Waist-height ratio and body mass index as indicators of obesity and cardiometabolic risk in Korean children and adolescents

被引:1
作者
Kim, Min Yeong [1 ]
An, Sejin [2 ]
Shim, Young Suk [2 ]
Lee, Hae Sang [2 ]
Hwang, Jin Soon [2 ]
机构
[1] Dongtan St Marys Childrens Hosp, Hwaseong, South Korea
[2] Ajou Univ, Ajou Univ Hosp, Dept Pediat, Sch Med, Suwon 16499, South Korea
关键词
Waist-height ratio; Body mass index; Cardiometabolic risk; Obesity; X-RAY ABSORPTIOMETRY; BLOOD-PRESSURE; NATIONAL-HEALTH; CIRCUMFERENCE; BMI; ADIPOSITY; NUTRITION; CHOLESTEROL; ADULTS; FAT;
D O I
10.6065/apem.2346090.045
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Purpose: We assessed the clinical relevance of waist-height ratio (WHtR) as an indicator of cardiometabolic risk and body fat mass measured by dual-energy x-ray absorptiometry (DXA) among Korean children and adolescents. Methods: Data from 1,661 children and adolescents aged 10-18 years who participated in the Korea National Health and Nutrition Examination Survey were analyzed. Unadjusted Pearson correlation, age- and sex-adjusted Pearson correlation, and multiple linear regression analyses were performed to investigate the relationships between WHtR standard deviation score (SDS) and cardiometabolic risk factors, as well as DXA-assessed parameters. Results: WHtR SDS was correlated with cardiometabolic risk factors, including systolic blood pressure, glucose, total cholesterol, high -density lipoprotein cholesterol, triglyceride, and low-density lipoprotein cholesterol, as well as DXA-assessed parameters such as lean mass SDS, fat mass SDS, and fat mass percentage SDS in both whole body and trunk using an adjusted Pearson correlation analyses among all participants ( P <0.001). WHtR SDS was strongly correlated with whole-body fat mass and trunk fat mass ( r =0.792, P <0.001 and r =0.801, P <0.001, respectively) whereas WHtR SDS had a low correlation coefficient with whole-body lean mass and trunk lean mass SDS ( r =0.512, P <0.001 and r =0.487, P <0.001, respectively). In multiple linear regression analyses, WHtR SDS was significantly associated with whole-body and trunk fat mass after adjustment for confounders. Conclusion: Cardiometabolic risk factors and body fat mass assessed by DXA in Korean children and adolescents were highly correlated with WHtR. Additionally, WHtR has an advantage in distinguishing fat -free mass. WHtR can be a useful and convenient clinical indicator of cardiometabolic risk factors.
引用
收藏
页码:182 / 190
页数:9
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