Excellent Intra and Inter-Observer Reproducibility of Wrist Circumference Measurements in Obese Children and Adolescents

Campagna, Giuseppe; Zampetti, Simona; Gallozzi, Alessia; Giansanti, Sara; Chiesa, Claudio; Pacifico, Lucia; Buzzetti, Raffaella

doi:10.1371/journal.pone.0156646

Cited by 15 publications

(19 citation statements)

References 30 publications

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“…75 More recently, wrist circumference has recently emerged as a new and highly reproducible biomarker of cardiometabolic risk. 76,77 Wrist circumference is indeed strongly and independently associated to insulin resistance, as demonstrated in a large study conducted on more than 400 children and adolescents. 49 Interestingly, the association of metabolic dysfunction with wrist circumference is kept also in overweight/obese adults at high cardiovascular risk, and it is stronger than with waist-to-hip ratio or neck circumference.…”

Section: Wrist Circumferencementioning

confidence: 75%

“…49 Interestingly, the association of metabolic dysfunction with wrist circumference is kept also in overweight/obese adults at high cardiovascular risk, and it is stronger than with waist-to-hip ratio or neck circumference. 71 While this might suggest the hypothesis that the measurement of wrist circumference over the lifespan could be a nonperishable tool 76 to monitor the modification of cardiometabolic risk from childhood to adulthood, Watkins et al failed to show a significant association between wrist circumference in childhood and insulin resistance in adulthood. 52 However, a recent meta-analysis confirmed the association between wrist circumference, metabolic syndrome, and other cardiometabolic risk factors.…”

Section: Wrist Circumferencementioning

confidence: 99%

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Risk factors and predictive biomarkers of early cardiovascular disease in obese youth

Maddaloni

Buzzetti

2019

Diabetes Metabolism Res

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Obesity in childhood and adolescence continues to be a major health issue due to significant health implications and to the economic burden that arise from treating this disease and its complications. Current data show that childhood obesity is no longer just a concern for developed countries, but more significantly affecting developing countries. In adult population, cardiovascular disease is the main cause of mortality and morbidity among obese patients. It is therefore believed that risk factors found in adult patients could also be observed in obese youth. These risk factors will then persist and become progressively worse if obese youth remain obese as they reach adulthood. However, risk reduction is achievable through various prevention and management strategies of obesity and obese children who become nonobese in adulthood have a significant reduction in their risk of developing cardiovascular disease.New biomarkers to improve risk assessment in obese youth are an open research field, which will eventually lead to a more targeted approach in prevention and treatment. Nevertheless, there is still a need for continuous research in understanding the roles of these biomarkers and their potential in risk prediction. Cardiovascular risk modification of childhood obesity depends on a more concerted effort among the various parties involved and particularly a global collaboration to stop the rising prevalence of the epidemic in developing countries.

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Section: Wrist Circumferencementioning

confidence: 75%

Section: Wrist Circumferencementioning

confidence: 99%

Risk factors and predictive biomarkers of early cardiovascular disease in obese youth

Maddaloni

Buzzetti

2019

Diabetes Metabolism Res

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“…10 The high intra and inter-observer reproducibility demonstrated by Campagna G et al suggests that wrist circumference measurement, being safe, non-invasive and repeatable can be easily used in out-patient settings to identify youths with increased risk of insulin-resistance. 15 This can avoid testing the entire population of overweight or obese children for insulin resistance parameters. They found that wrist circumference, in particular its bone component, is highly correlated with measures of insulin-resistance in a population of overweight/obese children and adolescents.…”

Section: Resultsmentioning

confidence: 99%

“…13 The Lister tubercle, a dorsal tubercle of the radius, can be easily palpated at the dorsal aspect of the radius around the level of the ulna head, about 1 cm proximal to the radio carpal joint space. [14][15][16][17] A tension-gated tape measure was used to ensure equivalent tape pressure between subjects. Wrist circumference was measured to the nearest 0.1 cm.…”

Section: Data Collection Methodsmentioning

confidence: 99%

Correlation of wrist circumference with waist circumference and body mass index in adults with early-onset type 2 diabetes mellitus

2019

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Background: Recent studies have shown that wrist circumference is correlated with insulin resistance, obesity and new onset diabetes. Being easy to measure, it may be useful in identifying individuals at risk for cardio- metabolic disorders.Methods: 112 consecutive subjects with new onset type 2 diabetes in the age group 18-44 years were included in the study. Socio demographic characteristics, anthropometric and biochemical measurements were carried out using standard techniques. Pearson product movement Correlation Coefficient was used to find out correlation with other measures of obesity and ROC curve to determine its cut off values.Results: Wrist circumference showed moderate positive correlation with BMI (r+0.389) and waist circumference (r+0.443). The cut off value of wrist circumference when compared with BMI in defining obesity was 16.5cm in male and 15.7 cm in female. The cut off value of wrist circumference with waist circumference in male was 16.2cm.Conclusions: Measurement of wrist circumference may supplement in assessing obesity especially when other measures of obesity like BMI or Waist circumference measurements are difficult or not feasible.

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“…WC is another simple anthropometric measurement, which has a safe and non-invasive method with appropriate intra-and inter-operator reliability (40). In addition, it is related to skeletal frame size, and is not affected by body fat variations (40).…”

Section: Discussionmentioning

confidence: 99%

Association of Neck, Wrist and Hip Circumferences with Kidney Function in Children and Adolescents: The CASPIAN- V Study

Mehrkash¹,

Heshmat²,

Qorbani³

et al. 2019

jpr

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Some evidence exists concerning the relationship between anthropometric measurements and chronic kidney disease. This study aims to investigate the association of neck circumferences (NC), wrist circumferences (WC) and hip (HC) circumferences with kidney function in a pediatric population. Materials and Methods: In this national study, 4.200 students aged 7-18 years were selected by random cluster sampling from 30 provinces of Iran. NC, WC and HC were measured according to standard protocol and were categorized to either low or high according to their age-sex specific median values. The estimated glomerular filtration rate (eGFR) was calculated based on the "updated" Schwartz equation. Results: The response rate was 91.5% (n=3.843). The mean standard deviation of eGFR was 96.71 (19.46), 96.49 (21.69), and 96.59 (20.66) mL/minimum/1.73 m 2 for girls, boys and the total population, respectively. Compared to other participants, those in the high NC group had significantly higher eGFR (102.12±21.31 vs 90.65±18.18, p<0.001) and high creatinine (Cr) (0.66±0.14 vs 0.63±0.11 mg/dL, p<0.001). Individuals categorized as high WC had significantly higher eGFR (102.12±21.31 vs 90.83±18.16, p<0.001) and Cr (0.66±0.15 vs 0.63±0.10) mg/dL, p<0.001). In the multivariate model, high NC, WC and HC were associated with higher eGFR (p<0.001). Moreover, each one-unit (cm) increment in NC, WC and HC increased eGFR by 1.42, 3.24 and 0.46 units, respectively. Conclusion: The findings of this large population-based study suggest that simple anthropometric measurements, such as WC and NCs, can be used in epidemiological studies to determine those children and adolescents that might be at risk of kidney dysfunction.

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Excellent Intra and Inter-Observer Reproducibility of Wrist Circumference Measurements in Obese Children and Adolescents

Cited by 15 publications

References 30 publications

Risk factors and predictive biomarkers of early cardiovascular disease in obese youth

Risk factors and predictive biomarkers of early cardiovascular disease in obese youth

Correlation of wrist circumference with waist circumference and body mass index in adults with early-onset type 2 diabetes mellitus

Association of Neck, Wrist and Hip Circumferences with Kidney Function in Children and Adolescents: The CASPIAN- V Study

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