Diagnostic Performance of Waist Circumference Measurements for Predicting Cardiometabolic Risk in Mexican Children

López-González, Desirée; Miranda-Lora, América Liliana; Klünder-Klünder, Miguel; Queipo-García, Gloria Eugenia; Bustos-Esquivel, Mayra A.; Paez-Villa, M.; Villanueva-Ortega, Eréndira; Chávez-Requena, I.; Laresgoiti-Servitje, Estibalitz; Garibay-Nieto, Nayely

doi:10.4158/ep161291.or

Cited by 20 publications

(17 citation statements)

References 21 publications

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“…A WHtR of ≥0.5 has been recommended as a suitable cut‐off value for predicting CMR , but its specificity may be lower in paediatric populations . Some findings have suggested that racial‐specific WHtR cut‐offs should be developed and WHtR values ranging from 0.44 to 0.5 have been shown to predict CMR factors among different races .…”

Section: Discussionmentioning

confidence: 99%

Waist‐to‐height ratio remains an accurate and practical way of identifying cardiometabolic risks in children and adolescents

et al. 2018

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Section: Discussionmentioning

confidence: 99%

Waist‐to‐height ratio remains an accurate and practical way of identifying cardiometabolic risks in children and adolescents

et al. 2018

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“…Despite the utility of WHtR to screen for cardio-metabolic risk factors in children and its practical advantages in measurement and interpretation, its use is still limited to research purposes without a widespread use in the clinical and population settings. In Mexico, few studies have evaluated the utility of this index as a predictor of cardio-metabolic risk factors compared to WC and/or BMI in pediatric population [22,23,24]; additionally, to our knowledge, there is no study comparing the performance of these three methods in detecting cardio-metabolic risks factors accounting for relevant dietary indicators that may influence this association and contribute to the inconsistences observed regarding the superiority of WHtR over WC in diverse populations [21]. The aim of this study was to evaluate the association of WHtR and WC as indicators of abdominal adiposity, and BMI as an indicator of general adiposity, with lipidic and non-lipidic cardio-metabolic risk factors and their prediction capability, in a sample of school-aged Mexican children, considering the effect of key dietary indicators.…”

Section: Introductionmentioning

confidence: 99%

Performance of Waist-To-Height Ratio, Waist Circumference, and Body Mass Index in Discriminating Cardio-Metabolic Risk Factors in a Sample of School-Aged Mexican Children

et al. 2018

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The most common tools used to screen for abdominal obesity are waist circumference (WC) and waist-to-height ratio (WHtR); the latter may represent a more suitable tool for the general non-professional population. The objective of this study was to evaluate the association of WHtR, WC, and body mass index with lipidic and non-lipidic cardio-metabolic risk factors and the prediction capability of each adiposity indicator in a sample of school-aged Mexican children. Overall, 125 children aged 6 to 12 years were analyzed. Anthropometric, biochemical, and dietary parameters were assessed. Receiving operating characteristic (ROC) analysis and univariate and multivariate linear and logistic regression analyses were performed. All the three adiposity indicators showed significant areas under the ROC curve (AURC) greater than 0.68 for high low-density lipoprotein cholesterol (LDL-c), triglycerides, and atherogenic index of plasma, and low high-density lipoprotein cholesterol (HDL-c). A significant increased risk of having LDL-c ≥ 3.4 mmol/L was observed among children with WHtR ≥ 0.5 as compared to those with WHtR < 0.5 (odds ratio, OR: 2.82; 95% confidence interval, CI: 0.75–7.68; p = 0.003). Fasting plasma glucose was not associated with any of the adiposity parameters. WHtR performed similarly to WC and z-BMI in predicting lipidic cardio-metabolic risk factors; however, a WHtR ≥ 0.5 was superior in detecting an increased risk of elevated LDL-c.

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“…Existen estudios que muestran que el ICE y la CC. son un buen indicador de enfermedad cardiovascular (López-González, 2016;Ma, 2016), sin embargo, la Organización Mundial de la salud utiliza la CC. o el IMC para la población en general para definir obesidad y el riesgo metabólico (WHO, 2008).…”

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Relación del índice cintura-talla (ICT) con cintura e Índice de Cintura Cadera como predictor para obesidad y riesgo metabólico en adolescentes de secundaria

Ugalde

García

Gaytán-Hernández

et al. 2020

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Introducción: El sobrepeso y obesidad en adolescentes son un problema nutricional, el aumento en la prevalencia combinada es preocupante por los efectos adversos del exceso del peso en salud. El Índice cintura Talla (ICT) ≥0.5 es aceptado como un punto de corte universal y puede ser utilizado para predecir obesidad abdominal/riesgo cardiovascular. Objetivo: Identificar el riesgo de obesidad/riesgo metabólico mediante ICT comparando las medidas antropométricas circunferencia cintura (CC.) e Índice de Cintura Cadera (ICC.) en adolescentes. Material y Método: Se estudiaron 378 adolescentes de 11-17 años, se diagnosticó obesidad abdominal un ICT ≥0.5. Se determinó sensibilidad, especificidad, valor predictivo positivo y negativo, área bajo la curva e intervalo de confianza con base a ICT, CC. y ICC para detectar obesidad, comparándolos y determinar mejor validez para diagnostico en adolescentes. Resultados: El ICT ≥0.5 se observó en 122 (32.7%) adolescentes con un promedio de 0.47±0.07, siendo el predominio en género masculino con 63(51.6%), difiriendo del género femenino con 59(48.4%). Presentando ICT una sensibilidad del 95% y especificidad 77%. Conclusiones: El ICT ≥0.5 es una medida sensible para identificar obesidad en adolescentes y encontrar relación con riesgo metabólico pudiendo ser utilizada de diagnóstico en adolescentes.

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Diagnostic Performance of Waist Circumference Measurements for Predicting Cardiometabolic Risk in Mexican Children

Cited by 20 publications

References 21 publications

Waist‐to‐height ratio remains an accurate and practical way of identifying cardiometabolic risks in children and adolescents

Waist‐to‐height ratio remains an accurate and practical way of identifying cardiometabolic risks in children and adolescents

Performance of Waist-To-Height Ratio, Waist Circumference, and Body Mass Index in Discriminating Cardio-Metabolic Risk Factors in a Sample of School-Aged Mexican Children

Relación del índice cintura-talla (ICT) con cintura e Índice de Cintura Cadera como predictor para obesidad y riesgo metabólico en adolescentes de secundaria

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