Waist circumference to height ratio in children and adolescents.

Abstract:

BACKGROUND:Waist circumference (WC) to height ratio (WC/HT) is used as a measure of central obesity. However, the optimum ratio that will separate populations with high from low cardiovascular risk remains controversial. This investigation evaluates an optimum WC/HT value to define central obesity in children. METHODS:The sensitivity and specificity of WC/HT in 649 children (age 2-18 years) without evidence of heart disease were analyzed for WC and for body mass index (BMI). RESULTS:A WC/HT ≥0.5 resulted in sensitivity:specificity of 99%:72% for detecting central obesity and 83%:77% for detecting overweight (BMI ≥85th percentile) subjects. A value of WC/HT ≥0.55 yielded sensitivity:specificity of 80%:96% for detecting central obesity and 75%:94% for detecting subjects with obesity (BMI ≥95th percentile). CONCLUSIONS:The use of WC/HT between ≥0.5 and <0.55 identified subjects at-risk for central obesity and WC/HT ≥0.55 identified central obesity with a high probability.

journal_name

Clin Pediatr (Phila)

journal_title

Clinical pediatrics

authors

Mehta SK

doi

10.1177/0009922814557784

subject

Has Abstract

pub_date

2015-06-01 00:00:00

pages

652-8

issue

7

eissn

0009-9228

issn

1938-2707

pii

0009922814557784

journal_volume

54

pub_type

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