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Waist to height ratio: a simple screening tool for nonalcoholic fatty liver disease in obese children

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Title: Waist to height ratio: a simple screening tool for nonalcoholic fatty liver disease in obese children
Authors: Özhan, Bayram, Ersoy, B., Özkol, M., Kiremitci, S., Ergin, Ahmet
Contributors: PAMUKKALE ÜNİVERSİTESİ, CELÂL BAYAR ÜNİVERSİTESİ
Source: The Turkish Journal of Pediatrics, Vol 58, Iss 5 (2016)
Publisher Information: Hacettepe University Institute of Child Health, 2016.
Publication Year: 2016
Subject Terms: nonalcoholic fatty liver disease, Male, puberty, obesity, Pediatric Obesity, preschool child, Pediatrics, 0302 clinical medicine, Non-alcoholic Fatty Liver Disease, gender, Prevalence, Mass Screening, waist to height ratio, Child, 2. Zero hunger, child, anthropometry, Anthropometry, waist circumference, 3. Good health, female, waist hip ratio, Child, Preschool, Female, mass screening tool, childhood obesity, mass screening, Adolescent, prevalence, complication, B scan, Article, RJ1-570, 03 medical and health sciences, male, Mass screening tool, nonalcoholic fatty liver, Nonalcoholic fatty liver disease, Humans, controlled study, Obesity, human, procedures, Preschool, Waist-Height Ratio, school child, major clinical study, body mass, predictor variable, Anthropometry/*methods, Mass Screening/*methods, Non-alcoholic Fatty Liver Disease/complications/*diagnosis/epidemiology, Pediatric Obesity/*complications, age, Pediatri, sensitivity and specificity, adolescent
Description: Simple predictors are needed for the screening of nonalcoholic fatty liver disease (NAFLD) in obese children. We aimed to assess the role of anthropometric parameters in the prediction of NAFLD. Three hundred and thirty two obese children (152 male, 180 female) aged 4.6-17.0 years were included in this study. Weight, height, waist (WC), and hip circumference were measured. Body mass index (BMI), waist-hip-ratio (WHR), and waist-height-ratio (WHtR) were calculated. Obesity was defined as BMI for age and sex ≥ 95th percentile. NAFLD was diagnosed using ultrasonography (US). NAFLD was present in 60.8% of obese children. Fatty liver prevalence differed significantly by gender and puberty (55.0% of girls vs 67.7% of boys, and 28.7% in prepubertal vs 71.3% in pubertal children; p < 0.05). Significantly higher BMI, BMI standard deviation score (SDS), WC, and WHtR were found in obese children with NAFLD compared to obese children without NAFLD (p < 0.05). Only WHtR was found to be an independent predictor for NAFLD in a logistic regression analysis (p < 0.001, B:1.096, 95% CI 1.047-1.148). Fatty liver is common among obese children, particularly in obese boys. WHtR is a simple and easy index for predicting of NAFLD in obese children and can be used for mass screening in public health.
Document Type: Article
Research
ISSN: 2791-6421
0041-4301
DOI: 10.24953/turkjped.2016.05.009
Access URL: https://pubmed.ncbi.nlm.nih.gov/28621093
https://doaj.org/article/9ccf63ab46174e0599e43e1e6d38ba6e
https://europepmc.org/article/MED/28621093
https://www.omicsonline.org/2165-7904/2165-7904.C1.028-001.pdf
https://www.ncbi.nlm.nih.gov/pubmed/28621093
http://acikerisim.pau.edu.tr:8080/xmlui/handle/11499/9805
https://www.omicsonline.org/proceedings/waist-to-height-ratio-a-simple-screening-tool-for-nonalcoholic-fatty-liver-disease-in-obese-children-49671.html
https://pubmed.ncbi.nlm.nih.gov/28621093/
https://hdl.handle.net/11499/43259
https://hdl.handle.net/11499/9805
https://doi.org/10.24953/turkjped.2016.05.009
http://acikerisim.pau.edu.tr:8080/xmlui/handle/11499/9805
https://app.trdizin.gov.tr/publication/paper/detail/TWpReE1UZzJOZz09
http://hdl.handle.net/20.500.12481/2460
Accession Number: edsair.doi.dedup.....853efb2e59bbf58b6557c842dd21eb06
Database: OpenAIRE
Description
Abstract:Simple predictors are needed for the screening of nonalcoholic fatty liver disease (NAFLD) in obese children. We aimed to assess the role of anthropometric parameters in the prediction of NAFLD. Three hundred and thirty two obese children (152 male, 180 female) aged 4.6-17.0 years were included in this study. Weight, height, waist (WC), and hip circumference were measured. Body mass index (BMI), waist-hip-ratio (WHR), and waist-height-ratio (WHtR) were calculated. Obesity was defined as BMI for age and sex ≥ 95th percentile. NAFLD was diagnosed using ultrasonography (US). NAFLD was present in 60.8% of obese children. Fatty liver prevalence differed significantly by gender and puberty (55.0% of girls vs 67.7% of boys, and 28.7% in prepubertal vs 71.3% in pubertal children; p < 0.05). Significantly higher BMI, BMI standard deviation score (SDS), WC, and WHtR were found in obese children with NAFLD compared to obese children without NAFLD (p < 0.05). Only WHtR was found to be an independent predictor for NAFLD in a logistic regression analysis (p < 0.001, B:1.096, 95% CI 1.047-1.148). Fatty liver is common among obese children, particularly in obese boys. WHtR is a simple and easy index for predicting of NAFLD in obese children and can be used for mass screening in public health.
ISSN:27916421
00414301
DOI:10.24953/turkjped.2016.05.009