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Change in waist circumference over 2 years and the odds of left ventricular hypertrophy among Chinese children


Wang, H and Zhao, M and Magnussen, CG and Xi, B, Change in waist circumference over 2 years and the odds of left ventricular hypertrophy among Chinese children, Nutrition, Metabolism and Cardiovascular Diseases, 31, (8) pp. 2484-2489. ISSN 0939-4753 (2021) [Refereed Article]

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Copyright 2021 The Italian Diabetes Society, the Italian Society for the Study of Atherosclerosis, the Italian Society of Human Nutrition and the Department of Clinical Medicine and Surgery, Federico II University

DOI: doi:10.1016/j.numecd.2021.04.027


Background and aims: High waist circumference (WC) is associated with left ventricular mass index (LVMI) in childhood. However, no studies have assessed the association between WC change and left ventricular hypertrophy (LVH) in childhood. This study aimed to investigate the association between change in WC status over 2 years on LVH among Chinese children.

Methods and results: Data were from a population-based prospective cohort study in China. Children without LVH at baseline (n = 1067) were assigned to four WC status change groups (persistent normal WC, WC loss, WC gain, and persistent abdominal obesity). Over a 2-year follow-up, 103 (out of 1067) children had LVH. LVMI levels were the highest among the persistent abdominal obesity group (31.5 3.8 g/m 2.7), lower in the WC gain group (31.0 3.6 g/m 2.7) and the WC loss group (29.8 3.7 g/m 2.7), and lowest in the persistent normal WC group (29.1 3.7 g/m 2.7). Compared with children in the persistent normal WC group, the odds of LVH was highest in the persistent abdominal obesity group [odds ratio (OR) = 3.57, 95% confidence interval (CI): 2.18-5.83], followed by the WC gain group (OR = 2.85, 95% CI: 1.50-5.41). In contrast, the odds of LVH was not increased in the WC loss group (OR = 0.93, 95% CI: 0.21-4.07).

Conclusion: Although these findings highlight the importance of maintaining normal WC in childhood to reduce the odds of developing LVH, our data suggest the increased odds associated with abdominal obesity can be reversed by WC loss.

Item Details

Item Type:Refereed Article
Keywords:children, cohort study, left ventricular hypertrophy, waist circumference
Research Division:Biomedical and Clinical Sciences
Research Group:Paediatrics
Research Field:Infant and child health
Objective Division:Health
Objective Group:Evaluation of health and support services
Objective Field:Evaluation of health outcomes
UTAS Author:Magnussen, CG (Associate Professor Costan Magnussen)
ID Code:147285
Year Published:2021
Web of Science® Times Cited:1
Deposited By:Menzies Institute for Medical Research
Deposited On:2021-10-22
Last Modified:2021-11-24

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