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Table 4 Performance of proposed WHtR cut-offs of 0.50/0.46 in external independent test pediatric populations aged 6–18 years from six countries

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

 

Brazil (0.46)

China (0.46)

Germany (0.50)

Italy (0.50)

Korea (0.46)

USA (0.50)

Total

Survey year

2014–2016

2009

2000–2007

2008–2010

2011–2012

2015–2018

2000–2018

Sample size

824

749

6810

724

152

360

9619

Boys (%)

463 (56.2)

411 (54.9)

3578 (52.5)

395 (54.6)

105 (69.1)

179 (49.7)

5131 (53.3)

Age (years)

6–18

7–17

6–18

6–18

12–15

12–18

6–18

 Cardiometabolic risk factors clustering based on IDF criteria, OR (95% CI)

 ≥ 2

3.49 (0.99–12.30)

4.02 (2.15–7.51)

3.20 (2.47–4.14)

5.19 (2.06–13.08)

5.09 (2.05–12.64)

3.34 (1.74–6.42)

3.70 (3.09–4.43)

 ≥ 3

3.39 (0.21–54.52)

2.33 (0.39–14.07)

4.04 (1.97–8.29)

5.42 (0.71–41.52)

2.62 (0.31–22.52)

7.83 (0.90–67.81)

5.40 (3.34–8.74)

Cardiometabolic risk factors clustering based on NCEP criteria, OR (95% CI)

 ≥ 2

3.23 (1.89–5.55)

2.12 (1.30–2.46)

2.99 (2.39–3.74)

3.46 (2.08–5.76)

4.78 (1.86–12.28)

3.28 (1.60–6.74)

4.03 (3.48–4.66)

 ≥ 3

7.16 (1.77–28.94)

2.08 (0.49–8.80)

6.18 (3.86–9.90)

9.13 (2.19–38.15)

5.73 (0.70–46.64)

6.06 (0.67–54.86)

8.23 (5.87–11.55)

  1. Abbreviations CI Confidence interval, IDF International Diabetes Federation, NCEP National Cholesterol Education Program, OR Odds ratio, WHtR Waist-to-height ratio. OR (95%CI) was calculated using < 2 cardiometabolic risk factors clustering as the reference group
  2. Mutivariate logistic regression models were adjusted for sex and age in each population, and additionally adjusted for survey year in total population