Waist-to-height ratio: a simple option for determining excess central adiposity in young people
| Autor: | Louise A. Baur, Sarah P. Garnett, Christopher T. Cowell |
|---|---|
| Rok vydání: | 2008 |
| Předmět: |
Blood Glucose
Male medicine.medical_specialty Waist Adolescent Endocrinology Diabetes and Metabolism Medicine (miscellaneous) Body Mass Index Internal medicine medicine Humans Insulin Obesity Risk factor Young adult Triglycerides Adiposity Waist-to-height ratio Nutrition and Dietetics business.industry Cholesterol HDL Circumference medicine.disease Body Height Endocrinology Cardiovascular Diseases Central Adiposity Female Waist Circumference Metabolic syndrome Epidemiologic Methods business Body mass index Demography |
| Zdroj: | International Journal of Obesity. 32:1028-1030 |
| ISSN: | 1476-5497 0307-0565 |
| Popis: | Waist circumference is recommended as a means of identifying people at risk of morbidity associated with central adiposity. Yet, there are no universally agreed cut-points to determine when a waist circumference is too large in young people. In this study we examined the relation between sex- and age-specific waist circumference cut-points, the waist-to-height ratio (WHtR) cut-point of0.5 and cardiovascular disease (CVD) risk clustering in 164 young people, mean age 14.9+/-0.2 years (mean+/-s.d.). In total 19 (11.6%) of the sample were identified as having CVD risk clustering. These young people were significantly (P0.001) heavier and had higher body mass index (BMI) and waist circumference z-scores compared to those without CVD risk clustering. The WHtR cut-point of 0.5 estimated CVD risk clustering to a similar extent to sex- and age-adjusted cut-points for waist circumference and BMI. Young people with excess central adiposity (WHtRor =0.5) were 11 times (OR 11.4, P0.001), more likely to have CVD risk clustering compared to those who did not have excess central adiposity. The WHtR has several advantages; it is easy to calculate, does not require sex- and age-specific centiles and as has been previously suggested, it is a simple message, easily understood by clinicians and families, to 'keep your waist circumference to less than half your height'. |
| Databáze: | OpenAIRE |
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