The sensitivity of waist-to-height ratio in identifying children with high blood pressure

2011 ◽  
pp. 208-211 ◽  
Author(s):  
B.S. Motswagole ◽  
H.S. Kruger ◽  
M. Faber ◽  
J.M. Van Rooyen ◽  
J.H. De Ridder
Keyword(s):  
Blood Pressure ◽  
High Blood Pressure ◽  
Height Ratio ◽  
Waist To Height Ratio

scholarly journals 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

BMJ Open ◽  
2020 ◽  
Vol 10 (1) ◽  
pp. e032874 ◽  
Author(s):  
Joyce Ying Hui Tee ◽  
Wan Ying Gan ◽  
Poh Ying Lim
Keyword(s):  
Blood Pressure ◽  
High Blood Pressure ◽  
Body Shape ◽  
Shape Index ◽  
Cross Sectional Study ◽  
Height Ratio ◽  
Anthropometric Indices ◽  
Cross Sectional ◽  
Waist To Height Ratio ◽  
A Body Shape Index

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.

scholarly journals Body mass index and waist-to-height ratio cut-offs as predictors of high blood pressure in adolescents

2015 ◽  
Vol 24 (1) ◽  
pp. 30-5 ◽  
Author(s):  
Kurnia Febriana ◽  
Neti Nurani ◽  
Madarina Julia
Keyword(s):  
Blood Pressure ◽  
Body Mass Index ◽  
Body Mass ◽  
Sensitivity And Specificity ◽  
High Blood Pressure ◽  
Standard Technique ◽  
Height Ratio ◽  
Cross Sectional ◽  
Increased Risk ◽  
Waist To Height Ratio

Background: Obesity is associated with increased risk for high blood pressure (BP). Although a routine BP measurement is indicated for all children visiting pediatric practice, recognition of children particularly at risk may save times. The aim of this study was to assess the cut-off point for body mass index (BMI) and waist-to-height ratio (WHtR) to predict high BP in adolescents. Methods: We conducted a cross-sectional study on 928 children aged 11 to 16 years in Yogyakarta. BP were measured using standard technique described by The Fourth Report on The Diagnosis, Evaluation, and Treatment of High Blood Pressure in Children and Adolescents. BMI was adjusted for age and sex using the WHO 2007 growth reference. WHtR was ratio of waist circumference related to height in centimeters. Receiver operating characteristic (ROC) curves were used to estimate the best cut-offs. Results: The best cut-off point for BMI-for-age Z-score (BMIZ) to predict high BP was 0.51 with sensitivity and specificity of 82% (95% CI = 78-86) and 76% (95% CI = 67-78) for systolic BP and sensitivity and specificity of 82% (95% CI = 78-86) and 72% (95% CI = 68-76) for diastolic BP. The best cut-off point for WHtR was 0.45, with sensitivity of 76% (95% CI = 67-78) and specificity of 74% (95% CI = 71-79) for systolic BP and sensitivity of 76% (95% CI = 72-80) and specificity of 70% (95% CI = 61-75) for diastolic BP.Conclusion: BMIZ of 0.51 and WHtR of 0.45 are the best cut-off point to predict high BP in adolescents.

P115 Determination of waist circumference and correlation of waist-to-height ratio in adolescents as a prediction tool of high blood pressure

2020 ◽  
Vol 41 (Supplement_1) ◽  
Author(s):  
A Kerimkulova ◽  
A S Ospanova ◽  
R G Nurpeissova ◽  
G M Kamalbekova ◽  
T H Rymbaeva
Keyword(s):  
Blood Pressure ◽  
Waist Circumference ◽  
High Blood Pressure ◽  
Abdominal Obesity ◽  
Occurrence Rate ◽  
Childhood And Adolescence ◽  
Height Ratio ◽  
Cross Sectional ◽  
Major Health Problem ◽  
Waist To Height Ratio

Abstract Introduction The obesity and overweight epidemic, together with increasing cardiovascular disease, represent a major health problem worldwide, and their occurrence in childhood and adolescence has increased in recent time. Purpose to assess the association of  waist circumference (WC) and waist-to-height ratio (WHtR) coefficient with occurrence rate in adolescents with high blood pressure. Materials and methods The results of a single-step cross-sectional study of teenagers aged 12-13 years studied in 12 secondary schools in our city (Kazakhstan) are presented. The study included adolescents in the amount of 1519 (average age, standard deviation 12.3 + 0.46 years). For representing the outcomes there were used  the measurement of weight, height, BMI, WC, WHtR and the blood pressure of adolescents. Criteria for BP: normal BP (SBP and DBP <89th percentile); high normal BP (SBP and DBP ≤90 and 94th percentile); arterial hypertension (SBP and DBP > 95th percentile). ROC analysis was used to study the relationship between WC, WHtR and BMI. The distinctive impact of  WC or WHtR on the development of these states was expressed as the area under the curve (AUC 95% CI). Results From 1519 studied teenagers of 12-13 years, boys were 49.1% (n = 745), girls 50.9% (n = 774). Population with normal BP composed 62.7%, normal raised BP - 24.8%, hypertension - 12.4%, WC˂90th percentile at 98.5% (n = 939). The distribution by sex was: girls are more likely to have abdominal obesity than boys, (χ²=19.940, df = 1, р˂0.001). An elevated level of  WHtR was detected in 7.6% (n = 115) of adolescents. Among boys were 7.7% (n = 57) and girls 7.5% (n = 58), χ²=0.013, df = 1, p = 0.908. ). Girls (10.8%) with high blood pressure have increase WC than boys (2.1%), χ²=26.689, df = 1, р˂0.001. Adolescents with high blood pressure have enhanced WHtR - 12.2% than adolescents with normal blood pressure (2.7%), χ²=27.518, df = 1, р˂0.001. Increase of WC > 90th percentile enhances with 4.5 times (95% CI: 2.44-8.53) and WHtR with 2.7 times (95% CI: 1.85-4.04) in adolescents with high blood pressure. WC (AUC = 832; 95% CI: 0.792-0.872) and WHtR (AUC = 0.812; 95% CI: 0.770-0.854was a better predictor of abdominal obesity than BMI. Conclusions. Indicators of  WC, WHtR indicating to the presence of abdominal obesity to identify risk factors for the development of high blood pressure. Participants with increase of  WC > 90th percentile were 4.5 times and WHtR were 2.7 times more likely to have high blood pressure.

Waist-to-height ratio as an indicator of high blood pressure in urban Indian school children

2015 ◽  
Vol 52 (9) ◽  
pp. 773-778 ◽  
Author(s):  
P. E. Mishra ◽  
L. Shastri ◽  
T. Thomas ◽  
C. Duggan ◽  
R. Bosch ◽  
...  
Keyword(s):  
Blood Pressure ◽  
High Blood Pressure ◽  
School Children ◽  
Height Ratio ◽  
Indian School ◽  
Urban Indian ◽  
Waist To Height Ratio

scholarly journals Waist-to-height ratio and skipping breakfast are predictive factors for high blood pressure in adolescents

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
C. Aparicio-Cercós ◽  
M. Alacreu ◽  
L. Salar ◽  
L. Moreno Royo
Keyword(s):  
Blood Pressure ◽  
High Blood Pressure ◽  
Height Ratio ◽  
Cross Sectional ◽  
School Year ◽  
Modifiable Factors ◽  
Chi Squared ◽  
Waist To Height Ratio ◽  
The University ◽  
Skipping Breakfast

Abstract The purpose of this study was to estimate the prevalence of high blood pressure (HBP) in adolescents of the Valencian Autonomous Community (VC) in Spain. Besides, its association with other risk factors related to cardiovascular disease (CVD) or arterial hypertension (AHT) in order to increase our knowledge of public health and to provide advice about healthy diets. We conducted a multicentre, observational, cross-sectional, epidemiological study in a sample of 4402 adolescents from 15 schools during the 2015–2016 school year. The participants were aged between 11 and 18 years, and any individuals already diagnosed with AHT were excluded. In addition to the Physical Activity Questionnaire for Adolescents (PAQ-A), Evaluation of the Mediterranean Diet Quality Index (KIDMED), a lifestyle habits survey, the waist-to-height ratio (WtHR), and body mass index (BMI) were calculated for each participant. Informed Consent was obtained from Parents of the adolescents involved in the current study. The study received approval from the University ethics committee and all procedures were conducted in accordance with the tenets of the Declaration of Helsinki. Chi-squared, Student t-tests, and ANOVA statistical analyses showed that 653 (14.8%) adolescents had previously undiagnosed HBP and that was significantly associated with male sex (p < 0.001), age over 15 years (p < 0.05), and height, weight, waist circumference, WtHR, BMI, and skipping breakfast. Based on the data we obtained in this study, the modifiable factors that influence HBP in adolescents were WtHR, BMI, and skipping breakfast.

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