Waist-to-Height Ratio and Body Mass Index as Indicators of Cardiovascular Risk in Youth
Article first published online: 21 OCT 2013
© 2013, American School Health Association
Journal of School Health
Volume 83, Issue 11, pages 805–809, November 2013
How to Cite
Waist-to-height ratio and body mass index as indicators of cardiovascular risk in youth., , .
- Issue published online: 21 OCT 2013
- Article first published online: 21 OCT 2013
- Manuscript Accepted: 17 OCT 2012
- Manuscript Received: 19 OCT 2011
- child and adolescent health;
- health policy;
- health educators
The purpose of this investigation was to determine if waist-to-height ratio (WHTR) or body mass index (BMI) is the better indicator of cardiovascular disease risk in children and adolescents of varying ages.
Data from children and adolescents (N = 2300) who were part of the 2003-2004 National Health and Nutrition Examination Survey (NHANES) were analyzed. Chi-square analyses (2 × 2) were used to compare risk levels of WHTR (>0.50) and BMI (>85th percentile) to systolic blood pressure (SBP) (>90th percentile) as well as total cholesterol (TC) (>200 mg.dL−1) for the entire cohort and specified age groups.
Significant relationships were detected between SBP and WHTR and BMI, respectively, for the entire cohort as well as the 2 oldest subsamples. A significant association was also noted for both WHTR and BMI to TC for the entire sample and the eldest age group.
A significant association was observed between indicators of cardiovascular health risk and both WHTR and BMI in the entire NHANES cohort of boys and girls as well as in the older age groups. The younger groups of participants did not display a notable link between these cardiovascular indicators and WHTR or BMI.