首页|Predictive Ability of Hypertriglyceridemic Waist,Hypertriglyceridemic Waist-to-Height Ratio,and Waist-to-Hip Ratio for Cardiometabolic Risk Factors Clustering Screening among Chinese Children and Adolescents

Predictive Ability of Hypertriglyceridemic Waist,Hypertriglyceridemic Waist-to-Height Ratio,and Waist-to-Hip Ratio for Cardiometabolic Risk Factors Clustering Screening among Chinese Children and Adolescents

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Objective Hypertriglyceridemic waist(HW),hypertriglyceridemic waist-to-height ratio(HWHtR),and waist-to-hip ratio(WHR)have been shown to be indicators of cardiometabolic risk factors.However,it is not clear which indicator is more suitable for children and adolescents.We aimed to investigate the relationship between HW,HWHtR,WHR,and cardiovascular risk factors clustering to determine the best screening tools for cardiometabolic risk in children and adolescents.Methods This was a national cross-sectional study.Anthropometric and biochemical variables were assessed in approximately 70,000 participants aged 6-18 years from seven provinces in China.Demographics,physical activity,dietary intake,and family history of chronic diseases were obtained through questionnaires.ANOVA,x2 and logistic regression analysis was conducted.Results A significant sex difference was observed for HWHtR and WHR,but not for HW phenotype.The risk of cardiometabolic health risk factor clustering with HW phenotype or the HWHtR phenotype was significantly higher than that with the non-HW or non-HWHtR phenotypes among children and adolescents(HW:OR = 12.22,95%CI:9.54-15.67;HWHtR:OR = 9.70,95%CI:6.93-13.58).Compared with the HW and HWHtR phenotypes,the association between risk of cardiometabolic health risk factors(CHRF)clustering and high WHR was much weaker and not significant(WHR:OR = 1.14,95%CI:0.97-1.34).Conclusion Compared with HWHtR and WHR,the HW phenotype is a more convenient indicator with higher applicability to screen children and adolescents for cardiovascular risk factors.

Hypertriglyceridemic waistWaist-to-hip ratioChildren and adolescentsChinaHypertriglyceridemic waist-to-height ratioCardiovascular risk factors

XIAO Tian Li、YUAN Shu Qian、GAO Jing Yu、Julien S.Baker、YANG Yi De、WANG Xi Jie、ZHENG Chan Juan、DONG Yan Hui、ZOU Zhi Yong

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Key Laboratory of Molecular Epidemiology of Hunan Province,School of Medicine,Hunan Normal University,Changsha 410081,Hunan,China

The Institute of Interdisciplinary Studies,Hunan Normal University,Changsha 410013,Hunan,China

Chenzhou First People's Hospital,Chenzhou 423000,Hunan,China

Centre for Health and Exercise Science Research,Hong Kong Baptist University,Kowloon Tong,Hong Kong 999077,China

Department of Sport,Physical Education and Health,Hong Kong Baptist University,Kowloon Tong,Hong Kong 999077,China

Vanke School of Public Health,Tsinghua University,Beijing 100084,China

Institute of Child and Adolescent Health,School of Public Health,Peking University Health Science Center,Beijing 100191,China

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国家自然科学基金Health Research Project of Hunan Provincial Health Commission湖南省教育厅科研项目Research Team for Reproduction Health and Translational Medicine of Hunan Normal UniversityKey Project of Developmental Biology and Breeding from Hunan ProvinceOpen Project for Postgraduates of Hunan Normal University

8190333620211203151622B00382023JC1012022XKQ0205KF2022019

2024

10.3967/bes2024.027

生物医学与环境科学(英文版)
中国疾病预防控制中心

生物医学与环境科学(英文版)

CSTPCD
影响因子：0.76
ISSN：0895-3988
年,卷(期)：2024.37(3)
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