Distribution of waist-to-height ratio and cardiometabolic risk in children and adolescents: a population-based study
- 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 10-18years were included from a nationally representative survey. Participants were classified into three groups: (1) < 85th, (2) ≥ 85th and < 95th, and (3) ≥ 95th percentile of WHtR. The WHtR distribution varied with sex and age. Whereas WHtR decreased from age 10-15years in boys and from age 10-12years in girls, it slightly increased thereafter. Compared to the < 85th percentile group, the WHtR ≥ 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 ≥ 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.
- All Author(s)
- H. J. Lee
; Y. S. Shim
; J. S. Yoon
; H. R. Jeong
; M. J. Kang
; I. T. Hwang
- Issued Date
- 2021
- Type
- Article
- Publisher
- Nature Publishing Group
- ISSN
- 2045-2322
- Citation Title
- Scientific reports
- Citation Volume
- 11
- Citation Number
- 1
- Citation Start Page
- 9524
- Citation End Page
- 9524
- Language(ISO)
- eng
- DOI
- 10.1038/s41598-021-88951-9
- URI
- http://schca-ir.schmc.ac.kr/handle/2022.oak/2109
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