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Different obesity measures in adolescents in Mumbai

adolescents. Second, as there have been no other similar surveys in Mumbai to compare with, whether the prevalence of
central obesity truly represents this population are unknown.
In our study, 89% of obese adolescents were found to be centrally obese. A Bangladesh study in Dhaka area reported a
prevalence of 54% central obesity among adolescent girls (Zabeen, Tayyeb, Naz, et al., 2015). The reason why our study
has a much higher prevalence of central obesity is unknown. This may be due to sampling bias of the population or maybe
due to the accuracy of measurement and data quality. More research is needed to compare the possible causes. Third, we
did not perform advanced analysis to take different covariates into account. More research projects have been put forward,
and we will release more robust findings.

5. Conclusions
The present study documents the efficacy of central obesity indicators with general obesity in adolescents. WC and WHtR
appear to be more robust indicators of general obesity and they can be used to determine the obesity status of adolescents.

Authors Contributions
AP, PB, and PP planned and designed the study and drafted the discussion. AP prepared the draft and PP did the analysis
and visualization. PB and PP worked on data analysis. The manuscript was written and approved by all the authors.
Ethics Clearances

This study was approved by Institutional Ethics as well as Scientific Committee of Bhabha Atomic Research Center
Hospital, Mumbai, through their letter no BHMEC/NP/13/16 dated January 24, 2017.

Acknowledgments
We are thankful to Chairman, AECS for giving permission to conduct the study in AECS. Medical Division-Deonar East
Dispensary doctors, Rahul and Anuradha for their support during the study.
Conflicts of Interest

The authors declare that they have no conflicts of interest.

Funding
This research received no grant from any funding agency in public, commercial, or not-for-profit sectors.

References

August G P, Caprio S and Fennoy I, et al. (2008). Prevention and treatment of pediatric obesity: An endocrine society clinical
practice guideline based on expert opinion. Journal of Clinical Endocrinology and Metabolism, 93(12): 4576–4599. https://doi.
org/10.1210/jc.2007-2458.
Casonatto J, Ohara D and Giuliano D, et al. (2011). High blood pressure and abdominal obesity in adolescents. Revista Paulista
de Pediatria, 29(4): 567–571. Available from: http://www.scielo.br/pdf/rpp/v29n4/en_15.pdf. https://doi.org/10.1590/S0103-
05822011000400015. [Last Accessed on 2018 Aug 26].
Cole T J (2000). Establishing a standard definition for child overweight and obesity worldwide: International survey. BMJ, 320: 1240–
1243. https://doi.org/10.1136/bmj.320.7244.1240.
Gishti O, Gaillard R and Durmus B, et al. (2015). BMI, total and abdominal fat distribution, and cardiovascular risk factors in school-
age children. Pediatric Research, 77: 710–718. https://doi.org/10.1038/pr.2015.29.
Goran M I and Gower B A. (1999). Relation between visceral fat and disease risk in children and’ adolescents. The American Journal
of Clinical Nutrition, 70: 149S–156S. https://doi.org/10.1093/ajcn/70.1.149s.
Chung H, Park S and Park M J, et al. (2016). Waist-to-height ratio as an index for cardiometabolic risk in adolescents: Results from the
1998-2008 KNHANES. Yonsei Medical Journal, 57(3): 658–663. https://doi.org/10.3349/ymj.2016.57.3.658.
Jagadesan S, Harish R and Miranda P, et al. (2014). Prevalence of overweight and obesity among school children and adolescents in

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