Waist-to-height ratio, waist circumference and BMI as indicators of percentage fat mass and cardiometabolic risk factors in children aged 3–7 years

Autor: Pieter J. J. Sauer, Anna Sijtsma, Eryn T. Liem, Gianni Bocca, Eva Corpeleijn, Carianne L'Abee
Přispěvatelé: Reproductive Origins of Adult Health and Disease (ROAHD), Lifestyle Medicine (LM)
Jazyk: angličtina
Předmět:
Leptin
Male
Pediatric Obesity
PREDICTION
CHILDHOOD
Overweight
Critical Care and Intensive Care Medicine
Body fat percentage
Body composition
DISEASE
Body Mass Index
Risk Factors
ADOLESCENTS
Electric Impedance
Insulin
Child
INDEX
Adiposity
Waist-to-height ratio
education.field_of_study
Nutrition and Dietetics
Anthropometry
Lipid
Cholesterol
Cardiovascular Diseases
OBESITY
Child
Preschool
Blood pressure
Female
Adiponectin
Waist Circumference
medicine.symptom
Bioelectrical impedance analysis
medicine.medical_specialty
Waist
Population
Risk Assessment
Internal medicine
medicine
Humans
education
Triglycerides
Interleukin-6
Tumor Necrosis Factor-alpha
business.industry
Cholesterol
HDL
nutritional and metabolic diseases
Cholesterol
LDL
medicine.disease
Obesity
REFERENCE VALUES
Body Height
Cross-Sectional Studies
Endocrinology
Linear Models
COULD
business
Body mass index
Zdroj: Clinical Nutrition, 33(2), 311-315. Churchill Livingstone
ISSN: 0261-5614
DOI: 10.1016/j.clnu.2013.05.010
Popis: Objective: To assess whether waist-to-height-ratio (WHtR) is a better estimate of body fat percentage (BF %) and a better indicator of cardiometabolic risk factors than BMI or waist circumference (WC) in young children.Methods: WHtR, WC and BMI were measured by trained staff according to standardized procedures. (H2O)-H-2 and (H2O)-H-2-O-18 isotope dilution were used to assess BF% in 61 children (3-7 years) from the general population, and bioelectrical impedance (Horlick equation) was used to assess BF% in 75 overweight/obese children (3-5 years). Cardiometabolic risk factors, including diastolic and systolic blood pressure, HOMA2-IR, leptin, adiponectin, triglycerides, total cholesterol, HDL- and LDL-cholesterol, TNF alpha and IL-6 were determined in the overweight/obese children.Results: In the children from the general population, after adjustments for age and gender, BMI had the highest explained variance for BF% compared to WC and WHtR (R-2 = 0.32, 0.31 and 0.23, respectively). In the overweight/obese children, BMI and WC had a higher explained variance for BF% compared to WHtR (R-2 = 0.68, 0.70 and 0.50, respectively). In the overweight/obese children, WHtR, WC and BMI were all significantly positively correlated with systolic blood pressure (r = 0.23, 0.30, 0.36, respectively), HOMA2-IR (r = 0.53, 0.62, 0.63, respectively), leptin (r = 0.70, 0.77, 0.78, respectively) and triglycerides (r = 0.33, 0.36, 0.24; respectively), but not consistently with other parameters.Conclusion: In young children, WHtR is not superior to WC or BMI in estimating BF%, nor is WHtR better correlated with cardiometabolic risk factors than WC or BMI in overweight/obese children. These data do not support the use of WHtR in young children. (C) 2013 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights reserved.
Databáze: OpenAIRE
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