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Open AccessArticle

Performance of Waist-To-Height Ratio, Waist Circumference, and Body Mass Index in Discriminating Cardio-Metabolic Risk Factors in a Sample of School-Aged Mexican Children

1
Department of Social Medicine Research, National Institute of Cardiology ‘Ignacio Chávez’, Juan Badiano 1, Sección XVI, Mexico City C.P. 14080, Mexico
2
CONACYT—National Institute of Cardiology ‘Ignacio Chávez’, Juan Badiano 1, Sección XVI, Mexico City C.P. 14080, Mexico
3
Department of Pediatric Echocardiography, National Institute of Cardiology ‘Ignacio Chávez’, Juan Badiano 1, Sección XVI, Mexico City C.P. 14080, Mexico
*
Author to whom correspondence should be addressed.
Nutrients 2018, 10(12), 1850; https://doi.org/10.3390/nu10121850
Received: 24 October 2018 / Revised: 16 November 2018 / Accepted: 20 November 2018 / Published: 1 December 2018
The most common tools used to screen for abdominal obesity are waist circumference (WC) and waist-to-height ratio (WHtR); the latter may represent a more suitable tool for the general non-professional population. The objective of this study was to evaluate the association of WHtR, WC, and body mass index with lipidic and non-lipidic cardio-metabolic risk factors and the prediction capability of each adiposity indicator in a sample of school-aged Mexican children. Overall, 125 children aged 6 to 12 years were analyzed. Anthropometric, biochemical, and dietary parameters were assessed. Receiving operating characteristic (ROC) analysis and univariate and multivariate linear and logistic regression analyses were performed. All the three adiposity indicators showed significant areas under the ROC curve (AURC) greater than 0.68 for high low-density lipoprotein cholesterol (LDL-c), triglycerides, and atherogenic index of plasma, and low high-density lipoprotein cholesterol (HDL-c). A significant increased risk of having LDL-c ≥ 3.4 mmol/L was observed among children with WHtR ≥ 0.5 as compared to those with WHtR < 0.5 (odds ratio, OR: 2.82; 95% confidence interval, CI: 0.75–7.68; p = 0.003). Fasting plasma glucose was not associated with any of the adiposity parameters. WHtR performed similarly to WC and z-BMI in predicting lipidic cardio-metabolic risk factors; however, a WHtR ≥ 0.5 was superior in detecting an increased risk of elevated LDL-c. View Full-Text
Keywords: waist-to-height ratio; children; obesity; body mass index; waist circumference; cardio-metabolic risk waist-to-height ratio; children; obesity; body mass index; waist circumference; cardio-metabolic risk
MDPI and ACS Style

Aguilar-Morales, I.; Colin-Ramirez, E.; Rivera-Mancía, S.; Vallejo, M.; Vázquez-Antona, C. Performance of Waist-To-Height Ratio, Waist Circumference, and Body Mass Index in Discriminating Cardio-Metabolic Risk Factors in a Sample of School-Aged Mexican Children. Nutrients 2018, 10, 1850.

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