NDLI: Ethnic group differences in waist circumference percentiles among U.S. children and adolescents: estimates from the 1999-2008 National Health and Nutrition Examination Surveys.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Messiah, Sarah E. Arheart, Kristopher L. Lipshultz, Steven E. Miller, Tracie L.
Spatial Coverage	United States
Description	Author Affiliation: Messiah SE ( Department of Pediatrics, Division of Pediatric Clinical Research, University of Miami Leonard M. Miller School of Medicine, Florida. smessiah@med.miami.edu)
Abstract	BACKGROUND: Waist circumference (WC) may be a better predictor of cardiovascular disease risk than body mass index (BMI). We provide the most current WC percentile estimates for the U.S. Mexican-American (MA), non-Hispanic black (NHB), and non-Hispanic white (NHW) pediatric populations. METHODS: Percentile regression analyses were used to estimate the 10(th), 25(th), 50(th), 75(th), and 90(th) percentiles of the distribution of WC for boys (n=8,351) and girls (n=8,054) for ages 2-18 by ethnicity using the combined 1999-2008 National Health and Nutrition Examination Surveys. RESULTS: MA boys were over 2.5 times as likely versus NHB [odds ratio (OR)=2.60, 95% confidence interval (CI) 1.73-2.52] and almost twice as likely versus NHW (OR=1.86, 95% CI 1.73-2.52) to have a WC above the 90(th) percentile. NHB (89.1 cm) and MA (88.8 cm) girls ages 11 and older and NHW girls (88.7 cm) ages 12 and older who had a WC at or above the 90(th) percentile meet adult WC criteria for the metabolic syndrome (88 cm). MA boys (105.1 cm) ages 14 and older, and NHB (105.1 cm) and NHW boys (105.0 cm) ages 16 and older that had a WC at or above the 90(th) percentile meet adult WC criteria for the metabolic syndrome (102 cm). CONCLUSIONS: WC is a simple, inexpensive measure that can identify children at risk for cardiometabolic disease. A large proportion of U.S. adolescents with elevated WC, and prepubescent girls in particular, currently meet adult cutoff criteria for WC as a component of the metabolic syndrome.
File Format	HTM / HTML
ISSN	15404196
Issue Number	4
Volume Number	9
e-ISSN	15578518
Journal	Metabolic Syndrome and Related Disorders
Language	English
Publisher	Mary Ann Liebert
Publisher Date	2011-08-01
Publisher Place	United States
Access Restriction	Subscribed
Subject Keyword	Discipline Metabolism Ethnic Groups Nutrition Surveys Waist Circumference Adolescent African Americans Cardiovascular Diseases Etiology Child Child, Preschool European Continental Ancestry Group Female Humans Male Mexican Americans Statistics & Numerical Data Risk Factors United States Comparative Study Journal Article
Content Type	Text
Resource Type	Article
Subject	Endocrinology, Diabetes and Metabolism Internal Medicine

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