Percentile Curves for Body-Mass Index, Waist Circumference, Waist-To-Height Ratio and Waist-To-Height Ratio(Exp) in Croatian Adolescents

Overview

Journal Int J Environ Res Public Health

Publisher MDPI

Specialties Environmental Health
Public Health

Date 2019 Jun 2

PMID 31151245

Citations 2

Authors

Martin Zvonar

Lovro Stefan

Mario Kasovic

Affiliations

Soon will be listed here.

Abstract

Purpose: The main purpose of the present study was to establish percentile curves for body-mass index (BMI), waist circumference (WC), waist-to-height ratio (WHtR) and WHtR(exp) in adolescents.

Methods: In this cross-sectional study, we recruited 1036 secondary-school students aged 15 to 18 years from eight randomly selected schools (55.3% girls). BMI, WC, WHtR and WHtR(exp) were calculated using standardized measuring protocol. The sex- and age-specific smoothed percentile curves with 5th, 10th, 25th, 50th, 75th, 90th, and 95th percentile for each anthropometric measure were constructed using Cole's LMS method.

Results: In boys, both BMI and WC percentile curves increased by age, yet the 95th percentile curve for WHtR and WHtR(exp) decreased by age. In girls, the 95th percentile curve for BMI remained unchanged through the age of 15 to 18 years, yet the 90th and 95th percentile curves for WC and WHtR decreased by age.

Conclusion: This is the first study in Croatia to establish combined BMI, WC, WHtR and WHtR(exp) percentile curves and add some new insight on anthropometric measures in 15- to 18-year-old adolescents.

Citing Articles

Prevalence of obesity and impact of socio-demographic factors on obesity in 15-19 years old adolescents in Vojvodina, Serbia.

Petrovic V, cankovic S Cent Eur J Public Health. 2024; 31(4):287-295.

PMID: 38309707 DOI: 10.21101/cejph.a7683.

Anthropometric Indices and Some Aspects of Physical Fitness in Croatian Adolescents by Gender.

Zvonar M, Kasovic M, Stefan L Int J Environ Res Public Health. 2019; 16(14).

PMID: 31331028 PMC: 6678785. DOI: 10.3390/ijerph16142582.

References

Kelishadi R, Mirmoghtadaee P, Najafi H, Keikha M . Systematic review on the association of abdominal obesity in children and adolescents with cardio-metabolic risk factors. J Res Med Sci. 2015; 20(3):294-307. PMC: 4468236. View

Stefan L, Soric M, Devrnja A, Petric V, Misigoj-Durakovic M . One-year changes in physical activity and sedentary behavior among adolescents: the Croatian Physical Activity in Adolescence Longitudinal Study (CRO-PALS). Int J Adolesc Med Health. 2018; 32(5). DOI: 10.1515/ijamh-2017-0223. View

Juresa V, Musil V, Tiljak M . Growth charts for Croatian school children and secular trends in past twenty years. Coll Antropol. 2012; 36 Suppl 1:47-57. View

Cole T, Bellizzi M, Flegal K, Dietz W . Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ. 2000; 320(7244):1240-3. PMC: 27365. DOI: 10.1136/bmj.320.7244.1240. View

Cole T . The LMS method for constructing normalized growth standards. Eur J Clin Nutr. 1990; 44(1):45-60. View

Galcheva S, Iotova V, Yotov Y, Grozdeva K, Stratev V, Tzaneva V . Waist circumference percentile curves for Bulgarian children and adolescents aged 6-18 years. Int J Pediatr Obes. 2009; 4(4):381-8. DOI: 10.3109/17477160902846195. View

Tybor D, Lichtenstein A, Dallal G, Must A . Waist-to-height ratio is correlated with height in US children and adolescents aged 2-18 years. Int J Pediatr Obes. 2008; 3(3):148-51. PMC: 2662595. DOI: 10.1080/17477160802068957. View

Brambilla P, Bedogni G, Moreno L, Goran M, Gutin B, Fox K . Crossvalidation of anthropometry against magnetic resonance imaging for the assessment of visceral and subcutaneous adipose tissue in children. Int J Obes (Lond). 2005; 30(1):23-30. DOI: 10.1038/sj.ijo.0803163. View

McCarthy H, Jarrett K, Crawley H . The development of waist circumference percentiles in British children aged 5.0-16.9 y. Eur J Clin Nutr. 2001; 55(10):902-7. DOI: 10.1038/sj.ejcn.1601240. View

10.

Yan W, Yao H, Dai J, Cui J, Chen Y, Yang X . Waist circumference cutoff points in school-aged Chinese Han and Uygur children. Obesity (Silver Spring). 2008; 16(7):1687-92. DOI: 10.1038/oby.2008.245. View

11.

Pecin I, Samovojska R, Heinrich B, Zeljkovic-Vrkic T, Laganovic M, Jelakovic B . Hypertension, overweight and obesity in adolescents: the CRO-KOP study. Coll Antropol. 2013; 37(3):761-4. View

12.

. Worldwide trends in body-mass index, underweight, overweight, and obesity from 1975 to 2016: a pooled analysis of 2416 population-based measurement studies in 128·9 million children, adolescents, and adults. Lancet. 2017; 390(10113):2627-2642. PMC: 5735219. DOI: 10.1016/S0140-6736(17)32129-3. View

13.

Milosavljevic D, Mandic M, Banjari I . Nutritional knowledge and dietary habits survey in high school population. Coll Antropol. 2015; 39(1):101-7. View

14.

Kuriyan R, Thomas T, Lokesh D, Sheth N, Mahendra A, Joy R . Waist circumference and waist for height percentiles in urban South Indian children aged 3-16 years. Indian Pediatr. 2011; 48(10):765-71. DOI: 10.1007/s13312-011-0126-6. View

15.

Dixon J . The effect of obesity on health outcomes. Mol Cell Endocrinol. 2009; 316(2):104-8. DOI: 10.1016/j.mce.2009.07.008. View

16.

Eisenmann J . Waist circumference percentiles for 7- to 15-year-old Australian children. Acta Paediatr. 2005; 94(9):1182-5. DOI: 10.1111/j.1651-2227.2005.tb02071.x. View

17.

Browning L, Hsieh S, Ashwell M . A systematic review of waist-to-height ratio as a screening tool for the prediction of cardiovascular disease and diabetes: 0·5 could be a suitable global boundary value. Nutr Res Rev. 2010; 23(2):247-69. DOI: 10.1017/S0954422410000144. View

18.

Bacopoulou F, Efthymiou V, Landis G, Rentoumis A, Chrousos G . Waist circumference, waist-to-hip ratio and waist-to-height ratio reference percentiles for abdominal obesity among Greek adolescents. BMC Pediatr. 2015; 15:50. PMC: 4446827. DOI: 10.1186/s12887-015-0366-z. View

19.

Ma J, Wang Z, Song Y, Hu P, Zhang B . BMI percentile curves for Chinese children aged 7-18 years, in comparison with the WHO and the US Centers for Disease Control and Prevention references. Public Health Nutr. 2010; 13(12):1990-6. DOI: 10.1017/S1368980010000492. View

20.

Carlson J, Crespo N, Sallis J, Patterson R, Elder J . Dietary-related and physical activity-related predictors of obesity in children: a 2-year prospective study. Child Obes. 2012; 8(2):110-5. PMC: 3647527. DOI: 10.1089/chi.2011.0071. View