ArticleActa paediatrica (Oslo, Norway : 1992)2018
Assessing truncal obesity in predicting cardiometabolic risk in children: clinical measures versus dual-energy X-ray absorptiometry.
Article in Acta paediatrica (Oslo, Norway : 1992), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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4 citing papers in PubMed.
- Differential effects of a school-based obesity prevention program: A cluster randomized trial.Maternal & child nutrition · 2021Trial
- Estimating trunk fat in children according to sex using basic somatic readings: an opportunity for improving evaluation among girls.BMC pediatrics · 2021Article
- Lean body mass is the strongest anthropometric predictor of left ventricular mass in the obese paediatric population.Cardiology in the young · 2020Article
- Racial differences in myocardial deformation in obese children: Significance of inflammatory state.Nutrition, metabolism, and cardiovascular diseases : NMCD · 2019Article
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Abstract
aimThe objectives of this study were to 1) compare the accuracy of waist:hip ratio (WHR) and waist:height ratio (WHtR) by determining their association with reference-standard measures derived from dual-energy X-ray absorptiometry (DXA) and 2) assess the relationship of DXA, WHR and WHtR to measures of dyslipidemia, insulin resistance and inflammation in children.
methodsSubjects aged four to 21 were prospectively recruited. Truncal obesity by DXA was defined as the trunk fat:height ratio and trunk fat:nontrunk fat ratio. Three hundred and eight subjects were studied, and 246 (80%) were obese.
resultsThere was a strong correlation between WHtR and trunk fat:height (r = 0.84, p < 0.01). DXA measures of truncal obesity had stronger correlations with measures of cardiometabolic risk than WHR and WHtR. Upon multivariable regression, only WHtR had independent associations with cholesterol/HDL, HOMA-IR and high-sensitivity c-reactive protein.
conclusionWHtR is an accurate measure of truncal obesity. WHtR showed stronger associations with measures of insulin resistance and truncal obesity than WHR.
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