Journal article
Cardiovascular disease risk factor (CVDRF) associated waist circumference patterns in obese-prone children
International journal of pediatric obesity, v 4(3), pp 150-159
01 Jan 2009
PMID: 19101853
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Objectives. The present study tested whether children born at high risk (HR) compared with low risk (LR) for obesity are more likely to have a waist circumference (WC) associated with cardiovascular disease risk factors (CVDRF-WC) and tested whether CVDRF-WC status tracks over time. Methods. This prospective cohort study involved 71 children, three to eight years, who were divided into two groups, LR (n = 37) and HR (n = 34), based upon maternal prepregnancy body mass index (BMI). HR subjects were subdivided into HR normal-weight (HRNW) and HR overweight (HROW) groups, based on BMI ≥ 85%. Children were classified as having or not having a CVDRF-WC at each year, using age- and gender-specific WC cut-offs. Anthropometry was assessed annually. Results. Although HR children had a significantly greater mean WC than LR children at years 5-8 (p < 0.03), these differences became non-significant after adjusting for BMI. HROW were more likely to have a CVDRF-WC status (p ≤ 0.0001) at age 4 years (10%, 5%, vs. 58%), 5 years (3%, 10%, vs. 60%), 6 years (0%, 0%, vs. 70%), 7 years (0%, 0%, vs. 50%) to 8 years (0%, 0%, vs. 55%) than LR and HRNW. Although 60-100% of the children tracked CVDRF-WC status, higher proportions of HROW children (0-40%) transitioned into having a CVDRF-WC, compared with LR (0-6%) and HRNW (0-9%). Conclusions. HROW were more likely to have or develop a CVDRF-WC. Although the effects of obesity risk on WC may be secondary to BMI, clinically assessing WC in obese-prone children may help identify youth at risk for obesity-related complications.
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Details
- Title
- Cardiovascular disease risk factor (CVDRF) associated waist circumference patterns in obese-prone children
- Creators
- Karen L. Leibowitz - Children's Hospital of PhiladelphiaReneé H. Moore - University of PennsylvaniaAlbert J. Stunkard - University of PennsylvaniaVirginia A. Stallings - Children's Hospital of PhiladelphiaRobert I. Berkowitz - University of PennsylvaniaNicolas Stettler - Children's Hospital of PhiladelphiaJesse L. Chittams - University of PennsylvaniaMyles S. Faith - Children's Hospital of Philadelphia
- Publication Details
- International journal of pediatric obesity, v 4(3), pp 150-159
- Publisher
- Informa UK Ltd
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Epidemiology and Biostatistics
- Web of Science ID
- WOS:000268832500004
- Scopus ID
- 2-s2.0-69449104842
- Other Identifier
- 991021448038704721
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InCites Highlights
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- Web of Science research areas
- Pediatrics