Waist-to-Height Ratio Is a Good Predictor of Metabolic Syndrome in Adolescents: A Report From the Thai National Health Examination Survey V, 2014
Issued Date
2022-01-01
Resource Type
ISSN
10105395
eISSN
19412479
Scopus ID
2-s2.0-85116310985
Pubmed ID
34590882
Journal Title
Asia-Pacific Journal of Public Health
Volume
34
Issue
1
Start Page
36
End Page
43
Rights Holder(s)
SCOPUS
Bibliographic Citation
Asia-Pacific Journal of Public Health Vol.34 No.1 (2022) , 36-43
Suggested Citation
Siwarom S. Waist-to-Height Ratio Is a Good Predictor of Metabolic Syndrome in Adolescents: A Report From the Thai National Health Examination Survey V, 2014. Asia-Pacific Journal of Public Health Vol.34 No.1 (2022) , 36-43. 43. doi:10.1177/10105395211046474 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/86745
Title
Waist-to-Height Ratio Is a Good Predictor of Metabolic Syndrome in Adolescents: A Report From the Thai National Health Examination Survey V, 2014
Author(s)
Other Contributor(s)
Abstract
This study aimed to assess the performance of waist-to-height ratio (WHtR) in the prediction of metabolic syndrome and to determine the appropriate cutoff value in Thai adolescents. Demographic data, blood pressure, fasting blood glucose, and lipid profile were obtained from the Thai National Health Examination Survey V database. The performances of WHtR, waist circumference, body mass index (BMI), and BMI z-score were analyzed by the receiver operating characteristics. Among 2644 adolescents, metabolic syndrome was identified in 4.27%. The areas under the receiver operating characteristic curves of WHtR, waist circumference, BMI, and BMI z-score were comparable (0.924-0.960). Performance of WHtR was more constant across age groups compared with other parameters. Using the cutoff value of WHtR at 0.5 resulted in the sensitivity and specificity of 98.5%/83.4% and 88.9%/86.0% in males and females, respectively. In conclusion, the cutoff value of WHtR at 0.5 provided good sensitivity and specificity for identifying metabolic syndrome in both genders. However, the other clinical risk factors or more definite scores should be considered when further assessment.