Predictors of central and general obesity in Iranian preschool children: which anthropometric indices can be used as screening tools?

Abstract Aim To compare the ability of anthropometric indices [waist-to-hip ratio (WHR), waist-to-height ratio (WHtR), neck-to-height ratio (NHR), conicity index (CI), body adiposity index (BAI), tri-ponderal mass index (TMI) and body mass index (BMI)] and,measuerments like neck(NC), hip(HC) and wai...

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Main Authors: Farzaneh Mardali, Mahdyieh Naziri, Mohammad Hassan Sohouli, Somaye Fatahi, Fatemeh Sadat Hosseini-Baharanchi, Mihnea-Alexandru Găman, Farzad Shidfar
Format: Article
Language:English
Published: BMC 2022-05-01
Series:BMC Pediatrics
Subjects:
Online Access:https://doi.org/10.1186/s12887-022-03365-4
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author Farzaneh Mardali
Mahdyieh Naziri
Mohammad Hassan Sohouli
Somaye Fatahi
Fatemeh Sadat Hosseini-Baharanchi
Mihnea-Alexandru Găman
Farzad Shidfar
author_facet Farzaneh Mardali
Mahdyieh Naziri
Mohammad Hassan Sohouli
Somaye Fatahi
Fatemeh Sadat Hosseini-Baharanchi
Mihnea-Alexandru Găman
Farzad Shidfar
author_sort Farzaneh Mardali
collection DOAJ
description Abstract Aim To compare the ability of anthropometric indices [waist-to-hip ratio (WHR), waist-to-height ratio (WHtR), neck-to-height ratio (NHR), conicity index (CI), body adiposity index (BAI), tri-ponderal mass index (TMI) and body mass index (BMI)] and,measuerments like neck(NC), hip(HC) and waist circumferences to predict overweight and obesity in Iranian preschool children. Materials and Methods A total of 498 Iranian preschool children were included in this case–control study conducted in Tehran, Iran. The participants were selected using the stratified random sampling procedure based on gender and school. Using sex-based receiver operating curve (ROC) analysis, we compared the area under the curve and defined the cut-off points for detecting central and general obesity for each index in order to identify the most suitable tools in predicting obesity. Results Boys had significantly higher values for NC, WC, WHR, NHR, CI, TMI and BMI as compared to girls, whereas BAI and HC were higher in girls. The area under the curve was calculated for all the possible predictors of central obesity, i.e., NC (0.841–0.860), WC (0.70–0.679), HC (0.785–0.697), WHR (0.446–0.639) and CI (0.773–0.653) in boys and girls, respectively. And according to the ROC curve analysis, BMI (0.959–0.948), TMI (0.988–0.981), WHtR (0.667–0.553) and NHR (0.785–0.769) were predictors of general obesity and NC (0.841–0.860) as predictor of central obesity in boys and girls, respectively. The optimal cut-off points for TMI (13.80–15.83), NC (28.68–27.5) and for other anthropometric indices were estimated in both boys and girls. Conclusion TMI and NC seem to predict general and central obesity in Iranian preschool children.
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spelling doaj.art-140735a3553048e78a1fef1befbf72c62022-12-22T00:58:52ZengBMCBMC Pediatrics1471-24312022-05-0122111010.1186/s12887-022-03365-4Predictors of central and general obesity in Iranian preschool children: which anthropometric indices can be used as screening tools?Farzaneh Mardali0Mahdyieh Naziri1Mohammad Hassan Sohouli2Somaye Fatahi3Fatemeh Sadat Hosseini-Baharanchi4Mihnea-Alexandru Găman5Farzad Shidfar6Department of Nutrition, School of Public Health, Iran University of Medical SciencesStudent of Research Committee, Faculty of Public Health Branch, Iran University of Medical SciencesDepartment of Clinical Nutrition and Dietetics, Faculty of Nutrition and Food Technology, National Nutrition and Food Technology, Research Institute Shahid Beheshti University of Medical SciencesStudent of Research Committee, Faculty of Public Health Branch, Iran University of Medical SciencesMinimally Invasive Surgery Research Center & Department of Biostatistics, School of Public Health, Iran University of Medical SciencesFaculty of Medicine, Department of Hematology, Center of Hematology and Bone Marrow Transplantation, ‘Carol Davila’ University of Medicine and Pharmacy, Bucharest, Romania, Fundeni Clinical InstituteDepartment of Nutrition, School of Public Health, Iran University of Medical SciencesAbstract Aim To compare the ability of anthropometric indices [waist-to-hip ratio (WHR), waist-to-height ratio (WHtR), neck-to-height ratio (NHR), conicity index (CI), body adiposity index (BAI), tri-ponderal mass index (TMI) and body mass index (BMI)] and,measuerments like neck(NC), hip(HC) and waist circumferences to predict overweight and obesity in Iranian preschool children. Materials and Methods A total of 498 Iranian preschool children were included in this case–control study conducted in Tehran, Iran. The participants were selected using the stratified random sampling procedure based on gender and school. Using sex-based receiver operating curve (ROC) analysis, we compared the area under the curve and defined the cut-off points for detecting central and general obesity for each index in order to identify the most suitable tools in predicting obesity. Results Boys had significantly higher values for NC, WC, WHR, NHR, CI, TMI and BMI as compared to girls, whereas BAI and HC were higher in girls. The area under the curve was calculated for all the possible predictors of central obesity, i.e., NC (0.841–0.860), WC (0.70–0.679), HC (0.785–0.697), WHR (0.446–0.639) and CI (0.773–0.653) in boys and girls, respectively. And according to the ROC curve analysis, BMI (0.959–0.948), TMI (0.988–0.981), WHtR (0.667–0.553) and NHR (0.785–0.769) were predictors of general obesity and NC (0.841–0.860) as predictor of central obesity in boys and girls, respectively. The optimal cut-off points for TMI (13.80–15.83), NC (28.68–27.5) and for other anthropometric indices were estimated in both boys and girls. Conclusion TMI and NC seem to predict general and central obesity in Iranian preschool children.https://doi.org/10.1186/s12887-022-03365-4ObesityOverweightConicity indexPonderal indexBody mass indexWaist circumference
spellingShingle Farzaneh Mardali
Mahdyieh Naziri
Mohammad Hassan Sohouli
Somaye Fatahi
Fatemeh Sadat Hosseini-Baharanchi
Mihnea-Alexandru Găman
Farzad Shidfar
Predictors of central and general obesity in Iranian preschool children: which anthropometric indices can be used as screening tools?
BMC Pediatrics
Obesity
Overweight
Conicity index
Ponderal index
Body mass index
Waist circumference
title Predictors of central and general obesity in Iranian preschool children: which anthropometric indices can be used as screening tools?
title_full Predictors of central and general obesity in Iranian preschool children: which anthropometric indices can be used as screening tools?
title_fullStr Predictors of central and general obesity in Iranian preschool children: which anthropometric indices can be used as screening tools?
title_full_unstemmed Predictors of central and general obesity in Iranian preschool children: which anthropometric indices can be used as screening tools?
title_short Predictors of central and general obesity in Iranian preschool children: which anthropometric indices can be used as screening tools?
title_sort predictors of central and general obesity in iranian preschool children which anthropometric indices can be used as screening tools
topic Obesity
Overweight
Conicity index
Ponderal index
Body mass index
Waist circumference
url https://doi.org/10.1186/s12887-022-03365-4
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