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Ability of different adiposity indicators to identify children with elevated blood pressure.

Published on Nov 1, 2011in Journal of Hypertension4.209
· DOI :10.1097/HJH.0b013e32834be614
Katerina Maximova15
Estimated H-index: 15
,
Arnaud Chiolero35
Estimated H-index: 35
+ 3 AuthorsGilles Paradis53
Estimated H-index: 53
Abstract
ObjectiveBody composition measured by dual-energy X-ray absorptiometry (DXA) is believed to be superior to crude measures such as BMI or waist circumference (WC) to assess health risks associated with adiposity in adults. We compared the ability of BMI, WC, waist-to-height ratio (WHtR), percentage b
  • References (43)
  • Citations (24)
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References43
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#1Mary Barton (Colorado Department of Public Health and Environment)H-Index: 1
Update of the 2005 US Preventive Services Task Force (USPSTF) statement about screening for overweight in children and adolescents. METHODS: The USPSTF examined the evidence for the effectiveness of interventions that are primary care feasible or referable. It also exam- ined the evidence for the magnitude of potential harms of treatment in children and adolescents. RECOMMENDATION. The USPSTF recommends that clinicians screen children aged 6 years and older for obesity and offer them or refer th...
362 CitationsSource
#2Aroon Hingorani (UCL: University College London)H-Index: 72
Last. John E. DeanfieldH-Index: 74
view all 10 authors...
Aims To examine the associations of several markers of adiposity and a wide range of cardiovascular risk factors and biomarkers in pre-pubertal children. Methods and results Four measures of adiposity,body mass index (BMI), waist circumference, dual-energy X-ray absorptiometry (DXA)-determined fat mass, and leptin concentration, were available in up to 7589 children aged 8.8–11.7 (9.9 mean) years from the Avon Longitudinal Study of Parents and Children (ALSPAC). Thirteen per cent of boys and 18....
100 CitationsSource
#1Debbie A. Lawlor (UoB: University of Bristol)H-Index: 118
#2Li Benfield (UoB: University of Bristol)H-Index: 4
Last. Naveed Sattar (Glas.: University of Glasgow)H-Index: 119
view all 11 authors...
Objectives To examine the prospective associations between body mass index (BMI), waist circumference, and fat mass in childhood and cardiovascular risk factors at age 15-16. Design Prospective cohort study. Setting Avon Longitudinal Study of Parents and Children. Participants 5235 children aged 9-12 at start of study. Main exposures BMI, waist circumference, and fat mass determined by dual energy x ray absorptiometry, assessed at age 9-12 and at age 15-16. Main outcome measures Systolic and dia...
205 CitationsSource
#1J ReillyJohnH-Index: 80
#2J Kelly (Glas.: University of Glasgow)H-Index: 1
Last. D.C. Wilson (Edin.: University of Edinburgh)H-Index: 1
view all 3 authors...
The optimum means of defining obesity in children is unclear, creating variation in practice, and hindering obesity surveillance, prevention and treatment. This study aimed to review evidence on the use of body mass index (BMI) and waist circumference for diagnosis of high body fat content and adverse cardiometabolic risk factors in children and adolescents. A systematic literature review was carried out and evidence appraised using the Quality Assessment of Studies of Diagnostic Accuracy in Sys...
104 CitationsSource
#1Gilles ParadisH-Index: 53
#2S TremblayMarkH-Index: 71
Last. Tracey BushnikH-Index: 8
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Background Because blood pressure (BP) tracks from childhood to adulthood, assessing levels in youth is relevant. There are no recent BP data for Canadian children and adolescents, and past studies have used a variety of design and measurement devices. Data and methods With a clinically validated oscillometric device, resting BP was measured in 2,079 respondents aged 6 to 19 years from the Canadian Health Measures Survey. The average of the last fi ve of six BP measures taken one minute apart at...
19 Citations
#1Empar Lurbe (ISCIII: Carlos III Health Institute)H-Index: 31
#2Renata CifkovaH-Index: 48
Last. Alberto ZanchettiH-Index: 79
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Hypertension in children and adolescents has gained ground in cardiovascular medicine, thanks to the progress made in several areas of pathophysiological and clinical research. These guidelines represent a consensus among specialists involved in the detection and control of high blood pressure in children and adolescents. The guidelines synthesize a considerable amount of scientific data and clinical experience and represent best clinical wisdom upon which physicians, nurses and families should ...
512 CitationsSource
#1Mathieu Bélanger (McGill University)H-Index: 14
#2Katherine Gray-Donald (McGill University)H-Index: 50
Last. James A. Hanley (McGill University)H-Index: 72
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Purpose Little is known about how seasonal variation in physical activity relates to declining physical activity in adolescence. We quantified how each of daily weather conditions and season affect physical activity during adolescence. Methods We followed 1293 students, initially aged 12 to 13 years over 5 years. Participants completed a 7-day physical activity recall checklist every 3 months. Data on daily weather conditions were obtained from Environment Canada. The association between the num...
128 CitationsSource
#1Martin NeoviusH-Index: 46
#2Sophia M. Rössner (KI: Karolinska Institutet)H-Index: 6
Last. Ulf EkelundH-Index: 86
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Aim: To examine the relation between adiposity assessment methods (percentage body fat (%BF), BMI, and waist circumference (WC)) and individual metabolic risk factors (f-insulin, HDL cholesterol, triglycerides) and a combined measure of metabolic risk. Methods: Crosssectional study of 300 males (BMI 20.8 ± 3.0 kg/m2) and females (BMI 21.3 ± 2.9 kg/m2) 17 years of age. F-insulin and components of the metabolic syndrome defined by the International Diabetes Federation (IDF) were used as metabolic ...
17 CitationsSource
#1Rita Y.T. Sung (CUHK: The Chinese University of Hong Kong)H-Index: 17
#2Hung Kwan So (CUHK: The Chinese University of Hong Kong)H-Index: 5
Last. FOKTaiFai (CUHK: The Chinese University of Hong Kong)H-Index: 50
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Background Central body fat is a better predictor than overall body fat for cardiovascular (CV) risk factors in both adults and children. Waist circumference (WC) has been used as a proxy measure of central body fat. Children at high CV risk may be identified by WC measurements. Waist-to-height ratio (WHTR) has been proposed as an alternative, conveniently age-independent measure of CV risk although WHTR percentiles have not been reported. We aim to provide age- and sex-specific reference values...
114 CitationsSource
#1Simonetta Genovesi (University of Milan)H-Index: 17
#2Laura Antolini (University of Milan)H-Index: 20
Last. Andrea StellaH-Index: 30
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ObjectiveTo investigate the ability of BMI and waist circumference, single and combined, in identifying children who are at risk of hypertension and in influencing absolute blood pressure values.MethodsThe body weight, height, waist circumference and blood pressure of 4177 5–11-year-old school child
71 CitationsSource
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Primary hypertension is the dominant form of arterial hypertension in adolescents. Disturbed body composition with, among other things, increased visceral fat deposition, accelerated biological maturation, metabolic abnormalities typical for metabolic syndrome, and increased adrenergic drive constitutes the intermediary phenotype of primary hypertension. Metabolic syndrome is observed in 15-20% of adolescents with primary hypertension. These features are also typical of obesity-related hypertens...
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#1Hui Fan (North Sichuan Medical College)H-Index: 1
#2Qi Zhu (North Sichuan Medical College)
Last. Xingyu Zhang (UM: University of Michigan)H-Index: 18
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We aimed to compare child body mass index (BMI) in prediction of hypertension in early adulthood with 4 other adiposity indices (waist circumference [WC], waist circumference-to-height ratio [WHtR], waist-to-hip ratio [WHR], and triceps skinfold [TSF]). The cohort from the China Health and Nutrition Survey 1993-2011 consisted of 1444 adults aged 18-36 years who were examined in childhood and early adulthood. Child adiposity indices and adult blood pressure (BP) were transformed into age-, sex-, ...
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#1Nilgün Çöl (University of Gaziantep)H-Index: 1
#2Arda Kilinc (Ege University)
Last. Ayse Balat (Istanbul Aydın University)H-Index: 1
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ABSTRACTRecently, a simple, accurate and non-age-related index “Systolic/Diastolic Blood Pressure to Height Ratio (SBPHR/DBPHR)” is started to try for diagnosing hypertension in childhood. The aim of this study was to investigate the possible cut-off points and diagnostic value of BPHR for identifying prehypertension/hypertension in children and adolescent, and evaluation of the relationship between body fat composition and BP. The community-based descriptive cross-sectional study was carried ou...
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#1William R. Tebar (UNESP: Sao Paulo State University)H-Index: 3
Last. Diego Giulliano Destro Christofaro (UNESP: Sao Paulo State University)H-Index: 15
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High blood pressure and its relationship to adiposity in a school-aged population: body mass index vs waist circumference
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#1Qing Hua ZhangH-Index: 2
#2Tanmay MahapatraH-Index: 13
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Background. The association between weight, blood pressure, and use of health care services is not well understood in low-income, preschool children. Methods. This study was a secondary data analysis of previously collected data. Body mass index (BMI) and blood pressure were collected during health screenings, and information regarding use of health care services was collected by parent report. Results. Of the 660 children screened, 22.1% of the sample was classified as obese and 15.2% were cons...
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#2Martin C.S. Wong (CUHK: The Chinese University of Hong Kong)H-Index: 28
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Summary Waist-to-height ratio (WHtR) is superior to body mass index and waist circumference for measuring adult cardio-metabolic risk factors. However, there is no meta-analysis to evaluate its discriminatory power in children and adolescents. A meta-analysis was conducted using multiple databases, including Embase and Medline. Studies were included that utilized receiver-operating characteristics curve analysis and published area under the receiver-operating characteristics curves (AUC) for adi...
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#1Paige Johnson (UA: University of Alabama)H-Index: 2
#2Michele Montgomery (UA: University of Alabama)H-Index: 6
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Childhood obesity remains a significant public health concern. Children from lower income households have a greater risk of being obese. Low-income families generally have less access to healthy, affordable food choices and turn to federal food assistance programs. Few studies have examined the impact of food assistance programs on childhood obesity rates. This study explored the association between BMI, blood lipid levels, and three food assistance programs (WIC, reduced lunch, and food stamps)...
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#1Cindy George (South African Medical Research Council)H-Index: 5
#2Julia H. Goedecke (South African Medical Research Council)H-Index: 5
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Developing countries are disproportionately affected by hypertension, with Black women being at greater risk, possibly due to differences in body fat distribution. The objectives of this study were: (1) To examine how different measures of body composition are associated with blood pressure (BP) and incident hypertension; (2) to determine the association between baseline or change in body composition, and hypertension; and (3) to determine which body composition measure best predicts hypertensio...
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#1Jinwook Bahk (SNU: Seoul National University)H-Index: 7
#2Young-Ho Khang (SNU: Seoul National University)H-Index: 63
During the last several decades, the number of children who are overweight or obese has reached alarming levels worldwide. The purpose of the present study was to examine trends in measures of childhood obesity among Korean children aged 2-19 from 1998 to 2012.Height, weight, and waist circumference (WC) were measured, and body mass index (BMI) was calculated. Age-adjusted means of WC and BMI were compared between years. We used three international criteria (International Obesity Task Force [IOT...
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