2020, Number 3
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Rev Salud Publica Nutr 2020; 19 (3)
Relationship of waist-height ratio (WHTR) with waist and waist-hip ratio as a predictor for obesity and metabolic risk in middle school adolescents
Zermeño-Ugalde P, Gallegos-García V, Castro Ramírez RA, Gaytán-Hernández D
Language: Spanish
References: 39
Page: 19-27
PDF size: 242.68 Kb.
ABSTRACT
Introduction: Overweight and obesity in adolescents are a nutritional problem, the increase in the combined prevalence is
worrying due to the adverse effects of excess weight on health. The waist-height ratio (WHtR) ≥0.5 is accepted as a universal
cut-off point and can be used to predict abdominal obesity/cardiovascular risk.
Objective: Identify the risk of
obesity/metabolic risk through WHtR comparing anthropometric measures waist circumference (WC.) and waist-hip ratio
(WHR). In adolescents.
Material and method: 378 adolescents aged 11-17 years were studied, abdominal obesity was
diagnosed with a WHtR ≥0.5. Sensitivity, specificity, positive and negative predictive value, area under the curve and
confidence interval were determined based on WHtR, WC. and WHR. to detect obesity, comparing them and determining
better validity for diagnosis in adolescents.
Results: The WHtR ≥0.5 was observed in 122 (32.7%) adolescents, with an average
of 0.47 ± 0.07, the predominance in the masculine gender being 63 (51.6%), differing from females with 59 (48.4 %). Presenting
in WHtR a sensitivity of 95% and specificity 77%.
Conclusions: The WHtR ≥0.5 is a sensitive measure to identify obesity in
adolescents and find a relationship with metabolic risk and can be used as a diagnosis in adolescents.
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