A systematic review of waist-to-height ratio as a screening tool for the prediction of cardiovascular disease and diabetes: 0·5 could be a suitable global boundary value

Browning, Lucy M.; Hsieh, Shiun Dong; Ashwell, Margaret

doi:10.1017/s0954422410000144

Cited by 1,065 publications

(1,032 citation statements)

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“…Based on results for the association between WHtR and cardiometabolic risk in adults, a cutoff for WHtR of 0.5 is recommended. 13 Indeed, WHtR has been reported as a better indicator of risk for CVD than BMI or WC. 3,4 Moreover, the message of "keep your waist to less than half your height" is attractive for public health policy.…”

Section: Influence Of Demographic Factors On Abdominal Obesity Among mentioning

confidence: 99%

Trends in Abdominal Obesity Among US Children and Adolescents

Xi¹,

Zhao³

et al. 2014

Pediatrics

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BACKGROUND AND OBJECTIVE: Previous studies have shown that the prevalence of abdominal obesity among US children and adolescents increased significantly between 1988 to 1994 and 2003 to 2004. However, little is known about time trends in abdominal obesity since 2003 to 2004. This study was designed to provide updated national estimates of childhood abdominal obesity and examine the trends in childhood abdominal obesity from 2003 to 2012. METHODS: Data were from the National Health and Nutrition Examination Survey (NHANES), conducted during 5 time periods (2003–2004, 2005–2006, 2007–2008, 2009–2010, and 2011–2012). A total of 16 547 US children and adolescents aged 2 to 18 years were included. Abdominal obesity is defined as a waist circumference (WC) greater than or equal to the gender- and age-specific 90th percentile based on data from NHANES III (1988–1994) or a waist/height ratio (WHtR) ≥0.5 RESULTS: In 2011 to 2012, 18.87% of children and adolescents aged 2 to 18 years were abdominally obese as defined by WC; 33.29% of those aged 6 to 18 years were abdominally obese as defined by WHtR. Mean WC and WHtR and the prevalence of abdominal obesity remained stable between 2003 to 2004 and 2011 to 2012, independent of gender, age, and race or ethnicity. However, abdominal obesity decreased across survey years among non-Hispanic white children. CONCLUSIONS: The prevalence of abdominal obesity leveled off among US children and adolescents between 2003 to 2004 and 2011 to 2012.

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Section: Influence Of Demographic Factors On Abdominal Obesity Among mentioning

confidence: 99%

Trends in Abdominal Obesity Among US Children and Adolescents

Xi¹,

Zhao³

et al. 2014

Pediatrics

View full text Add to dashboard Cite

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“…All blood samples were taken to the Dokuz Eylul University Central Laboratory and an Abbott Architect c16000 auto-analyser was used with its original kits for analyses of blood glucose and serum lipids. Standard blood pressure measurements were taken by skilled physicians and nurses using a validated mercury sphygmomanometer from patients at rest (5-10 min) (24)(25)(26) ; WHR $0?90 (men), $0?85 (women) (27) ; and WHtR $0?5 (2,8,14) .…”

Section: Variablesmentioning

confidence: 99%

Waist:height ratio: a superior index in estimating cardiovascular risks in Turkish adults

Meseri

Uçku

Unal

2013

Public Health Nutr.

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Objective: To determine the best anthropometric measurement among waist: height ratio (WHtR), BMI, waist:hip ratio (WHR) and waist circumference (WC) associated with high CHD risk in adults and to define the optimal cut-off point for WHtR. Design: Population-based cross-sectional study. Setting: Balcova, Izmir, Turkey. Subjects: Individuals (n 10 878) who participated in the baseline survey of the Heart of Balcova Project. For each participant, 10-year coronary event risk (Framingham risk score) was calculated using data on age, sex, smoking status, blood pressure, serum lipids and diabetes status. Participants who had risk higher than 10 % were defined as 'medium or high risk'. Results: Among the participants, 67?7 % were female, 38?2 % were obese, 24?5 % had high blood pressure, 9?2 % had diabetes, 1?5 % had undiagnosed diabetes ($126 mg/dl), 22?0 % had high total cholesterol and 45?9 % had low HDLcholesterol. According to Framingham risk score, 32?7 % of them had a risk score higher than 10 %. Those who had medium or high risk had significantly higher mean BMI, WHtR, WHR and WC compared with those at low risk. According to receiver-operating characteristic curves, WHtR was the best and BMI was the worst indicator of CHD risk for both sexes. For both men and women, 0?55 was the optimal cut-off point for WHtR for CHD risk. Conclusions: BMI should not be used alone for evaluating obesity when estimating cardiometabolic risks. WHtR was found to be a successful measurement for determining cardiovascular risks. A cut-off point of '0?5' can be used for categorizing WHtR in order to target people at high CHD risk for preventive actions.

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“…Waist circumference (WC) is an alternative to BMI for indicating not only obesity risk but also obesityrelated disease risk (12)(13)(14) , and when coupled with BMI predicts health risk better than BMI alone (15) . It is used to determine centralized distribution of adipose tissue, but there are differences in body composition between different age groups and races which makes it difficult to define universal cut-off points (16) . Waist-to-height ratio (WHtR) is another proxy of central obesity that corrects WC for the height of an individual since WC may over-or underestimate risk for tall or short individuals with similar WC (16) .…”

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confidence: 99%

Comparison of different anthropometric measures in the adult population in Serbia as indicators of obesity: data from the National Health Survey 2013

Maksimović¹,

Rakić²,

Vlajinac³

et al. 2016

Public Health Nutr.

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Objective: The present study aimed to compare different indicators of obesity in the Serbian adult population. Design: Cross-sectional study. A stratified, two-stage, national-representative random sampling approach was used for the selection of the survey sample. Data sources were questionnaires created according to the European Health Interview Survey questionnaire. Measurements of weight, height and waist circumference (WC) were performed using standard procedures. Anthropometric measures included BMI, WC and waist-to-height ratio (WHtR). Setting: Data for the study were obtained from the 2013 National Health Survey, performed in line with the EUROSTAT recommendations for performance of the European Health Interview Survey. Subjects: Adults aged ≥20 years. Results: According to BMI, out of the whole studied population (12 460 adults of both sexes) 2·4 % were underweight, 36·4 % overweight and 22·4 % obese. Using WC and WHtR as measures of adiposity showed that 22·5 % and 42·8 % of participants were overweight and 39·8 % and 25·3 % were obese, respectively. Men and women differed significantly in all variables observed. Overweight was more frequent in men and obesity in women regardless of adiposity measure used. Conclusions: In spite of strong correlations between BMI, WC and WHtR, substantial discrepancies between these three measures in the assessment of overweight and obesity were found, especially in some age groups. Which of these anthropometric measures should be used, or whether two or all three of them should be applied, depends on their associations with cardiovascular or some other disease of interest. Keywords Anthropometric measuresObesity Adults Cross-sectional study Overweight and obesity are increasing in prevalence, representing a growing public health problem worldwide. According to WHO estimates, more than 50 % of the adult population in the WHO European Region is overweight and more than 20 % is clinically obese (1) . Data from the National Health Survey in 2013 show that 56·3 % of the adult population in Serbia (≥20 years old) is overweight, subdivided as 35·1 % pre-obese (BMI = 25·0-29·9 kg/m 2 ) and 21·2 % obese (BMI ≥ 30·0 kg/m 2 ) (2) . Obesity, and in particular abdominal obesity, predisposes people to a series of risk factors for chronic non-communicable diseases. It is often associated with conditions such as dyslipidaemia, arterial hypertension, insulin resistance and diabetes, which contribute to the occurrence of cardio-and cerebrovascular events (3,4) . These chronic non-communicable diseases account for the highest burden of disease in Serbia (5) .Different anthropometric methods are used for the assessment of excess body fat. BMI is an index widely used to diagnose obesity and to identify patients at increased risk of adiposity-related adverse health outcomes. Guidelines generally suggest that those within the

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A systematic review of waist-to-height ratio as a screening tool for the prediction of cardiovascular disease and diabetes: 0·5 could be a suitable global boundary value

Cited by 1,065 publications

References 105 publications

Trends in Abdominal Obesity Among US Children and Adolescents

Trends in Abdominal Obesity Among US Children and Adolescents

Waist:height ratio: a superior index in estimating cardiovascular risks in Turkish adults

Comparison of different anthropometric measures in the adult population in Serbia as indicators of obesity: data from the National Health Survey 2013

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