Waist-to-Height Ratio Is a Good Predictor of Metabolic Syndrome in Adolescents: A Report From the Thai National Health Examination Survey V, 2014

Siwarom, Sirinapa; Pirojsakul, Kwanchai; Aekplakorn, Wichai; Paksi, Witchuri; Kessomboon, Pattapong; Neelapaichit, Nareemarn; Chariyalertsak, Suwat; Assanangkornchai, Sawitri; Taneepanichskul, Surasak

doi:10.1177/10105395211046474

Cited by 5 publications

(5 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The values of the WHtR (de ning the degree of central adiposity) included: a ratio of 0.4 to 0.49, indicating no increased health risks while ratio of 0.5 and above were categorized as suggestive of increased health risks 47,49,53 . This cut off values have been associated with high sensitivity (98.5%) and speci city (83.4%) in males (sensitivity (88.9%) and speci city (86.0%) in females) to determination of cardiometabolic syndrome 54 . In the current study, the delity of the WHtR in identifying persons at increased health risk of metabolic risk when compared to BMI was very high and this increased delity was only identi ed among schizophrenia patients treated with olanzapine.…”

Section: Discussionmentioning

confidence: 94%

Waist-Height ratio Highlights Detrimental Risk for Olanzapine Associated Weight Gain Earlier than Body Mass Index.

Ibrahim,

Tajudeen,

Shakirat

et al. 2024

Preprint

View full text Add to dashboard Cite

Patients with psychotic mental disorders, including schizophrenia, often exhibit poor dietary choices and low levels of physical activity, contributing to a higher prevalence of obesity compared to the general population. This study recruited 100 patients diagnosed with schizophrenia who had been receiving Olanzapine antipsychotic medication for at least three months, alongside 100 healthy volunteers for comparison. The average age of the schizophrenia patients was 35.56 ± 9.95 years, with a higher proportion of females in both groups. Our findings revealed significantly higher rates of abnormal Body Mass Index (BMI) (X² = 17.06, P = 0.000036; OR = 4.58, CI = 2.16–9.74) and abnormal waist-height ratio (WHtR) (X² = 35.57, P = 2.46E-9; OR = 6.37, CI = 3.39–12.00) among the schizophrenia patients compared to the healthy volunteers. Notably, BMI identified 43.3% of the schizophrenia patients as having concerning weight changes, whereas WHtR identified 64.7%, indicating that WHtR is a more sensitive measure. This discrepancy means that an additional 21.4% of schizophrenia patients would benefit from weight management guidance based on WHtR rather than BMI. Our results underscore the critical importance of WHtR in assessing adiposity among schizophrenia patients treated with Olanzapine, highlighting its value as a tool for monitoring and managing cardiometabolic risks in this population.

show abstract

Section: Discussionmentioning

confidence: 94%

Waist-Height ratio Highlights Detrimental Risk for Olanzapine Associated Weight Gain Earlier than Body Mass Index.

Ibrahim,

Tajudeen,

Shakirat

et al. 2024

Preprint

View full text Add to dashboard Cite

show abstract

“…As a result, WHtR becomes a simpler index to calculate. Not only for sustained hypertension, WHtR also was reported to perform well to predict metabolic syndrome in a national survey of Thai adolescents ( 45 ).…”

Section: Discussionmentioning

confidence: 99%

Waist-to-height-ratio is associated with sustained hypertension in children and adolescents with high office blood pressure

Nimkarn

Sewarit²,

Pirojsakul³

et al. 2023

Front. Cardiovasc. Med.

Self Cite

View full text Add to dashboard Cite

BackgroundWaist-to-height-ratio (WHtR) has been proposed as another indicator for cardiometabolic risk factors including hypertension. Normally, hypertension can be diagnosed in the office setting by detecting high blood pressure for three occasions. However, patients with high office blood pressure may not exhibit high blood pressure outside the office. Ambulatory blood pressure monitoring (ABPM) is a procedure to measure blood pressure over 24-h. Sustained hypertension is characterized as hypertension detected by both office measurement and ABPM. This study aimed to evaluate the performance of WHtR in the diagnosis of sustained hypertension in patients with high office blood pressure.Materials and methodsDemographic data, height, body weight, body mass index (BMI), and waist circumference were retrospectively reviewed in children and adolescents who underwent ABPM due to persistently high office blood pressure. Patients were separated into two groups: a sustained hypertension group and a normal ABPM group. BMI was adjusted to z-score using the WHO Anthroplus software. WHtR was calculated by the formula: waist circumference (cm)/height (m). The performances of different parameters were analyzed using the receiver operating characteristic (ROC) curve and multivariate logistic regression.ResultsSixty patients (63% male) with a mean age of 12.9 ± 3.7 years had persistently high office blood pressure. Twenty-nine (48.3%) had high ambulatory blood pressure parameters so-called “sustained hypertension.” The sustained hypertension group had a higher mean BMI z-score (2.32 vs. 1.31, p = 0.01) and a higher mean WHtR (57.7 vs. 49.2 cm/m, p < 0.001) than those of the normal ABPM group. For the diagnosis of sustained hypertension, the ROC analysis revealed that WHtR had a greater area under the ROC curve (AUC) than that of BMI z-score (0.772 vs. 0.723). WHtR remained associated with sustained hypertension (OR 1.2, 95% CI 1.022–1.408, p = 0.026) after adjusting for age, gender, and BMI z-score.ConclusionsApart from being a more user-friendly metric, WHtR tended to outperform BMI z-score in predicting sustained hypertension in children and adolescents with persistently high office blood pressure.

show abstract

“…On the other hand, a large American study showed that 34% of adolescents had highrisk WHtR (≥ 0.5) and girls had higher odds of high-risk WHtR compared to boys (OR = 1.46) (9). Many studies showed that in adolescents the cut-off value of WHtR at 0.5 provided good sensitivity and specificity for identifying metabolic syndrome in both genders and indicated a greater risk for death before the age of 55 years (8,26). Although boys in Vojvodina are more abdominally obese, the health promotion policy should focus on both sexes, taking into account potential future cardiometabolic problems.…”

Section: Univariate Logistic Regression Multivariate Logistic Regress...mentioning

confidence: 99%

“…The WHO has established growth standards for children depending on the age and gender (6,7). Additionally, waist circumference (WC) and the waist-to-height ratio (WHtR) are considered effective indicators of abdominal obesity associated with cardiometabolic risk and have been shown to be valid predictors of future chronic diseases (8,9). Overweight and obese adolescents face an increased risk of becoming over-nourished adults.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of obesity and impact of socio-demographic factors on obesity in 15-19 years old adolescents in Vojvodina, Serbia

Petrović,

Čanković

2023

Cent Eur J Public Health

View full text Add to dashboard Cite

Objectives: The aim of this study was to examine the prevalence of overweight/obesity in 15-19 years old adolescents in the Province of Vojvodina, Serbia, and to evaluate the association between obesity and socio-demographic factors.Methods: A cross-sectional study was conducted in high schools in the territory of Vojvodina, Serbia. The sample consisted of 986 high-school students (47.4% girls and 52.6% boys). Body height, body weight, and waist circumference were measured. Obesity was defined as a body mass index (BMI)-for-age value > x ̅ + 2 SD, and overweight as a BMI-for-age value > x ̅ + 1 SD and ≤ x ̅ + 2 SD. Waist-to-height ratio (WHtR) of ≥ 0.5 was considered high risk. Socio-demographic data was collected using a questionnaire developed for this study. Univariate and multivariate logistic regression analyses were implemented.Results: The prevalence of overweight and obesity in adolescents was 19.6% and 10.1%, respectively. Boys were more likely to be obese than girls (OR = 1.87; 95% CI: 1.37-2.56). Adolescents living in suburban areas had a greater chance of obesity compared to those living in urban areas (OR = 1.84; 95% CI: 1.15-2.94), as well as those who attended trade schools compared to gymnasium students (OR = 1.92; 95% CI: 1.20-3.07). The lower level of the father's education was a significant predictor of obesity. Predictors of high-risk WHtR were gender, high school type, and the father's education level.Conclusions: Obesity and abdominal obesity are highly prevalent in adolescents in Vojvodina, more in boys. Gender, community type and the level of the father's education were confirmed as significant factors that influenced both obesity and abdominal obesity. This study could help to customize health promotion policies for adolescents in Vojvodina.

show abstract

Waist-to-Height Ratio Is a Good Predictor of Metabolic Syndrome in Adolescents: A Report From the Thai National Health Examination Survey V, 2014

Cited by 5 publications

References 28 publications

Waist-Height ratio Highlights Detrimental Risk for Olanzapine Associated Weight Gain Earlier than Body Mass Index.

Waist-Height ratio Highlights Detrimental Risk for Olanzapine Associated Weight Gain Earlier than Body Mass Index.

Waist-to-height-ratio is associated with sustained hypertension in children and adolescents with high office blood pressure

Prevalence of obesity and impact of socio-demographic factors on obesity in 15-19 years old adolescents in Vojvodina, Serbia

Contact Info

Product

Resources

About