Waist circumference and waist-to-height ratio distributions in polish and german schoolchildren: Comparative analysis
Background: To analyze differences in the distributions of waist circumference (WC) and waist-to-height ratio (WHtR) between Polish (PL) and German (GE) children and adolescents. Methods: Two samples of children and adolescents aged 7-18 y: From PL ( n = 11,326) GE ( n = 8,218) participated. The tw...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2013-01-01
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| Series: | International Journal of Preventive Medicine |
| Subjects: | |
| Online Access: | http://www.ijpvmjournal.net/article.asp?issn=2008-7802;year=2013;volume=4;issue=7;spage=786;epage=796;aulast=Nawarycz |
| _version_ | 1818021654157066240 |
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| author | Tadeusz Nawarycz Gerda-Maria Haas Alicja Krzyzaniak Peter Schwandt Lidia Ostrowska-Nawarycz |
| author_facet | Tadeusz Nawarycz Gerda-Maria Haas Alicja Krzyzaniak Peter Schwandt Lidia Ostrowska-Nawarycz |
| author_sort | Tadeusz Nawarycz |
| collection | DOAJ |
| description | Background: To analyze differences in the distributions of waist circumference (WC) and waist-to-height ratio (WHtR) between Polish (PL) and German (GE) children and adolescents.
Methods: Two samples of children and adolescents aged 7-18 y: From PL ( n = 11,326) GE ( n = 8,218) participated. The two WC cut-off points (WC1 as central fat distribution and WC2 as central obesity) corresponding at age 18 to the adult criteria were determined. Furthermore, the mean WC cut-off points (WC1m, WC2m) for boys and girls aged 14-18 from both countries were evaluated. For the WHtR, values over 0.5 were used as a definition of central fat distribution. The effect of different WC and WHtR criteria on the prevalence of abdominal obesity in both study groups was evaluated.
Results: The mean and percentile values of WC and WHtR were generally higher in all German children as compared to their peers from Poland. When WC1m is used, the mean (95% CI) prevalence of central fat distribution in the 14-18 y Polish groups was lower ( P < 0.05) than those from Germany (boys: 4.4% (3.6-5.2) vs. 8.9% (7.3-10.5); girls: 10.7% (9.0-12.3) vs. 26.4% (23.2-29.6)), whereas, using the WHtR > 0.5, the results were similar for boys - 6.7% (5.9-7.5) vs. 8.5% (8.1-8.9); they were significantly ( P < 0.05) lower for Polish and German girls: 5.3% (5.0-5.6) vs. 12.7% (9.7-16.4). The prevalence of central obesity using WC2m as a criterion in the Polish vs. German groups was as follows: (boys - 1.1% (0.8-1.4) vs. 3.1% (2.2-4.0), P < 0.05; girls - 3.1% (2.5-3.7) vs. 10.2% (8.4-12.0), P < 0.05).
Conclusions: The results highlight the greater central obesity associated with the German children, both in terms of WC and WHtR, in comparison to their peers from Poland. The prevalence of AO is significantly associated with the criteria used. The results demonstrate the need for the development of international WC references for pediatric subjects. |
| first_indexed | 2024-04-14T08:21:47Z |
| format | Article |
| id | doaj.art-3a8b615484d043ea95e33011e47b5d79 |
| institution | Directory Open Access Journal |
| issn | 2008-7802 2008-8213 |
| language | English |
| last_indexed | 2024-04-14T08:21:47Z |
| publishDate | 2013-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | International Journal of Preventive Medicine |
| spelling | doaj.art-3a8b615484d043ea95e33011e47b5d792022-12-22T02:04:11ZengWolters Kluwer Medknow PublicationsInternational Journal of Preventive Medicine2008-78022008-82132013-01-0147786796Waist circumference and waist-to-height ratio distributions in polish and german schoolchildren: Comparative analysisTadeusz NawaryczGerda-Maria HaasAlicja KrzyzaniakPeter SchwandtLidia Ostrowska-NawaryczBackground: To analyze differences in the distributions of waist circumference (WC) and waist-to-height ratio (WHtR) between Polish (PL) and German (GE) children and adolescents. Methods: Two samples of children and adolescents aged 7-18 y: From PL ( n = 11,326) GE ( n = 8,218) participated. The two WC cut-off points (WC1 as central fat distribution and WC2 as central obesity) corresponding at age 18 to the adult criteria were determined. Furthermore, the mean WC cut-off points (WC1m, WC2m) for boys and girls aged 14-18 from both countries were evaluated. For the WHtR, values over 0.5 were used as a definition of central fat distribution. The effect of different WC and WHtR criteria on the prevalence of abdominal obesity in both study groups was evaluated. Results: The mean and percentile values of WC and WHtR were generally higher in all German children as compared to their peers from Poland. When WC1m is used, the mean (95% CI) prevalence of central fat distribution in the 14-18 y Polish groups was lower ( P < 0.05) than those from Germany (boys: 4.4% (3.6-5.2) vs. 8.9% (7.3-10.5); girls: 10.7% (9.0-12.3) vs. 26.4% (23.2-29.6)), whereas, using the WHtR > 0.5, the results were similar for boys - 6.7% (5.9-7.5) vs. 8.5% (8.1-8.9); they were significantly ( P < 0.05) lower for Polish and German girls: 5.3% (5.0-5.6) vs. 12.7% (9.7-16.4). The prevalence of central obesity using WC2m as a criterion in the Polish vs. German groups was as follows: (boys - 1.1% (0.8-1.4) vs. 3.1% (2.2-4.0), P < 0.05; girls - 3.1% (2.5-3.7) vs. 10.2% (8.4-12.0), P < 0.05). Conclusions: The results highlight the greater central obesity associated with the German children, both in terms of WC and WHtR, in comparison to their peers from Poland. The prevalence of AO is significantly associated with the criteria used. The results demonstrate the need for the development of international WC references for pediatric subjects.http://www.ijpvmjournal.net/article.asp?issn=2008-7802;year=2013;volume=4;issue=7;spage=786;epage=796;aulast=NawaryczAbdominal obesitychildren and adolescentswaist circumferencewaist-to-height ratio |
| spellingShingle | Tadeusz Nawarycz Gerda-Maria Haas Alicja Krzyzaniak Peter Schwandt Lidia Ostrowska-Nawarycz Waist circumference and waist-to-height ratio distributions in polish and german schoolchildren: Comparative analysis International Journal of Preventive Medicine Abdominal obesity children and adolescents waist circumference waist-to-height ratio |
| title | Waist circumference and waist-to-height ratio distributions in polish and german schoolchildren: Comparative analysis |
| title_full | Waist circumference and waist-to-height ratio distributions in polish and german schoolchildren: Comparative analysis |
| title_fullStr | Waist circumference and waist-to-height ratio distributions in polish and german schoolchildren: Comparative analysis |
| title_full_unstemmed | Waist circumference and waist-to-height ratio distributions in polish and german schoolchildren: Comparative analysis |
| title_short | Waist circumference and waist-to-height ratio distributions in polish and german schoolchildren: Comparative analysis |
| title_sort | waist circumference and waist to height ratio distributions in polish and german schoolchildren comparative analysis |
| topic | Abdominal obesity children and adolescents waist circumference waist-to-height ratio |
| url | http://www.ijpvmjournal.net/article.asp?issn=2008-7802;year=2013;volume=4;issue=7;spage=786;epage=796;aulast=Nawarycz |
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