TITLE

Waist Circumference to Height Ratio in Children and Adolescents

AUTHOR(S)
Mehta, Sudhir Ken
PUB. DATE
June 2015
SOURCE
Clinical Pediatrics;Jun2015, Vol. 54 Issue 7, p652
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
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.
ACCESSION #
102634122

 

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