@article{3113275,
    title = "Short-term predictors of abdominal obesity in children",
    author = "Psarra, G. and Nassis, G.P. and Sidossis, L.S.",
    journal = "Central European Journal of Public Health",
    year = "2006",
    volume = "16",
    number = "5",
    pages = "520-525",
    issn = "1210-7778",
    doi = "10.1093/eurpub/cki196",
    keywords = "abdominal obesity;  anthropometric parameters;  article;  body fat distribution;  body mass;  cardiopulmonary function;  child;  child health;  female;  follow up;  gender;  human;  Khamis Roche method;  logistic regression analysis;  major clinical study;  male;  maturation;  multiple regression;  obesity;  parent;  priority journal;  risk assessment;  risk factor;  waist circumference;  waist hip ratio, Abdominal Fat;  Body Fat Distribution;  Body Mass Index;  Child;  Female;  Follow-Up Studies;  Humans;  Logistic Models;  Male;  Obesity;  Risk Factors;  Waist-Hip Ratio",
    abstract = "Background: The aim of this study was to examine the short-term tracking of abdominal adiposity in children. Methods: A total of 918 children (477 boys) aged 6-12 years at baseline were followed-up for 2 years. Central obesity was assessed by waist circumference (WaistC), whereas body fat distribution by waist-to-hip ratio. Maturity was assessed by the Khamis-Roche method. Parental fatness and children's cardiorespiratory fitness (CRF) were also evaluated. Multiple and logistic regressions were employed to identify the predictors of BMI and WaistC. Results: Tracking of body fatness and body fat distribution was high (r = 0.69-0.86, P < 0.01). More boys remained obese than girls (P < 0.05), whereas a greater percentage of boys moved to a higher quartile of WaistC after the 2-year follow-up (22.0 vs 14.1%, P < 0.01). Sex, child's maturity and WaistC at baseline, CRF, and maternal BMI explained 76% of the variability in BMI and WaistC at the follow-up (n = 290). Children with high WaistC at baseline and low CRF presented 1.9- and 4.3-fold increased risk of remaining in the upper quartile of WaistC at the follow-up (P < 0.01; n = 552). Conclusion: Youth with increased WaistC at baseline and low CRF presented an increased chance of maintaining central obesity at the follow-up. More boys than girls moved into a higher quartile of abdominal obesity during the 2-year follow-up period and this should be taken into account in designing programmes for childhood obesity. © The Author 2005. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved."
}