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J Pediatr Health Care ; 29(4): 319-24, 2015.
Article in English | MEDLINE | ID: mdl-25620719

ABSTRACT

PURPOSE: Waist to hip ratio (WHR) is a valid assessment tool to determine risk for the development or presence of metabolic syndrome, diabetes, and cardiovascular disease in adults. Evidence-based research on its validity with children and adolescents is limited. A retrospective analysis was conducted to determine if WHR in overweight and obese pediatric patients is associated with metabolic syndrome laboratory markers. METHODS: Retrospective chart reviews were performed for 754 patients ages 6 to 17 years who were enrolled in a weight management program. Data collected included WHR, laboratory markers for metabolic disorder, body mass index, demographics, presence of acanthosis nigricans, and Tanner stage. RESULTS: WHR and high-density lipoprotein were negatively correlated, r (N = 597) = -0.20, p < .001. WHR and triglycerides were positively correlated, r (N = 597) = 0.19, p < .001, as were WHR and low-density lipoprotein, r (N = 596) = 0.09, p = .03, and WHR and insulin, r (N = 414) = 0.16, p = .001. In a subject sample with very restricted range, a one-way analysis of variance found a significant effect of WHR on body mass index percentile, F (1, 754) = 22.43, p < .001, η(2) = 0.03. CONCLUSIONS: Increased WHR correlated in children and adolescents with known indicators that could be suggestive of increased risk for metabolic syndrome, specifically low high-density lipoprotein, high low-density lipoprotein, triglycerides, and insulin. These results suggest that evaluation of WHR may be a useful tool to indicate risk for developing metabolic syndrome and diabetes in children and adolescents.


Subject(s)
Acanthosis Nigricans/complications , Metabolic Syndrome/etiology , Pediatric Obesity/complications , Acanthosis Nigricans/blood , Acanthosis Nigricans/epidemiology , Adolescent , Body Mass Index , Child , Cholesterol, HDL/blood , Early Diagnosis , Female , Humans , Male , Metabolic Syndrome/blood , Metabolic Syndrome/epidemiology , Pediatric Obesity/blood , Pediatric Obesity/epidemiology , Predictive Value of Tests , Retrospective Studies , Risk Factors , Triglycerides/blood , United States/epidemiology , Waist-Hip Ratio
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