ArticlePloS one2020
The predictive value of anthropometric indices for cardiometabolic risk factors in Chinese children and adolescents: A national multicenter school-based study.
Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.
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Who cites it
18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 54 citations in OpenAlex.
- Diagnostic accuracy of anthropometric indices for discriminating elevated blood pressure in pediatric population: a systematic review and a meta-analysis.BMC pediatrics · 2022Pooled it
- Field-Based Health-Related Physical Fitness Tests in Children and Adolescents: A Systematic Review.Frontiers in pediatrics · 2021Pooled it
- Associations of general and abdominal adiposity with incident elevated blood pressure among Tianjin adolescents: a school-based longitudinal study.BMC public health · 2026Article
- Comparison of obesity indicators for predicting cardiovascular risk factors and multimorbidity among the Chinese population based on ROC analysis.Scientific reports · 2024Article
- Population-based references for waist and hip circumferences, waist-to-hip and waist-to-height ratios for children and adolescents, and evaluation of their predictive ability.European journal of pediatrics · 2023Article
- Self-reported and measured anthropometric variables in association with cardiometabolic markers: A Danish cohort study.PloS one · 2023Article
- Prevalence and associated factors of hypertension among primary school children: A cross-sectional study in Kuching, Sarawak.Malaysian family physician : the official journal of the Academy of Family Physicians of Malaysia · 2023Article
- Body mass index was linked with multi-cardiometabolic abnormalities in Chinese children and adolescents: a community-based survey.BMC pediatrics · 2022Article
- A Mini-Review of Pediatric Anthropometrics as Predictors of Future Insulin Resistance.Frontiers in endocrinology · 2022Review
- Anthropometric indices and cut-off points for screening of metabolic syndrome among South African taxi drivers.Frontiers in nutrition · 2022Article
- A Proposal to Unify the Definition of the Metabolic Syndrome in Children and Adolescents.Frontiers in endocrinology · 2022Article
- Muscle strength and its association with cardiometabolic variables in adolescents: does the expression of muscle strength values matter?World journal of pediatrics : WJP · 2021Article
- Dyslipidemia, Obesity, and Ethnicity in Mexican Children.International journal of environmental research and public health · 2021Article
- Performance of waist-to-height ratio as a screening tool for identifying cardiometabolic risk in children: a meta-analysis.Diabetology & metabolic syndrome · 2021Article
- Cutpoints for Muscle Mass and Strength Derived from Weakness or Mobility Impairment and Compared with Other Diagnostic Criteria in Community-Dwelling Elderly People.Calcified tissue international · 2021Article
- The Association Between Single-Child Status and Risk of Abdominal Obesity: Result From a Cross-Sectional Study of China.Frontiers in pediatrics · 2021Article
- Diagnostic Precision of Anthropometric Variables for the Detection of Hypertension in Children and Adolescents.International journal of environmental research and public health · 2020Article
- Validity of anthropometric indices in predicting high blood pressure risk factors in Iranian children and adolescents: CASPIAN-V study.Journal of clinical hypertension (Greenwich, Conn.) · 2020Article
Corrections and comments
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Authors and funding
12 authors at 9 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThis study aimed to assess the accuracy of body mass index (BMI) percentile, waist circumference (WC) percentile, waist-height ratio, and waist-hip ratio for identifying cardiometabolic risk factors in Chinese children and adolescents stratified by sex and BMI categories.
methodsWe measured anthropometric indices, fasting plasma glucose, lipid profile and blood pressure for 15698 participants aged 6-17 in a national survey between September and December 2013. The predictive accuracy of anthropometric indices for cardiometabolic risk factors was examined using receiver operating characteristic (ROC) analyses. The DeLong test and Z test were used for the comparisons of areas under ROC curves (AUCs).
resultsThe prevalence of impaired fasting glucose, dyslipidemia, hypertension and cluster of risk factors were 2.9%, 27.3%, 10.5% and 5.7% respectively. The four anthropometric indices showed poor to fair discriminatory ability for cardiometabolic risk factors with the AUCs ranging from 0.53-0.72. Each index performed significantly better AUCs for dyslipidemia (0.59-0.63 vs. 0.56-0.59), hypertension (0.62-0.70 vs. 0.55-0.65) and clustered risk factors (0.70-0.73 vs. 0.60-0.64) in boys than that in girls. BMI percentile performed the best accuracy for hypertension in both sexes; WC percentile had the highest AUC for dyslipidemia and BMI percentile and waist-height ratio performed similarly the best AUCs for clustered risk factors in boys while BMI percentile, WC percentile and waist-height ratio performed similar and better AUCs for dyslipidemia and clustered risk factors in girls; whereas waist-hip ratio was consistently the poorest predictor for them regardless of sex. Though the anthropometric indices were more predictive of dyslipidemia, hypertension and clustered risk factors in overweight/obese group compared to their normal BMI peers, the AUCs in overweight/obese group remained in the poor range below 0.70.
conclusionsAnthropometric indices are not effective screening tools for pediatric cardiometabolic risk factors, even in overweight/obese children.
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