comparing height-adjusted waist circumference indices the fels longitudinal study比较height-adjusted腰围指数费尔斯的纵向研究.pdfVIP

Open Journal of Endocrine and Metabolic Diseases, 2012, 2, 40-48 /10.4236/ojemd.2012.23006 Published Online August 2012 (http://www.SciRP.org/journal/ojemd) Comparing Height-Adjusted Waist Circumference Indices: The Fels Longitudinal Study Roy T. Sabo, Chungfeng Ren, Shumei S. Sun Department of Biostatistics, School of Medicine, Virginia Commonwealth University, Richmond, USA Email: rsabo@ Received May 11, 2012; revised June 20, 2012; accepted July 12, 2012 ABSTRACT Objectives: While researchers are increasingly recognizing the importance of adjusting waist circumference (WC) for height, no standard has yet been established. In this study we contrast three standard methods for indexing WC by height (using height, root-height and height-squared) via comparisons with age-specific optimal indices. Study Design and Setting: Measurements from 722 male and 746 female Caucasian participants in the Fels Longitudinal Study were used. The three standard waist-circumference indices (as well as an optimal index) were determined for ages 2 through 18, and for every decade thereafter to 70 years of age. Pearson correlations were used to assess the suitability of all in- dices. Results: The three standard indices remain correlated with the original WC measures, though each was associ- ated with height at some ages. Waist-to-height ratio is suitable for some childhood ages (boys: 5 - 9, 13 - 16; girls: 4 - 7, 9, 11 - 14) but not for adult ages; Root-height works well mostly for older teenage children and adults but not in early childhood and adolescence; Height-squared is nowhere suitable. In both men and women, the optimal indexing factor ranged between root-height and height-squared in childhood, and is close to root-height in adulthood.