Abstract:
BACKGROUND:Few studies have assessed how well body mass index (BMI), waist circumference (WC), or waist to height ratio (WtHR) perform in identifying cardio-metabolic risk among youth. OBJECTIVE:The objective of this study was to evaluate the utility of BMI and WC percentiles and WtHR to distinguish adolescents with and without cardio-metabolic risk. METHODS:A cross-sectional analysis of data from 6097 adolescents aged 10-13 years who participated in the HEALTHY study was conducted. Receiver operating characteristic curves determined the discriminatory ability of BMI and WC percentiles and WtHR. RESULTS:The discriminatory ability of BMI percentile was good (area under the curve [AUC] ≥ 0.80) for elevated insulin and clustering of ≥3 risk factors, with optimal cut-points of 96 and 95, respectively. BMI percentile performed poor to fair (AUC = 0.57-0.75) in identifying youth with the majority of individual risk factors examined (elevated glucose, total cholesterol, low-density lipoprotein, blood pressure, triglycerides and high-density lipoprotein). WC percentile and WtHR performed similarly to BMI percentile. CONCLUSIONS:The current definition of obesity among US children performs well at identifying adolescents with elevated insulin and a clustering of ≥3 cardio-metabolic risk factors. Evidence does not support WC percentile or WtHR as superior screening tools compared with BMI percentile for identifying cardio-metabolic risk.
journal_name
Pediatr Obesjournal_title
Pediatric obesityauthors
Bauer KW,Marcus MD,El ghormli L,Ogden CL,Foster GDdoi
10.1111/ijpo.267subject
Has Abstractpub_date
2015-10-01 00:00:00pages
329-37issue
5eissn
2047-6302issn
2047-6310journal_volume
10pub_type
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journal_title:Pediatric obesity
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journal_title:Pediatric obesity
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journal_title:Pediatric obesity
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journal_title:Pediatric obesity
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journal_title:Pediatric obesity
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journal_title:Pediatric obesity
pub_type: 杂志文章
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journal_title:Pediatric obesity
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journal_title:Pediatric obesity
pub_type: 杂志文章,随机对照试验
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journal_title:Pediatric obesity
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