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International Waist Circumference Percentile Cutoffs for Central Obesity in Children and Adolescents Aged 6 to 18 Years

Title
International Waist Circumference Percentile Cutoffs for Central Obesity in Children and Adolescents Aged 6 to 18 Years
Authors
Xi, BoZong, Xin'nanKelishadi, RoyaLitwin, MieczyslawHong, Young MiPoh, KoonSteffen, Lyn M.Galcheva, Sonya, VHerter-Aeberli, IsabelleNawarycz, TadeuszKhadilkar, AnuradhaSchmidt, Michael D.Neuhauser, HanneloreSchienkiewitz, AnjaKulaga, ZbigniewKim, Hae SoonStawinska-Witoszynska, BarbaraMotlagh, Mohammad EsmaeilRuzita, Abd TalibIotova, Violeta M.Grajda, AnetaIsmail, Mohd NoorKrzyzaniak, AlicjaHeshmat, RaminStratev, VelinRozdzynska-Swiatkowska, AgnieszkaArdalan, GelayolQorbani, MostafaSwiader-Lesniak, AnnaOstrowska-Nawarycz, LidiaYotov, YotoEkbote, VeenaKhadilkar, VamanVenn, Alison J.Dwyer, TerenceZhao, MinMagnussen, Costan G.Bovet, Pascal
Ewha Authors
홍영미김혜순
SCOPUS Author ID
홍영미scopus; 김혜순scopus
Issue Date
2020
Journal Title
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM
ISSN
0021-972XJCR Link

1945-7197JCR Link
Citation
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM vol. 105, no. 4
Publisher
ENDOCRINE SOC
Indexed
SCIE; SCOPUS WOS scopus
Document Type
Article
Abstract
Context: No universal waist circumference (WC) percentile cutoffs used have been proposed for screening central obesity in children and adolescents. Objective: To develop international WC percentile cutoffs for children and adolescents with normal weight based on data from 8 countries in different global regions and to examine the relation with cardiovascular risk. Design and Setting: We used pooled data on WC in 113,453 children and adolescents (males 50.2%) aged 4 to 20 years from 8 countries in different regions (Bulgaria, China, Iran, Korea, Malaysia, Poland, Seychelles, and Switzerland). We calculated WC percentile cutoffs in samples including or excluding children with obesity, overweight, or underweight. WC percentiles were generated using the general additive model for location, scale, and shape (GAMLSS). We also estimated the predictive power of the WC 90th percentile cutoffs to predict cardiovascular risk using receiver operator characteristics curve analysis based on data from 3 countries that had available data (China, Iran, and Korea). We also examined which WC percentiles linked with WC cutoffs for central obesity in adults (at age of 18 years). Main Outcome Measure: WC measured based on recommendation by the World Health Organization. Results: We validated the performance of the age- and sex-specific 90th percentile WC cutoffs calculated in children and adolescents (6-18 years of age) with normal weight (excluding youth with obesity, overweight, or underweight) by linking the percentile with cardiovascular risk (area under the curve [AUC]: 0.69 for boys; 0.63 for girls). In addition, WC percentile among normal weight children linked relatively well with established WC cutoffs for central obesity in adults (eg, AUC in US adolescents: 0.71 for boys; 0.68 for girls). Conclusion: The international WC cutoffs developed in this study could be useful to screen central obesity in children and adolescents aged 6 to 18 years and allow direct comparison of WC distributions between populations and over time.
DOI
10.1210/clinem/dgz195
Appears in Collections:
의과대학 > 의학과 > Journal papers
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