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ARTICLE Role of Waist Measures in Characterizing the Lipid and Blood Pressure Assessment of Adolescents Classified by Body Mass Index Michael Khoury, MD; Cedric Manlhiot, BSc; Stafford Dobbin, MB, FCFP; Don Gibson, NP-PHC; Nita Chahal, RN, MN, NP-Peds; Helen Wong, RD; Jolie Davies, BDes, MA; Karen Stearne, BSc; Amanda Fisher, CAT; Brian W. McCrindle, MD, MPH Objective: To determine if the interaction of waist Main Outcome Measures: Nonfasting lipid values and circumference percentile and waist to height ratio blood pressure categories in subjects categorized based (WHtR) with body mass index (BMI) may serve to on BMI/waist circumference percentile and BMI/WHtR. provide further risk specification in the lipid and blood pressure assessment of adolescents beyond BMI Results: The associations between blood pressure, lipid classification. profile, and measures of adiposity (BMI alone, BMI/ waist circumference percentile, and BMI/WHtR) were sta- Design: Population-based, cross-sectional study. Data tistically significant but had a limited strength and were collected during the 2009-2010 academic school year. not statistically significant from each other. For over- weight and obese subjects, increased WHtR categories Setting: Geographically and administratively defined were associated with worsened lipid profile and in- Niagara Region, Ontario, Canada. Data collected in creased odds of hypertension both
JAMA Pediatrics – American Medical Association
Published: Aug 1, 2012
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