Waist circumference-to-height ratio and body mass index for obesity classification in Irish children.
Acta Paediatr
; 110(5): 1541-1547, 2021 05.
Article
em En
| MEDLINE
| ID: mdl-33337556
ABSTRACT
AIM:
Waist circumference-to-height ratio (WHt) has been proposed as an alternative measure to BMI due to its focus on central weight distribution and its basic threshold for increased cardiometabolic risk. This study aimed to compare prevalence of overweight including obesity using BMI and WHt, and assess 10-year trends of WHt prevalence, in a representative sample of Irish children.METHODS:
Children measured during rounds 2-5 of the Childhood Obesity Surveillance Initiative (n = 20037) were classified as healthy weight or overweight including obesity (International Obesity Task Force age and sex BMI cut-offs), and low or high WHt (WHt ≥ 0.5). Differences in prevalence of BMI and WHt classifications were determined for round five in younger (<9 years) and older (≥9 years) children. The prevalence of high WHt was assessed across rounds.RESULTS:
Differences in prevalence between overweight including obesity and high WHt were apparent in younger (BMI 16.7%, WHt 8.9%; p < .001) and older (BMI 21.3%, WHt 12.1%; p < .001) children. An inverse trend for prevalence of high WHt was identified across rounds (p < .001).CONCLUSION:
BMI overestimates overweight including obesity prevalence compared to WHt. Given its ease of use, consideration of the WHt as an additional measure in childhood surveillance and screening is warranted.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Obesidade Infantil
/
Razão Cintura-Estatura
Tipo de estudo:
Diagnostic_studies
/
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Child
/
Humans
Idioma:
En
Revista:
Acta Paediatr
Ano de publicação:
2021
Tipo de documento:
Article
País de afiliação:
Irlanda