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The development of waist circumference percentiles in British children aged 5.0–16.9 y

European Journal of Clinical Nutrition volume 55, pages 902–907 (2001)Cite this article

Abstract

Objective: To develop waist circumference percentile curves for British children and to compare these curves with those from other countries.

Design: Cross-sectional study.

Setting: School-aged population.

Subjects: A representative sample of school children from the geographical regions of Great Britain, approximately in proportion to their age distribution. The sample population consisted of 8355 children (3585 males, 4770 females) with ages ranging between 5.0 and 16.9 y.

Interventions: Waist circumferences were measured with a flexible non-elastic tape and waist circumference percentiles were constructed and smoothed using the LMS method.

Main outcome measures: Smoothed waist circumference percentile curves.

Results: Mean waist circumference increased with age in both boys and girls. For girls, curves began to plateau after the age of 13 y whereas, for boys, waist percentile curves continued to increase more sharply after this age. However, these curves mainly reflect the patterns of waist circumference in Caucasian children.

Conclusions: These curves represent the first waist circumference percentiles for British children and could be used provisionally for both clinical and possibly epidemiological use, although they should be validated against equivalent longitudinal data.

Sponsorship: This project has been sponsored by UNL Diversity and Development Fund.

European Journal of Clinical Nutrition (2001) 55, 902–907

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References

  • Albu JB, Murphy L, Frager DH, Johnson JA & Pi-Sunyer X (1997) Visceral fat and race dependent health risks in obese non-diabetic pre-menopausal women Diabetes 46 456–462

    Article  CAS  Google Scholar 

  • Brambilla P, Monzoni P, Sironi P, Del Maschio A, di Natale B & Chiumello G (1994) Peripheral and abdominal adiposity in childhood obesity Int. J. Obes. Relat. Metab. Disord. 18 795–800

    CAS  PubMed  Google Scholar 

  • BSI (1990) Body measurements of boys and girls from birth to 16.0 y, BS7321. London: British Standards Institute

  • Cole TJ (1990) The LMS method for constructing normalized growth standards Eur. J. Clin. Nutr. 44 45–60

    CAS  PubMed  Google Scholar 

  • Cole TJ, Freeman JV & Preece MA (1995) Body mass index reference curves for the UK, 1990 Arch. Dis. Child. 73 25–29

    Article  CAS  Google Scholar 

  • Dietz WH & Bellizzi MC (1999) Introduction: the use of body mass index to assess obesity in children Am. J. Clin. Nutr. 70 123–125

    Article  Google Scholar 

  • Flodmark CE, Sveger T & Nilsson-Ehle P (1994) Waist measurement correlates to a potentially atherogenic lipoprotein profile in obese 12–14 y old children Acta Paediatr. 83 941–945

    Article  CAS  Google Scholar 

  • Fox K, Peters D, Armstrong N, Sharpe P & Bell M (1993) Abdominal fat deposition in 11 y old children Int. J. Obes. Relat. Metab. Disord. 17 11–16

    CAS  PubMed  Google Scholar 

  • Freedman DS, Serdula MK, Srinivasan SR & Berenson GS (1999) Relation of circumferences and skinfold thicknesses to lipid and insulin concentrations in children and adolescents: the Bogalusa Heart Study Am. J. Clin. Nutr. 69 308–317

    Article  CAS  Google Scholar 

  • Goran MI & Gower BA (1999) Relation between visceral fat and disease risk in children and adolescents Am. J. Clin. Nutr. 70 149–156

    Article  Google Scholar 

  • Goran MI, Nagy TR, Treuth MS, Trowbridge C & Dezenberg C (1997) Visceral fat in white and African American prepubertal children Am. J. Clin. Nutr. 65 1703–1708

    Article  CAS  Google Scholar 

  • Gower BA, Nagy TR, Trowbridge CA, Dezenberg C & Goran MI (1998) Fat distribution and insulin response in prepubertal African American and white children Am. J. Clin. Nutr. 67 821–827

    Article  CAS  Google Scholar 

  • Han TS, van Leer EM, Seidell JC & Lean MEJ (1995) Waist circumference action levels in the identification of cardiovascular risk factors: prevalence study in a random sample Br. Med. J. 311 1401–1405

    Article  CAS  Google Scholar 

  • Hanley AJG, Harris SB, Gittelsohn J, Wolver TMS, Saksvig B & Zinman B (2000) Overweight among children and adolescents in a native Canadian community: prevalence and associated factors Am. J. Clin. Nutr. 71 693–700

    Article  CAS  Google Scholar 

  • Jebb SA (1999) The weight of the nation. Obesity in the UK MRC, Human Nutrition Research

  • Lazarus R, Wake M, Hesketh K & Waters E (2000) Change in body mass index in Australian primary school children, 1985–1997 Int. J. Obes. Relat. Metab. Disord. 24 679–684

    Article  CAS  Google Scholar 

  • Lean MEJ, Han TS & Morrison CE (1995) Waist circumference measurement as a measure for indicating need for weight management Br. Med. J. 311 158–161

    Article  CAS  Google Scholar 

  • Lemieux I, Pascot A, Couillard C, Lamarche B, Tchernof A, Almeras N, Bergeron J, Gaudet D, Tremblay G, Prud'homme D, Nadeau A & Despres JP (2000) Hypertriglyceridemic waist—a marker of the atherogenic metabolic triad (hyperinsulinaemia; hyperapolipoprotein B; small dense LDL) in men? Circulation 102 179–184

    Article  CAS  Google Scholar 

  • Martinez E, Devesa M, Bacallao J & Amador M (1994) Percentiles of the waist–hip ratio in Cuban scholars aged 4.5 to 20.5 y Int. J. Obes. Relat. Metab. Disord. 18 557–560

    CAS  PubMed  Google Scholar 

  • Moreno LA, Fleta J, Mur L, Rodriguez G, Sarria A & Bueno M (1999) Waist circumference values in Spanish children—gender-related differences Eur. J. Clin. Nutr. 53 429–433

    Article  CAS  Google Scholar 

  • Moreno LA, Sarria A, Fleta J, Rodriguez G & Bueno M (2000) Trends in body mass index and overweight prevalence among children and adolescents in the region of Aragon (Spain) from 1985 to 1995 Int. J. Obes. Relat. Metab. Disord. 24 925–931

    Article  CAS  Google Scholar 

  • Norris B & Wilson JR (1994) Childata London: Department of Trade and Industry

  • Parsons IJ, Power C, Logan S & Summerbell CD (1999) Childhood predictors of adult obesity: a systematic review Int. J. Obes. Relat. Metab. Disord. 23 1–107

    Article  Google Scholar 

  • Pinhas-Hamiel O, Dolan LM, Daniels SR, Standiford D, Khoury PR & Zeitler P (1996) Increased incidence of non-insulin-dependent diabetes mellitus among adolescents J. Pediatr. 128 608–615

    Article  CAS  Google Scholar 

  • Power C, Lake JK & Cole TJ (1997) Measurement and long-term health risks of child and adolescent fatness Int. J. Obes. Relat. Metab. Disord. 21 507–526

    Article  CAS  Google Scholar 

  • Reilly JJ, Dorosty AR & Emmett PM (1999) Prevelance of overweight and obesity in British children: cohort study Br. Med. J. 319 103 9

    Article  Google Scholar 

  • Reilly JJ, Dorosty AR & Emmett P (2000) Identification of the obese child: adequacy of the body mass index for clinical practice and epidemiology Int. J. Obes. Relat. Metab. Disord. 24 1623–1627

    Article  CAS  Google Scholar 

  • Troiano RP, Flegal KM, Kuczmarski RJ, Campbell SM & Johnson CL (1995) Overweight prevalence and trends for children and adolescents Arch. Paediatr. Adolesc. Med. 149 1085–1091

    Article  CAS  Google Scholar 

  • Ulijaszek SJ & Kerr DA (1999) Anthropometric error and the assessment of nutritional status Br. J. Nutr. 82 165–177

    Article  Google Scholar 

  • WHO (1995) Physical status: the use and interpretation of anthropometry Geneva: WHO Technical Report Series 854

  • Zannolli R & Morgese G (1996) Waist percentiles: a simple test for atherogenic disease? Acta Paediatr. 85 1368–1369

    Article  Google Scholar 

Download references

Acknowledgements

The authors would like to thank Loughborough University for providing the waist circumference data, Professor Tim Cole for use of the LMS program and Beverley Norris and John R. Wilson for allowing the reproduction of the waist circumference measurement landmarks.

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Author notes

  1. HD McCarthy: Guarantor: HD McCarthy.

  2. HD McCarthy, KV Jarrett and HF Crawley: Contributors: HMD—original idea, contributed to analysis and writing of the manuscript. KVJ—statistical analysis and writing of the manuscript. HFC—contributed to the writing of the manuscript.

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  1. School of Health and Sports Science, The University of North London, London, UK

    HD McCarthy, KV Jarrett & HF Crawley

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  1. HD McCarthy
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  3. HF Crawley
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Correspondence to HD McCarthy.

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McCarthy, H., Jarrett, K. & Crawley, H. The development of waist circumference percentiles in British children aged 5.0–16.9 y. Eur J Clin Nutr 55, 902–907 (2001). https://doi.org/10.1038/sj.ejcn.1601240

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