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Table 1 Description of surveys assessing WHtR and cardiometabolic risk factors in children and adolescents aged 6–18 years from ten countries

From: Establishing international optimal cut-offs of waist-to-height ratio for predicting cardiometabolic risk in children and adolescents aged 6–18 years

Country

Region

Survey year

Description

Total No

No. of boys

No. of girls

Age range (years)

Variables

WC measurement method

Brazil

South America

2012–2013

Eighteen public high schools in Campina Grande

441

141

300

15–17

Age, sex, height, weight, WC,

TG, HDL, FBG, SBP, DBP

WHO recommendation

China

Asia

2017–2018

One primary school in Huantai county of Zibo city

1416

750

666

6–11

Age, sex, height, weight, WC,

TG, HDL, FBG, SBP, DBP

At 1 cm above the umbilicus from the horizontal level

Greece

Europe

2008–2010

Five schools of the Karlovassi province

439

207

232

8–17

Age, sex, height, weight, WC,

TG, HDL, FBG, SBP, DBP

WHO recommendation

Iran

Asia

2011–2012

National survey “Childhood and Adolescence Surveillance and Prevention of Adult Non-communicable Diseases”

8171

4047

4124

6–18

Age, sex, height, weight, WC,

TG, HDL, FBG, SBP, DBP

WHO recommendation

Italy

Europe

2007–2008

Eight primary schools of Reggio Calabria

570

284

286

10–13

Age, sex, height, weight, WC,

TG, HDL, FBG, SBP, DBP

The narrowest point between the lower rib and the iliac crest

Korea

Asia

2001–2013

Pooled data from 5 cycles of the Korea NHANES

7769

4111

3658

6–18

Age, sex, height, weight, WC,

TG, HDL, FBG, SBP, DBP

WHO recommendation

South Africa

Africa

2007–2008

The school-based study involving fourteen schools

1271

496

775

10–16

Age, sex, height, weight, WC,

TG, HDL, FBG, SBP, DBP

The narrowest part of the torso

Spain

Europe

2007–2014

Caucasian healthy children in a primary care setting in Girona

631

337

294

6–13

Age, sex, height, weight, WC,

TG, HDL, FBG, SBP, DBP

The umbilical level

UK

Europe

2006–2007

Child Heart and Health Study in England (CHASE Study)

783

363

420

10–11

Age, sex, height, weight, WC,

TG, HDL, FBG, SBP, DBP

WHO recommendation

USA

North America

2001–2014

NHANES

3114

1591

1523

12–17

Age, sex, height, weight, WC,

TG, HDL, FBG, SBP, DBP

The high point of the iliac crest

  1. Abbreviations: DBP Diastolic blood pressure, FBG Fasting blood glucose, HDL High-density lipoprotein, NHANES National Health and Nutrition Examination Survey, SBP Systolic blood pressure, TG Triglycerides, UK United Kingdom, USA United States of America, WC Waist circumference, WHO World Health Organization, WHtR Waist-to-height ratio