Archives of Public Health

Vol. 15 No. 1 (2023): Arch Pub Health
Clinical Science

Central obesity: waist circumference, waist-to-hip ratio and waist-to-height ratio in 13-year-old children

Online First pdf 63-70
  • Arjeta Raufi,
  • Marina Krstevska-Konstantinova,
  • Kostandina Kuzevska-Maneva,
  • Sonja Bojadzieva,
  • Avdi Murtezani
Arjeta Raufi
Clinical Hospital in Tetovo, Department for children’s diseases, Republic of North Macedonia
Marina Krstevska-Konstantinova
University Clinic of Children’s Diseases; Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, Republic of North Macedonia
Kostandina Kuzevska-Maneva
University Clinic of Children’s Diseases; Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, Republic of North Macedonia
Sonja Bojadzieva
University Clinic of Children’s Diseases; Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, Republic of North Macedonia
Avdi Murtezani
University Clinic of Children's Diseases; Faculty of Medicine, SS Cyril a Methodius University in Skopje, Republic Of North Macedoniand
DOI: https://doi.org/10.3889/aph.2023.6080

Published 2023-06-30

Keywords

  • childhood obesity,
  • central obesity,
  • waist circumference,
  • waist to hip ratio,
  • waist to height ratio

How to Cite

1.
Raufi A, Krstevska-Konstantinova M, Kuzevska-Maneva K, Bojadzieva S, Murtezani A. Central obesity: waist circumference, waist-to-hip ratio and waist-to-height ratio in 13-year-old children. Arch Pub Health [Internet]. 2023 Jun. 30 [cited 2024 Jul. 16];15(1):63-70. Available from: https://id-press.eu/aph/article/view/6080

Copyright (c) 2023 Arjeta, Мarina, Konstandina, Sonja, Avdi Murtezani

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Abstract

Obesity in children is a growing worldwide health problem, with a tenfold increase over just four decades. The aim of this study was to determine the prevalence of obesity and to identify central obesity in children aged 13 years from southwestern part of North Macedonia. Materials and methods: This cross-sectional study included a total of 178 healthy children of both sexes (boys 98, girls 80) aged 13 years living in Tetovo, North Macedonia. Results: The prevalence of categorized BMI according to CDC in all 13-year old children (n=178) was 4.5% underweight, 20.2% overweight and 16.3% obese. Among boys, the total prevalence of underweight, overweight and obese was consistently 4.1% vs. 19.4 %vs. 15.3%, while girls had statistically insignificant higher prevalence of underweight, overweight and obese 5% vs. 21.2% vs. 17.5%. At a comparison of the central obesity parameters like WC,WHR, WHtR showed statistically significant differences between sexes (p<0.003, p<0.0001, p<0.011).In the entire sample, the prevalence of high risk for waist-to-hip ratio (WHR) was 34.3% and the prevalence of high risk for waist-to-height ratio (WHtR) was 31.5%. In boys, the prevalence of high risk for WHR was 51% and for WHtR was 35.7% while in girls for WHR was 13.8 % and for WHtR 26.2%. A significant association of male gender with high risk for WHR (X2=27.161; df=1; p=0.0001) was found while for WHtR (X2 =1.830; p=0.176) there was no statistically significant sssociation. It is important to underline that in boys the risk of central obesity was 6.53 times higher compared to girls of the same age [OR=6.53 (3.08–13.83) 95% CI. Conclusions: In our study girls had a higher BMI prevalence of general overweight and obesity vs. boys, and a significant association of male gender with high risk for WHR was detected. Additionally, healthcare professionals should always consider assessing the measurements and risk of central obesity in obese or overweight children, and seek for the unique risk factors associated with each type of obesity and tailor interventions accordingly.

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References

  1. Prevalence of pre-obesity, obesity and severe obesity , Available from: http://www.euro.who.int/en/health-topics/disease-prevention/nutrition/
  2. Kumar S, Kelly AS. Review of Childhood Obesity: From Epidemiology, Etiology, and Comorbidities to Clinical Assessment and Treatment. Vol. 92, Mayo Clinic Proceedings. Elsevier Ltd; 2017. p. 251–65. DOI: https://doi.org/10.1016/j.mayocp.2016.09.017
  3. Pulgaron ER, Delamater AM. Obesity and type 2 diabetes in children: Epidemiology and treatment. Curr Diab Rep 2014;14(8): 508. DOI: https://doi.org/10.1007/s11892-014-0508-y
  4. Kharod AM, Ramlogan SR, Kumar S, Raghuveer T, Drake W, Dai H, et al. Childhood obesity increases left-ventricular mass irrespective of blood pressure status. Pediatr Cardiol. 2014;35(2):353–60. DOI: https://doi.org/10.1007/s00246-013-0782-5
  5. Wühl E. Hypertension in childhood obesity. Acta Paediatr Int J Paediatr. 2019 Jan 1;108(1):37–43. DOI: https://doi.org/10.1111/apa.14551
  6. WHO Child Growth Standards Length/height-for-age, weight-for-age, weight-for-length, weight-for-height and body mass index-for-age Methods and development Department of Nutrition for Health and Development. 2006.
  7. Growth Charts - Data Table of BMI-for-age Charts. Available from: https://www.cdc.gov/growthcharts/html_charts/bmiagerev.htm
  8. World Health Organisation (WHO). WHO | Waist Circumference and Waist–Hip Ratio. Report of a WHO Expert Consultation. Geneva, 8-11 December 2008. 2008;(December):8–11. Available from: http://www.who.int
  9. Sharma AK, Metzger DL, Daymont C, Hadjiyannakis S, Rodd CJ. LMS tables for waist-circumference and waist-height ratio Z-scores in children aged 5-19 y in NHANES III: Association with cardio-metabolic risks. Pediatr Res. 2015;78(6):723–9. DOI: https://doi.org/10.1038/pr.2015.160
  10. Brambilla P, Bedogni G, Moreno LA, Goran MI, Gutin B, Fox KR, et al. Crossvalidation of anthropometry against magnetic resonance imaging for the assessment of visceral and subcutaneous adipose tissue in children. Int J Obes. 2006;30(1):23–30. DOI: https://doi.org/10.1038/sj.ijo.0803163
  11. Yoo EG. Waist-to-height ratio as a screening tool for obesity and cardiometabolic risk. Korean J Pediatr 2016;59(11):425–31. DOI: https://doi.org/10.3345/kjp.2016.59.11.425
  12. Chung IH, Park S, Park MJ, Yoo EG. Waist-to-Height Ratio as an Index for Cardiometabolic Risk in Adolescents: Results from the 1998-2008 KNHANES. Yonsei Med J 2016;57(3):658–63. DOI: https://doi.org/10.3349/ymj.2016.57.3.658
  13. Grigorakis DA, Georgoulis M, Psarra G, Tambalis KD, Panagiotakos DB, Sidossis LS. Prevalence and lifestyle determinants of central obesity in children. Eur J Nutr 2016;55(5):1923–31. DOI: https://doi.org/10.1007/s00394-015-1008-9
  14. Bacopoulou F, Efthymiou V, Landis G, Rentoumis A, Chrousos GP. Waist circumference, waist-to-hip ratio and waist-to-height ratio reference percentiles for abdominal obesity among Greek adolescents. BMC Pediatr 2015;15(1). DOI: https://doi.org/10.1186/s12887-015-0366-z
  15. Galcheva S V., Iotova VM, Yotov YT, Grozdeva KP, Stratev VK, Tzaneva VI. Waist circumference percentile curves for Bulgarian children and adolescents aged 618 years. Int J Pediatr Obes 2009;4(4):381–8. DOI: https://doi.org/10.3109/17477160902846195
  16. Zvonar M, Štefan L, Kasović M. Percentile curves for body-mass index, waist circumference,waist-to-height ratio and waist-to-height ratio(Exp) in Croatian adolescents. Int J Environ Res Public Health. 2019;16(11): 1920. DOI: https://doi.org/10.3390/ijerph16111920
  17. Hatipoglu N, Ozturk A, Mazicioglu MM, Kurtoglu S, Seyhan S, Lokoglu F. Waist circumference percentiles for 7- to 17-year-old Turkish children and adolescents. Eur J Pediatr 2008;167(4):383–9. DOI: https://doi.org/10.1007/s00431-007-0502-3
  18. Savva SC, Kourides Y, Tornaritis M, Epiphaniou-Savva M, Tafouna P, Kafatos A. Reference growth curves for cypriot children 6 to 17 years of age. Obes Res 2001;9(12):754–62. DOI: https://doi.org/10.1038/oby.2001.104
  19. Aeberli I, Gut-Knabenhans M, Kusche-Ammann RS, Molinari L, Zimmermann MB. Waist circumference and waist-to-height ratio percentiles in a nationally representative sample of 6-13 year old children in Switzerland. Swiss Med Wkly. 2011;141:w13227. doi: 10.4414/smw.2011.13227. DOI: https://doi.org/10.4414/smw.2011.13227
  20. Schwandt P, Haas G-M. Waist Circumference in children and adolescents from different ethnicities. In: Childhood Obesity 2012. DOI: https://doi.org/10.5772/17936
  21. Nawarycz LO, Krzyaniak A, Stawińska-Witoszyńska B, Krzywińska-Wiewiorowska M, Szilagyi-Pgowska I, Kowalska M, et al. Percentile distributions of waist circumference for 7-19-year-old Polish children and adolescents. Obes Rev 2010;11(4):281–8. DOI: https://doi.org/10.1111/j.1467-789X.2009.00694.x

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