Waist-to-height ratio as a measure of abdominal obesity in southern Chinese and European children and adolescents

International Journal of Obesity : Journal of the International Association for the Study of Obesity
Tadeusz NawaryczLidia Ostrowska-Nawarycz

Abstract

Waist-to-height ratio (WHtR), with a 0.5 threshold (WHtR0.5), is regarded as a simple age- and gender-independent criterion of abdominal obesity (AO) and a better predictor than the 90th percentile of waist circumference (WCP90). An analysis of gender and ethnic differences of WHtR and other AO indices between children and adolescents from southern China (HK: Hong-Kong, China) and Europe (LD: Łódź, Poland). Two large cross-sectional surveys of children and adolescents aged 7-19 years, one from LD (13 172) and one from HK (14 566). The percentile and standardized values of WHtR and other parameters (WC, body mass index (BMI)) were assessed using the LMS method. The WHtR values corresponding to WCP90 and to the BMI definition of global obesity (BMIP95) were evaluated with the polynomial regression model. The compliance of the AO prevalence data, obtained with two criteria (WCP90 vs WHtR0.5) was analyzed using Cohen's kappa index (κC). The WHtR data of Polish subjects were generally higher than those of their HK peers, and the ethic differences increased with age. The WHtR values of HK boys showed a stronger relationship with BMI z-score. WHtR corresponding to WCP90 assumed values <0.5. An application of Cohen's kappa coefficient ...Continue Reading

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Citations

May 6, 2019·Journal of Pediatric Endocrinology & Metabolism : JPEM·Chunming MaFuzai Yin
Jul 25, 2019·International Journal of Obesity : Journal of the International Association for the Study of Obesity·Xijie WangLuke Arnold
May 22, 2019·International Journal of Environmental Research and Public Health·Ewa Błaszczyk-BębenekMałgorzata Schlegel-Zawadzka
Dec 22, 2020·Nutrición hospitalaria·Elena Sánchez CampayoTeresa Partearroyo
Feb 6, 2021·Journal of Pediatric Endocrinology & Metabolism : JPEM·Shujing MaBo Xi

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