Body Mass Index, Waist Circumference, and Cardiovascular Risk Factors in Adolescents
作者： Sarah E. Messiah , Kristopher L. Arheart , Steven E. Lipshultz , Tracie L. Miller
DOI: 10.1016/J.JPEDS.2008.06.013
关键词: Cross-sectional study 、 Medicine 、 Waist 、 Blood pressure 、 Internal medicine 、 Waist–hip ratio 、 National Health and Nutrition Examination Survey 、 Body mass index 、 Risk factor 、 Obstetrics 、 Anthropometry 、 Endocrinology
摘要: Objective To determine optimal threshold values for body mass index (BMI) and waist circumference (WC) detecting cardiovascular disease (CVD) risk (as defined with ≥3 CVD factors [RFs]) in adolescents. Study design The 1999-2004 National Health Nutrition Examination Surveys (NHANES) cross-sectional data 12- to 19-year-old adolescents (n = 2581) was analyzed. Main outcome measures were age-adjusted RFs (high- low-density lipoprotein cholesterol level, triglyceride glucose insulin systolic diastolic blood pressure). presence of predicted from age- sex-adjusted BMI WC receiver operating characteristics analyses. Results proportion at ranged 17% 19%. Both had good diagnostic accuracy, ranging 0.73 0.83, sensitivity specificity, 0.68 0.77. cutoff points 19.5 25.0 kg/m 2 boys 19.4 27.0 girls, 66.8 87.5 cm 71.5 87.2 girls. Conclusions Age-, sex-, ethnicity/race-specific may have significant clinical usefulness identifying teenagers later onset.
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