Waist-to-height ratio bests BMI for predicting fat mass in children

Waist-to-height ratio bests BMI for predicting fat mass in children

Waist circumference-to-height ratio (WHtR) is an affordable option to body mass index (BMI) for forecasting fat mass (FM) in pediatric clients, according to a research study released online March 5 in Pediatric Research

Andrew O. Agbaje, M.D., Ph.D., from the University of Eastern Finland in Kuopio, analyzed arrangement of surrogate procedures of adiposity with dual-energy X-ray absorptiometry-measured body structure. The analysis consisted of 7,237 9-year-old kids taking part in the Avon Longitudinal Study of Parents and Children, with 15-year follow-up information.

Agbaje discovered that throughout follow-up, BMI, overall FM, and trunk FM increased, however WHtR was reasonably steady. With time, WHtR offered much better outright contract with overall FM in addition to trunk FM (males: intraclass connection [ICC]0.84; women: ICC, 0.81) compared to BMI (males: ICC, 0.65; women: ICC, 0.72). For anticipating excess overall FM (75th to 95thpercentile), the WHtR cut point was 0.50 to 0.53 in males (location under the curve [AUC]0.86 to 0.94; level of sensitivity: 0.51 to 0.79; uniqueness: 0.93 to 0.95). In women, the WHtR cut point for forecasting excess overall FM was 0.52 to 0.54 (AUC, 0.83 to 0.95; level of sensitivity: 0.38 to 0.68; uniqueness: 0.92 to 0.95). For trunk FM, outcomes were comparable.

“This research study offers unique details that would work in upgrading future youth weight problems standards and policy declarations,” Agbaje stated in a declaration. “The typical waist circumference-to-height ratio in youth, teenage years, and young the adult years is 0.45; it does not differ with age and amongst people like BMI.”

More info:
Andrew O. Agbaje, Waist-circumference-to-height-ratio had much better longitudinal arrangement with DEXA-measured fat mass than BMI in 7237 kids, Pediatric Research (2024 ). DOI: 10.1038/ s41390-024-03112-8

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