Introducing excess body weight in childhood and adolescence and comparison with body mass index and waist-to-height ratio

2014 ◽  
Vol 39 (1) ◽  
pp. 52-60 ◽  
Author(s):  
D Petroff ◽  
K Kromeyer-Hauschild ◽  
S Wiegand ◽  
D l'Allemand-Jander ◽  
G Binder ◽  
...  
2017 ◽  
Vol 4 (1) ◽  
pp. 1
Author(s):  
Andrew Yatsko

Despite the increase in body mass through childhood and adolescence is countered by the increase in height in the Body Mass Index (BMI), this measure is inadequate for judging the degree of excess weight among the young. Unlike using clearly defined cut points, same for any stage of adulthood, it is required to consult BMI-for-age charts, which can be a demanding exercise when data analysis is involved. The waist circumference to height ratio (WCHR) was hypothesised to be invariant to age change, and this is generally supported by the epidemiological evidence. This paper analyses a sample of NHANES data to find a connection between BMI, WCHR and Age. A strong linearity between the anthropometric measures is demonstrated, thus enabling estimation of WCHR for a given BMI and Age. The pattern of change of this parameter at BMI levels that indicate the transition to overweight state or obesity thus becomes unravelled. The results strongly support the feasibility of a universal WCHR threshold for the overweight state past early childhood and through adolescence, and the estimated one is similar to the WCHR levels found elsewhere in the literature.


Author(s):  
Sally Sonia Simmons ◽  
John Elvis Hagan ◽  
Thomas Schack

Hypertension is a major public health burden in Bangladesh. However, studies considering the underlying multifaceted risk factors of this health condition are sparse. The present study concurrently examines anthropometric parameters and intermediary factors influencing hypertension risk in Bangladesh. Using the 2018 World Health Organisation (WHO) STEPwise approach to non-communicable disease risk factor surveillance (STEPS) study conducted in Bangladesh and involving 8019 nationally representative adult respondents, bivariate and multivariate logistic regression analyses were performed to determine the association between anthropometrics, other intermediary factors and hypertension. The regression results were presented using the odds ratio (OR) and adjusted odds ratio (AOR) at 95% confidence intervals (CIs). The risk of hypertension was higher among females and males who were 40 years and older. However, among females, those who were age 60 years and older were more than twice and thrice more likely to be hypertensive compared to those in the younger age groups (18–39, 40–59). Females who were obese (body mass index [BMI], waist to hip ratio [WHR], waist to height ratio [WHtR]) or had high waist circumference [WC] were twice as likely to be hypertensive. Males and females who were physically active, consuming more fruits and vegetables daily and educated had lower odds of developing hypertension. Key findings suggest that the association between anthropometric indices (body mass index [BMI], waist to hip ratio [WHR], waist to height ratio [WHtR]), waist circumference [WC]), other intermediary determinants (e.g., education, physical activity) and hypertension exist across gender and with increasing age among adults in Bangladesh. Developing appropriate public health interventions (e.g., regular assessment of anthropometric parameters) for early identification of the risk and pattern of hypertension through appropriate screening and diagnosis is required to meet the specific health needs of the adult Bangladesh population.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sooyoung Cho ◽  
Aesun Shin ◽  
Ji-Yeob Choi ◽  
Sang Min Park ◽  
Daehee Kang ◽  
...  

Abstract Background Obesity is well known as a risk factor for cardiovascular disease. We aimed to determine the performance of and the optimal cutoff values for obesity indices to discriminate the presence of metabolic abnormalities as a primary risk factor for cardiovascular diseases in a Health Examinees study (HEXA). Methods The current study analyzed 134,195 participants with complete anthropometric and laboratory information in a Health Examinees study, consisting of the Korean population aged 40 to 69 years. The presence of metabolic abnormality was defined as having at least one of the following: hypertension, hyperglycemia, or dyslipidemia. The area under the receiver operating characteristic curve (AUC) and 95% confidence intervals (CIs) were calculated for body mass index, waist to hip ratio, waist to height ratio, waist circumference, and conicity index. Results The AUC of metabolic abnormalities was the highest for waist-to-height ratio (AUC [95% CIs], 0.677 [0.672–0.683] among men; 0.691 [0.687–0.694] among women), and the lowest for the C index (0.616 [0.611–0.622] among men; 0.645 [0.641–0.649] among women) among both men and women. The optimal cutoff values were 24.3 kg/m2 for the body mass index, 0.887 for the waist-to-hip ratio, 0.499 for the waist-to-height ratio, 84.4 cm for waist circumference and 1.20 m3/2/kg1/2 for the conicity index among men, and 23.4 kg/m2 for the body mass index, 0.832 for the waist-to-hip ratio, 0.496 for the waist-to-height ratio, 77.0 cm for the waist circumference and 1.18 m3/2/kg1/2 for the conicity index among women. Conclusion The waist-to-height ratio is the best index to discriminate metabolic abnormalities among middle-aged Koreans. The optimal cutoff of obesity indices is lower than the international guidelines for obesity. It would be appropriate to use the indices for abdominal obesity rather than general obesity and to consider a lower level of body mass index and waist circumference than the current guidelines to determine obesity-related health problems in Koreans.


2018 ◽  
Vol 85 (1) ◽  
pp. 30-35 ◽  
Author(s):  
Annelie Lindholm ◽  
Josefine Roswall ◽  
Bernt Alm ◽  
Gerd Almquist-Tangen ◽  
Ann Bremander ◽  
...  

Nutrition ◽  
2009 ◽  
Vol 25 (9) ◽  
pp. 914-919 ◽  
Author(s):  
Márcia Regina Simas Gonçalves Torres ◽  
Luciana Guerra Cardoso ◽  
Virginia Genelhu de Abreu ◽  
Antonio Felipe Sanjuliani ◽  
Emilio Antonio Francischetti

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