Utility of wrist circumference in recognition of metabolic syndrome in overweight and obese South Indian children and adolescents
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Vidhya Ahilan
,
Kannan Narayanasamy
Abstract
Objective
To describe the utility of wrist circumference in the identification of cardiometabolic risk in overweight and obese children.
Methods
A cross-sectional study was conducted in the obesity clinic of a tertiary care referral hospital over a two year period. All children and adolescents aged 5–17 years with nutritional overweight and obesity were recruited. Data pertaining to chronological age, sex, risk factors and family history were collected. Clinical assessment of anthropometry: Weight, height, body mass index (BMI), Tanner’s stage, wrist circumference, blood pressure, waist circumference and triceps skinfold thickness done as per standard criteria. Biochemical assessment of blood glucose, serum insulin, lipid profile, and Homeostatic Model for Insulin Resistance performed after 12 h of fasting.
Results
We recruited 118 subjects (mean age 10.9 years, 71.1% males, 87.3% obese and 12.7% overweight); 30 (25.4%) had metabolic syndrome. The mean z scores of wrist circumference of children who presented with and without metabolic syndrome was 2.7 ± 0.8 and 2.1 ± 0.7, respectively (p<0.05). We observed a fair positive correlation between wrist circumference z score and BMI z score, (r=0.5; p<0.05). On receiver operating characteristic curve analysis, 97th percentile of wrist circumference predicted metabolic syndrome among overweight and obese children with a sensitivity of 86.7% and specificity of 37.5% (AUC=0.675).
Conclusions
Wrist circumference with 97th percentile as a cut-off is a useful tool to identify metabolic syndrome amongst overweight and obese children and adolescents.
Acknowledgments
Nil.
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Research funding: None declared.
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Author contributions: KN, HKP and NK were involved in the conceptualisation of the study. VA and VGK were involved in the collection of data. VA, KN and HKP were involved in the analysis. NK and VGK were involved in management. All authors contributed to the manuscript and HKP shall act as a guarantor of the study. All authors have accepted responsibility for the entire content of this manuscript and approved its submission.
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Competing interests: Authors state no conflict of interest.
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Informed consent: Informed consent was obtained from parents or legal guardians of children included in this study.
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Ethical approval: The research has complied with all national regulations, institutional policies and in accordance with the tenets of the Helinski declaration, and has been approved by the Institutional ethics committee: IEC approval number: IRB-MCH/24/2018.
References
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© 2021 Walter de Gruyter GmbH, Berlin/Boston
Artikel in diesem Heft
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- Original Articles
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- Pediatric adrenocortical tumors cohort characteristics and long-term follow-up at a single Argentinian tertiary center
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- Increased hepcidin levels and non-alcoholic fatty liver disease in obese prepubertal children: a further piece to the complex puzzle of metabolic derangements
- Screening for testicular adrenal rest tumors among children with congenital adrenal hyperplasia at King Fahad Medical City, Saudi Arabia
- The association between vitamin D levels and metabolic syndrome components among metropolitan adolescent population
- Utility of wrist circumference in recognition of metabolic syndrome in overweight and obese South Indian children and adolescents
- Ketoacidosis in new-onset type 1 diabetes: did the severity increase during the COVID-19 pandemic?
- Predictors of decreased bone mineral density in childhood systemic lupus erythematosus: possible role of osteoprotegerin gene polymorphisms
- Psychiatric behavioral effect and characteristics of type 2 diabetes mellitus on Japanese patients with Prader-Willi syndrome: a preliminary retrospective study
- Biochemical predictors of metabolically unhealthy obesity in children and adolescents
- Adiposity rebound in very-low-birth-weight infants
- The association between a metabolically healthy overweight/obesity phenotype and markers of inflammation among Chinese children and adolescents aged 10–18 years
- Case Reports
- Management of perinatal HPP during critical illness/ECMO
- Wolfram-like syndrome – another face of a rare disease in children
- Two Japanese siblings with arginase-1 deficiency identified using a novel frameshift mutation of ARG1 (p.Lys41Thrfs∗2)
- An atypical presentation of a pathogenic STK11 gene variant in siblings not fulfilling the clinical diagnostic criteria for Peutz-Jeghers Syndrome
Artikel in diesem Heft
- Frontmatter
- Review Article
- Medullary thyroid carcinoma in children: current state of the art and future perspectives
- Original Articles
- Newly defined peroxisomal disease with novel ACBD5 mutation
- Pediatric adrenocortical tumors cohort characteristics and long-term follow-up at a single Argentinian tertiary center
- Sleep disorder and behavior problems in children with type 1 diabetes mellitus
- Increased hepcidin levels and non-alcoholic fatty liver disease in obese prepubertal children: a further piece to the complex puzzle of metabolic derangements
- Screening for testicular adrenal rest tumors among children with congenital adrenal hyperplasia at King Fahad Medical City, Saudi Arabia
- The association between vitamin D levels and metabolic syndrome components among metropolitan adolescent population
- Utility of wrist circumference in recognition of metabolic syndrome in overweight and obese South Indian children and adolescents
- Ketoacidosis in new-onset type 1 diabetes: did the severity increase during the COVID-19 pandemic?
- Predictors of decreased bone mineral density in childhood systemic lupus erythematosus: possible role of osteoprotegerin gene polymorphisms
- Psychiatric behavioral effect and characteristics of type 2 diabetes mellitus on Japanese patients with Prader-Willi syndrome: a preliminary retrospective study
- Biochemical predictors of metabolically unhealthy obesity in children and adolescents
- Adiposity rebound in very-low-birth-weight infants
- The association between a metabolically healthy overweight/obesity phenotype and markers of inflammation among Chinese children and adolescents aged 10–18 years
- Case Reports
- Management of perinatal HPP during critical illness/ECMO
- Wolfram-like syndrome – another face of a rare disease in children
- Two Japanese siblings with arginase-1 deficiency identified using a novel frameshift mutation of ARG1 (p.Lys41Thrfs∗2)
- An atypical presentation of a pathogenic STK11 gene variant in siblings not fulfilling the clinical diagnostic criteria for Peutz-Jeghers Syndrome
