Waist-based anthropometric measures and central adiposity-related comorbidities in children.

IF 1.2 Q2 MEDICINE, GENERAL & INTERNAL South African Family Practice Pub Date : 2024-08-14 DOI:10.4102/safp.v66i1.5932

Howard Gomwe, Lesego Phiri, Chioneso S Marange

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Abstract

Background: Waist-related measures are commonly used to classify central adiposity and related comorbidities. This classification may be essential among children, as it may identify the risk of future non-communicable diseases.

Methods: A cross-sectional study was conducted in the Eastern Cape province, South Africa, among 459 primary school learners aged 9-14 years. Height, weight and waist circumference (WC) were measured using standardised techniques recommended by World Health Organization (WHO). The anthropometric measurements, including body mass index (BMI), WC, waist-to-hip ratio (WHR) and waist-to-height ratio (WHtR) were computed and evaluated.

Results: Most participants were girls (57.70%) with an average age of 11.20 ± 1.60 years. The average weight was 38.81 kg ± 10.49 kg with an average height of 144.16 (standard deviation [s.d.] = 10.37) cm. The sample had a BMI of 18.41 kg/m2 (s.d. = 3.19). The results showed, on average, WC of 62.10 cm ± 8.12 cm, WHR of 0.82 ± 0.15 and WHtR of 0.44 ± 0.05. Girls reported significantly higher BMI, WC and WHtR. Based on WHtR, the results showed the acceptable ability to classify children according to abdominal obesity, thus identifying their risk for comorbidities.

Conclusion: Overall body fat indicated by BMI and central obesity shown by waist-related anthropometric measures can play a significant role in classifying children in terms of their risk of comorbidities.Contribution: To prevent the risks of metabolic diseases in childhood, it is necessary to detect abdominal obesity early using WC-based anthropometric measurements, especially WHtR, to identify those at risk.

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基于腰围的人体测量指标与儿童中枢性脂肪相关并发症。

背景：与腰围相关的测量方法通常用于对中心性肥胖和相关合并症进行分类。这种分类在儿童中可能非常重要，因为它可以确定未来罹患非传染性疾病的风险：在南非东开普省对 459 名 9-14 岁的小学生进行了横断面研究。采用世界卫生组织（WHO）推荐的标准化技术测量了身高、体重和腰围（WC）。计算并评估了人体测量数据，包括体重指数（BMI）、腰围、腰臀比（WHR）和腰高比（WHtR）：大多数参与者为女孩（57.70%），平均年龄为（11.20 ± 1.60）岁。平均体重为 38.81 千克 ± 10.49 千克，平均身高为 144.16（标准差 [s.d.] = 10.37）厘米。样本的体重指数为 18.41 kg/m2（标准差 = 3.19）。结果显示，平均腹围为 62.10 厘米 ± 8.12 厘米，WHR 为 0.82 ± 0.15，WHtR 为 0.44 ± 0.05。女生的体重指数、腹围和 WHtR 明显更高。根据 WHtR，结果显示根据腹部肥胖对儿童进行分类的能力是可以接受的，从而可以确定他们患合并症的风险：结论：体重指数（BMI）显示的总体身体脂肪和腰围相关人体测量指标显示的中心性肥胖在对儿童进行合并症风险分类方面具有重要作用：贡献：为预防儿童代谢性疾病的风险，有必要使用基于腰围的人体测量指标（尤其是 WHtR）及早发现腹部肥胖，以识别高危人群。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

South African Family Practice MEDICINE, GENERAL & INTERNAL-

CiteScore

1.50

自引率

20.00%

发文量

审稿时长

25 weeks

期刊介绍： South African Family Practice (SAFP) is a peer-reviewed scientific journal, which strives to provide primary care physicians and researchers with a broad range of scholarly work in the disciplines of Family Medicine, Primary Health Care, Rural Medicine, District Health and other related fields. SAFP publishes original research, clinical reviews, and pertinent commentary that advance the knowledge base of these disciplines. The content of SAFP is designed to reflect and support further development of the broad basis of these disciplines through original research and critical review of evidence in important clinical areas; as well as to provide practitioners with continuing professional development material.