Distribution of waist-to-height ratio and cardiometabolic risk in children and adolescents: a population-based studyopen access
- Authors
- Lee, Hye Jin; Shim, Young Suk; Yoon, Jong Seo; Jeong, Hwal Rim; Kang, Min Jae; Hwang, Il Tae
- Issue Date
- 4-May-2021
- Publisher
- Nature Publishing Group
- Citation
- Scientific Reports, v.11, no.1
- Journal Title
- Scientific Reports
- Volume
- 11
- Number
- 1
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/18848
- DOI
- 10.1038/s41598-021-88951-9
- ISSN
- 2045-2322
- Abstract
- This study was performed to evaluate the waist-to-height ratio (WHtR) distribution and assess its relationship with cardiometabolic risk in children and adolescents. A total of 8091 subjects aged 10-18 years were included from a nationally representative survey. Participants were classified into three groups: (1)<85th, (2)<greater than or equal to>85th and<95th, and (3)<greater than or equal to>95th percentile of WHtR. The WHtR distribution varied with sex and age. Whereas WHtR decreased from age 10-15 years in boys and from age 10-12 years in girls, it slightly increased thereafter. Compared to the<85th percentile group, the WHtR<greater than or equal to>85th and<95th percentile group had an odds ratio (OR) of 1.2 for elevated blood pressure (BP), 1.89 for elevated triglycerides (TGs), 1.47 for reduced high-density lipoprotein cholesterol (HDL-C) and 4.82 for metabolic syndrome (MetS). The<greater than or equal to>95th percentile group had an OR of 1.4 for elevated BP, 2.54 for elevated glucose, 2.22 for elevated TGs, 1.74 for reduced HDL-C, and 9.45 for MetS compared to the<85th percentile group. Our results suggest that sex- and age-specific WHtR percentiles can be used as a simple clinical measurement to estimate cardiometabolic risk.
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Collections - College of Medicine > Department of Pediatrics > 1. Journal Articles
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