ArticleJournal of epidemiology2011
Cut-off values of body mass index, waist circumference, and waist-to-height ratio to identify excess abdominal fat: population-based screening of Japanese school children.
Article in Journal of epidemiology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 3 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
23 citing papers in PubMed, 3 syntheses or guidelines pooled it, 79 citations in OpenAlex.
- Optimal cut-off value of waist circumference-to-height ratio to predict central obesity in children and adolescents: A systematic review and meta-analysis of diagnostic studies.Frontiers in nutrition · 2022Pooled it
- Anthropometric Indicators as Body Fat Discriminators in Children and Adolescents: A Systematic Review and Meta-Analysis.Advances in nutrition (Bethesda, Md.) · 2017Pooled it
- Association between Body Mass Index, Waist-to-Height Ratio and Adiposity in Children: A Systematic Review and Meta-Analysis.Nutrients · 2016Pooled it
- Association between anthropometric indices and body fat for identifying excess body fat in elementary school children: a population-based cross-sectional study.Journal of physiological anthropology · 2025Article
- Association between serum omentin-1 concentrations and body composition measured by dual-energy X-ray absorptiometry in Japanese elementary school-aged children.Journal of physiological anthropology · 2025Article
- Waist-circumference-to-height-ratio had better longitudinal agreement with DEXA-measured fat mass than BMI in 7237 children.Pediatric research · 2024Article
- Reference Values for Waist Circumference and Waist-Height Ratio in Korean Children and Adolescents.Journal of obesity & metabolic syndrome · 2022Article
- Healthy lifestyles and physical fitness are associated with abdominal obesity among Latin-American and Spanish preschool children: A cross-cultural study.Pediatric obesity · 2022Article
- Body weight at 1.5- and 3-year health checks and body fat at 14 years of age: a population-based retrospective cohort study using dual-energy X-ray absorptiometry.Journal of physiological anthropology · 2022Article
- Article
- Performance of waist-to-height ratio as a screening tool for identifying cardiometabolic risk in children: a meta-analysis.Diabetology & metabolic syndrome · 2021Article
- Diagnostic Performance and Appropriate Cut-Offs of Different Anthropometric Indicators for Detecting Children with Overweight and Obesity.BioMed research international · 2021Article
- Mitochondrial DNA methylation and copy number predict body composition in a young female population.Journal of translational medicine · 2019Article
- Comparison of various anthropometric indices in predicting abdominal obesity in Chinese children: a cross-sectional study.BMC pediatrics · 2019Article
- Optimal Cut-off Point of Waist to Height Ratio in Beijing and Its Association with Clusters of Metabolic Risk Factors.Current medical science · 2019Article
- Assessing truncal obesity in predicting cardiometabolic risk in children: clinical measures versus dual-energy X-ray absorptiometry.Acta paediatrica (Oslo, Norway : 1992) · 2018Article
- Anthropometric indicators as predictors of total body fat and cardiometabolic risk factors in Chilean children at 4, 7 and 10 years of age.European journal of clinical nutrition · 2017Article
- Relationship between Neck Circumference and Non-Alcoholic Fatty Liver Disease in Childhood Obesity.Journal of clinical research in pediatric endocrinology · 2016Article
- [Waist circumference, waist/height ratio, and neck circumference as parameters of central obesity assessment in children].Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo · 2014Review
- Sexual dimorphism in ratio of second and fourth digits and its relationship with metabolic syndrome indices and cardiovascular risk factors.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2014Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSchool-based screening and prevention programs for adiposity generally target school children in grades 4 and 6 (age 9-11 years). The aims of this study were to evaluate the validity of body mass index (BMI), waist circumference (WC), and waist-to-height ratio (WHtR) in identifying abdominal adiposity in fifth-grade Japanese school children and to determine optimal cut-off values for anthropometric measures.
methodsThe target population was fifth-grade school children enrolled in 2 schools in Shizuoka, Japan between 2008 and 2010; 422 of the 466 children participated in the present study. Abdominal adiposity was defined as percent trunk fat in the 95th percentile or higher, as determined by dual-energy x-ray absorptiometry (DXA). We analyzed the validity of BMI, WC, and WHtR using receiver operating characteristic (ROC) curve analysis. The Youden index was used to determine cut-off values of BMI, WC, and WHtR that identify excess abdominal fat.
resultsOptimal cut-off values to identify abdominal adiposity were 20.8 kg/m(2) (BMI), 76.5 cm (WC), and 0.519 (WHtR) for boys, and 19.6 kg/m(2) (BMI), 73.0 cm (WC), and 0.499 (WHtR) for girls. Areas under the ROC curve were 0.983 (BMI), 0.987 (WC), and 0.981 (WHtR) for boys, and 0.981 (BMI), 0986 (WC), and 0.992 (WHtR) for girls.
conclusionsBMI, WC, and WHtR successfully identified a high proportion of children with excess abdominal fat as measured by DXA, demonstrating that these measures are useful indices for school screening.
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Registered trials
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