학술논문
Combined Body Mass Index and Waist-to-Height Ratio and Its Association with Lifestyle and Health Factors among Spanish Children: The PASOS Study
Document Type
article
Author
Maria del Mar Bibiloni; Laura Gallardo-Alfaro; Santiago F. Gómez; Julia Wärnberg; Maddi Osés-Recalde; Marcela González-Gross; Narcís Gusi; Susana Aznar; Elena Marín-Cascales; Miguel González-Valeiro; Lluís Serra-Majem; Nicolás Terrados; Marta Segu; Camille Lassale; Clara Homs; Juan Carlos Benavente-Marín; Idoia Labayen; Augusto G. Zapico; Jesús Sánchez-Gómez; Fabio Jiménez-Zazo; Pedro E. Alcaraz; Marta Sevilla-Sánchez; Estefanía Herrera-Ramos; Susana Pulgar; Clara Sistac; Helmut Schröder; Cristina Bouzas; Josep A. Tur
Source
Nutrients, Vol 14, Iss 2, p 234 (2022)
Subject
Language
English
ISSN
2072-6643
Abstract
Background and Aims: The World Health Organization recommended simultaneous measurement of body mass index (BMI) and waist circumference (WC) and suggested joint use to predict disease risks. The aim of this study was to assess the prevalence of BMI and waist-to-height ratio (WHtR) categories among Spanish children and adolescents, as well as their associations with several lifestyle factors. Methods: Cross-sectional analysis of 8–16-year-old children and adolescents (n = 3772) were included in the PASOS nationwide representative study. Children/adolescents and their mothers/female caregivers answered a questionnaire on lifestyle and health factors. Child/adolescent anthropometrics were measured. Four combined BMI-WHtR disease risk categories were built. Results: A third of participants showed combined BMI-WHtR categories with high disease risk (12.3% ‘increased risk’, 9.7% ‘high risk’, 14.3% ‘very high risk’). Participants in the ‘very high risk’ group were less likely to be females (odds ratio 0.63; 95% CI: 0.52–0.76) and adolescents (0.60; 95% CI: 0.49–0.72), to practice ≥60 min/day of moderate-vigorous physical activity (MVPA) (0.73; 95% CI: 0.57–0.93), and to watch