Skip to main content
Log in

Waist circumference percentiles for 7- to 17-year-old Turkish children and adolescents

  • Original Paper
  • Published:
European Journal of Pediatrics Aims and scope Submit manuscript

Abstract

Abdominal obesity is associated with risk of cardiovascular disease and type 2 diabetes mellitus. Waist circumference as a measure of obesity may be clinically useful as a predictor of metabolic syndrome in children. To develop age- and sex-specific reference values for waist circumference we evaluated the data obtained from Turkish children and adolescents. Waist circumference measurements from 4,770 healthy schoolchildren were obtained. Smoothed percentile curves were produced by the LMS method. The median curves of Turkish children were compared with four other countries: Australia, the UK, USA (Bogalusa) and Japan. Smoothed percentile curves and values for the 3rd, 5th, 10th, 25th, 50th, 75th, 85th, 90th, 95th and 97th percentiles were calculated for boys and girls. We found that waist circumference increased with age both in boys and girls. The 50th percentile waist circumference curve of Turkish children was over the British and Japanese but lower than the Bogalusa children and adolescents. This study presents data and smoothed percentile curves for waist circumference of healthy Turkish children aged 7–17 years. The differences in waist circumference of different countries can be explained by lifestyles and cultural characteristics. These data can be added to the existing international reference values for waist circumference of children and adolescents.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Atabek ME, Pirgon O, Kurtoglu S (2006) Prevalence of metabolic syndrome in obese Turkish children and adolescents. Diabetes Res Clin Pract 72:315–321

    Article  PubMed  CAS  Google Scholar 

  2. Booth ML, Chey T, Wake M, Norton K, Hesketh K, Dollman J, Robertson I (2003) Change in the prevalence of overweight and obesity among young Australians, 1969–1997. Am J Clin Nutr 77:29–36

    PubMed  CAS  Google Scholar 

  3. Bundak R, Furman A, Gunoz H, Darendeliler F, Bas F, Neyzi O (2006) Body mass index references for Turkish children. Acta Paediatr 95:194–198

    Article  PubMed  Google Scholar 

  4. Cole TJ, Green PJ (1992) Smoothing reference centile curves: the LMS method and penalized likelihood. Stat Med 11:1305–1319

    Article  PubMed  CAS  Google Scholar 

  5. Cook S, Weitzman M, Auinger P, Nguyen M, Dietz WH (2003) Prevalence of a metabolic syndrome phenotype in adolescents: findings from the third National Health and Nutrition Examination Survey, 1988–1994. Arch Pediatr Adolesc Med 157:821–827

    Article  PubMed  Google Scholar 

  6. Chinn S, Rona RJ (2001) Prevalence and trends in overweight and obesity in three cross sectional studies of British Children, 1974–94. BMJ 322:24–26

    Article  PubMed  CAS  Google Scholar 

  7. Daniels SR, Khoury PR, Morrison JA (2000) Utility of different measures of body fat distribution in children and adolescents. Am J Epidemiol 152:1179–1184

    Article  PubMed  CAS  Google Scholar 

  8. Daniels SR, Morrison JA, Sprecher DL, Khoury P, Kimball TR (1999) Association of body fat distribution and cardiovascular risk factors in children and adolescents. Circulation 99:541–545

    PubMed  CAS  Google Scholar 

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

    Google Scholar 

  10. Eisenmann JC (2005) Waist circumference percentiles for 7- to 15-year-old Australian children. Acta Paediatr 94:1182–1185

    Article  PubMed  Google Scholar 

  11. Ekelund U, Ong KK, Linne Y, Neovius M, Brage S, Dunger DB (2007) Association of weight gain in infancy and early childhood with metabolic risk in young adults. J Clin Endocrinol Metab 92:98–103

    Article  PubMed  CAS  Google Scholar 

  12. Fernandez JR, Redden DT, Pietrobelli A, Allison DB (2004) Waist circumference percentiles in nationally representative samples of African-American, European-American, and Mexican-American children and adolescents. J Pediatr 145:439–444

    Article  PubMed  Google Scholar 

  13. Fredriks AM, van Buuren S, Fekkes M, Verloove-Vanhorick SP, Wit JM (2005) Are age references for waist circumference, hip circumference and waist-hip ratio in Dutch children useful in clinical practice? Eur J Pediatr 164:216–222

    Article  PubMed  Google Scholar 

  14. Kissebah AH, Vydelingum N, Murray R, Evans DJ, Hartz AJ, Kalkhoff RK (1982) Relation of body fat distribution to metabolic complications of obesity. J Clin Endocrinol Metab 54:254–260

    Article  PubMed  CAS  Google Scholar 

  15. Hirschler V, Aranda C, Calcagno Mde L, Maccalini G, Jadzinsky M (2005) Can waist circumference identify children with the metabolic syndrome? Arch Pediatr Adolesc Med 159:740–744

    Article  PubMed  Google Scholar 

  16. Inokuchi M, Matsuo N, Anzo M, Takayama JI, Hasegawa T (2006) Age-dependent percentile for waist circumference for Japanese children based on the 1992–1994 cross-sectional national survey data. Eur J Pediatr Nov 7 [Epub ahead of print]

  17. Katzmarzyk PT (2004) Waist circumference percentiles for Canadian youth 11–18 y of age. Eur J Clin Nutr 58:1011–1015

    Article  PubMed  CAS  Google Scholar 

  18. Katzmarzyk PT, Srinivasan SR, Chen W, Malina RM, Bouchard C, Berenson GS (2004) Body mass index, waist circumference, and clustering of cardiovascular disease risk factors in a biracial sample of children and adolescents. Pediatrics 114:e198–e205

    Article  PubMed  Google Scholar 

  19. Kelishadi R, Ardalan G, Gheiratmand R, Adeli K, Delavari A (2006) Paediatric metabolic syndrome and associated anthropometric indices: the CASPIAN Study. Acta Paediatr 95:1625–1634

    Article  PubMed  Google Scholar 

  20. Kissebah AH, Krakower GR (1994) Regional adiposity and morbidity. Physiol Rev 74:761–811

    PubMed  CAS  Google Scholar 

  21. Lazarus R, Baur L, Webb K, Blyth F (1996) Body mass index in screening for adiposity in children and adolescents: systematic evaluation using receiver operating characteristic curves. Am J Clin Nutr 63:500–506

    PubMed  CAS  Google Scholar 

  22. McCarthy HD, Jarrett KV, Crawley HF (2001) The development of waist circumference percentiles in British children aged 5.0–16.9 y. Eur J Clin Nutr 55:902–907

    Article  PubMed  CAS  Google Scholar 

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

    Article  PubMed  CAS  Google Scholar 

  24. Moreno LA, Pineda I, Rodriguez G, Fleta J, Sarria A, Bueno M (2002) Waist circumference for the screening of the metabolic syndrome in children. Acta Paediatr 91:1307–1312

    Article  PubMed  CAS  Google Scholar 

  25. 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  PubMed  CAS  Google Scholar 

  26. Pouliot MC, Despres JP, Lemieux S, Moorjani S, Bouchard C, Tremblay A, Nadeau A, Lupien PJ (1994) Waist circumference and abdominal sagittal diameter: best simple anthropometric indexes of abdominal visceral adipose tissue accumulation and related cardiovascular risk in men and women. Am J Cardiol 73:460–468

    Article  PubMed  CAS  Google Scholar 

  27. Rankinen T, Kim SY, Perusse L, Despres JP, Bouchard C (1999) The prediction of abdominal visceral fat level from body composition and anthropometry: ROC analysis. Int J Obes Relat Metab Disord 23:801–809

    Article  PubMed  CAS  Google Scholar 

  28. Savva SC, Tornaritis M, Savva ME, Kourides Y, Panagi A, Silikiotou N, Georgiou C, Kafatos A (2000) Waist circumference and waist-to-height ratio are better predictors of cardiovascular disease risk factors in children than body mass index. Int J Obes Relat Metab Disord 24:1453–1458

    Article  PubMed  CAS  Google Scholar 

  29. Wang J, Thornton JC, Bari S, Williamson B, Gallagher D, Heymsfield SB, Horlick M, Kotler D, Laferrere B, Mayer L, Pi-Sunyer FX, Pierson RN Jr (2003) Comparisons of waist circumferences measured at 4 sites. Am J Clin Nutr 77:379–384

    PubMed  Google Scholar 

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

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Selim Kurtoglu.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Hatipoglu, N., Ozturk, A., Mazicioglu, M.M. et al. Waist circumference percentiles for 7- to 17-year-old Turkish children and adolescents. Eur J Pediatr 167, 383–389 (2008). https://doi.org/10.1007/s00431-007-0502-3

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00431-007-0502-3

Keywords

Navigation