International Waist Circumference Percentile Cutoffs for Central Obesity in Children and Adolescents Aged 6 to 18 Years

International Waist Circumference Percentile Cutoffs for Central Obesity in Children and Adolescents Aged 6 to 18 Years Publisher Pubmed

Xi B¹ ; Zong X² ; Kelishadi R³ ; Litwin M⁴ ; Hong YM⁵ ; Poh BK⁶ ; Steffen LM⁷ ; Galcheva SV⁸ ; Herteraeberli I⁹ ; Nawarycz T¹⁰ ; Krzywinskawiewiorowska M¹¹ ; Khadilkar A¹² ; Schmidt MD¹³ ; Neuhauser H^{14, 15, 16} Show All Authors

Xi B¹
Zong X²
Kelishadi R³
Litwin M⁴
Hong YM⁵
Poh BK⁶
Steffen LM⁷
Galcheva SV⁸
Herteraeberli I⁹
Nawarycz T¹⁰
Krzywinskawiewiorowska M¹¹
Khadilkar A¹²
Schmidt MD¹³
Neuhauser H^{14, 15, 16}
Schienkiewitz A^{14, 16}
Kulaga Z¹⁷
Kim HS⁵
Stawinskawitoszynska B¹¹
Motlagh ME¹⁸
Ruzita AT⁶
Iotova VM⁸
Grajda A¹⁷
Ismail MN¹⁹
Krzyzaniak A¹¹
Heshmat R²⁰
Stratev V²¹
Rozdzynskaswiatkowska A²²
Ardalan G³
Qorbani M²³
Swiaderlesniak A²²
Ostrowskanawarycz L¹⁰
Yotov Y²⁴
Ekbote V¹²
Khadilkar V¹²
Venn AJ²⁵
Dwyer T^{25, 26}
Zhao M²⁷
Magnussen CG^{25, 28}
Bovet P²⁹

Show Affiliations

1. Department of Epidemiology, School of Public Health, Shandong University, Jinan, 250012, China
2. Department of Growth and Development, Capital Institute of Pediatrics, Beijing, 10020, China
3. Department of Pediatrics, Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-communicable Disease, Isfahan University of Medical Sciences, Isfahan, 81676-36954, Iran
4. Department of Nephrology and Arterial Hypertension, Children's Memorial Health Institute, Warsaw, 04-730, Poland
5. Department of Pediatrics, Ewha Womans University, School of Medicine, Seoul, 07804, South Korea
6. Nutritional Sciences Programme, Centre for Community Health Studies, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, 50300, Malaysia
7. Division of Epidemiology and Community Health, University of Minnesotas, School of Public Health, Minneapolis, 55454, United States
8. Department of Pediatrics, Varna Medical University, Varna, 9010, Bulgaria
9. Institute of Food, Nutrition and Health, Human Nutrition Laboratory, ETH Zurich, Zurich, 8092, Switzerland
10. Department of Biophysics, Chair of Experimental and Clinical Physiology, Medical University of Lodz, Lodz, 90-136, Poland
11. Department of Epidemiology and Hygiene, Chair of Social Medicine, Poznan University of Medical Sciences, Poznan, 60-806, Poland
12. Hirabai Cowasji Jehangir Medical Research Institute, Jehangir Hospital, Pune, 411001, India
13. Department of Kinesiology, University of Georgia, Athens, 30602, GA, United States
14. Department of Epidemiology and Health Monitoring, Robert Koch Institute, Berlin, 12101, Germany
15. DZHK, German Center for Cardiovascular Research, Berlin, 12101, Germany
16. Department of Epidemiology and Health Monitoring, Robert Koch Institute, Berlin, 12101, Germany
17. Department of Public Health, Children's Memorial Health Institute, Warsaw, 04-730, Poland
18. Department of Pediatrics, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, 6135715794, Iran
19. Faculty of Social Sciences and Leisure Management, Taylor's University, Subang Jaya, Selangor, 47500, Malaysia
20. Department of Epidemiology, Chronic Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, 14117-13137, Iran
21. Department of Internal Medicine, Varna Medical University, Varna, 9010, Bulgaria
22. Department of Anthropometry, Children's Memorial Health Institute, Warsaw, 04-730, Poland
23. Non-communicable Diseases Research Center, Alborz University of Medical Sciences, Karaj, 31477-47779, Iran
24. Department of cardiology, Medical University Varna, Varna, 9010, Bulgaria
25. Menzies Institute for Medical Research, University of Tasmania, Hobart, 7000, TAS, Australia
26. George Institute for Global Health, Oxford Martin School, Nuffield Department of Women's and Reproductive Health, University of Oxford, Oxford, OX3 9DU, United Kingdom
27. Departments of Nutrition and Food Hygiene, School of Public Health, Shandong University, Jinan, 250012, China
28. Research Centre of Applied and Preventive Cardiovascular Medicine, University of Turku, Turku, 20520, Finland
29. Department of Epidemiology and Health Services, Center for Primary Care and Public Health (Unisante), University of Lausanne, Lausanne, 1012, Switzerland

Source: Journal of Clinical Endocrinology and Metabolism Published:2020

Abstract

Context: No universal waist circumference (WC) percentile cutoffs used have been proposed for screening central obesity in children and adolescents. Objective: To develop international WC percentile cutoffs for children and adolescents with normal weight based on data from 8 countries in different global regions and to examine the relation with cardiovascular risk. Design and Setting: We used pooled data on WC in 113,453 children and adolescents (males 50.2%) aged 4 to 20 years from 8 countries in different regions (Bulgaria, China, Iran, Korea, Malaysia, Poland, Seychelles, and Switzerland). We calculated WC percentile cutoffs in samples including or excluding children with obesity, overweight, or underweight. WC percentiles were generated using the general additive model for location, scale, and shape (GAMLSS). We also estimated the predictive power of the WC 90th percentile cutoffs to predict cardiovascular risk using receiver operator characteristics curve analysis based on data from 3 countries that had available data (China, Iran, and Korea). We also examined which WC percentiles linked with WC cutoffs for central obesity in adults (at age of 18 years). Main Outcome Measure: WC measured based on recommendation by the World Health Organization. Results: We validated the performance of the age- and sex-specific 90th percentile WC cutoffs calculated in children and adolescents (6-18 years of age) with normal weight (excluding youth with obesity, overweight, or underweight) by linking the percentile with cardiovascular risk (area under the curve [AUC]: 0.69 for boys; 0.63 for girls). In addition, WC percentile among normal weight children linked relatively well with established WC cutoffs for central obesity in adults (eg, AUC in US adolescents: 0.71 for boys; 0.68 for girls). Conclusion: The international WC cutoffs developed in this study could be useful to screen central obesity in children and adolescents aged 6 to 18 years and allow direct comparison of WC distributions between populations and over time. © Endocrine Society 2019. All rights reserved.

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Style	Citing Format
MLA	Xi B, et al.. "International Waist Circumference Percentile Cutoffs for Central Obesity in Children and Adolescents Aged 6 to 18 Years." Journal of Clinical Endocrinology and Metabolism, vol. 105, no. 4, 2020, pp. E1569-E1583.
APA	Xi B, Zong X, Kelishadi R, Litwin M, Hong YM, Poh BK, Steffen LM, Galcheva SV, Herteraeberli I, Nawarycz T, Krzywinskawiewiorowska M, Khadilkar A, Schmidt MD, Neuhauser H, Schienkiewitz A, Kulaga Z, Kim HS, Stawinskawitoszynska B, Motlagh ME, ... Bovet P (2020). International Waist Circumference Percentile Cutoffs for Central Obesity in Children and Adolescents Aged 6 to 18 Years. Journal of Clinical Endocrinology and Metabolism, 105(4), E1569-E1583.
Chicago	Xi B, Zong X, Kelishadi R, Litwin M, Hong YM, Poh BK, Steffen LM, et al.. "International Waist Circumference Percentile Cutoffs for Central Obesity in Children and Adolescents Aged 6 to 18 Years." Journal of Clinical Endocrinology and Metabolism 105, no. 4 (2020): E1569-E1583.
Harvard	Xi B et al. (2020) 'International Waist Circumference Percentile Cutoffs for Central Obesity in Children and Adolescents Aged 6 to 18 Years', Journal of Clinical Endocrinology and Metabolism, 105(4), pp. E1569-E1583.
Vancouver	Xi B, Zong X, Kelishadi R, Litwin M, Hong YM, Poh BK, et al.. International Waist Circumference Percentile Cutoffs for Central Obesity in Children and Adolescents Aged 6 to 18 Years. Journal of Clinical Endocrinology and Metabolism. 2020;105(4):E1569-E1583.
BibTex	@article{ author = {Xi B and Zong X and Kelishadi R and Litwin M and Hong YM and Poh BK and Steffen LM and Galcheva SV and Herteraeberli I and Nawarycz T and Krzywinskawiewiorowska M and Khadilkar A and Schmidt MD and Neuhauser H and Schienkiewitz A and Kulaga Z and Kim HS and Stawinskawitoszynska B and Motlagh ME and Ruzita AT and Iotova VM and Grajda A and Ismail MN and Krzyzaniak A and Heshmat R and Stratev V and Rozdzynskaswiatkowska A and Ardalan G and Qorbani M and Swiaderlesniak A and Ostrowskanawarycz L and Yotov Y and Ekbote V and Khadilkar V and Venn AJ and Dwyer T and Zhao M and Magnussen CG and Bovet P}, title = {International Waist Circumference Percentile Cutoffs for Central Obesity in Children and Adolescents Aged 6 to 18 Years}, journal = {Journal of Clinical Endocrinology and Metabolism}, volume = {105}, number = {4}, pages = {E1569-E1583}, year = {2020} }
RIS	TY - JOUR AU - Xi B AU - Zong X AU - Kelishadi R AU - Litwin M AU - Hong YM AU - Poh BK AU - Steffen LM AU - Galcheva SV AU - Herteraeberli I AU - Nawarycz T AU - Krzywinskawiewiorowska M AU - Khadilkar A AU - Schmidt MD AU - Neuhauser H AU - Schienkiewitz A AU - Kulaga Z AU - Kim HS AU - Stawinskawitoszynska B AU - Motlagh ME AU - Ruzita AT AU - Iotova VM AU - Grajda A AU - Ismail MN AU - Krzyzaniak A AU - Heshmat R AU - Stratev V AU - Rozdzynskaswiatkowska A AU - Ardalan G AU - Qorbani M AU - Swiaderlesniak A AU - Ostrowskanawarycz L AU - Yotov Y AU - Ekbote V AU - Khadilkar V AU - Venn AJ AU - Dwyer T AU - Zhao M AU - Magnussen CG AU - Bovet P TI - International Waist Circumference Percentile Cutoffs for Central Obesity in Children and Adolescents Aged 6 to 18 Years JO - Journal of Clinical Endocrinology and Metabolism VL - 105 IS - 4 SP - E1569 EP - E1583 PY - 2020 ER -

Style

Citing Format

MLA

Xi B, et al.. "International Waist Circumference Percentile Cutoffs for Central Obesity in Children and Adolescents Aged 6 to 18 Years." Journal of Clinical Endocrinology and Metabolism, vol. 105, no. 4, 2020, pp. E1569-E1583.

APA

Xi B, Zong X, Kelishadi R, Litwin M, Hong YM, Poh BK, Steffen LM, Galcheva SV, Herteraeberli I, Nawarycz T, Krzywinskawiewiorowska M, Khadilkar A, Schmidt MD, Neuhauser H, Schienkiewitz A, Kulaga Z, Kim HS, Stawinskawitoszynska B, Motlagh ME, ... Bovet P (2020). International Waist Circumference Percentile Cutoffs for Central Obesity in Children and Adolescents Aged 6 to 18 Years. Journal of Clinical Endocrinology and Metabolism, 105(4), E1569-E1583.

Chicago

Xi B, Zong X, Kelishadi R, Litwin M, Hong YM, Poh BK, Steffen LM, et al.. "International Waist Circumference Percentile Cutoffs for Central Obesity in Children and Adolescents Aged 6 to 18 Years." Journal of Clinical Endocrinology and Metabolism 105, no. 4 (2020): E1569-E1583.

Harvard

Xi B et al. (2020) 'International Waist Circumference Percentile Cutoffs for Central Obesity in Children and Adolescents Aged 6 to 18 Years', Journal of Clinical Endocrinology and Metabolism, 105(4), pp. E1569-E1583.

Vancouver

Xi B, Zong X, Kelishadi R, Litwin M, Hong YM, Poh BK, et al.. International Waist Circumference Percentile Cutoffs for Central Obesity in Children and Adolescents Aged 6 to 18 Years. Journal of Clinical Endocrinology and Metabolism. 2020;105(4):E1569-E1583.

BibTex

@article{ author = {Xi B and Zong X and Kelishadi R and Litwin M and Hong YM and Poh BK and Steffen LM and Galcheva SV and Herteraeberli I and Nawarycz T and Krzywinskawiewiorowska M and Khadilkar A and Schmidt MD and Neuhauser H and Schienkiewitz A and Kulaga Z and Kim HS and Stawinskawitoszynska B and Motlagh ME and Ruzita AT and Iotova VM and Grajda A and Ismail MN and Krzyzaniak A and Heshmat R and Stratev V and Rozdzynskaswiatkowska A and Ardalan G and Qorbani M and Swiaderlesniak A and Ostrowskanawarycz L and Yotov Y and Ekbote V and Khadilkar V and Venn AJ and Dwyer T and Zhao M and Magnussen CG and Bovet P}, title = {International Waist Circumference Percentile Cutoffs for Central Obesity in Children and Adolescents Aged 6 to 18 Years}, journal = {Journal of Clinical Endocrinology and Metabolism}, volume = {105}, number = {4}, pages = {E1569-E1583}, year = {2020} }

RIS

TY - JOUR
AU - Xi B
AU - Zong X
AU - Kelishadi R
AU - Litwin M
AU - Hong YM
AU - Poh BK
AU - Steffen LM
AU - Galcheva SV
AU - Herteraeberli I
AU - Nawarycz T
AU - Krzywinskawiewiorowska M
AU - Khadilkar A
AU - Schmidt MD
AU - Neuhauser H
AU - Schienkiewitz A
AU - Kulaga Z
AU - Kim HS
AU - Stawinskawitoszynska B
AU - Motlagh ME
AU - Ruzita AT
AU - Iotova VM
AU - Grajda A
AU - Ismail MN
AU - Krzyzaniak A
AU - Heshmat R
AU - Stratev V
AU - Rozdzynskaswiatkowska A
AU - Ardalan G
AU - Qorbani M
AU - Swiaderlesniak A
AU - Ostrowskanawarycz L
AU - Yotov Y
AU - Ekbote V
AU - Khadilkar V
AU - Venn AJ
AU - Dwyer T
AU - Zhao M
AU - Magnussen CG
AU - Bovet P
TI - International Waist Circumference Percentile Cutoffs for Central Obesity in Children and Adolescents Aged 6 to 18 Years
JO - Journal of Clinical Endocrinology and Metabolism
VL - 105
IS - 4
SP - E1569
EP - E1583
PY - 2020
ER -

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