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Predictive Ability of Waist Circumference and Waist-to-Height Ratio for Cardiometabolic Risk Screening among Spanish Children

1
Centro de estudios Socio-Sanitarios. Universidad de Castilla La Mancha, 16071 Cuenca, Spain
2
Navarrabiomed, Complejo Hospitalario de Navarra (CHN), Universidad Pública de Navarra (UPNA), IdiSNA, Pamplona, 31008 Navarra, Spain
3
Laboratorio de Ciencias de la Actividad Física, el Deporte y la Salud, Universidad de Santiago de Chile, USACH, 71783-5 Santiago, Chile
4
Facultad de Educación. Universidad de Castilla La Mancha, 13701 Cuidad Real, Spain
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Facultad de Ciencias de la Salud. Universidad Autónoma de Chile, 1670 Talca, Chile
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Facultad de Enfermería, Universidad de Castilla La Mancha, 16071 Cuenca, Spain
*
Author to whom correspondence should be addressed.
Nutrients 2020, 12(2), 415; https://doi.org/10.3390/nu12020415
Received: 7 December 2019 / Revised: 16 January 2020 / Accepted: 2 February 2020 / Published: 5 February 2020
(This article belongs to the Section Nutrition and Public Health)
An excess of fat mass has been associated with adverse cardiometabolic risk factors. Different anthropometric measures have been proposed as alternative non-invasive measures for obesity-related cardiometabolic risk. To evaluate the magnitude of association between waist circumference (WC) and waist-to-height ratio (WtHR) with cardiometabolic risk factors and metabolic syndrome and to determine the WtHR cutoff associated with a more favorable cardiometabolic risk profile in Spanish children, data were taken from a cross-sectional survey conducted in 2010 among 848 schoolchildren aged 8–11 years from 20 public schools in the province of Cuenca (Spain). Anthropometric variables, glucose, insulin, triglycerides (TG), high-density lipoprotein cholesterol (HDL-C), systolic (SBP) and diastolic blood pressure (DBP) and metabolic syndrome (MetS) were also analyzed. WtHR and WC had a good accuracy for TG, insulin, and MetS. The diagnostic odds ratio ranged from 2.95 to 9.07 for WtHR and from 5.30 to 27.40 for WC. The main result of the present study suggests that both WtHR and WC could be used as a screening tool to identify children with cardiometabolic abnormalities.
Keywords: obesity; metabolic risk factors; anthropometric indicators obesity; metabolic risk factors; anthropometric indicators
MDPI and ACS Style

Arellano-Ruiz, P.; García-Hermoso, A.; García-Prieto., J.C.; Sánchez-López., M.; Vizcaíno., V.M.; Solera-Martínez, M. Predictive Ability of Waist Circumference and Waist-to-Height Ratio for Cardiometabolic Risk Screening among Spanish Children. Nutrients 2020, 12, 415.

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