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. 2018 Aug 28;31(8):847-854.
doi: 10.1515/jpem-2018-0018.

Association of anthropometric measures and cardio-metabolic risk factors in normal-weight children and adolescents: the CASPIAN-V study

Zeinab Ahadi  1 , Maryam Bahreynian  2 , Mostafa Qorbani  3   4 , Ramin Heshmat  1 , Mohammad Esmaeil Motlagh  5 , Gita Shafiee  1 , Armita Mahdavi Gorabi  1 , Hasan Ziaodini  6 , Majzoubeh Taheri  7 , Tahereh Aminaei  7 , Roya Kelishadi  8
Affiliations

Association of anthropometric measures and cardio-metabolic risk factors in normal-weight children and adolescents: the CASPIAN-V study

Zeinab Ahadi et al. J Pediatr Endocrinol Metab. .

Abstract

Background: The present study aims to explore the association of anthropometric indices and cardio-metabolic risk factors in normal-weight children and adolescents.

Methods: This cross-sectional nationwide study was conducted in 2015 among 4200 Iranian school students aged 7-18 years. They were selected using a multi-stage cluster random sampling method. Anthropometric indices and cardio-metabolic risk factors including fasting blood glucose (FBG), lipid profile and blood pressure (BP) were measured using standard protocols.

Results: The response rate was 91.5%. Systolic blood pressure (SBP) and diastolic blood pressure (DBP) had a significant positive correlation with waist circumference (WC), hip circumference (HC) and body mass index (BMI) in boys and girls. HDL-C had a significant inverse correlation with WC, HC and BMI in boys. For each unit increase in WC, HC and BMI, the risk of elevated DBP significantly increased by 2%, 1% and 11%, respectively. Likewise, for each unit increase in WC, HC and BMI, the risk of elevated BP significantly raised by 2%, 1% and 10%, respectively. For each unit increase in WC, the risk of metabolic syndrome increased by 7%.

Conclusions: Anthropometric indices are considered an easy, non-invasive tool for the prediction of cardio-metabolic risk factors in normal-weight children and adolescents.

Keywords: anthropometric indices; body mass index; cardio-metabolic risk factors; children and adolescents; waist and hip circumference.

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