Comparing Two Waist-to-Height Ratio Measurements with Cardiometabolic Risk Factors among Youth with Diabetes

Details

• Alternative Title:
  Int J Child Health Nutr
• Personal Author:
  Liu, Lenna L. ; Kahn, Henry S. ; Pettitt, David J. ; Fino, Nora F. ; Morgan, Tim ; Maahs, David M. ; Crimmins, Nancy A. ; Lamichhane, Archana P. ; Liese, Angela D. ; D’Agostino, Ralph B. ; Bell, Ronny A.
  More +
• Description:
  Background ; Waist circumference (WC) is commonly measured by either the World Health Organization (WHO) or National Health and Nutrition Examination Survey (NHANES) protocol. ; Objective ; Compare the associations of WHO vs. NHANES WC-to-height ratio (WHtR) protocols with cardiometabolic risk factors (CMRFs) in a sample of youth with diabetes. ; Methods ; For youth (10–19 years old with type 1 N=3082 or type 2 N=533 diabetes) in the SEARCH for Diabetes in Youth Study, measurements were obtained of WC (by two protocols), weight, height, fasting lipids (total cholesterol, triglycerides, HDL cholesterol, Non-HDL cholesterol) and blood pressures. Associations of CMRFs with WHO and NHANES WHtR were modeled stratified by body mass index (BMI) percentiles for age/sex: lower BMI (<85th BMI percentile; N=2071) vs. higher BMI (≥85th percentile; N=1594). ; Results ; Among lower-BMI participants, both NHANES and WHO WHtR were associated (p<0.005) with all CMRFs except blood pressure. Among higher-BMI participants, both NHANES and WHO WHtR were associated (p<0.05) with all CMRFs. WHO WHtR was more strongly associated (p<0.05) than NHANES WHtR with triglycerides, non-HDL cholesterol, and systolic blood pressure in lower-BMI participants. Among high-BMI participants, WHO WHtR was more strongly associated (p<0.05) than NHANES WHtR with triglycerides and systolic blood pressure. ; Conclusion ; Among youth with diabetes, WHtR calculated from either WC protocol captures cardiometabolic risk. The WHO WC protocol may be preferable to NHANES WC.
• Subjects:
  • Article
  • Waist Circumference
  • Body Mass Index
  • Diabetes
  • Cardiovascular Risk
• Source:
  Int J Child Health Nutr. 5(3):87-94.
• Pubmed ID:
  28232855
• Pubmed Central ID:
  PMC5319429
• Document Type:
  Journal Article
• Funding:
  CC999999/Intramural CDC HHS/United States
• Volume:
  5
• Issue:
  3
• Download URL:
  https://stacks.cdc.gov/view/cdc/45395/cdc_45395_DS1.pdf
• File Type:
  [PDF - 90.09 KB]
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:f2da44a79c8465a08e60f3140b58a35e3fc90b5724e6c564e8d3f9a2d2f6290e