The association between a body shape index and cardiovascular risk in overweight and obese children and adolescents

Mameli, Chiara; Krakauer, Nir Y.; Krakauer, Jesse C.; Bosetti, Alessandra; Ferrari, Chiara; Moiana, Norma; Schneider, Laura; Borsani, Barbara; Genoni, Teresa; Zuccotti, Gianvincenzo

doi:10.1371/journal.pone.0190426

Cited by 43 publications

(36 citation statements)

References 38 publications

(35 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Yet, the newly corrected ABSI was neither correlated to adolescents’ BP nor significantly differentiated to those with high BP, after adjusting for BMI 19. Likewise, recent studies of adolescents failed to obtain significant association between ABSI and BP 56 57. Similar results were found in adults whereby ABSI had the smallest OR and AUC for the prediction of hypertension 58…”

Section: Discussionmentioning

confidence: 74%

Comparisons of body mass index, waist circumference, waist-to-height ratio and a body shape index (ABSI) in predicting high blood pressure among Malaysian adolescents: a cross-sectional study

2020

View full text Add to dashboard Cite

ObjectiveTo compare the performance of different anthropometric indices including body mass index (BMI), waist circumference (WC), waist-to-height ratio (WHtR) and a body shape index to predict high blood pressure (BP) in adolescents using the 90th and 95th percentiles as two different thresholds.DesignCross-sectional study.SettingProbability proportionate to size was used to randomly select two schools in Selangor state, Malaysia.ParticipantsA total of 513 adolescents (58.9% women and 41.1% men) aged 12–16 years were recruited.Primary and secondary outcome measuresWeight, height, WC and BP of the adolescents were measured. The predictive power of anthropometric indices was analysed by sex using the receiver operating characteristic curve.ResultsBMI and WHtR were the indices with higher areas under the curve (AUCs), yet the optimal cut-offs to predict high BP using the 95th percentile were higher than the threshold for overweight/obesity. Most indices showed poor sensitivity under the suggested cut-offs. In contrast, the optimal BMI and WHtR cut-offs to predict high BP using the 90th percentile were lower (men: BMI-for-age=0.79, WHtR=0.46; women: BMI-for-age=0.92, WHtR=0.45). BMI showed the highest AUC in both sexes but had poor sensitivity among women. WHtR presented good sensitivity and specificity in both sexes.ConclusionsThese findings suggested that WHtR might be a useful indicator for screening high blood pressure risk in the routine primary-level health services for adolescents. Future studies are warranted to involve a larger sample size to confirm these findings.

show abstract

Section: Discussionmentioning

confidence: 74%

Comparisons of body mass index, waist circumference, waist-to-height ratio and a body shape index (ABSI) in predicting high blood pressure among Malaysian adolescents: a cross-sectional study

2020

View full text Add to dashboard Cite

show abstract

“…Obesity is one of the most serious international health concerns. Prevalence of childhood obesity is increasing worldwide and its rates in Italy are among the highest (36% for boys and 34% for girls) [1,2]. Obesity is considered a multifactorial aetiology disease, which seems to be genetically based, but requires environmental, psychological and social influences to exhibit [3].…”

Section: Introductionmentioning

confidence: 99%

Taste perception and oral microbiota are associated with obesity in children and adolescents

et al. 2019

Self Cite

View full text Add to dashboard Cite

Obesity in childhood and adolescence is considered the most prevalent nutritional disorder, in which eating behaviours represent one important factors of influence. Many aspects influence eating behaviours, but taste is considered the main predictor. However, data concerning correlations of obesity, taste sensitivity and behavioural attitudes, such as food neophobia, in children and adolescents are inconsistent. Moreover, it has been suggested that oral bacteria could have a possible role in obesity development and, also, in taste perception. In this context, the present study focused on host related factors with a proposed link to weight gain. To this purpose, taste sensitivity, salivary microbiota composition and food neophobia were compared between children and adolescents with and without obesity in a cross-sectional study. Results showed that children with obesity presented a significantly lower ability in correctly identifying taste qualities and were characterized by a lesser number of Fungiform Papillae (reported as FP/cm2) compared to normal-weight subjects. Differences in the ecological indexes of microbial alpha-diversity was found between subjects with obesity and normal-weight ones. Moreover, independently from nutritional status, some bacterial genera seemed to differ between subjects with different sensitivity. The potentiality of this multidisciplinary approach could help to better understand and deepen the sensory-driven and microbiological factors related to weight gain.

show abstract

“…According to Bloch et al 18 the fraction of hypertension attributed to excessive weight is close to 18%. In this scenario, abdominal obesity has been associated with the development of cardiovascular diseases 20 . Therefore, WHtR has become a more present indicator in studies regarding the associations between excessive weight and hypertension, dyslipidemia and type 2 diabetes 21 .…”

Section: Discussionmentioning

confidence: 99%

Blood pressure responses to the Cold Pressor Test according to body mass index and waist-to-height ratio in adolescents

et al. 2020

View full text Add to dashboard Cite

Objectives: to analyze the blood pressure (BP) values and responses to the Cold Pressor Test (CPT) according to the body mass index (BMI) and the waist-to-height ratio (WHtR). Methods: 166 adolescents of both sexes participated in the study. Participants underwent measurements of body mass, height and waist circumference. BMI and WHtR were calculated. BP was measured before (pre-test), during (test) and after CPT (recovery). The groups were compared using a mixed ANOVA with Bonferroni post hoc, and Odds Ratio calculation. The level of significance was p < 0.05. Results: prevalences of 16.9% of high BMI, 19.9% of increased WHR and 8.4% of pretest BP were found above the recommended. Participants with high BMI had increased systolic BP compared to their normal peers (113.0 ± 11.4 vs. 121.7 ± 11.6 mmHg; p = 0.003). Adolescents with elevated WHR had higher pre-test and recovery systolic BP (pre-test: 113.2 ± 11.4 vs. 119.6 ± 12.7 mmHg; p = 0.021; recovery: 111.9 ± 14.1 vs. 117.4 ± 14.0 mmHg; p = 0.044). Finally, individuals with BMI and WHtR above the recommended had 2.1 (95% CI 0.62 - 7.36) and 2.5 (95% CI 0.77 - 7.91) times, respectively, more likely to have high pre-test BP values. Conclusion: adolescents with increased BMI and WHtR have higher BP values compared to their normal peers.

show abstract

The association between a body shape index and cardiovascular risk in overweight and obese children and adolescents

Cited by 43 publications

References 38 publications

Comparisons of body mass index, waist circumference, waist-to-height ratio and a body shape index (ABSI) in predicting high blood pressure among Malaysian adolescents: a cross-sectional study

Comparisons of body mass index, waist circumference, waist-to-height ratio and a body shape index (ABSI) in predicting high blood pressure among Malaysian adolescents: a cross-sectional study

Taste perception and oral microbiota are associated with obesity in children and adolescents

Blood pressure responses to the Cold Pressor Test according to body mass index and waist-to-height ratio in adolescents

Contact Info

Product

Resources

About