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Different obesity measures in adolescents in Mumbai



           Table 2. Prevalence of overweight and obesity based on IAP, IOTF, and WHO BMI growth charts.
           Narration                  Normal‑weight (%)              Over‑weight (%)             Obesity (%)
           IAP
             Girl                        406 (62.8)                    138 (21.3)                 103 (15.9)
             Boy                         459 (65.4)                    145 (20.6)                 98 (14.0)
             IAP total                   865 (64.1)                    283 (21.0)                 201 (14.9)
           IOTF
             Girl                        471 (72.8)                    111 (17.2)                 65 (14.0)
             Boy                         514 (73.2)                    114 (16.2)                 74 (10.5)
             IOTF total                  985 (73.0)                    225 (16.7)                 139 (10.3)
           WHO
             Girl                        495 (76.5)                    86 (13.3)                  66 (10.2)
             Boy                         517 (73.6)                    88 (12.5)                  97 (13.8)
            WHO total                    1012 (75.0)                   174 (12.9)                 163 (12.1)
           IAP: Indian academy of pediatrics, IOTF: International obesity task force, WHO: World Health Organization.



           Table 3. Central adiposity using WC, WHtR, and WHR.
           Central adiposity                             Girls                 Boys                Total (%)
           Waist circumference (age- and sex-adjusted)
             <75  percentile                              473                  518                  991 (73)
               th
                 th
             75–90  percentile                            97                   106                  203 (15)
              th
             90  percentile                               77                   78                   155 (11)
           WHtR
             < 0.5                                        473                  521                  994 (74)
             ≥0.5                                         174                  181                  355 (26)
           WHR
             <0.85–girl, <0.90–boy                        375                  558                  933 (69)
            ≥0.85–girl, ≥0.90–boy                         272                  144                  416 (31)
           WC: Waist circumference, WHR: Waist-to-hip ratio, WHtR: Waist-to-height ratio.


           Table 4. Values of the AUC in ROC curve for the efficacy evaluation of central adiposity by IAP, IOTF, and WHO reference tables.
           Narration                     WC                           WHtR                         WHR
           IAP                          0.908                         0.925                        0.644
           IOTF                         0.857                         0.869                        0.610
           WHO                          0.891                         0.927                        0.675
           AUC: Area  under  curve,  ROC:  Receiver  operating  characteristics,  IAP:  Indian  academy  of  pediatrics,  IOTF:  International  obesity  task  force,  WHO:  World  Health
           Organization, WC: Waist circumference.

           increased morbidity risk related to central obesity was discussed in various studies (Yoo, 2016). Our findings support to
           its robustness.
             WHtR in present study appeared as a more predictive indicator than WC, which is consistent with the previous studies
           that found that WHtR is superior to BMI in predicting cardiometabolic risk (Šimundić, 2009; Yoo, 2016). In a similar


           38                                              International Journal of Population Studies | 2018, Volume 4, Issue 2
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