Determinants of Waist-to-Height Ratio and Its Relation to Hypertension among School Children in India: A Multicenter Study.
Childhood obesity
Hypertension
Waist-to-height ratio
Journal
Indian journal of pediatrics
ISSN: 0973-7693
Titre abrégé: Indian J Pediatr
Pays: India
ID NLM: 0417442
Informations de publication
Date de publication:
06 2022
06 2022
Historique:
received:
13
02
2021
accepted:
04
06
2021
pubmed:
19
8
2021
medline:
18
5
2022
entrez:
18
8
2021
Statut:
ppublish
Résumé
To study the factors associated with waist-to-height ratio (WHtR) among school children aged 5-15 y and its association with hypertension. In this cross-sectional study, data on background characteristics, socioeconomic status (SES), anthropometric parameters, and blood pressure were obtained from school children from three states of India. WHtR ≥ 0.5 was defined as obesity and hypertensives were defined based on Fourth Report criteria. Descriptive statistics were applied and multiple linear regression was done to identify factors associated with WHtR. A receiver operating characteristics (ROC) analysis was used to evaluate the predictive ability of WHtR to predict hypertension RESULTS: The mean WHtR among the 12,068 students was 0.40 (± 0.05) and it showed a U-shaped distribution with age with trough at 10 y of age for both genders. Mean WHtR was higher among residents of Manipur, among boys and hypertensives. WHtR was positively associated with weight > 30 kg, male gender, schools with high SES, Manipur and Goa region, and negatively associated with age > 10 y. The area under the ROC curve of WHtR for diagnosis of hypertension was low 0.544 (95% CI 0.532, 0.556). There is a nonlinear relation between age, gender, and WHtR, which varies by geographical region and HT. This would need to be kept in mind while using it to identify obesity in children, though its discriminant value for hypertension is low.
Identifiants
pubmed: 34406592
doi: 10.1007/s12098-021-03879-2
pii: 10.1007/s12098-021-03879-2
doi:
Types de publication
Journal Article
Multicenter Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
546-552Commentaires et corrections
Type : CommentIn
Informations de copyright
© 2021. Dr. K C Chaudhuri Foundation.
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