Isfahan University of Medical Sciences

Science Communicator Platform

Stay connected! Follow us on X network (Twitter):
Share this content! On (X network) By
A Comparison Between Body Mass Index and Waist Circumference for Identifying Continuous Metabolic Syndrome Risk Score Components in Iranian School-Aged Children Using a Structural Equation Modeling Approach: The Caspian-V Study Publisher Pubmed



Ejtahed HS1, 2 ; Mahmoodi Z3 ; Qorbani M4, 5 ; Angoorani P1 ; Motlagh ME6 ; Hasaniranjbar S1 ; Ziaodini H7 ; Taheri M7 ; Heshmat R5 ; Kelishadi R7
Authors
Show Affiliations
Authors Affiliations
  1. 1. Obesity and Eating Habits Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Social Determinants of Health Research Center, Alborz University of Medical Sciences, Karaj, Iran
  4. 4. Department of Biostatistics and Epidemiology, School of Health, Non-communicable Diseases Research Center, Alborz University of Medical Sciences, Karaj, Iran
  5. 5. Chronic Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
  6. 6. Department of Pediatrics, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
  7. 7. Department of Pediatrics, Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran

Source: Eating and Weight Disorders Published:2021


Abstract

Purpose: The purpose of this study was to investigate the association of anthropometric indices with continuous metabolic syndrome (cMetS) risk score components in a large population-based sample of children and adolescents. Methods: This multi-centric study was performed on 3843 students aged 7–18 years who were selected by multistage, stratified cluster sampling method from 30 provinces of Iran. Demographic, anthropometric and biochemical factors were obtained and standardized residuals (z-scores) were calculated for MetS components. A structural equation modeling approach was applied to evaluate the relationships among the study variables and to implement the subsequent structural modeling. Results: The mean age of the participants (52.3% boys) was 12.4 ± 3.05 years. Standardized scores of body mass index (ZBMI) and waist circumference (ZWC) had a direct effect on standardized scores of mean arterial pressure (ZMAP) (0.23 and 0.24 in boys and 0.22 and 0.23 in girls, respectively) and triglyceride (ZTG) (0.07 and 0.04 in boys and 0.02 and 0.06 in girls, respectively), but the effect of ZWC was stronger than ZBMI on these variables. Age, socioeconomic status and sedentary behaviors showed a positive direct effect on ZWC (0.01, 0.05 and 0.07 in boys and 0.05, 0.08 and 0.002 in girls, respectively). These variables induced indirect effects on cMets risk score components through ZWC. Conclusion: The magnitude of association between WC and continuous metabolic syndrome risk score components was higher compared to BMI in school-aged children, emphasizing on paying more attention to central obesity in childhood. Level of evidence: Level V, cross-sectional descriptive study. © 2020, Springer Nature Switzerland AG.
Related Docs
View other Related Docs
1. Comparing the Validity of Continuous Metabolic Syndrome Risk Scores for Predicting Pediatric Metabolic Syndrome: The Caspian-V Study, Journal of Pediatric Endocrinology and Metabolism (2019)
2. Association of Anthropometric Indices With Continuous Metabolic Syndrome in Children and Adolescents: The Caspian-V Study, Eating and Weight Disorders (2018)
3. First Report on Path Analysis for Cardiometabolic Components in a Nationally Representative Sample of Pediatric Population in the Middle East and North Africa (Mena): The Caspian-Iii Study, Annals of Nutrition and Metabolism (2013)
4. Determinants of Childhood Blood Pressure Using Structure Equation Model: The Caspian-V Study, BMC Cardiovascular Disorders (2020)
5. Validity of a Continuous Metabolic Syndrome Score As an Index for Modeling Metabolic Syndrome in Children and Adolescents: The Caspian-V Study, Diabetology and Metabolic Syndrome (2017)
6. Discriminatory Ability of Visceral Adiposity Index As an Indicator for Modeling Cardio-Metabolic Risk Factors in Pediatric Population: The Caspian-V Study, Journal of Cardiovascular and Thoracic Research (2019)
7. Association of Anthropometric Indices With Metabolic Phenotypes of Obesity in Children and Adolescents: The Caspian-V Study, Frontiers in Endocrinology (2019)
8. Metabolic Syndrome and Associated Factors in Iranian Children and Adolescents: The Caspian-V Study, Journal of Cardiovascular and Thoracic Research (2018)
Experts (# of related papers)
View all Related Experts
Roya Kelishadi (275)
Nizal Sarrafzadegan (87)
Other Related Docs
9. Association of Anthropometric Measures and Cardio-Metabolic Risk Factors in Normal-Weight Children and Adolescents: The Caspian-V Study, Journal of Pediatric Endocrinology and Metabolism (2018)
10. Association of a Body Shape Index and Hip Index With Cardiometabolic Risk Factors in Children and Adolescents: The Caspian-V Study, Journal of Diabetes and Metabolic Disorders (2021)
11. Validity of Triglyceride–Glucose Index As an Indicator for Metabolic Syndrome in Children and Adolescents: The Caspian-V Study, Eating and Weight Disorders (2018)
12. Association of Short Stature and Obesity With Cardio-Metabolic Risk Factors in Iranian Children and Adolescents: The Caspian-V Study, Journal of Diabetes and Metabolic Disorders (2021)
13. Association of Anthropometric Measures With Cardiovascular Risk Factors and Metabolic Syndrome in Normal-Weight Children and Adolescents: The Caspian Iii Study, Obesity Facts (2013)
14. Prevalence of Different Metabolic Phenotypes of Obesity in Iranian Children and Adolescents: The Caspian V Study, Journal of Diabetes and Metabolic Disorders (2018)
15. Is the Association of Continuous Metabolic Syndrome Risk Score With Body Mass Index Independent of Physical Activity? the Caspian-Iii Study, Nutrition Research and Practice (2015)
16. Association of Anthropometric Indices With Cardiovascular Disease Risk Factors Among Children and Adolescents: Caspian Study, International Journal of Cardiology (2007)
17. Utility of Waist Circumference-To-Height Ratio As a Screening Tool for Generalized and Central Obesity Among Iranian Children and Adolescents: The Caspian-V Study, Pediatric Diabetes (2019)
18. Association of Parental Obesity With Cardiometabolic Risk Factors in Their Children: The Caspian-V Study, PLoS ONE (2018)
19. First Report on the Validity of a Continuous Metabolic Syndrome Score As an Indicator for Metabolic Syndrome in a National Sample of Paediatric Population - the Caspian-Iii Study, Endokrynologia Polska (2013)
20. Validity of Anthropometric Indices in Predicting High Blood Pressure Risk Factors in Iranian Children and Adolescents: Caspian-V Study, Journal of Clinical Hypertension (2020)
21. Tri-Ponderal Mass Index and Body Mass Index in Prediction of Pediatric Metabolic Syndrome: The Caspian-V Study, Archives of Endocrinology and Metabolism (2020)
22. Association Between Junk Food Consumption and Cardiometabolic Risk Factors in a National Sample of Iranian Children and Adolescents Population: The Caspian-V Study, Eating and Weight Disorders (2020)
23. Are Non-High-Density Lipoprotein Fractions Associated With Pediatric Metabolic Syndrome? the Caspian-V Study, Lipids in Health and Disease (2018)
24. Anthropometric Indices and Cardiovascular Disease Risk in Children and Adolescents: Caspian Study, Handbook of Anthropometry: Physical Measures of Human Form in Health and Disease (2012)
25. A Systematic Review on the Prevalence of Metabolic Syndrome in Iranian Children and Adolescents, Journal of Research in Medical Sciences (2016)
26. Nutrient Patterns in Relation to Metabolic Health Status in Overweight and Obese Adolescents, Scientific Reports (2023)
27. The Relationship Between Diet Quality Index and Components of Metabolic Syndrome, Journal of Health System Research (2024)
28. Association Between Obesity and Parental Weight Status in Children and Adolescents, JCRPE Journal of Clinical Research in Pediatric Endocrinology (2017)
29. Metabolic Syndrome and Its Determinants in a Sample of Young Iranian Children With Obesity, Pakistan Journal of Medical Sciences (2013)
30. Prevalence of Cardiometabolic Risk Factors in a Nationally Representative Sample of Iranian Children and Adolescents: The Caspian-V Study, Journal of Cardiovascular and Thoracic Research (2018)
31. Growth Charts of Heights and Weights of Male Children and Adolescents of Isfahan, Iran, Journal of Health, Population and Nutrition (2003)
32. Assessing Body Shape Index As a Risk Predictor for Cardiovascular Diseases and Metabolic Syndrome Among Iranian Adults, Nutrition (2014)
33. A Nationwide Report on Blood Pressure of Children and Adolescents According to Socioeconomic Status: The Caspian-Iv Study, Journal of Research in Medical Sciences (2015)
34. Association of Serum 25-Hydroxyvitamin D Level With Metabolic Phenotypes of Obesity in Children and Adolescents: The Caspian-V Study, Frontiers in Endocrinology (2020)
35. First Growth Curves Based on the World Health Organization Reference in a Nationally-Representative Sample of Pediatric Population in the Middle East and North Africa (Mena): The Caspian-Iii Study, BMC Pediatrics (2012)
36. Anthropometric Indices Associated With Dyslipidemia in Obese Children and Adolescents: A Retrospective Study in Isfahan, ARYA Atherosclerosis (2011)
37. Is Single-Child Family Associated With Cardio-Metabolic Risk Factors: The Caspian-V Study, BMC Cardiovascular Disorders (2018)
38. Prevalence of Prehypertension and Hypertension in a Nationally Representative Sample of Iranian Children and Adolescents: The Caspian-Iv Study, International Journal of Preventive Medicine (2014)
39. Path Analysis on Determinants of Childhood Obesity and Associated Risk Factors of Cardiovascular, Renal, and Hepatic Diseases: The Caspian-V Study, Journal of Child Science (2020)
40. Weight Disorders and Anthropometric Indices According to Socioeconomic Status of Living Place in Iranian Children and Adolescents: The Caspian-Iv Study, Journal of Research in Medical Sciences (2015)
41. Socioeconomic Inequality in Cardio-Metabolic Risk Factors in a Nationally Representative Sample of Iranian Adolescents Using an Oaxaca-Blinder Decomposition Method: The Caspian-Iii Study, Journal of Diabetes and Metabolic Disorders (2019)
42. Methodology and Early Findings of the Fifth Survey of Childhood and Adolescence Surveillance and Prevention of Adult Noncommunicable Disease: The Caspian-V Study, International Journal of Preventive Medicine (2017)
43. Factor Analysis of Cardiovascular Risk Clustering in Pediatric Metabolic Syndrome: Caspian Study, Annals of Nutrition and Metabolism (2007)
44. Socioeconomic Inequality in Different Phenotypes of Childhood Obesity and Its Determinants in Iran: A Blinder-Oaxaca Decomposition Method, BMC Public Health (2022)
45. Underweight, Overweight and Obesity Among Zaboli Adolescents: A Comparison Between International and Iranians' National Criteria, International Journal of Preventive Medicine (2013)
46. Joint Association of Screen Time and Physical Activity With Cardiometabolic Risk Factors in a National Sample of Iranian Adolescents: The Caspianiii Study, PLoS ONE (2016)
47. Obesity and Metabolic Syndrome Among a Representative Sample of Iranian Adolescents, Southeast Asian Journal of Tropical Medicine and Public Health (2012)
48. Screen Time and Its Relation to Cardiometabolic Risk Among Children and Adolescents: The Caspian-Iii Study, Iranian Journal of Public Health (2015)
49. Childhood Overweight and Obesity and Associated Factors in Iranian Children and Adolescents: A Multilevel Analysis; the Caspian-Iv Study, Frontiers in Pediatrics (2018)
50. Predictors of Metabolic Syndrome in the Iranian Population: Waist Circumference, Body Mass Index, or Waist to Hip Ratio?, Cholesterol (2013)