Objective. To evaluate the relationship between waist-to-height ratio (WHtR) and
glucose and
lipid metabolism in Han
adolescents aged 13-15 years.
Methods. A study was conducted on 1665 Han
adolescents aged 13-15 years. Measurements included height, weight,
waist circumference,
fasting plasma glucose(FPG),
triglyceride and
high-density lipoprotein cholesterol. The subjects were divided into two groups according to WHtR. Results.Compared with the
control group (n=1340,WHtR<0.46), the
abdominal obesity group(n=325,WHtRe”0.46) had significantly higher levels of
body mass index (BMI) (26.3±3.6 vs 18.9±2.3), WHtR (0.51±0.04 vs 0.40±0.03), FPG (4.99±0.48 vs 4.86±0.46), and
triglyceride (1.21±0.62 vs 0.87±0.41), and a lower level of
high-density lipoprotein cholesterol (1.26±0.27 vs 1.46±0.30) (P<0.01).
Logistic regression analysis showed that after controlling for age,
sex and BMI, the elevated FPG and
dyslipidemia risk odds ratios of the
abdominal obesity group were 1.954 (95% CI1.250~3.054) and 2.012 (95% CI1.204~3.362) (P<0.01) respectively. When clustered, the
odds ratio of elevated FPG and
dyslipidemia was 6.659 (95% CI 1.337~33.159) (P<0.01). Conclusions. The waist-to-height ratio is an appropriate
measure to assess dyslipidemic-diabetic
adolescents and should be used to guide early intervention with the aim of
future prevention of these linked
diseases.