Evaluation of anthropometric measures for assessment of cardiometabolic risk in early childhood
Bibliographic Data
| ID | 15094685 |
|---|---|
| Authors | Nicole Coles (0000-0002-4259-7445, University of Toronto), Ravi Retnakaran (0000-0003-1989-027X, University of Toronto), Anthony Hanley, Anthony J Hanley (0000-0002-6364-2444, Mount Sinai Hospital), Catherine S Birken (0000-0003-0308-8645, University of Toronto), Catherine Birken, Jill Hamilton (0000-0002-1958-2800, Hospital for Sick Children, corresponding author) |
| Year | 2020 |
| Volume | 23 |
| Issue | 12 |
| Pages | 2100-2108 |
| Publication date | 2020-08-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Public Health Nutrition (JOURNAL) |
| Journal identifiers | ISSN: 1368-9800 • E-ISSN: 1475-2727 |
| Publisher | Cambridge University Press (CUP) (PUBLISHER) |
| DOI | 10.1017/s1368980019004749 |
| PMID | 32301411 |
| OpenAlex | W3016465442 |
| Language | EN |
| References cited | 38 |
Objective: Waist-to-height ratio has been shown to be an important indicator of cardiometabolic risk. There are few studies evaluating this measure against existing measures of adiposity and cardiometabolic markers in early childhood. The objectives were: (i) to determine in young children the ability of waist-to-height ratio, BMI z -score, weight for length, and sum of skin fold thickness to predict cardiometabolic risk and (ii) to examine this association at ages 1, 3 and 5 years. Design: Prospective cohort study. Setting: A university hospital in Toronto, Ontario. Participants: Infants at 1 ( n 406), 3 ( n 112) and 5 years of age ( n 94) born to mothers with and without gestational diabetes mellitus. Results: Weight for length and BMI z -score demonstrated the strongest correlations with biochemical measures compared to waist-to-height ratio, including leptin (at 5 years, weight for length z -score: ρ = 0·65, P z -score: ρ = 0·67, P z -score: ρ = 0·25, P = 0·02; BMI z -score: ρ = 0·24, P = 0·02). The magnitude of associations between anthropometric measures and biochemical measures strengthened over time. Weight for length and BMI z -scores were moderately correlated with overall measures of fat mass as measured by dual-energy X-ray absorptiometry ( ρ = 0·65, P = 0·00; ρ = 0·61, P = 0·01). Conclusions: Waist-to-height ratio was not superior to existing measures in predicting cardiometabolic risk in young children. BMI z -score is a preferred measure of adiposity between birth and 5 years of age
Anthropometry · Body mass index · Childhood obesity · Cohort · Cohort study · Insulin resistance · Obesity · Overweight · Prospective cohort study · Standard score · Statistics · Waist · Waist-to-height ratio · Birth, Development, and Health · Demography · Mathematics · Medicine · Nutritional Studies and Diet · Obesity, Physical Activity, Diet · Internal Medicine
Defining obesity risk status in the general childhood population
WHO Child Growth Standards based on length/height, weight and age
Six reasons why the waist-to-height ratio is a rapid and effective global indicator for health risks of obesity and how its use could simplify the international public health message on obesity
Acceleration of BMI in Early Childhood and Risk of Sustained Obesity
Homeostasis model assessment
Expert Committee Recommendations Regarding the Prevention, Assessment, and Treatment of Child and Adolescent Overweight and Obesity
The prediction of body fatness by BMI and skinfold thicknesses among children and adolescents
Waist-to-height ratio as a screening tool for children with risk factors for cardiovascular disease
| Citation velocity | historical |
|---|---|
| Highly cited | No |