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Diagnostic Performance and Appropriate Cut-Offs of Different Anthropometric Indicators for Detecting Children with Overweight and Obesity
Govt Degree Coll, Dept Stat, Multan, Punjab, Pakistan..
Bahauddin Zakariya Univ, Dept Stat, Multan, Pakistan..
Kohat Univ Sci & Technol KUST, Dept Zool, Kohat, Pakistan..
Jönköping University, Jönköping International Business School, JIBS, Economics, Finance and Statistics.ORCID iD: 0000-0003-0279-5305
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2021 (English)In: BioMed Research International, ISSN 2314-6133, E-ISSN 2314-6141, article id 1608760Article in journal (Refereed) Published
Abstract [en]

In the clinical settings, different anthropometric indicators like neck circumference (NC), waist circumference (WC), midupper arm circumference (MUAC), waist-to-height ratio (WHtR), and arm-to-height ratio (AHtR) have been suggested for evaluating overweight and obesity in children. The comparative ability of these indicators in Pakistan is yet unknown. This study is aimed at examining the validity of different anthropometric indicators of overweight and obesity simultaneously and at determining their superlative cut-off values that would correctly detect overweight and obesity in children. For this purpose, the dataset of anthropometric measurements height, weight, WC, MUAC, and NC of 5,964 Pakistani children, aged 5-12 years collected in a cross-sectional multiethnic anthropometric survey (MEAS), was used. Receiver operating characteristic (ROC) curve analysis was performed to assess the validity of different anthropometric indicators. The most sensitive and specific cut-off points, positive and negative predictive values of each indicator were also calculated. The results of the ROC curve indicated that all the studied indicators had a good performance but the indicators AHtR and WHtR had the highest value of the area under the curve (AUC) for the screening of children with overweight and obesity (AUC > 0.80). In the overall sample, AHtR, WHtR, MUAC, WC, and NC cut-off points indicative of overweight, in both boys and girls, were 0.14, 0.46, 18.41 cm, 62.86 cm, and 26.36 cm and 0.14, 0.47, 18.16 cm, 64.39 cm, and 26.54 cm, respectively; the corresponding values for obesity were 0.14, 0.47, 18.67 cm, 62.10 cm, and 26.36 cm and 0.14, 0.48, 20.19 cm, 64.39 cm, and 25.27 cm. We concluded that the sex-specific cut-off points for AHtR, WHtR, MUAC, WC, and NC can be used to diagnose overweight and obesity in Pakistani children.

Place, publisher, year, edition, pages
Hindawi Publishing Corporation, 2021. article id 1608760
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Public Health, Global Health and Social Medicine
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URN: urn:nbn:se:hj:diva-54831DOI: 10.1155/2021/1608760ISI: 000700335900003PubMedID: 34568486Scopus ID: 2-s2.0-85116390531Local ID: GOA;intsam;770243OAI: oai:DiVA.org:hj-54831DiVA, id: diva2:1601260
Available from: 2021-10-07 Created: 2021-10-07 Last updated: 2025-02-20Bibliographically approved

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Qasim, Muhammad

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