Abdominal obesity in adolescents: Development of age-specific waist circumference cut-offs linked to adult IDF criteria

Abstract

Objectives: The purpose of this study was to develop age- and sex-specific waist cir-cumference (WC) cut-off points, linked to older adolescent and adult criteria forabdominal obesity, to be applied to children in the clinical setting.Methods: A total of 16,788 adolescents aged 10 to 16 years were assessed for WC.Smoothed age and sex-specific WC curves were obtained using Cole’s LMS method.Results: Percentiles that corresponded to the International Diabetes Federation (IDF)recommendations used for older adolescents and adults (161 years old) were the97thpercentile for boys and the 87thpercentile for girls. Using these cutoffs, a total of368 boys and 1138 girls were categorized as abdominally obese, in contrast to 1654boys and 987 girls that were identified using the current IDF pediatric criteria (90thpercentile).Conclusions: We provide age- and sex-specific cut-off points that can be used toidentify abdominal obesity in adolescents. The present findings provide a tool thatcan be used in the clinical setting for the early detection and prevention of adult obe-sity. Population-specific cutoffs may be required for pediatric ages to diagnosechildren at risk.