PMID- 20836723 OWN - NLM STAT- MEDLINE DCOM- 20110118 LR - 20100914 IS - 1747-7174 (Electronic) IS - 1747-7166 (Linking) VI - 5 IP - 5 DP - 2010 Oct TI - The use of waist-to-stature ratio to identify underweight and overweight in adolescents. PG - 390-5 LID - 10.3109/17477161003728451 [doi] AB - OBJECTIVES: To examine the percentile distribution of waist-to-stature ratio (WSR) and derive WSR cut-offs for underweight, normal weight, and overweight based on the International Obesity Task Force (IOTF) and local weight-for-height standards in Hong Kong Chinese adolescents. METHODS: In the Hong Kong Student Obesity Surveillance project in 2006-2007, height, weight and waist circumference of 13 568 (40.3% boys) Chinese adolescents aged 12-18 were measured. Smoothed percentile distributions of WSR by age and sex were examined using Lambda-Mu-Sigma (LMS) regression. The sex- and age-specific WSR values corresponding to underweight and overweight, as defined by the IOTF and local weight-for-height standards, were determined using receiver operating characteristic curves. RESULTS: The percentile values of WSR were stable across age in both sexes. In general, WSR values of 0.40 and 0.46 corresponded to underweight and overweight, respectively, as defined by both IOTF and local weight-for-height standards. As a reference for normal weight status, the median weight-for-height values corresponded to a WSR value of 0.42 in most sex-age subgroups. CONCLUSION: Sex and age independent WSR cut-off values for underweight, median weight and overweight in Hong Kong adolescents were identified. WSR is potentially a practical indicator for adolescents to monitor their weight status. FAU - Mak, Kwok Kei AU - Mak KK AD - Department of Community Medicine and School Public Health, The University of Hong Kong, Hong Kong. FAU - Ho, Sai Yin AU - Ho SY FAU - Lo, Wing Sze AU - Lo WS FAU - Thomas, Neil G AU - Thomas NG FAU - McManus, Alison M AU - McManus AM FAU - Lam, Tai Hing AU - Lam TH LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Int J Pediatr Obes JT - International journal of pediatric obesity : IJPO : an official journal of the International Association for the Study of Obesity JID - 101256330 SB - IM MH - Adolescent MH - Age Factors MH - *Body Height MH - Child MH - Diagnosis, Differential MH - Female MH - Hong Kong/epidemiology MH - Humans MH - Male MH - Overweight/*diagnosis/epidemiology/ethnology MH - *Population Surveillance MH - Prevalence MH - Regression Analysis MH - Sex Factors MH - Thinness/*diagnosis/epidemiology/ethnology MH - *Waist Circumference EDAT- 2010/09/15 06:00 MHDA- 2011/01/19 06:00 CRDT- 2010/09/15 06:00 PHST- 2010/09/15 06:00 [entrez] PHST- 2010/09/15 06:00 [pubmed] PHST- 2011/01/19 06:00 [medline] AID - 10.3109/17477161003728451 [doi] PST - ppublish SO - Int J Pediatr Obes. 2010 Oct;5(5):390-5. doi: 10.3109/17477161003728451.