índice cintura-talla de riesgo (IC 95%: 8,19% a 11,52%). Al ajustar por edad, sexo, nivel socio económico y actividad física, el índice cintura-talla de riesgo resultó asociado significativamente con menores niveles de HDL y mayores niveles de triglicéridos, resistencia a la insulina, hipertensión arterial y prehipertensión (RP = 2,46 IC 95%: 1,70 a 3,55, p = 0,000, RP = 2,24 IC 95%: 1,50 a 3,35, p = 0,000, RP = 9,39 IC 95%: 5,40 a 16,30, p = 0,000, RP = 8,03 IC 95%: 2,01 a 32,07, p = 0,003 y RP = 2,67 IC 95%: 1,60 a 4,47, p = 0,000, respectivamente). Conclusión: los niños con un índice de cintura-talla de riesgo presentaron mayor probabilidad de desarrollar niveles elevados de presión arterial y triglicéridos, resistencia a la insulina y menores niveles de HDL. AbstractBackground: Currently, the waist-to-height ratio (WHtR) has emerged as a practical and useful indicator for identifying cardiometabolic risk in child and adolescent population. Objective: To evaluate the association between the WHtR and cardiometabolic risk factors (CMRFs) in a cohort of children in Bucaramanga, Colombia. Methods: Analytical cross-sectional study. Child population between 6-10 years old from Bucaramanga (n = 1,282). Dependent variables: hypertension, pre-hypertension, overweight/obesity, impaired glucose, insulin resistance and dyslipidemia. Main independent variable: waist-toheight ratio. The association between dependent and independent variables was evaluated using binomial regression models. Results: 9.77% of the children presented a WHtR of risk (95% CI: 8.19% to 11.52%). After adjustment for age, sex, socioeconomic status and physical activity, the WHtR of risk was significantly associated with lower HDL levels and higher levels of triglycerides, insulin resistance, hypertension and pre-hypertension (PR = 2.46 95% CI :1.70 a 3.55, p = 0.000, PR = ...

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Waist-to-Height Ratio: A simple, effective and practical screening tool for childhood obesity and metabolic syndrome

Cited by 61 publications

References 33 publications

Waist-to-height ratio as a screening tool for obesity and cardiometabolic risk

Waist-to-height ratio as a screening tool for obesity and cardiometabolic risk

Possible role of birth weight on general and central obesity in Chinese children and adolescents: a cross-sectional study

Waist-To-Height Ratio and its relation with cardiometabolic risk factors in children from Bucaramanga, Colombia.

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