Waist-to-height ratio remains an accurate and practical way of identifying cardiometabolic risks in children and adolescents

2018 ◽  
Vol 107 (9) ◽  
pp. 1629-1634 ◽  
Author(s):  
Yuan Jiang ◽  
Ya-lan Dou ◽  
Feng Xiong ◽  
Lan Zhang ◽  
Gao-hui Zhu ◽  
...  
2020 ◽  
Vol 35 (2) ◽  
pp. 111-118
Author(s):  
Md Rizwanul Ahsan ◽  
Sabrina Makbul ◽  
Probir Kumar Sarkar

Background: Now a days unhealthy lifestyle primarily responsible for the dramatic increase obesity among children and adolescents. Objective: The purpose of the study is to see the effects of a multidisciplinary lifestyle intervention to reduce obese children and adolescents. The main outcome was cardiometabolic risk based on the waist-to-height ratio (WHTR) measurement. Secondary outcomes were (1) changes in body composition; (2) adherence to a Mediterranean diet; and (3) physical performance. Methods: The study involved 64 overweight/obese children or adolescents conducted at Dhaka Shishu Hospital from October 2017 to September 2018. The intervention was multidisciplinary including nutrition, exercise, and psychological aspects based on a family-based approach; it was delivered for six months for children and three months for adolescents. Before and after the intervention, several anthropometric measures height, body weight, body mass index (BMI), waist circumference, and body composition, cardiometabolic risk index waist-to-height ratio (WHTR), and dietary habits of the participants and their families were evaluated. In addition, a set of functional motor fitness tests was performed to evaluate physical performance measures. Results: After the intervention both children and adolescents showed a significant reduction in body weight, BMI, waist circumference, fat mass, and WHTR index and an improvement of fat-free mass, adherence to the Mediterranean diet, and physical fitness performance. Conclusion: A short term family-based multidisciplinary approach is effective in ameliorating the health status, dietary habits, and physical performance in children and adolescents. DS (Child) H J 2019; 35(2) : 111-118


Obesity ◽  
2007 ◽  
Vol 15 (3) ◽  
pp. 748-752 ◽  
Author(s):  
Weili Yan ◽  
He Bingxian ◽  
Yao Hua ◽  
Dai Jianghong ◽  
Cui Jun ◽  
...  

PLoS ONE ◽  
2016 ◽  
Vol 11 (2) ◽  
pp. e0149351 ◽  
Author(s):  
Luís B. Sardinha ◽  
Diana A. Santos ◽  
Analiza M. Silva ◽  
Anders Grøntved ◽  
Lars B. Andersen ◽  
...  

2017 ◽  
Vol 22 (3) ◽  
pp. 143-148 ◽  
Author(s):  
Ying-xiu Zhang ◽  
Zhao-xia Wang ◽  
Zun-hua Chu ◽  
Jin-shan Zhao

2020 ◽  
pp. 1-25
Author(s):  
Ying-xiu Zhang ◽  
Jian Chen ◽  
Xiao-hui Liu

Abstract The prevalence of central obesity in total population has been reported in numerous studies. However, information on the prevalence of central obesity within normal category of body mass index (BMI) is scant. In the present study, we examined the profiles of central obesity among normal-weight children and adolescents. A total of 29 516 (14 226 boys and 15 290 girls) normal-weight children and adolescents (excluding underweight, overweight and obesity) aged 7–18 years were included in the final analysis. Central obesity was defined by the international age- and sex-specific cut-offs of waist circumference (WC) and threshold of waist-to-height ratio (WHtR≥0.5). All subjects were classified into four groups (Q1–Q4) according to the age- and sex-specific quartiles of BMI, those in the upper fourth (Q4) were defined as ‘high-normal BMI’, and those in the lower fourth (Q1) were defined as ‘low-normal BMI’. The prevalence of central obesity as measured by WC was 9.90% (95% CI 9.41–10.39%) for boys and 8.11% (95% CI 7.68–8.54%) for girls; by WHtR was 2.97% (95% CI 2.69–3.25%) for boys and 2.44% (95% CI 2.20–2.68%) for girls. Subjects in the ‘high-normal BMI’ group had a much higher prevalence of central obesity than their counterparts in the ‘low-normal BMI’ group (P<0.01). Central obesity was also evident among normal-weight children and adolescents. Our findings suggest that the health risks of children with normal-weight central obesity may be missed when BMI is used alone as a measure, it is meaningful to include WC in the clinical practice and to include the simple message “Keep your waist to less than half your height”.


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